Case Study 1.1
Case Study 1.1
Case Study 1.1
2
3
课课课课课 1--课课课课课
课 25 课课课课 Case study
Case Study 1.1
Fourteen people became ill after eating pie that had been highly contaminated with
salmonella enteritidis. Several of the victims were hospitalized, and a man in his
forties, who was otherwise in good health, died as a result of the foodborne illness.
In this outbreak, cream, custard, and meringue pies were made using ingredients
form shell eggs. The pies were baked in a restaurant bakery and were stored for 2-
1/2 hours in a walk-in cooler before being transported in the trunk of a car to a
private company outing. The pies were consumed three to six hours later. Leftover
pie was consumed later that evening and the next day after having been kept
unrefrigerated for as long as 21 hours.
▲What condition may have promoted bacterial growth?
Four days later, several people came back to the restaurant and said that they had become ill a
few hours after eating pizza there. Only people who ate pizza on the second day appeared to
become ill.
1. What foodborne hazard may have been associated with this foodborne illness?
2. How could this have been prevented?
When some baked potatoes were left at closing time, they were stored on a kitchen counter or
shelf overnight. The next morning, the salad chefs would arrive to peel, dice, and mix the
leftover potatoes with other ingredients to make the other side order special of the day: potato
was containerized and chilled before serving at noon.
One day, the potato salad was made and served as usual. Customers came in for lunch and some
ate potato salad. The next day, 34 customers were hospitalized for botulism; 2 died. Before this
incident, the Food and Drug Administration (FDA) defined Potentially Hazardous Foods (PHF) as
any moist, high protein food capable of supporting rapid germ growth. After this deadly incident,
the FDA included cooked potatoes in the list of PHF!
Just how did those people get botulism from potato salad?
Case Study 3.1
Michelle is in charge of all the cold salad preparation at a local hotel restaurant. Her main
responsibility is to prepare green salads for the evening meal. When she arrived at work one
day,the food manager on duty noticed that she was coughing and sneezing frequently. Michelle
also indicated that she was battling a case of the flu.
▲ How should the food manager handle this situation?
A foodborne disease investigation revealed that all of the victims had consumed lettuce,either in
salad or as a garnish. Investigators ruled out the theory that the lettuce had been contaminated
at the source,because other restaurants supplied by the same source experienced no illnesses. In
the end, the Missouri Department of Health Officials concluded that direct contamination of
food by infected workers was the most likely cause of the outbreak. The initial source of the
illness was believed to be a waiter who had been infected by his child in day care. The waiter and
4 other food workers who tested positive for the Hepatitis A virus handled lettuce and were
involved in preparing and serving salads. ▲ What went wrong?
Case Study 4.1
David Jones is manager of the Great American Cafe. As part of a newly implemented
selfinspection program, David performs an inspection of the walk-in refrigerator. During the
inspection, David notices that turkeys for tomorrow’s dinner are not covered during thawing,
and they are stored directly above several washed heads of lettuce. Other food items are stored
on shelves lined with aluminum foil in covered containers that are not labeled or dated. David
also notices that boxes of produce have been stacked closely together on the floor of the walk-in
cooler, and the thermometer is hanging from the condensing unit.
1. What food safety hazards exist in the walk-in refrigeration unit at the Great
American Cafe?
2. Which of these hazards might result in food contaimination and spoilage?
3. What should be done to correct the problems that Mr.Jones observed during his
inspection?
Case Study 4.2
Metro Market is a combination convenience store and delicatessen. Deliveries are received
between 9:00 a.m and 3:00 p.m.,Monday through Friday. Store employees are frequently too
busy to check the deliveries in and transfer products to approved storage facilities during the
noon rush. Therefore, food and non-food items are held in a secured area off the receiving dock
until someone is available to process them.
1. What food safety hazards exist at Metro Market?
2. If you were manager of Metro Market, what would you do to improve receiving and
storage activities?
Case Study 4. 3
In the mid-1990s, heath departments in Washington, California, Idaho, and Nevada identified
nearly 600 people with culture-confirmed Shiga toxin-producing Escherichia coli infections. Many
of the victims reported eating at Chain A restaurants during the days preceding onset of
symptoms.Of the patients who recalled what they ate in a Chain A restaurant, a large percentage
reported eating regular-sized hamburger patties. Chain A issued a multi-state recall of unused
hamburger patties. The Shiga toxin-producing Escherichia coli bacteria were isolated from 11
batches of patties from Chain A. These patties had been distributed to restaurants in all states
where the illness occurred. Approximately 20% of the patties connected with the outbreak were
recovered during a recall.
A team of investigators from the Centers for Disease Control and Prevention identified 5
slaughter plants in the United States and 1 in Canada as the likely sources of carcasses used in
the contaminated meat. The animals slaughtered in domestic slaughter plants were traced to
farms and auctions in 6 western states.No 1 slaughter plant or farm was identified as the source
of contamination.
Shiga toxin-producing Escherichia coli can be found in the intestines of healthy cattle and can
contaminate meat during slaughter. Slaughtering practices can result in contamination of raw
meat with these bacteria.In addition, the process of grinding beef can transfer the disease-
causing agents from the surface of the meat to the interior. Therefore ground beef can be
internally contaminated.
1. What would be the likely impact of this outbreak on consumer confidence?
2. What was the impact of this outbreak on food safety?
↓ ↓
Receiving
↓ ↓
Storage Storage
Freezer Dry
↓ ↓
Pre-preparation Pre-preparation
Thaw pork spareribs at Combine all ingredients of
41℉(5℃) Marinade in large bowl.
Preparation
Score the ribs and place them in marinade for four hours in
Refrigerator at41℉(5℃) or below.
Smoke ribs for 80 minutes to an internal temperature of
145℉(63℃) or higher.
Holding/Service
Slice the ribs and maintain 135℉(57℃)
at
Cooling
Chill quickly from135℉(57℃) to70℉(21℃) in 2 hours and
℉(57℃) to41℉(5℃) within 6 hours.
from 135
↓
Reheating
Heat to an internal temperature165
of℉(74℃) within2
hours.
↓
↓
Figure 5.14 Flow Chart for Spareribs
(Adapted from:HACCP Reference Book,1993)
Holding/Service
7. Slice the ribs between the bones and maintain at 135℉(57℃) or above
while serving.
Cooling
8. Transfer any unused product into clean 2-inch deep pans.Quick-chill the
product from 135℉(57℃) to 70℉(21℃) within 2 hours and from
135℉(57℃) to 41℉(5℃) within 6 hours.
Storage
9. Store the chilled product in a covered container that is properly dated
and labeled. Refrigerate at 41℉(5℃) or below.
Reheating
10. Heat spareribs to an internal temperature of 165℉(74℃); or
190℉(88℃) in a microwave oven within 2 hours.
All of the victims had eaten at the same restaurant and 95% of them had outbreak
may have been caused by cross contamination between beef and chicken were ruled
out when it was learned that beef products were prepared on one side of the kitchen
and chicken on the other. In addition,food workers were responsible for working
with either beef or chicken but not both.
Sophisticated blood analysis showed that some food workers at the restaurant had
been previously infected by Shiga toxin-producing Escherichia coli bacteria for
several days.
2. What factory should Mark use to determine the deli’s need for the slicer?
3. What design and construction features should Mark use when he is making comparisons
between slicers?
4. What standards organizations might Mark consult when evaluating different kinds of slicers?
1. What type of plumbing hazard contributed to the foodborne disease outbreak discussed in the
case study?
1. How should the facility wash and sanitize dishes until the dishwasher is fixed?
2. Are there other alternatives that might be used in the interim?
3. Do you think the food service should be suspended at the facility uuntil the machine is
repaired ? Why or why not ?
Cockroaches are attracted by warmth, darkness, food, and moisture. Given the number of ways
cockroaches can become contaminated, by feeding on infected food or feces, contacting an
infected cockroach directly or indirectly, or by drinking an infected water source, the risk they
pose should be taken seriously. The fact that cockroaches can acquire and infect each other and
other objects with salmonella bacteria is an inportant point for the food industry to remember. 1
What is the best way to control cockroaches in a food establishment?
Pre-preparation
SOP 1 1. Thaw spareribs under refrigeration at 41℉ 5℃ for 1 day or until
completely thawed.
SOP 2 2. Wash hands before starting food preparation.
3. Combine all of the ingredients for the marinade in a large bowl.
Preparation
SOP 3 4. Score the ribs with a sharp knife. Place the ribs in the marinade. Marinate
them for at least 4 hours at a product temperature of
41℉ 5℃ or lower in refrigerated storage.
5. Place the spareribs in a smoker at 425℉ 220℃ for 30
minutes.
CCP1 6. Reduce the heat to 375℉ 190℃ and continue smoking the ribs to a
final internal temperature of 145℉ 63℃ or higher. This
phase of the cooking process should take about 50 minutes.
Brush the honey on the spareribs during the last 5 minutes of
the smoking process.
Holding/Service
CCP 2 7. Slice the ribs between the bones and maintain at 140℉ 60℃ or
above while serving.
Cooling
CCP 3 8. Transfer any unused product into clean, 2-inch deep pans.
Quick-chill the product from 140℉ 60℃ to 70℉ 21℃ within 2
hours and from 70℉ 21℃ to 41℉ 5℃ within 4
hours.
Storage
CCP 4 9. Store the chilled product in a covered container that is properly dated
Reheating
CCP 5 10. Heat spareribs to an internal temperature of 165℉ 74℃ within 2
hours.
↓ ↓
Receiving
↓ ↓
Storage Storage
Freezer Dry
↓ ↓
Pre-preparation Pre-preparation
Thaw pork spareribs at Combine all ingredients of
41℉ 5℃ the marinade in large bowl
↓ ↓
Preparation
Score the ribs and place them in marinade for four hours in refrigerator at 41℉ 5℃ or below.
Smoke ribs for 80 minutes to an internal temperature of 145℉ 63℃ or higher
↓
Holding/Service
Slice the ribs and maintain at 140℉ 60℃
↓
Cooling
From 140℉ 60℃ to 70℉ 21℃ in two hours and
from 70℉ 21℃ to 41℉ 5℃ in four more hours.
↓
Storage
Store the chilled product in a covered labeled container at 41℉ 5℃ or below.
↓
Reheating
Heat to an internal temperature of 165℉ 74℃ within 2 hours.
Flow Diagram for Pork Spareribs
Case Study 5.2
If the establishment had implemented a HACCP food safety system, it could have
avoided situations like the one described in the case study. The HACCP recipe and
flow chart would alert food workers to potential hazards and critical control points
that can be used to prevent, minimize, or eliminate them. Since the lettuce is an
uncooked food, purchasing it from an approved source would be a critical control
point. An even more effective critical control point would be a “no bare hands”
policy whereby food workers would be instructed not to touch lettuce and other
uncooked foods with their bare hands. Instead, they would use spoons, tongs, or
other utensils. A standard operating procedure that should be added to your HACCP
recipe for the Caesar salad would be for food workers to wash their hands before
starting to handle uncooked ready-to-eat foods. Hands should be washed whenever
they become contaminated and when employees return from a break or the toilet.
The proper use of utensils and the when and how of proper handwashing must be
taught to food workers as part of your HACCP educational pragram.
Cost
Case Study 6.3
The plumbing hazard described in this case study is referred to as backsiphonage. In
this case, investigators speculate that someone wanted to be neat and rather than
curl the tube on the floor, it was tucked into the grate of the drain. This permitted
back siphonage to occur and contaminated the ice with raw sewage. This situation
could have been prevented by making certain an air gap was provided on the drain
line. Plumbing codes typically requires a 2-inch air gap between the end of a drain
tube and the floor drain. (See Chapter 8.)
课课课 2-课课课课课课 12 课
课 105 课课课 Quiz Quiz 1.1 (Multiple Choice)
1. Which of the following groups is not especially susceptible to foodborne illness?
a. The very young.
b. Young adults.
c. The elderly.
d. Pregnant or lactating women.
2. The cost of foodborne illness can occur in the form of:
a. Medical expenses.
b. Loss of sales.
c. Legal fees and fines.
d. All of the above.
3. CDC reports show that in most foodborne illness outbreaks, mishandling of the
suspect food occurred within which of the following stages? a. Transportation.
b. Retail food establishments.
c. Food manufacturing.
d. Food production (farms, ranches, etc.).
4. If a utensil is sanitary it:
a. Is free of visible soil.
b. Has been sterilized.
c. Is a single-service item.
d. Has had disease-causing germs reduced to safe levels.
5. how does the FDA Food Code affect individual states and jurisdictions?
a. The FDA Food Code is a federal law that must be enforced by state agencies.
b. The FDA Food Code regulates food manufacturing facilities (processors) in
state jurisdictions.
c. It provides a model for new laws and rules in state and local jurisdictions.
d. It validates current practices.
12. Regardless of the type of food,all potentially hazardous foods that have been cooked
andcooled need to be reheated to an internal temperature of within 2 hours to be
considered safe. a. 140°F(60℃).
b. 145°F(63℃).
c. 155°F(68℃).
d. 165°F(74℃).
13. According to the FDA Food Code, foods that are cooked and then cooled must be cooled
inwhich of the following ways:
a. From 135°F(57℃) to 41°F(5℃) in 12 hours.
b. From 135°F(57℃) to 41°F(5℃) in 8 hours.
c. From 135°F(57℃) to 70°F(21℃) in 2 hours, and from 135°F(57℃) to 41°F(5℃) within 6
hours.
d. From 135°F(57℃) to 70°F(21℃) in 4 hours, and from 70°F(21℃) to 41°F(5℃) in an
additional 2 hours.
14. All foods that are to be held cold must be held at or below.
a. 41°F(5℃).
b. 50°F(10℃).
c. 70°F(21℃).
d. 0°F(-18℃).
15. All foods that are to be held hot must be held at or above.
a. 70°F(10℃).
b. 98°F(37℃).
c. 120°F(49℃).
d. 135°F(57℃).
Quiz 5.1 (Multiple Choice)
1.The Hazard Analysis Critical Control Point (HACCP) system should be employed:
a.Whenever potentially hazardous foods are prepared,regardless of the type of
food establishment.
b.Only in institutional food facilities that provide food for very young or frail
elderly consumers.
c.Only in convenience stores where mechanical dishwashing equipment is not
available.
d.Only when foods are sold by a food establishment for consumption off site .
2.For which of the following products would it not be necessary to develop a HACCP
flow chart?
a. Chicken salad.
b. Tuna salad.
c. Seafood salad.
d. Citrus fruit salad.
3. A hazard as used in connection whit a HACCP system is:
a.Any biological, chemical,or physical property that can cause an unacceptable
risk.
b.Any single step at which contamination could occur.
c.An estimate of the likely occurrence of a hazard.
d.A point at which loss of control may result in an unacceptable health risk.
4. A risk as used in connection with a HACCP system is:
a.Failure to meet a required critical limit for a critical control point.
b.An estimate of the likely occurrence of a hazard.
c.Greatest for nonpotentially hazardous foods.
d.Lowest when complex recipes are required to produce a food item.
5. Which of the following statements about HACCP programs is false?
a.The HACCP system attempts to anticipate problems before they happen and
establish procedures to reduce the risk of foodborne illness.
b.The HACCP system targets the production of potentially hazardous foods from
start to finish.
c.Records generated by the HACCP system can also be used to aid in foodborne
disease investigations.
d.A HACCP system should only be implemented by public health officials who have
been certified by the FDA to conduct such programs.
6. Which of the following is not associated with the hazard analysis portion of the
HACCP program?
a.A review of the menu to identify potentially hazardous foods.
b.A risk assessment of both the likelihood that hazards will occur and their severity
if they do occur.
c.A series of questions used to facilitate the identification of potential problems in
each step in the flow of food.
d.The identification of critical control points whereby hazards can be prevented, or
reduced to acceptable levels.
7. Which of the following statements is false?
a. A critical limit is the threshold that must be met to ensure that each
criticalcontrol point effectively controls a microbiological, chemical, or physical
hazard.
b. There must be at least 2 critical points in the flow of food in order for a
HACCPsystem to be implemented.
c. Many steps in food production are considered control points, but only a
fewquality as critical control points.
d. A critical control point is a point, step, or procedure in food preparation
wherecontrols can be applied and a food safety hazard can be prevented,
eliminated, or reduced to acceptable levels.
8. Which of the following statements about critical control point monitoring is
false?
a. Monitoring is a series of observations and measurements that is used
todetermine whether a critical control point is under control.
b. The monitoring of critical limits can be performed either continuously or
atpredetermined intervals.
c. Individuals who perform monitoring tasks must be management personnel
whowill do the job in an unbiased manner.
d. An operation that identifies critical control points but does not establish
amonitoring system has not actually implemented a HACCP system.
9. The ultimate success of a HACCP program depends:
a. Eliminating potentially hazardous food items from your menu.
b. Providing proper training and equipment for employees who are
implementingthe HACCP system.
c. Having HACCP flow charts developed for all foods sold by the establishment.
d. Food establishment managers having sole authority for implementing
theHACCP system.
10. Which of the following is an example of critical control point?
a. Poultry and eggs are purchased from approved sources.
b. Chicken and noodles are headed on the stove until the centre of the
productreaches 165℉(74℃)for 15 seconds.
c. Only pasteurized milk is used by the establishment.
d. The cutting board is washed and sanitized between chopping carrots and
celeryfor the garden salad.
6. The first step in developing a cleaning program for environmental areas is to:
a. Determine the cleaning needs.
b. Assign cleaning jobs to employees.
c. Obtain the equipment and supplies needed to implement the cleaning.
d. Conduct a trainging program to teach employees how to clean properly.
7. Which of the following information is not provided by a material safety data sheet?
a. Information about the physical and chemical characteristics of hazardous substances used
inthe facility.
b. Information about how to use personal protective equipment and other devices to reduce
aworker’s risk of injury.
c. Information about emergency procedures to use when exposed to a hazardous chemical.
d. Information about approved hazardous waste sites that will accept unused portions of
thehazardous materials.
8. Which of the following statements is false?
a. Keeping things clean is the responsibility of every person working in the food industry.
b. Cleanliness goes beyond the removal of visible soil.
c. A good danitation program, if properly organized, will function successfully without
thesupport of top management.
d. A good sanitition program starts with a neat, clean, and properly maintained building.
2. Which federal agency is responsible for ensuring the safety of domestic meat, poultry, and
egg products?
a. Centers for Disease Control and Prevention
b. Environmental Protection Agency.
c. Food and Drug Administration
d. U.S. Department of Agriculture.
3. Which federal agency is responsible for ensuring the safety of all foods except domestic
meat, poultry, and egg products?
a. Centers for Disease Control and Prevention
b. Environmental Protection Agency.
c. Food and Drug Administration
d. U.S. Department of Agriculture.
4. Which federal agency is responsible for regulations on safety, noise, and other working
conditions?
a. Centers for Disease Control and Prevention
b. Environmental Protection Agency.
c. Food and Drug Administration
d. Occupational Safety and Health Administration.
5. If the FDA determines that the ingestion of a food may “cause serious adverse health
consequences,” a voluntary food recall may be requested. This would be an example of what
kind of recall?
a. Class Ⅰ.
b. Class Ⅱ.
c. Class Ⅲ.
d. Class Ⅳ.
6. Which legal document does the FDA abide by to protect the food supply?
a. Federal Food, Drug, and Cosmetic Act.
b. 1906-Federal Meat Inspection Act.
c. 1957-Federal Poultry Products Inspection Act.
d. None of the above
8. When a suspected food-borne illness claim is reported to a waitperson, what should be the
first course of action?
a. Remove all customers from the restaurant immediately.
b. Call the health inspector.
c. Locate the food manager and ensure that the suspect food is not served.
d. Contact the CDC.
Quiz 1.2
1.False 2. False
3.True 4. True
5. True
Quiz 2.1
1.d 2.a
3.a 4.c
5.b 6.b
7.c 8.b
9.d 10.a
Quiz 3.1
1. a 2. d
3. b 4. b
5. d 6. d
7. d 8. c
9. a 10. b
Quiz 4.1
1. c 2. b
3.d 4. c
5. a 6. c
7. b 8. c
9. c 10. d
11. c 12. d
13. c 14. a
15. d
Quiz 5.1
1.a 2.d
3.a 4.b
5.d 6.d
7.b 8.c
9.b 10.b
Quiz 6.1
1.c 2.a
3.d 4.d
5.c 6.b
7.d 8.a
9.b 10.b
Quiz 7.1
1.c 2.b
3.a 4.a
5.c 6.a
7.d 8.c
Quiz 8.1
1.c 2.a
3.d 4.d
5.c 6.b
7.d 8.a
9.b 10.b
Quiz 9.1
1. c 2. a
3. c 4. a
5. b
Quiz 10.1
1.c 2.d
3.a 4.b
5.c 6.b
7.a 8.c
Quiz 11.1
1.c 2.d
3.c 4.d
5.a 6.a
7.d 8.c
9.d
课课课 3-课课课课课课课课 8 课课 69 课课课
Discussion Questions
Discussion Questions 1-1
1. Discuss the role of government in food safety programs.
2. Define the terms of sanitation and contamination.
3. List some examples of food establishments.
4. How does news media coverage influence food safety issues?
5. What is a foodborne disease outbreak?
6. What impact do current menu item trends have on food safety?
7. How does food safety affect the young, elderly, pregnant women, and those withimmune
system problems?
8. Discuss how certification of food managers could affect food safety.
9. Identify some reasons to implement food safety programs in food establishments.
10. Discuss some reason(s) you are studying food safety and sanitation.
Discussion Questions 2-1
1. Briefly explain the difference among an infection, an intoxication, and a toxinmediated
infection. Give an example of each.
2. what groups of people have a greater risk of acquiring foodborne illness?
3. Identify the 3 categories of foodborne illness hazards and give an example of each.
4. What type of biological hazard should be of greatest concern to food establishment
managers? Why?
5. What does FATTOM represent?
6. At what pH and water activity (Aw) levels do bacteria grow best?
7. What is the food temperature danger zone?
8. What is a bacteria spore?
9. What is a potentially hazardous food? What 3 characteristics do these food sjare?
10. What are viruses? What are parasites?
1. In what way do layout, design, and facilities planning influence a food establishment?
2. What is a work center? What layout features are important to the efficiency of a work
center?
3. What design and constructions factors should a manager consider before buying a particular
piece of equipment?
4. What standards organizations are commonly involved in the testing of food equipment? How
can these organizations be helpful to a food establishment manager?
5. What kinds of materials are commonly used in the construction of equipment and utensils?
What are the advantages and disadvantages of each kind of material?
7. What are some features that make a piece of equipment easily cleanable?