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. 

Be Aware When You Prepare – Food Prep Tips

The subject of food preparation covers some very broad, basic principles within food safety, with many steps associated with “risk” in some recipes. Certainly, preparation steps are where the most mistakes have occurred if a foodborne illness should occur. Outbreaks usually happen when more than one mistake occurs during prep, but sometimes it only takes one. Cooking is the biggest risk for raw foods, but all foods become ready-to-eat foods at some point in final preparation steps and that’s where the most care is required.

Food Gloves & Latex Allergy Education

Politicians joke about the endless stretch of rubber chicken dinners they may consume in an election year. For people with a latex allergy, such a prospect may be no laughing matter. While latex serves as an effective barrier glove material and has the best fit because of its elasticity, the risks associated should not be ignored. The solution is not simple and many options are available for operators today. It should always be mentioned that handwashing (before putting on gloves) is always the primary barrier to contamination and gloves are considered a good secondary barrier.

Foodborne Illness Myths & Facts

“It must have been something I ate.”  That’s the typical statement when a person develops some relatively minor symptoms from food.  Maybe not severe enough to go to the doctor so you choose to tough it out without medical care.  Sudden onset of flu-like symptoms such as onset of stomach cramps, diarrhea, vomiting and fever could possibly mean you are the victim of a foodborne illness.   The illness is sometimes referred to as “food poisoning”, but it’s often misdiagnosed.

Don’t Compromise: Clean and Sanitize

The subject is cleaning and sanitizing. Chefs, food service directors, managers and staff try to practice safe food-handling at every turn in the kitchen. Don’t let that effort go down the drain by slacking off on the many aspects of sanitation. That includes dish and ware-washing techniques (pots, pans, equipment), and cleaning all the areas that give us that “neat as a pin” appearance in your customers eyes. Customers seldom fail to bring that soiled silverware or glass with lipstick on it to the attention of the manager or wait staff. Improperly cleaning and sanitizing of food contact equipment does allow transmission of pathogenic microorganisms to food and ultimately our customer.