Browsing through the channels the other night, I came across one of the many food porn shows on TV, DC Cupcakes. Being the food safety observer I’ve become, I thought I’d watch for food safety faux pas. I wasn’t disappointed.

The owners were hosting the Girl Scouts of America, who needed to earn their baking badges. This was especially significant because the bakers had failed to earn their baking badges back in the day.

The cupcake experts started with egg and butter tips. One of them told the girls that the cupcake batter would be better if the eggs and butter were at room temperature prior to mixing them. As she said this, she handed an egg to each of the girls, one of which dropped it on the counter.

After they all cracked their eggs in a bowl, including the cracked one, they proceeded to feel how soft the butter was. No handwashing featured after touching the eggs or before contaminating the butter (and everything else they came in contact with for that matter).

As demonstrated by a recent salmonella outbreak in a Rhode Island bakery, which may have been the outcome of contaminated eggs, it’s important to follow simple safety practices such as handwashing. Especially in the food production business.

Maybe that’s why the DC ladies didn’t earn their baking badge when they were Brownies.
 

Graphic messages and reminders that use a shock-and-shame approach may get more people to wash their hands, according to a Kansas State University professor and his colleagues.

"Those 'Employees Must Wash Hands' signs in bathrooms may not be the most effective reminder," said Doug Powell, professor of food safety at K-State. "We wanted a comprehensive review of what others had done, and combined this with our own work on food safety messages that lead to behavior change. We weren't interested in self-reported surveys where everyone says they always wash their hands, but studies based on observed increases in handwashing compliance."

Powell worked with Casey Jacob, a former K-State research assistant in the department of diagnostic medicine and pathobiology, and Sarah Wilson, formerly of the University of Guelph. Their review of techniques to improve handwashing behavior was just published in the journal Critical Public Health.

The review was conducted as background for several ongoing experiments involving Powell and colleagues to increase handwashing rates in cafeterias, restaurants, hospitals, veterinary clinics and petting zoos. The team has previously designed handwashing campaigns at K-State involving both shock and shame.

"Social pressure, or shame, has been successfully used, especially within an entire organization," Powell said. "If you were in the bathroom at a restaurant and saw an employee not washing his or her hands, would you say, 'Dude, wash your hands?' The shock approach is designed to get people to 'be the bug' -- just for a moment -- and think about where their hands have been and where they are going to be, especially when around hospitals, food service or animals. Dangerous microorganisms move around a lot."

Behavior-change interventions to improve hand-hygiene practice: A review of alternatives to education
03.mar.11
Critical Public Health
Sarah Wilson; Casey J. Jacob; Douglas Powell
http://www.informaworld.com/smpp/content~content=a934338802~db=all~jumptype=rss
Despite the role of hand hygiene in preventing infectious disease, compliance remains low. Education and training are often cited as essential to developing and maintaining hand-hygiene compliance, but generally have not produced sustained improvements. Consequently, this literature review was conducted to identify alternative interventions for compelling change in hand-hygiene behavior. Of those, interventions employing social pressures have demonstrated varying influence on an individual’s behavior, while interventions that focus on organizational culture have demonstrated positive results. However, recent research indicates that handwashing is a ritualized behavior mainly performed for self-protection. Therefore, interventions that provoke emotive sensations (e.g., discomfort, disgust) or use social marketing may be the most effective.

The producers of Bravo's Top Chef have me pegged as their target audience. Tonight's episode featured the Sesame Street characters Telly, Cookie Monster, and Elmo (who were hilarious judges), and new ads for Target featuring former Top Chef cheftestants and Padma. It's an entertaining episode that left me with a bad taste in my mouth.

Tonight's challenge was to cook a meal for 100 employees in a closed Target super store in the middle of the night. Because of the improvised cooking setting, the chefs were forced to set up their kitchens, find their ingredients, and prepare to serve the employees and judges within a 3 hour time limit. Some concentrated on table linens, some on flavors, but there was a frightening absence of handwashing. Granted, many of the chefs opted to make soup, which in theory should allow for thorough cooking of all ingredients. But what about any fancy garnish and fresh salad that ends up on the plate?

My favorite of the season, Richard Blais, made a pork tenderloin (pictured right exactly as shown). He then topped his finished pork with some freshly sliced apple and green chili slaw before serving. His concern? "It's not the prettiest dish in the world. I know that. But I'm ready to defend my dish if I have to. I think it's tasty."

Anthony Bourdain confirmed, "Frankly, I think Richard's disk was butt ugly, but it was delicious."

One day I hope a chef will stand up and protest the cooking conditions or demand a meat thermometer. I will leave the food safety assessment to the experts, but I spotted a few potential concerns:

- using all cooking utensils and dishes straight from boxes with no chance to sanitize them

- improvised utensils, linens, garbage cans, etc.

- no handwashing stations, sanitizing solutions or rags to clean work surfaces or dishes.

I have hit pause on the DVR so many times that I'm not even done watching this episode yet, but I hope it does not end with a foodborne outbreak.

Whenever there’s an outbreak of norovirus or some other tummy upset that forces large numbers of students to call in sick, check the bathrooms.

Are the tools for proper handwashing – running water, soap and paper towel – actually available?

And while a report titled, A Response to School Toilets: Best Practice Guidance for Primary and Secondary Schools in Wales, may not make exciting bathroom reading, continual attention to hygiene basics consistently reduces the numbers of people barfing.

Consumer Focus Wales (CFW) made the same point today, arguing that children face an increased risk of contracting and spreading deadly bugs because councils will not be forced to check school toilet hygiene.

As part of the South Wales E.coli public inquiry, Professor Hugh Pennington recommended that every council should have a program of audits to ensure all schools have adequate toilet and handwashing facilities.

Jennie Bibbings, CFW’s senior policy advocate, said: “In the current financial climate school toilets might be a low priority but hygiene standards could suffer and the risk of illness among school children increases.

The public inquiry into the 2005 E. coli O157 outbreak in South Wales heard shocking evidence about the state of school toilets. In some of the schools in the outbreak area there was no running hot water or even soap for children to wash their hands.

Peter Clarke, Wales’ first Children’s Commissioner, had highlighted concerns about the lack of soap and toilet paper in some schools in 2004 – a year before butcher William Tudor caused the E.coli O157 outbreak.

And his successor Mr Towler again highlighted the sub-standard facilities in his third annual report last year.

“Currently I’m seeing inequality across the country with some schools having made considerable improvement while other pupils feel so strongly about it they refuse to use the toilet during the school day.”

Consumer Focus Wales said it should also include standards for staff facilities because successive food hygiene inspection reports have revealed variable performance among school canteens in the provision of hand washing facilities.”