Neglected Safety: CDC Report Casts Doubts on the Ability of the Foodservice Industry to Ensure Ill Workers Stay at Home

Early in June, the Centers for Disease Control and Prevention released a report outlining foodborne illness outbreaks in retail foodservice establishments.  The report outlined outbreaks from 25 state and local health departments from 2017 through 2019.

The data were submitted by Alaska; Maricopa County, Arizona; California; Jefferson County, Colorado; Connecticut; Delaware; Georgia; Indiana; Iowa; Massachusetts; Michigan; Minnesota; Kansas City, Missouri; New York; New York City, New York; Southern Nevada Health District; North Carolina; Oregon; Rhode Island; South Carolina; Harris County, Texas; Tennessee; Fairfax County, Virginia; Washington; and Wisconsin. During the 2017 through 2019 period, a total of 800 foodborne illness outbreaks occurred in these areas, involving 875 retail food establishments.

One of the key takeaways from the study was that it shed light on the need for improved ill-worker policies to prevent foodborne illnesses. The study noted that in 40% of all outbreaks where a contributing factor was identified, at least one factor was that food was contaminated by an ill food worker. When interviewed, most of the managers (91.7%) indicated that their establishment had a policy that food workers must notify a manager when they were ill.

While some measures exist to address this issue, it is evident that we are not doing enough. In many foodservice establishments, policies regarding ill workers are poorly enforced, unclear, or simply incomplete. The lack of clear guidelines and consistent implementation contributes to a culture where employees feel pressured to work while ill, fearing job security or financial repercussions.


in 40% of all outbreaks where a contributing factor was identified [from 2017-2019], at least one factor was that food was contaminated by an ill food worker.


Limited access to paid sick leave further compounds the problem. Many workers are entry-level, and live paycheck to paycheck, which means if they take a day off, they may not be able to make their car payment or make the rent payment that month. This forces workers to choose between their health and their livelihood. Research done in this area has noted that paid sick leave helps to alleviate frontline workers reporting to work while ill, and ultimately decreases foodborne illnesses.

Aside from changing sick-leave policies, it is clear that we must increase education and training among our employees. Our employees should be made aware of the potential risks they pose to both customers and themselves when working while ill. Training programs can emphasize the importance of proper hygiene practices (like handwashing) and the responsibility to take sick leave, especially if they exhibit one of the five symptoms for exclusion or restriction: vomiting, diarrhea, jaundice, sore throat with fever, and lesion with pus.

As managers, we must also be responsive to these requests. As a former manager, I despised calls from employees who claimed they were sick.  We had a policy that the employee must see a doctor to get a doctor’s note. Looking back, it was a silly policy intended to dissuade employees from calling in sick when they really wanted to go fishing.  But, in reality, it most likely caused many employees to come into work sick because they couldn’t afford to go to the doctor for an upset stomach.

If we truly want to establish a culture of food safety in our establishment, we must take all reports of illness seriously and remove policies that may force employees who can’t afford a doctor from coming into work.  While written policies are important – a topic we have often discussed in this blog – the report highlights that it is not enough to just have written policies, we must also enforce those policies and ensure our employees comply with them, too. Only once they know your commitment as a manager to food safety will they follow your lead!

Later this month, we will be releasing the second quarter SafeBites webinar, entitled 2022 Year in Review: What We Can Learn From Foodborne Outbreaks. Join us as we highlight 13 of the major outbreaks from 2022 and what you can learn from them to protect your business!  Risk Nothing. 

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Food Safety Considerations for the “New Way” of Dining, Part II – Back-of-house

In our first blog this month, we discussed the importance of front-of-house practices as we emerge from the pandemic this summer and into fall.   Making your guests feel safe will be an important point as we welcome them back to our establishment.  The safer they feel, the more likely they are to revisit and this could, in turn, be a competitive advantage for your business.

Food Safety Considerations for the “New Way” of Dining

Spring is my favorite time of year, as we head out of the winter months, welcome warmer weather, and increase the daylight hours.  As such, we turnover a new leaf and welcome new life as our grass, trees, and perennials come out of dormancy. This year as the Coronavirus vaccine continues its roll out and we welcome a third vaccine onto the market this morning, perhaps this spring we are turning over a ‘new leaf’ in a much more profound way, as we see light at the end of the Coronavirus tunnel.

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Developing Good Food Safety Habits

Good habits and habit development are something that has fascinated me for several years. If you’ve attended any the training programs or presentations that my colleagues and I have conducted through our Center for Food Safety in Child Nutrition Programs, you’ve likely heard me opine about the importance of habits and how habits are created. Many times, in foodservice operations we wonder why our staff don’t follow the food safety practices we have established in our operation. Perhaps they don’t wash their hands when they are required, perhaps they just don’t use the proper method of handwashing, or perhaps we find that they don’t complete our HACCP logs as often as our program dictates should occur. And while we can stomp our feet and say “it is their job, they should just do it”, it really isn’t that simple. We can’t order people to change, although if we could, business and human resources would be so much simpler.

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Getting Your Playbook for Food Safety Organized

As anyone who has ever worked in a foodservice operation knows, from the time food is received in your establishment to the time it is served to your customers, following proper food safety practices is crucial. What many don’t often think about is this time really should extend from the time the manager places their orders with their suppliers (including which purveyors you utilize), through the time the food is consumed – even if that consumption occurs off your premises and days after the original order was picked up by the guest. This is something that has certainly been highlighted by the pandemic as customers across the nation are utilizing take-out, curbside to go, and third-party delivery options more so now than ever before.