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Kitchen hood performance in food service operations.

Cooking processes at food service operations release fumes that present risks of food contamination, fire, and employee exposure to hazardous chemicals. Local exhaust ventilation in the form of kitchen hoods is commonly used to control these risks. State codes often refer to the need for adequate ventilation, but hoods are not an explicit point on most inspection sheets and are rarely quantitatively assessed to determine if flow rates meet recommended levels. For this article, the flow rates of 89 hoods in 60 restaurants were measured and compared with appropriate flow rate guidelines. It was found that 39 percent of the hoods met the guidelines of the American Conference of Governmental Industrial Hygienists and 24 percent met the guidelines of the American Society of Heating, Refrigerating and Air-Conditioning Engineers. Inspecting sanitarians identified inadequate flow rates in less than 4 percent of the cases. Hoods used to control heavy-duty operations such as upright broilers, charbroilers, and woks had the lowest pass rate, 18 percent. The researchers also graded the hoods in terms of cleanliness. These ratings did not correlate with hood cleanliness notes on the sanitarians' inspection reports. Overall risks from cooking fumes could be reduced by regular systematic inspections of kitchen hoods, with hoods perhaps included as an independent item on inspection sheets. Quantitative assessment of flow rates is time consuming and is probably not feasible for all inspections. Periodic inspections of hoods on heavy-duty operations could be a workable way to reduce risks.

Guidelines as Topic↗

Does eating environment have an effect on food intake in the elderly?

Identical meals were prepared and served to 49 elderly subjects (mean age 74.3 +/- SD 7.7 years) in two different eating environments. The improved environment was a state of the art training restaurant and the standard environment was a staff canteen. Each subject was served an identical meal in both environments. The energy intake of each meal consumed was determined using the weighed intake method. There was a significant difference (p < 0.001) in the energy intake in the elderly between the improved (4894 +/- 613 kJ) and standard (4536 +/- 620 kJ) eating environments. Eating environment has a positive effect on the energy intake of elderly subjects. Changes to eating environment may be a useful way to improve energy intake in the elderly.

Aged↗

Evaluation of community and organizational characteristics of smoke-free ordinance campaigns in 15 Wisconsin cities.

INTRODUCTION: Smoke-free restaurant ordinance campaigns were conducted in 15 Wisconsin cities during 1992 through 2002. Community and health coalition organizational characteristics varied with each campaign; nine campaigns were successful in enacting ordinances, and six campaigns failed. METHODS: Data on community and coalition characteristics were analyzed. Community characteristics included adjusted gross income, percentage of Democratic voters in recent elections, and county smoking prevalence. Coalition characteristics included the number of supporters identified, leadership experience, level of print news media coverage, and editorial position of local newspaper. RESULTS: Successful campaigns were more likely to have leadership with high levels of political experience; eight of nine successful campaigns had leadership with high levels of experience, and two of six unsuccessful campaigns had leadership with high levels of experience. Every successful campaign had high levels of newspaper coverage and strong editorial support. None of the unsuccessful campaigns had high levels of news coverage or strong editorial support. CONCLUSION: Characteristics controlled or influenced by coalitions are associated with successful outcomes. Community characteristics were not associated with outcomes. These results should assist communities planning to implement smoke-free ordinances or other health policy campaigns.

Community Participation↗

Eating patterns and energy and nutrient intakes of US women.

A longitudinal multivariate analysis was used to determine whether differences in energy and nutrient intakes were present for women classified into different eating patterns. Ten multidimensional eating patterns were created based on the proportion of energy consumed at home and at seven away-from-home locations. Data were from 1,120 women aged 19 through 50 years who were surveyed up to six times over a 1-year period as part of the 1985 Continuing Survey of Food Intake by Individuals, US Department of Agriculture. Data from 5,993 days were analyzed. To examine differences in energy and nutrient intakes, longitudinal multivariate analyses were used to control for eating pattern and factors such as demographics, season, and day of week. Younger women in the Fast Food eating pattern consumed the greatest intakes of energy, total fat, saturated fat, cholesterol, and sodium. Well-educated, higher-income women in the Restaurant pattern consumed diets with the highest overall fat density. Nutrient densities for dietary fiber, calcium, vitamin C, and folacin were particularly low in away-from-home eating patterns. In contrast, moderately educated, middle-aged and middle-income women in the Home Mixed eating pattern (70% at home, 30% away from home) consumed the most healthful diets. We conclude that knowledge of demographics such as income and education is not enough to target dietary interventions. Rather, educational efforts must consider both demographics and the location of away-from-home eating. This will allow development of behavioral change strategies that consider food choices dictated by the eating environment as well as personal knowledge and attitude factors related to adoption of healthful food choices.

Adult↗

Bacteriological quality of ready to eat meals.

Microbial investigation of 30 samples of roasted liver and 30 samples of meat sandwiches, collected randomly from different peddlers and restaurants in Alexandria city, was conducted to evaluate their sanitary status. The average count/gm of total aerobic bacterial count thermophilic, total coliform and faecal coliform counts isolated from liver sandwiches were 8.11 x 10(6), 1.05 x 10(5) and 9.04 x 10(3), but from meat sandwiches (shawerma) were 7.06 x 10(4), 6.24 x 10(3), 2.26 x 10(3) and 1.09 x 10(3) respectively. E. coli, Shigella, Staph. aureus could be isolated in varying percentages, but Salmonella failed to be isolated. The public health importance of the isolated microorganisms as well as suggested hygienic measures to improve the quality of such products are discussed.

Animals↗

Some aspects of bacterial contamination of hands of workers in food service establishments.

In 28 kitchens of restaurants and 10 kitchens of institutions, the hands of 280 persons were sampled in order to determine the role which hands play in contaminating food during preparation. The presence of salmonellae and the number of Enterobacteriaceae and Staphylococcus aureus in these samples was examined. No salmonellae could be isolated. However, large numbers (greater than 10(5)/hand) of Enterobacteriaceae and Staphylococcus aureus occurred on about 8% of the hands. "Normal" washing of the hands resulted in a lower number of transient micro-organisms. Since washing did not influence the number of Staphylococcus aureus on the hands, this organism seems to behave more as a resident organism. Prepared foods such as salads, fried meat and bread were often handled with relatively highly contaminated hands.

Enterobacteriaceae↗

Adverse reactions to sulfites.

Sulfites are widely used as preservatives in the food and pharmaceutical industries. In the United States more than 250 cases of sulfite-related adverse reactions, including anaphylactic shock, asthmatic attacks, urticaria and angioedema, nausea, abdominal pain and diarrhea, seizures and death, have been reported, including 6 deaths allegedly associated with restaurant food containing sulfites. In Canada 10 sulfite-related adverse reactions have been documented, and 1 death suspected to be sulfite-related has occurred. The exact mechanism of sulfite-induced reactions is unknown. Practising physicians should be aware of the clinical manifestations of sulfite-related adverse reactions as well as which foods and pharmaceuticals contain sulfites. Cases should be reported to health officials and proper advice given to the victims to prevent further exposure to sulfites. The food industry, including beer and wine manufacturers, and the pharmaceutical industry should consider using alternative preservatives. In the interim, they should list any sulfites in their products.

Anaphylaxis↗

[Culinary art and social change: some remarks].

The development in France, long a rural country, of a new type of civilization characterized by industrialization, urbanisation and their corollaries threatens (in a real or imaginary way) both the quality of food (standardization, agricultural, industrialization and new toxicological and pollution problems) and the social-cultural signification of the meal (time constraints, convenience food, fast-food restaurants, etc.) particularly among social strata most involved in the new urban way of life. And yet a new interest and appreciation for cooking and culinary art spreads. Gastronomy can be regarded as a social privilege and/or a celebrative break in the course of ordinary meals: the new culinary vogue might well develop in opposition to--rather than in spite of--the onslaught of convenience food. Significantly enough, it is based on a new mythology and, as a consequence, on new aesthetic canons. The new food emphasizes the signs of nature, archaïsm, rurality, exotism (ethnic food) etc. It is also bound to conciliate the art of food and the image of the body imposed by contemporary culture (slimness, eternal youth...).

Art↗

Update: multistate outbreak of Escherichia coli O157:H7 infections from hamburgers--western United States, 1992-1993.

From November 15, 1992, through February 28, 1993, more than 500 laboratory-confirmed infections with E. coli O157:H7 and four associated deaths occurred in four states--Washington, Idaho, California, and Nevada. This report summarizes the findings from an ongoing investigation that identified a multistate outbreak resulting from consumption of hamburgers from one restaurant chain.

Animals↗

Epidemic Salmonella enteritidis infection in Los Angeles County, California. The predominance of phage type 4.

Between April and July 1994, 501 cases of Salmonella enteritidis infection were reported in Los Angeles County, California, nearly 5 times the number reported between April and July 1993; of these, 422 (84%) were sporadic (not related to known outbreaks). A case-control study was done to determine risk factors for sporadic illness; the distribution of S enteritidis phage types was evaluated. Case-patients (n = 58) were county residents older than 1 year with culture-confirmed S enteritidis infection in August 1994. One to two acquaintance controls (n = 98) were matched to each case by age, sex, and race. Two risk factors-eating raw or undercooked eggs (matched odds ratio [MOR] = 6.6; 95% confidence interval [CI] = 1.9, 23.0) and eating in restaurants (MOR = 4.9; 95% CI = 1.2, 19.4) in the 3 days before the onset of illness-remained significant in the conditional logistic regression model. Of 16 randomly selected S enteritidis case-isolates, 15 (94%) were phage type 4. The reasons for the regional predominance of phage type 4, an S enteritidis subtype recently associated with large and destructive increases in salmonellosis among poultry and humans in Britain and much of Europe, are unclear. To minimize human S enteritidis infection, food service workers need frequent training in the proper handling of raw foods, eggs should be kept refrigerated during distribution and storage, and eggs should be cooked until the yolk is firm, particularly for persons at the greatest risk for serious illness: pregnant women, elderly persons, and those with compromised immune systems. Clinicians should obtain stool specimens for culture from patients who present with diarrhea and fever or bloody diarrhea or who are possibly part of an outbreak.

Adolescent↗

Outbreak of Escherichia coli O157:H7 infection--Georgia and Tennessee, June 1995.

On June 26, 1995, the Division of Public Health, Georgia Department of Human Resources (GDPH), was notified of three cases of Escherichia coli O157:H7 infection among residents of a community in north Georgia who had onsets of illness within a 24-hour period (onset during June 19-20); in comparison, during 1993-1994, only two cases of this infection had been reported in the same community. Because of the proximity of this community to the Tennessee border, on June 28 GDPH notified the Tennessee Department of Health (TDH) about these cases. TDH subsequently identified two confirmed cases with onsets of illness during June 23-24. Both of these cases were among persons residing in eastern Tennessee approximately 100 miles from the community in Georgia, and one occurred in an 11-year-old boy who was hospitalized with hemolytic uremic syndrome (HUS). This report summarizes the investigation of this outbreak, which implicated eating hamburgers purchased at a fast-food restaurant chain (i.e., chain A) as the source of infection.

Adolescent↗

[Occupational asthma caused by buckwheat flour].

Buckwheat flour, mainly used for pancakes, may induce asthma following inhalation and anaphylactic reactions following ingestion. These allergic reactions are mediated by specific IgE and may be confirmed by skin test and radio-allergo-sorbent test. The occupational asthma of a patient working in pancake restaurant was confirmed by specific challenge test with a computerised device to generate particles. A very small amount of buckwheat flour (10 micrograms) induced an immediate fall of the FEV1 to 56% of the initial value. No bronchial reaction was observed with lactose nor with wheat flour. Specific bronchial challenge identifies the allergen responsible for asthma, measures the level of sensitization and thus can prevent the occupational exposure.

Adult↗

Outbreak of Campylobacter enteritis associated with cross-contamination of food--Oklahoma, 1996.

On August 29, 1996, the Jackson County Health Department (JCHD) in southwestern Oklahoma notified the Oklahoma State Department of Health (OSDH) of a cluster of Campylobacter jejuni infections that occurred during August 16-20 among persons who had eaten lunch at a local restaurant on August 15. This report summarizes the investigation of these cases and indicates that C. jejuni infection was most likely acquired from eating lettuce cross-contaminated with raw chicken. This report also emphasizes the need to keep certain foods and cooking utensils separate during food handling.

Adolescent↗

[Therapeutical and inflammatory response in rats with secondary peritonitis and topical use of ampicilin/sulbactam].

OBJECTIVES: The acute peritonitis is an important cause of sepsis and death on intensive care units and surgery. The treatment must include: systemical use of antibiotics, drainage of abscess and restauration of gastrointestinal integrity. The topical use of antibiotics in the peritoneal cavity is controversial. The aim of this study was to evaluate the use of topical use of ampicilin/ sulbactam in the treatment of peritonitis. METHODS: We measured the plasmatic levels of nitric oxide, count of eosinophils, lymphocytes, monocytes, and neutrophils in blood and peritoneal cavity, using a model of peritonitis in rats (transfixation and ligature of cecum). Twenty four Wistar rats were divided in 4 groups (n = 6 each). group A: induction of peritonitis with ligature of cecum and topical treatment with saline; group B: induction of peritonitis with ligature of cecum and topical treatment with ampicilin/sulbactam; group C: transfixation of cecum; group D: laparotomy and peritoneal exsudate + blood sample. The transfixation-ligture of cecum remained for 24 hs before treatment. A relaparotomy was performed in 18 rats and peritoneal exsudate/blood were collected. Dosage of Nitric oxide, count of eosinophil, lymphocytes, monocytes, and neutrophils in blood and peritoneal exsudte were done. RESULTS: The difference was not significant in the levels of nitric oxide, eosinophil, lymphocytes, monocytes, and neutrophils in blood and peritoneal exsudate (p > 0,05) among the studied groups. CONCLUSION: The use of ampicilin associated to sulbactam via intraperitoneal in rats with fecal peritonitis did not change survival.; the levels of plama nitric oxide, count of eosinophil, lymphocytes, monocytes, and neutrophils in blood and peritoneal exsudate were not affected.

Ampicillin↗

A foodborne outbreak of Cyclospora cayetanensis at a wedding: clinical features and risk factors for illness.

BACKGROUND: Cyclospora cayetanensis, a coccidian parasite, has increasingly been recognized as a cause of gastrointestinal tract illness. We describe an outbreak of Cyclospora infection following a wedding reception. OBJECTIVES: To investigate and characterize risk factors associated with the outbreak of Cyclospora and to describe the observed clinical course and spectrum of illness. METHODS: Retrospective cohort study involving 94 of the 101 guests who attended a wedding reception at a restaurant in Boston, Mass. RESULTS: Fifty-seven respondents met the case definition of infection; 12 of these had laboratory-confirmed Cyclospora. The epidemic curve was consistent with a point source outbreak with a median incubation period of 7 days. Commonly reported symptoms included diarrhea (100%), weight loss (93%), fatigue (91%), and anorexia (90%). The illness had a characteristic waxing and waning course, with 51 persons (89%) reporting recurring symptoms and 35 (61%) reporting illness lasting more than 3 weeks. By univariate analysis, infection was significantly associated (P<.05) with consumption of wine and a dessert containing raspberries, strawberries, blackberries, and blueberries. Only the dessert remained significant by stratified analysis with an adjusted relative risk of 2.1 (95% confidence interval, 1.4-3.2). CONCLUSIONS: Findings from this study support a point source outbreak of the newly identified pathogen C cayetanensis, with berries as the vehicle of transmission. It suggests that Cyclospora may cause severe diarrhea associated with profound anorexia and weight loss, and should be considered in the evaluation of prolonged gastrointestinal tract illness.

Animals↗

An outbreak of domestically acquired typhoid fever in Queens, NY.

In the summer of 2000, an outbreak of endemic typhoid fever involved 6 people in Queens, NY, and a seventh person in Manhattan, NY. An investigation by the New York City Department of Health traced the likely source to an immigrant employee working at a local restaurant. The clinical presentations of 4 cases seen at New York Hospital Queens, Flushing, a 500-bed hospital, mimicked viral hepatitis or gastroenteritis. We report the clinical features of these 4 cases and review endemic typhoid fever, a diagnosis not likely to be considered in the United States absent a history of recent international travel.

Adult↗

A content analysis of health and physical activity messages marketed to African American children during after-school television programming.

OBJECTIVE: To examine the number of food advertisements African American children are exposed to during children's television programming aired on predominantly African American and general television stations. DESIGN: A content analysis was conducted to identify and analyze the health-related content (HRC) and physical activity-related content (PARC) of food advertisements shown during children's television programming. SETTING: Three sets of television advertisements from 3 stations (Black Entertainment Television, The WB [Warner Bros], and Disney Channel) served as the sample during a 1-week period in July 2005 (July 11-15), from 3 pm to 9 pm. RESULTS: In total, 1098 advertisements were recorded, with 256 food and beverage commercials used for this study. Results indicate that 36.3% of all commercials were based on fast food restaurants, 31.3% were for drinks, 16.8% were for candy, 13.7% were for cereals, and 2.0% were for snacks (percentages do not total 100 because of rounding). Compared with The WB and Disney Channel, Black Entertainment Television had significantly (P=.001) more food and beverage advertisements. Few HRC or PARC advertisements were shown. Of 256 food and beverage commercials, only 8.2% contained HRC and 9.4% had PARC. Also, the HRC and PARC scenes contained messages that were implied vs explicitly talking about the health or physical benefits of the product. CONCLUSIONS: African American children are overexposed to numerous types of food and beverage advertisements. These advertisements do not provide an adequate level of positive HRC and PARC messages. Consequently, the messages that are portrayed may undermine efforts to teach African American children about the importance of healthy living and physical activity.

Adolescent↗

Use and misuse of automobile child restraint devices.

OBJECTIVE: To determine demographic, social, and behavioral characteristics that are associated with correct child restraint device (CRD) use. DESIGN: Cross-sectional. SETTING: Fast-food restaurant parking lots in southeastern Michigan. PARTICIPANTS: Children younger than age 4 years and their drivers. SELECTION PROCEDURES: Consecutive sample. INTERVENTION: None. MEASUREMENTS/MAIN RESULTS: Seven hundred seventeen child passengers were observed for 11 dimensions of CRD use and 661 of their drivers were interviewed. Three hundred ninety-four (55%) of the children were in CRDs, but 248 (63%) of those children were incorrectly restrained. A 43-point misuse index was constructed based on scores assigned for different types of misuse. Seven variables (ie, age of child, race of parent, driver as a parent, days driving, number of occupants, perceived comfort of CRDs, and belief that the social norm supports CRD use) were highly predictive of CRD use. In contrast, only three factors (ie, age of child, education of the driver, and knowledge of the CRD law) were minimally predictive of correct use. CONCLUSIONS: Since correct use of CRDs represents such a complex behavior, the best strategy to address the widespread problem of CRD use may be through the design of less complicated CRDs.

Age Factors↗