Hepatitis A—On the Upswing
We all know that the leading cause of foodborne illness is norovirus, but there is another virus that should also be of concern to everyone–hepatitis A. According to the Centers for Disease Control and Prevention, since 2016 29 states have reported nearly 25,000 hepatitis A illnesses with 60% requiring hospitalization and 244 deaths. The number of cases increased nearly 70% between 2016 and 2017. This uptick in cases is cause for concern for everyone–state and local health departments, healthcare professionals, individuals, and for those of us in foodservice.
So just what is hepatitis A? It is a virus that is carried by humans and animals. Like other viruses, hepatitis A requires a living host in order to grow. People can contract hepatitis A from water, food, or a contaminated surface. Those at most risk are individuals who use drugs, experience unstable housing or homelessness, are incarcerated, or have chronic liver disease. Hepatitis A results in liver disease, noted by the appearance of jaundice at advanced stages of the disease. Typically there are no long-term effects of hepatitis A but an individual can continue to be a carrier for some time.
What can you do to prevent getting the viral liver disease? Like many other battles, the best defense is a good offense. The best strategy is to get vaccinated for the virus. Consult a physician about the use of vaccination as a preventative measure. If you know you have come in contact with a person with hepatitis A or live in an area experiencing an outbreak, we strongly encourage you to consider having a conversation with your physician. If you have been exposed, the vaccine is effective for up to two weeks following the exposure.
When epidemiologists examine investigation reports, the cause of the hepatitis A incident or outbreak cannot always be identified. One example of a current hepatitis A outbreak was tracked back to blackberries (although we don’t know if it was due to water, human contact, or something else). Blackberries sold in two stores in six Midwestern states resulted in 18 people contracting hepatitis A. The distributor services 11 states, so more states may be involved. The berries were sold in September 2019, but as late as mid-November two new cases were identified. You might wonder why it took from September until November for cases to be identified in a product that is perishable. Two reasons may explain: first, some people may have frozen the berries for use later. (Contrary to popular thinking, freezing does not kill viruses or bacteria, it simply slows growth). Second, it may take up to 50 days or more for symptoms to appear in a person and for the virus to be identified. Because of the possibility of freezing, additional cases are expected before the outbreak is over.
Hepatitis A causes a serious illness, and it is important to understand what it is and how to mitigate its impact. Be sure to read our second blog this month to get more information on mitigation strategies that can be used in retail foodservices, and in our personal lives. Also, be sure to tune in to the January SafeBites webinar on January 21 to learn more. Risk nothing!
Handling Leafy Green Salad
We have had several produce outbreaks of foodborne disease from our lettuce, spinach, and other greens in the last several years that have been devastating to the produce growers and distributors, retail grocery stores, restaurants, and consumers.
Food Packaging Safety in a Vacuum
Extending the shelf life of fresh foods has come a long way in the food industry since curing meats with salt and sugar or canning vegetables with heat processing. The food service and consumer markets needed some better visual packages to draw the eye to the freshness factor and the technology of food packaging has filled our dinner plate. Vacuum packaging and modified atmosphere packaging, shortened to “MAP”, are the terms used for the method of food packaging used every time we choose convenience over more complex scratch meal preparation. According to industry statistics, billions of packages of vacuum and MAP-packaged foods flood the marketplace today. In both modified-atmosphere and vacuum packaging, food is packaged in a pouch made of barrier film.
The Eleven Commandments of Food Safety at Your Restaurant
Lists help us remember all kinds of information. Given the list of recent national foodborne outbreaks in the news, keep repeating this list to your food service team. They are kind of like “commandments”. As a professional in a food service facility we should think of the very basic food safety concepts that every crew member should aspire to learn, even though this list may have different priorities based on your menu. The first 3 apply to anyone who serves food, from a bag of popcorn to a full course meal. As chefs or managers, if we can “set the example” by repeating good food safety practices visibly to the crew, it will help them understand how important it is to the success of your facility. Thou shalt:
The Worst Customer Complaint: Foodborne Illness
Food service managers and crew try to follow the rules of food protection. Yet, occasionally a complaint may arise and these calls take priority over all other daily crises. If you have been in the food service industry long enough, you may have gotten one of these. A customer may claim, "I think your food made me ill." These words inflict instant anxiety. If it happens, here are some next steps to think about in advance of such a claim:
