'lllull't ‘I'IIIIIIIIIIIIE i Tm ' MIC ll ll/I/l/II/lIl/l/Ill lllll/‘lllllill This is to certify that the thesis entitled SAFE FOOD HANDLING KNOWLEDGE, PRACTICES, AND OPINIONS OF CONSUMERS WHO RECEIVED OFFICE-DELIVERED FOOD AT LUNCHTIME presented by DEBORAH ANN GRISCHKE has been accepted towards fulfillment of the requirements for MASTERS degreein INSTITUTION ADMINISTRATION Major professor Dm.3/3/93 0-7639 MS U is an Affirmative Action/Equal Opportunity Institution LIBRARY Mlchlgan State University PLACE ll RETURN ”Xbmwowmummywm WAVOIDFINESMunonorbdmddodm. DATE DUE DATE DUE DATE DUE MSU loMNflmuflvkom/EWOMIM Wt SAFE FOOD HANDLING KNOWLEDGE, PRACTICES, AND OPINIONS OF CONSUMERS WHO RECEIVED OFFICE-DELIVERED FOOD AT LUNCHTIME BY Deborah Ann Grischke A THESIS Submitted to Michigan State University in partial fulfillment of the requirements for the degree of MASTER OF SCIENCE Department of Food Science and Human Nutrition 1993 ABSTRACT SAFE FOOD HANDLING KNOWLEDGE, PRACTICES, AND OPINIONS OE CONSUMERS HBO RECEIVED OFFICE-DELIVERED FOOD AT LUNCHTIME BY Deborah Ann Grischke Consumers who received office-delivered food at lunchtime were surveyed by Michigan State University campus mail to determine their safe food handling knowledge, practices, and opinions. One hundred thirty two respondents (65% response rate) completed a 24-item questionnaire. Most respondents were between 20 and 44 years of age (n=58; 76%), female (n=101; 77.1%), white (n=121; 93.1%) and had a bachelors degree or higher (n=62; 80%). Respondents had a mean knowledge score of 2.2 (44%) out of a possible 5.0. Few respondents indicated they "always" followed safe food handling practices such as hand washing (n=12; 9.1%) and storing delivered food in a refrigerator (n=56; 44.8%). The majority of respondents (n=85; 64.4%) were not willing to pay additional money for label information on safe food handling of delivered food. Results indicated a need for safe food handling information for consumers who receive office-delivered food. An . inexpensive label which communicates risk of foodborne illness and associated safe food handling practices is recommended for use to educate consumers of delivered food. Copyright by DEBORAH ANN GRISCHKE 1993 To my husband Todd for his love, patience, and support. Thank you for believing in me. iv ACKNOWLEDGEMENTS I would like to express my appreciation to Dr. Carol Sawyer for her enthusiasm and creative ideas during the development and implementation of Green Gourmet. A special thank you is extended.to Dr. Carol Sawyer for her guidance and support throughout my graduate program. I would also like to thank the members of my graduate committee; Dr. Carol Sawyer, Dr. Sandra Andrews, Dr. Margaret Holmes-Rovner, and Dr. John Partridge for enhancing the quality of this thesis. Appreciation is also extended to Dr. Anne Murphy for taking the time to contribute her expertise in data analysis and editing. I would also like to thank Angela Fraser, Judy Pfaff, and John Morier for their input and support. This endeavor would not have been possible without the love and support of my family and friends. A heartfelt thank you goes to my husband Todd Grischke, my parents Albert and Sharon Wietecha, and my in-laws Paul and Judith Grischke. TABLE OF CONTENTS LIST OF TABLES ..... . 1x LISTOFFIGURBBOOOOOOOOOOOOOOOOOOOOOOOOOOOOO0.0.0.000... x 1.0 INTRODUCTIONOO0.00.00.00.000.00.0000...00.0.0000... 2.0 REVIHOFTHELITmTMBOOOOOOOOOOOOOOO0.0.00.00... l 2 Microbiological Concerns...................... 3 Foodborne Illness in the United States........ 1 4 Bacterial Pathogens and Foods Most Often Associated with Foodborne Illness............. 17 1 7 Consumer Eating Preferences................... 8 i J. Salmonella................................ 18 2 lStaphylococcus aureus..................... 19 3 Clostridium botulinum..................... 20 4 Clostridium‘perfringens................... 21 2.5 Bacterial Pathogens that Grow at Temperatures (45°F........O...’..................C........ 22 1. Yersinia~enterocolitica................... 23 2 .Escherichia coli.......................... 24 3 .Aeromonas.hydrophilia..................... 25 4 .Listeria.monocytogenes.................... 26 2.6 HACCP: An Approach to Reduce the Risk of FOOdborne Illness.OOOOOOOOOOOOOOOOO0.0.00.0... 27 3.0 HmongmmrnInBOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO 31 .1. Green.Gourmet................................. 31 .2 Sample Selection.............................. 32 .3 Pilot Testing Questionnaire................... 33 .4 Questionnaire Development..................... 36 .5 Distribution of Questionnaires................ 37 .65 Follow-Up....................................J 37 .7 Statistical Analysis.......................... 39 uuuuwuu vi ‘00 RESULTSmDISCUBBION...O........0................ 4.1 Demographics of Respondents....... ....... ..... 4.2 Knowledge of Safe Food Handling. ........ ...... Causes of foodborne illness............... Temperature control....................... Safe food handling knowledge scores and meantscores............................... 4.2.4 Statistical analysis of safe food handling knowledge................................. .2. .2. .2. #bb («GNP 4.3 Safe Food Handling Practices.... ............ .. 4.4 Opinions on Safe Food Handling................ 4.5 Implications.................................. 4.5.1 Safe food handling knowledge, practices, and opinions.............................. 4.5.2 Level of risk of delivered food prepared byacook/chill system.................... 4.5.3 Labeling.................................. 4.5.3.1. Color-coding. ....... .................. 4.5.3.2 Label text............... ...... ....... 5.0 CONCLUSIONS............................. .......... . 5.1 Recommendations for Future Research........... 502 Study LimitationSOOOOOOOOOIOOOOO0.0..00...O... LISTorREFERENCBBQQQOOO00000000000000.0000.000000000000 APPENDICES.............................................. A Green Gourmet Operations Manual............... GreenGourmet appendices...................... Green.Gourmet.menu......................... Sample survey.............................. Green Gourmet nutritional analysis......... Food frequency chart....................... Green Gourmet order form................... Bank release form.......................... Interdepartmental transfer (IDT) form...... Delivery schedule.......................... Green Gourmet recipes...................... Counter pan sizes and capacities........... Sanitation inspection.report............... Green Gourmet budget report................ t‘NC-IHIEQ'IJMUOw? Green Gourmet order form 40 40 43 48 49 50 52 55 61 64 64 67 68 68 7O 72 72 73 75 82 82 186 186 187 195 196 197 198 199 200 201 212 213 214 222 0'11 I310 Questionnaire for a study on safe food handling knowledge, practices and opinions of consumers who received office-delivered food at lunchtime..................................... Pilot testing questionnaire..... ............. . A cover letter requesting Green Gourmet customers participate in the study............ A.written consent form........................ Approval letter from the University Committee on Research Involving Human Subjects.......... viii 223 232 239 240 241 mm; LIST OF TABLES EASE Multiplication of bacteria over time.......... 10 Item analysis results from the pilot test of knowledge questions ....... . . ........ . . . . . . . . . . 35 Demographic data of respondents to a questionnaire on safe food handling knowledge, practices, and opinions of consumers who received office-delivered food at lunchtime... Safe food handling knowledge questions: frequency and.percent of responses............ Safe food handling knowledge scores and mean scores by demographic variable................ Safe food handling knowledge mean scores by demographic variable of consumers who received office-delivered food at lunchtime............ Safe food handling practice questiéns: frequency and percent of responses............ Safe food handling opinion questions: frequency and percent of responses............ ix 41 44 51 54 56 62 LIST OF FIGURES number BASE 1 Flow chart of food handling steps for office- delivered food from foodservice receiving to consumer consumption... ..... . ...... ........... 5 2 Collapsed demographic variables and categories for a study on safe food handling knowledge, practices, and opinions of consumers who received office-delivered food at lunchtime... 53 3 Examples of safe food handling labels for consumers of delivered food................... 69 1.0 INTRODUCTION Delivered food has become one of the fastest growing market segments of the foodservice industry (Kochak, 1988; Conroy, 1988; Farrell, 1989; FMI, 1992). During 1990-91, delivered food from restaurants was used most by single persons, households with children, and peOple under 30 years old (NRA, 1991). In 1992 the National Restaurant Association reported that larger households, especially those with children, were most likely to purchase food from restaurants for off-premise consumption. Deliveries from restaurants more than doubled between 1984 and 1988 (NRA, 1990). Accompanying these trends has been strong consumer interest in foods perceived to be "healthy." This has often meant fresh foods with fewer chemical preservatives and reduced salt levels (Archer and Kvenberg, 1985; Pratscher et a1., 1987). The safety of such fresh foods has been questioned, especially since foods might not be consumed immediately after they are prepared or delivered (Corlett, 1989). Fresh refrigerated foods such as salads, delicatessen entrees, seafood, and cooked meats require minimal processing. Improper temperature control or lack of backup protective barriers can significantly affect the shelf-life and overall safety of these foods. 2 Refrigerating foods at the proper temperature can help to maintain the desired quality, but cannot guarantee product safety because some pathogens can grow at refrigerator temperatures (Corlett, 1989; Moberg, 1989). Furthermore, if subjected to contamination and subsequent time/temperature abuse, these foods become particularly susceptible to the growth of pathogenic bacteria (Bean et a1., 1990; Corlett, 1989; Bryan, 1980). The number of cases of foodborne disease occurring each year in the United States (Bean et a1., 1990), and liability costs related to foodborne disease (Roberts, 1989; Todd, 1989; Archer and Kvenberg, 1985) has suggested that the rate of reporting foodborne illness in the United States is increasing each year. According to data from the Centers for Disease Control (CDC), improper storage or holding temperature of food, followed by poor personal hygiene of food handlers, were the factors which contributed most frequently to reported cases of foodborne illness in the United States between 1983 and 1987 (Bean et a1., 1990). In the United States between 1983 and 1987, a total of 550 reported foodborne disease outbreaks occurred in the home (Bean et a1., 1990). When food is consumed away from home, standard equipment needed for safe food handling such as an oven, refrigerator, sink, or thermometer might not be readily available. In the absence of such standard equipment, following safe food handling practices becomes more difficult. 3 Several bacterial pathogens are commonly associated with outbreaks of foodborne illness. These include Salmonella, Staphylococcus aureus, Clostridium botulinum and Clostridium perfringens (CDC, 1990). lkiaddition, several "new“ bacterial pathogens have been identified as etiologic agents in foodborne illness. These pathogens are capable of growth at refrigeration temperatures below 45°F although they grow'much faster at temperatures >45°F. Some of these "new" pathogens include: Yersinia enterocolitica, Escherichia coli, Aeromonas hydrophilia and Listeria monocytogenes (Corlett, 1989; Liston, 1989; IFT Expert Panel on Food Safety and Nutrition, 1988). To help decrease the incidence of foodborne illness, the Hazard Analysis Critical Control Point (HACCP) system has been recommended (USDA/PSIS, 1989; IFT Expert Panel on Food Safety and Nutrition, 1988; Snyder, 1986). HACCP is a systematic safe food handling approach designed to increase the safety of food processing and preparation operations. While food processors and foodservice handlers may have some training in safe food handling, it is likely that consumers have not. Therefore, even if HACCP principles and other safe food handling practices‘ are followed by food processors and foodservice handlers, there is still the potential for consumers to mishandle the food. The risk of foodborne illness arising from mishandled food is a potential problem in any situation where food is ;provided to consumers (Bryan, 1988). Consumers of delivered food are an integral part of the food handling chain and are 4 involved with some of the process steps such as storage and reheating of food (Figure 1). The degree of risk associated with food handling varies with the food, the preparation steps, the duration of holding/storage, and transportation. Abuse at any step, such as time/temperature or improper handling of food between delivery and consumption, could cause a food to be unsafe for consumption. In comparison to all of the information being gathered on foodborne disease outbreaks, there is relatively limited research about consumer knowledge and practices related to safe food handling (USDA/FSIS, 1989). Available research.has shown that consumers are not always knowledgeable about safe food handling issues (Chin, 1992; Williamson et a1., 1992; USDA/FDA, 1991). Consumer education on safe food handling is crucial if the rate of foodborne illness is to decrease (Rhodes, 1991; Corlett, 1989; IFT Expert Panel on Food Safety and Nutrition, 1988) . However, before consumer education programs are developed, the foodservice industry must learn what consumers know about safe food handling as it relates to the storage and reheating of delivered food products in office settings (Schafer et a1., 1993). The objectives of this study were to: ( 1) assess consumer knowledge about safe food handling concepts related to office-delivered food, (2) determine if demographic characteristics of respondents were related to their safe food handling knowledge, (3) determine if consumers followed 5 START 4 FOODSERVICE HANDLER l *. I RECEIVE 1 +*- +*.. COOK/CHILL CHILL |___. *- ’—l PREPARE/ASSEMBLE l + - * STORE l + - * DELIVERY 1 I CONSUMER l - + — * HEAT STORE 1 I 4* CONSUME +> I l ,. STOP LEFTOVERS + — t - STORE HEAT I fiCONSUME-H I 1 STOP EEK * Potential contamination hazard + Bacterial growth hazard - Microbial survival likely lFigure 1. Flow chart of food handling steps for office- delivered food from foodservice receiving to consumer consumption. (Adapted from IAMFES, 1991) 6 recommended safe food handling practices when of f ice-delivered food ‘was received, stored, and consumed and (4) assess consumer opinions related to safe food handling of office- delivered food. 2 . 0 LITERATURE REVIEW Changes in eating preferences have increased concerns about the safe food handling of delivered food. Between 1973 and 1987, reported mishandling of food in commercial/institutional foodservice.establishments (79%) and homes (21%) has contributed to outbreaks of foodborne illness from bacterial sources (Bean and Griffin, 1990). Results of foodborne illness, both financial and physical, can be detrimental to foodservice establishments and consumers (Roberts, 1989; Todd, 1989). Foodborne illness becomes an even greater issue with the recent identification of pathogenic bacteria that have the ability to grow at refrigeration temperatures (Ryser and.Marth, 1989; IFT Expert Panel on Food Safety and Nutrition, 1988). The HACCP system is one approach that can help foodservice personnel and consumers involved with receiving and handling of delivered food. HACCP can help identify microbial hazards and decrease the potential for foodborne illness (Eck and Ponce, 1993; IAMFES, 1991) . 8 2.1 C sume B t references Lifestyle and demographic changes have influenced the way consumers eat. Over the past 20 years, changes in eating preferences have contributed to a larger number of meals eaten away from home. These changes are reflected by the increased consumption of convenience foods and fast food preparation among consumers (Rush and Kochak, 1990) . In 1970, foodservice sales were 42.8 billion; in 1990 they were 241.3 billion (NRA, 1990). This trend is partly due to the increased number of lunch options available to consumers (Conroy, 1988). These lunch options include: employee cafeteria/dining rooms, restaurants, deli/take-outs, convenience stores, vending machines, grocery stores, mobile caterers, and street vendors. During an average work week, 35% of daytime workers purchased their lunch or ate out, 35% brought lunch from home, 15% ate lunch at home and 14% skipped lunch (Conroy, 1988) . In addition, men (57%) were more likely than women (47%) to patronize restaurants for lunch (NRA, 1991). In-store delis are among the fastest growing segments in the foodservice industry (Annual Restaurant Growth Index Industry Report, 1992) . In addition to in-store delis, sandwich shops have also shown growth potential (Rush and Kochak, 1990). Sandwich shops, such as "Subway," primarily produce sandwiches which are made to order while the consumer waits. Mobile catering is a fairly new type of meal delivery. Deliveries are primarily to homes or the work place. Mobile 9 catering has been a small segment of the many lunch options available and includes "office catering" (Appendix A). Office catering has allowed individuals to order food, usually lunch, from an establishment and have the food delivered to their work place. This type of service is responsive to consumer' changes in eating preferences (Appendix A). With the change in eating preferences, came a shift in the types of food being prepared and consumed. Part of that shift included the increased consumption of fresh foods such as fruits and vegetables (Garg et a1., 1990). In part, the increased consumption of fresh foods can be attributed to consumers' perception that fresh foods are more nutritious or healthy than frozen or canned foods (Garg et a1., 1990). Respondents for this study patronized Green Gourmet, a convenient office-delivery service that provided fresh foods at lunchtime. 2.2 Microbiological Concerns The microbial safety of delivered fresh foods becomes a challenge to both consumers and the foodservice industry because fresh foods involve refrigeration without a heat treatment (Hurst and.Schuler, 1992; Garg'etra1., 1990; Sawyer, 1990). Several pathogens have become more prevalent due to changes in the way foods are harvested, processed, distributed, prepared, and consumed (Cox, 1989) . Some of these include Yersinia enterocolitica, Escherichia coli, Aeromonas hydrophilia and Listeria monocytogenes (Bean and 10 Griffin, 1990; Ryser and Marth, 1989; IFT Expert Panel on Food Safety and Nutrition, 1988). These pathogens are able to multiply at temperatures <45°F, which increases the possibility for healthy food handlers to contaminate fresh food during handling and potentially increase the rate of foodborne illness in the United States (Bean et a1., 1990). If raw foods have been mishandled and contaminated in the growing field, at harvest, during processing, or distribution, at the time of purchase, or by consumers after purchasing, pathogens could survive and multiply (Table 1). In a Table 1. Multiplication of bacteria over time. (Eck and Ponce, 1993) .______________a=a=========================== TIME NUMBER OF TIME NUMBER OF BACTERIA BACTERIA 0 1 5 hours 32,768 2 hours 64 6 hours 262,144 3 hours 512 7 hours 2,097,152 == 4 hours = 4,096 8 hours 16,077,216 three-hour period, 1 bacterium becomes 512 bacteria, and in 8 hours becomes 16,077,216 bacteria (Eck and.Ponce, 1993). This multiplication process takes place only under certain conditions. These conditions include moist foods with a water activity of >.85, a pH of >4.6, and a specific temperature range of 45°-140°F (the so-called "danger zone") (Barrett, 1992). Foods with these conditions are termed "potentially hazardous foods". However, as mentioned earlier, several 11 pathogenic bacteria can grow at temperatures <45°F. This suggests that the "danger zone" temperature range of 45°-140°F should be changed to include temperatures as low as 40°F (Corlett, 1989; USDA/FSIS, 1989; IFT Expert Panel on Food Safety and Nutrition, 1988). Potentially'hazardous foods.include any food.that.is:made with or contains milk or milk products, eggs, poultry, meat, shellfish, edible crustacea, baked or boiled.potatoes, cooked rice or beans, tofu or other soy protein foods, and other ingredients which are capable of supporting the growth of infectious or toxic microorganisms (Barrett, 1992) . Most fruits and vegetables would be included as ingredients which are capable of supporting the growth of infectious or toxic microorganisms (Madden, 1992). In relation to fresh produce, each step of the food handling chain, from.receiving to consumption, will influence the microbiology and overall safety of fresh produce. It has been shown that improper handling and unsanitary equipment lead to increased populations of microorganisms in fresh fruits and vegetables (Brackett, 1992). The lack of safe food handling procedures, especially during processing steps such as cutting and peeling, can compromise food quality and safety. Safety of delivered, fresh foods becomes an important issue because food must first be handled by foodservice personnel. Although routine sanitation inspections can help identify restaurants which are susceptible to foodborne 12 illness outbreaks, more education is needed to help prevent outbreaks of foodborne illness resulting from improper food handling practices within foodservice establishments (Burch and Sawyer, 1991; Irwin et a1., 1989). Restaurants (n=28) with a history of poor sanitation inspection scores and violation of proper temperature controls of potentially hazardous foods were studied by Irwin et a1., 1989. Results of the study indicated that restaurants with poor sanitation scores were five times more likely to have outbreaks of foodborne illness than restaurants (n=56) that had higher sanitation inspection scores. Similarly, restaurants with a history of violation of proper temperature controls of potentially hazardous foods were ten times more likely to have outbreaks of foodborne illness than restaurants without such histories. In 1990 Speer and Kane found that 73% (n=49) of £006 protection directors surveyed believed that Food Protection Certification Programs for foodservice managers do improve food handling practices. However, only three states (6%) have a statewide mandatory certification program. To help increase safe food handling practices at the foodservice level, a mandatory certification program would need to be implemented in every state. Educating consumers about safe food handling can be even more difficult than educating foodservice personnel because the public has not perceived microbiological hazards to be a high food safety risk (Auld, 1990; Bryan, 1988). Results from 13 the 1992 Trends Report (FMI, 1992) (n=1,000) showed consumer concerns related to food safety. Respondents indicated most concern about spoilage (36%), pesticides/residues/ insecticides/herbicides (18%), product freshness/shelf- life/expiration date (12%) , spoilage due to germs (15%) , chemicals (13%), processing and food preparation (10%), improper packaging or canning (10%), quality control/improper shipping or handling (9%) , and contamination from bacteria (9%). Further, it is important to note that the larger number of consumers (up from 27% in 1991) who were concerned about spoilage, were ‘worried. about. contamination of food from bacteria (up from 3% in 1991). Due to the prevalence of bacterial pathogens that grow at refrigeration temperatures, the awareness of potential outbreaks of foodborne illness associated with mishandled fresh foods has hightened. Potentially hazardous foods, which include fresh foods, are capable of supporting the growth of pathogenic bacteria. These potentially hazardous foods can be included as menu selections for delivered foods. 2.3 Foodborne Illness in the United fitateg Bacterial pathogens are the leading cause of foodborne illness in the United States (Bean et a1., 1990). From 1973 through 1983, 7,458 outbreaks and 237,545 cases of foodborne illness were reported to the CDC in the United States (Bean and Griffin, 1990) . The outbreaks were associated with bacterial, viral, parasitic, and chemical etiologic agents. 14 However, the etiologic agents were confirmed in only 2,841 outbreaks and 124,994 cases. Of those confirmed, bacterial pathogens were implicated in 66% of outbreaks and in 87% of cases (Bean and Griffin, 1990). The CDC has defined an outbreak as: An incident in which 1) two or more persons experience a similar illness after ingestion of a common food, and 2) epidemiologic analysis implicates the food as the source of the illness (exception; one case of botulism or chemical poisoning constitutes an outbreak) (Bean et a1., 1990). Reported outbreaks of foodborne illness from 1973-1987 resulted from mishandling of food in commercial or institutional establishments (79%) or homes (21%) (Bean and Griffin, 1990). There were several factors that contributed to the occurrence of foodborne outbreaks between 1961 and 1976 (Bryan, 1980). In descending order, these factors included: (1) inadequate cooling, (2) lapse of a day or more between preparation and serving, (3) infected persons, (4) inadequate thermal processing, canning or cooking, (5) inadequate hot storage, (6) inadequate reheating, (7) ingesting contaminated raw food or ingredient, (8) cross-contamination, (9) inadequate cleaning of equipment, (10) obtaining food from an unsafe source, and (11) consuming leftovers. More recently, four food handling practices have been identified as primary contributors to foodborne illnes: (1) improper refrigeration or cooling of food, (2) improper hot holding or reheating of food, (3) infected foodservice worker 15 contaminating food they handle, and (4) failure to properly sanitize equipment and food contact surfaces after use (Barrett, 1992; CDC, 1990). Between 1973 and 1987, specific food 'vehicles 'were implicated in 3,699 (50%) of 7,458 outbreaks (CDC, 1990). The food vehicles:most often implicated were; finfish (15%), beef (9%), pork (7%), shellfish (6%), fruits and vegetables (5%), Chinese food (4%), turkey (4%), Mexican food (4%), chicken (3%), dairy products (3%), bakery products (3%), mushrooms (2%), nondairy beverages (2%), ice cream (1%), and eggs (1%). Of the 2,397 reported outbreaks between 1983 and 1987, 59 were caused by consumption of fruits and vegetables and 201 were attributed to consumption of meat and poultry (CDC, 1990). The incidence of foodborne illness is actually much higher than reported by CDC. The Food and Drug Administration (FDA) and the CDC, have estimated that between 24 and 81 million cases of foodborne illness occur each year in the United States (Martin, 1991A; Archer and Kvenberg, 1985) . The reported number of cases of foodborne illness represents only a small percent of the cases that actually occur (Bean and Griffin, 1990). Estimates show that only 1 person in 25 (at most) and.1 person in a 100 (at least) seeks medical attention. when afflicted with a foodborne illness (Archer and.Kvenberg, 1985). When outbreaks are reported to the CDC, the etiologic agent might not be determined because adequate laboratory confirmation was not obtained. In 1987, 387 outbreaks were 16 reported to the CDC (1990) of which only 136 (35%) had the etiologic agent confirmed. A study conducted by Irwin et a1. (1989) on routine restaurant inspections and.the prediction.of outbreaks of foodborne illness showed that unknown pathogens were responsible for the reported outbreaks in 22 of the 28 restaurants. Additionally, the numbers reported from the CDC can be misleading for two reasons (Bean and Griffin, 1990). First, an outbreak reportedly caused by ice cream, for example, may have actually been caused by the raw eggs and/or milk it contained. Unless an individual ingredient can be specifically implicated as a source of illness, a broad food category will be associated with the outbreak. Second, if a food containing several ingredients does not fall under a specific food category such as ice cream, it can be recorded under the "other" category (Bean and Griffin, 1990). Analysts predict that a restaurant will incur costs between $1,500 and $74,000 for medical claims, legal fees, and lost wages and sales for every customer afflicted with a foodborne illness (Roberts, 1989) . Todd (1989) estimated that the average cost to a restaurant each time a customer is afflicted with a foodborne illness is $190 to $322,200. Overall annual costs related to foodborne bacterial diseases in the United States were estimated at $4.8 billion (Roberts, 1989) to $8.4 billion annually (Todd, 1989). The results of a foodborne illness can be detrimental to both restaurants and 17 consumers. Cbntinued reporting of outbreaks indicates the need for safe food handling education. 2.4 Bacterial Pathogaas aad Foods Most Often Associated 11th od no a s Meat and poultry have often been associated with cases of foodborne illness in the past (Bryan, 1980) . Between 1968 and 1977, meat and poultry, and products containing them, represented 1,420 (54%) of the 3,668 total outbreaks reported. While 225 (8%) of the total number of outbreaks were attributed to foods in which meat or poultry may have been an ingredient (Bryan, 1980). Meat, poultry and produce items that are classified as "potentially hazardous" do not always have the protection of natural barriers. Therefore, these foods become an even greater issue in the prevention of foodborne illness caused by delivered foods (Bean and Griffin, 1990). Traditional processing, which includes canning and freezing, helps to eliminate potential pathogenic bacteria that could lead to foodborne illness (Garg et a1., 1990). Fresh fruits and.vegetables, however, are not subject to heat treatment, preservatives, and additives provided by traditional processing and may be subject to pathogenic bacteria. Some produce, however, contains natural barriers, such as peels, skin, and rind that help prevent against potentially pathogenic bacteria entering into and growing in the interior portion (Madden, 1992). 18 In 1983 Salmonella caused 39% of the bacterial foodborne disease outbreaks, Staphylococcus aureus (8%) , Clostridium botulinum (7%) and Clostridium perfringens (3%) (Bean et al., 1990) . Over a five-year period, Salmonella was responsible for the majority of reported bacterial disease outbreaks in the United States (57%) (Bean et al., 1990; CDC, 1990). 2.4.1 Salmonella Salmonella, a generic name representing nearly 2,000 different serotypes, remains a problem in relation to outbreaks of foodborne illness in the United States (CDC, 1990) . Outbreaks of Salmonella are most often associated with foods of animal origin, specifically beef, chicken, and dairy products (Bean and Griffin, 1990; IFT Expect Panel on Food Safety and Nutrition, 1988). Ingestion of foods contaminated with Salmonella results in gastrointestinal upset and fever (Unklesbay et al. , 1977) . According to food safety experts, many cases of Salmonella may be misdiagnosed as intestinal influenza by consumers and physicians and are therefore underreported to the CDC (IFT Expert Panel on Food Safety and Nutrition, 1988) . Although Salmonella can be destroyed when heated to 74°C (165°F) or higher (Unklesbay et al., 1977), it remains a cause in numerous outbreaks of foodborne illness due to improper heating (Bean and Griffin, 1992 and CDC, 1990). Between 1973 and 1987, the majority of Salmonellosis outbreaks with reported causal factors (n=504) occurred as a result of improper holding temperature (83%), inadequate 19 cooking (67%) , and contaminated equipment (63%) (Bean and Griffin, 1990). For many outbreaks, more than one factor was responsible. When foodborne disease outbreak data was compared for 1973-75 and 1985-87, a 75% increase in the proportion of outbreaks and a 130% increase in the proportion of cases due to Salmonella were observed by Bean and Griffin (1990). 2.4.2 Staphylococcus aureus Common reservoirs for S. aureus include the human nasal cavity, hair, and skin. Therefore, food handlers can easily contaminate food products with S. aureus. This pathogen is most often. associated. with. meat (especially' ham), dairy products, cream-filled baked goods, potato salad, high-protein leftover foods, and food mixtures. Hassan et al. (1991) did, however, detect S. aureus in salad ingredients with the highest growth shown in croutons and green peppers. S. aureus strains grew rapidly in croutons during the first 12 hours and then declined rapidly after 24 hours. Green peppers showed growth of S. aureus up to the stage of enterotoxin production. Cell numbers decreased after 24 hours. Production of enterotoxins in croutons and green peppers was negative. Similar results were reported by Gourama et al. (1991) where growth of S. aureus was found on salad bar ingredients. These ingredients included canned carrots, french beans, plain croutons, and green peppers. Again, there was no correlation 20 between bacterial growth on foods and production of enterotoxins. Between 1983 and 1987, 47 (7.8%) of the 600 reported bacterial foodborne outbreaks in the United States were caused by S. aureus (Bean et al., 1990). Between 1973 and 1987, the majority of outbreaks of S. aureus where causal factors were reported (n=272) occurred as a result of improper holding temperature (98%) , poor personal hygiene (71%) , and contaminated equipment (43%) (Bean and Griffin, 1990). For many outbreaks, more than one factor was responsible. 2.4.3 Clostridium botulinum Between 1973 and 1987, there were 231 outbreaks (8% of the total outbreaks) of botulism in the United States. Outbreaks in which causal factors were reported (n=69) found that botulism, caused by Clostridium.botulinum, resulted from inadequate cooking (91%) and improper holding temperature (34%) (Bean and.Griffin, 1990). For many outbreaks, more.than one factor was responsible. Present in both soil and in the environment, Clostridium botulinum has been isolated in fish (Baker et al., 1990), fresh pasta (Glass and Doyle, 1991) and vegetables (Lund, 1990). Other foods, such as meat products, fruits, condiments, and dairy products, have also been implicated in outbreaks of botulism (IFT Expert Panel on Food Safety and Nutrition, 1988). Botulism is also a concern in minimally processed produce (Brackett, 1992). 21 Foodborne botulism results from contamination of food in which Clostridium botulinum has grown and produced a toxin. Outbreaks might be a result of raw food materials coming in contact with processed foods or by contamination of foods after processing. Neoproteolytic types can grow between 3.3°C (38°F) and 45°C (113°F) with optimum growth and toxin jproduction at 30°C (86°F) (IFT Expert Panel on Food Safety and Nutrition, 1988). 2.4.4 Clostridium perfringens Since the early 1960's the number of cases of food poisoning caused by Clostridium perfringens has increased dramatically. Between 1973 and 1987, Clostridium perfringens represented 190 (7%) outbreaks and 12,234 (10%) cases (Bean and Griffin, 1990). Type A strains, usually found in soil, cause virtually all cases of foodborne illness realted to Clostridium perfringens (Lund, 1990). The most common food vectors are meat and. poultry (IFT Expert Panel on Food Safety and Nutrition, 1988). Clostridium perfringens was isolated from samples of ground meat dishes and chick peas from a vending operation (Bryan et al., 1992). Results of this study indicated spore survival after cooking and germination.during the display period. Nine of 21 (43%) samples of food tested positive for Clostridium perfringens. Clostridium perfringens is most often associated with food prepared in fooodservice establishments including restaurants, institutions, hospitals, factories, schools, and 22 caterers (Lund, 1990; IFT Expert Panel on Food Safety and Nutrition, 1988). This Organism can multiply rapidly with an optimum growth range of 15-20°C. ' In addition to the more common pathogenic bacteria associated with outbreaks of foodborne illness, several pathogens, some of which multiply at refrigeration temperatures, have increased the incidence of foodborne illness (Cox, 1989). These pathogens continue to be a public health concern and are addressed in the next section. 2.5 gacterial Pathogens That Grow at Temperatures < 45°: Lately, other pathogenic bacteria have been identified as important agents of foodborne illness (Ryser and.Marth, 1989; IFT Expert Panel on Food Safety and Nutrition, 1988). These emerging pathogenic bacteria can grow at temperatures <45°F. In the past, most bacterial pathogens identified in foodborne outbreaks were mesophiles with an optimum growth temperature of 90°F to 120°F. Since Yersinia enterocolitica, Escherichia coli, Aeromonas hydrophilia and Listeria monocytogenes have been shown to grow at colder temperatures (<45°F), they are being identified.more often as the etiologic agent associated with outbreaks of foodborne illness. They are more prevalent because of (1) changes in eating patterns, ( 2) changes in perception and awareness of what constitutes hazards, risks and hygiene, (3) demographic changes, (4) changes in primary food production, (5) changes in food processing technology, 23 (6) changes in handling and food preparation practices, and (7) changes in the behavior of microorganisms (Cox, 1989). The following subsections cite literature on pathogens that have recently been identified as etiologic agents in foodborne illness. The primary focus of the discussion is temperature ranges which promote the growth of such pathogens and subsequent outbreaks. 2.5.1 Yersinia enterocolitica This organismtis a facultative anaerobic, gram-negative, heat-tolerant psychrotrope that will grow in a temperature range of 0° to 45°C (32° and 113°F). Optimal growth range is 22° to 29°C (72° to 84°F) (Ryser and Marth, 1989). Yersinia enterocolitica has been isolated in a variety of animals. However, only Yersinia enterocolitica emanating from swine has been identified as a human pathogen (Toma and Deidrick, 1975). Even though no outbreaks have been directly associated with swine, Hanna et al. (1977) showed that raw pork stored at 7°C (44.5°F) could grow a few hundred Yersinia cells to millions/gram within ten days. Yersinia also grows well in meat, seafood, and milk at refrigeration temperatures (Lechowich, 1988) . Chocolate milk, pasteurized milk, and tofu packed in unchlorinated spring water have all been vehicles.of outbreaks (IFT Expert Panel on Food Safety and Nutrition, 1988). Only four reported foodborne outbreaks, three from milk and one from tofu, have been associated with Yersinia in the United States from 1973 through 1987 (Bean and Griffin, 1990; 24 Lechowich, 1988) . However, Yersinia remains a concern of food microbiologists and public health authorities. 2.5.2 Escherichia coli This pathogen is most often associated.with ground beef, raw milk, and chicken (Doyle, 1990; Ryser and Marth, 1989). It is also a concern in minimally processed produce (Brackett, 1992). Contaminated water, either by direct consumption or presence in foods, is the main vehicle for transmission (Doyle, 1990). A gram negative, non-spore forming motile rod, that is capable of growth at 34-114°F (Lechowich, 1988), Escherichia coli (E. coli) has been the cause of many cases of diarrheal disease in the United States (Doyle, 1990). Between 1973 and 1987, E. coli represented 10 (<1%) outbreaks and 1,187 (1%) of all cases of foodborne illness in the United States. However, in three of ten reported E. coli outbreaks with reported causal factors, 50% were due to inadequate cooking (Bean and Griffin, 1990). Escherichia coli (0157:37) was first established in 1982 as the cause of two outbreaks of foodborne illness. In Oregon, 26 cases were confirmed (Riley et al., 1983) and in Michigan, 21 cases (Wells et al., 1983). In both outbreaks, ground beef sandwiches were implicated as the food vector. The majority of foodborne illness outbreaks reported since 1982 have either implicated or associated undercooked ground beef as the primary source of infection. Recently, E. coli was the source of infection in an outbreak associated 25 with undercooked hamburgers at "Jack in the Box" restaurants in Washington State and other Pacific Northwest states.. The outbreak resulted in 350 cases of foodborne illness and two fatalities (Michigan Beef Industry Commission, 1993). However, there are still many questions regarding the significance of E. coli as a foodborne pathogen (Ryser and Marth, 1989). 2.5.3 Aeromonas hydrophilia This pathogen has a psychrophilic growth range of 38- 107°F (3-42°C) , with optimal growth at room temperature of 32-50°F (0-10°C) (Snyder and Poland, 1991; Lechowich, 1988). Since A. hydrophilia can grow at refrigeration temperatures, the recommended "safe" storage temperature of 45°F (7°C) has been questioned. The long-term (7 days) storage of food at refrigeration temperatures of 45°F and above could contribute to foodborne illness due to A. hydrophilia (Snyder and Poland, 1991; NRA, 1987). The source of A. hydrophilia is animal and human fecal matter. It is most often associated with meat, poultry, fish, shellfish, dairy products, fresh fruits and vegetables, and prepared food products (Snyder and Poland, 1991; Lechowich, 1988). In a study conducted by Palumbo et al. (1985) .A. hydrophilia was detected in virtually all retail red meats, chickenf raw milk, and seafood sampled. In general, the counts increased 10- to 1,000-fold after refrigerated storage (5°C) for seven days. Results indicated that .A. hydrophilia 26 is capable of growth in foods of animal origin during long- term storage. A. hydrophilia was isolated in retail grocery store produce. Produce items included parsley, spinach, celery, alfalfa sprouts, broccoli, and lettuce (Callister and Agger, 1987). Two different strains showed growth in one day at 35 and 22°C. Growth was slowed at 12°C, but all strains grew within 48 hours. 2.5.4 Listeria nonocytogenes Recently,.Listeria.monogytogene5'has gained considerable attention from epidemiologists and. microbiologists. L. monocytogenes has been shown to cause abortion in pregnant women and.meningitis in newborn infants and immunocompromised adults (Marth, 1988). The genus Listeria consists of five species, of which L. monocytogenes is the only proven human pathogen. This organism is a non-spore-forming, psychrotropic bacterium that grows between 34° and 113°F (1-45°C) (Brackett, 1988). L. monogytogenes is widely distributed in the environment and has been isolated in a variety of different sources including feces from healthy human beings and animals, soil, normal and mastitic cow's milk, and improperly fermented silage (Brackett, 1988). In the first major outbreak of listeriosis, cabbage that had been fertilized with sheep manure was implicated as the food vector (Schlech et al., 1983). Other implicated foods 27 include vegetables, milk, cheese, and fermented meats (Ryser and Marth, 1989). Listeriae have been identified in food processing environments on items such as refrigerators and dishcloths (Cox et al., 1989). The presence of Listeriae has also been found on "ready to eat" pre-cooked, grilled chicken (Kerr et al., 1990). Longer storage of products such as soft cheeses, meats, salads, and vegetables, could increase potential problems with psychrotropes such as Listeria (Cox, 1989) . Although Listeriae have been identified in outbreaks of foodborne illness, little is known about causation of the disease (Cox, 1989). 2.6 HACCP: AR Appaoach to Reduce the Risk of Foodborna Illaess HACCP is one approach that can help identify microbiological hazards at an early stage in food systems. HACCP was designed to be a self-inspection process that highlights potentially hazardous foods and how to handle them safely in food handling environments (Eck and Ponce, 1993; USDA/F818, 1989). Pathogens associated with foodborne illness have been recognized as such for years. HACCP has been used as a method to control the growth of bacterial pathogens (Unklesbay et al., 1977). However, cases of foodborne illness continue to be reported to the CDC and are a result of negligence and/or 28 lack of safe food handling knowledge and/or practices (CDC, 1990; Unklesbay et al., 1977). Food has been handled extensively at each step in the food chain before it is received by consumers. Foodservice handlers not trained to properly handle foods can increase the risk of foodborne illness of customers (Burch and Sawyer, 1991; Labuza, 1989) . Add the untrained consumer to the untrained foodservice handler and the potential for microbiological hazards significantly increases (Figure 1). HACCP was intended for use with various foodservice systems such as commissary, conventional, and ready-to-serve operations (Eck and Ponce, 1993) . However, delivered food involves both the foodservice handler and the consumer in the food handling chain (Figure 1) . Many critical control points are encountered within the food handling chain. Each step in the chain requires accurate knowledge and appropriate practices related to safe food handling. Foodservice handlers are exposed to a variety of critical control points in the food handling chain. These include receiving, cook/chill methods, chilling, preparation/assembly, storage, and distribution. Contamination can occur during receiving, the cook/chill process or preparation/assembly. Bacterial growth can occur during the cook/chill procedure, chilling, storage, or distribution. Survival of pathogenic bacteria is likely throughout the food handling chain (Figure 1). 29 Equipment used during processing and production is also included as a critical cOntrol point. In one study conducted by’ Garg' et al. (1990), microbial counts were taken of vegetables during a variety of processing steps. conveyor belts, centrifugation, and filling operations were not found to be sources of contamination. However, during the shredding process, microflora increased from 2.0 x 104 to 7.8 x 105 in cabbage and from 1.8 x 104 to 1.4 x 106 in lettuce. Pseudomonas was detected as the most predominant microflora in samples of spinach, cauliflower, and carrots. Catering establishments have been implicated as vehicles in outbreaks of foodborne disease (CDC, 1990). Consequently, Bryan et al. (1981) conducted a hazard analysis which evaluated product temperatures throughout processing and assembly, measured pH, and tested products for foodborne bacteria within a catering establishment. Results indicated that the number of foodborne pathogens isolated from product samples were insignificant. Although this study indicated that safe food handling practices were employed, consumers still have the potential to mishandle the food. Therefore, handling instructions and associated foodborne illness risks should be communicated to consumers (Bryan et al., 1981). A study conducted by Wyatt (1979) indicated a need for training programs in sanitation and safe food handling procedures for food retail employees at all levels. Similarly, Burch and Sawyer (1991) determined that safe food 30 handling training was needed for convenience store managers and employees. Consumers who receive delivered food are exposed to certain critical control points: the storage, heating, and handling of leftovers. Contamination can occur during storage and handling of leftovers. Bacterial growth can occur during improper storage, and.the survival of some pathogens is likely during heating and storage. With fresh, delivered foods and the identification of pathogens that grow at refrigeration temperatures, exclusion of consumers from the HACCP system puts consumers at greater risk of foodborne illness. Studies have shown that consumers alone cannot.be responsible for safe food handling (Chin, 1992; Li, 1992; Williamson et al., 1992) . The question of "who holds responsibility for foodborne illness resulting from consumer mishandling?" remains (Brackett, 1992). Is the industry responsible because they allowed pathogenic bacteria to lgrow’ and. remain in food provided to consumers or should consumers be responsible for safe food handling? HACCP has traditionally been used by food microbiologists, food processors, and foodservice handlers. However, tailored HACCP programs have been recommended specifically for produce processors (Hurst and Schuler, 1992) and for the production of wrapped, ready-to-eat sandwiches (Felix, 1992). 3.0 MATERIALS AND METHODS The purpose of this study was to assess the safe food handling knowledge, practices, and opinions of consumers who ordered food from Green Gourmet, a campus-wide lunch delivery service at Michigan State University (MSU). The procedures followed. to achieve this 'purpose are (described in 'this section. 3.1 Green Gourmet Green Gourmet was developed as a lunch delivery/take-out service which provided healthful lunch selections within the MSU community (Appendix A). The menu items were prepared at the MSU Union kitchen; delivery to MSU offices was available. Green Gourmet was initially test marketed in the spring of 1989 for MSU employees who worked in either the Food Science Building or Agriculture Hall on the MSU campus. Results of the test market showed a strong perceived consumer need for a campus lunch delivery/take-out service that was convenient and provided nutritious meals. During the summer of 1989, this lunch service was extended.to all MSU’buildings. 31 32 The four main objectives of the Green Gourmet lunch service were: 1. To provide a convenient lunch service for employees at MSU . 2. To provide nutritious lunch options to vending machines. 3. To provide a nutritional analysis of Green Gourmet menu items to increase the nutrition knowledge of MSU employees and enable them to make informed decisions about healthful food choices. 4. To provide a gourmet environment which includes appealing food presentation and personal service. 3.2 Sample Selection The sampling frame for the present study was the subset of MSU employees who had received lunch prepared by Green Gourmet between January 2, 1990 and March 18, 1991. There were 12,103 employees (excluding student employees) at MSU during the 1989-90 academic year. These employees represent the population of all possible customers for Green Gourmet. To identify the MSU employees who had received and/or eaten a lunch from Green Gourmet, the list of names of people who had ordered a Green Gourmet lunch January 2, 1990 through March 18, 1991 was compiled from Green Gourmet order forms (Appendix B). The Green Gourmet order form allowed an individual or group of individuals to place an order. When an order was being placed for an individual, their name‘was recorded at the top of the order form. If a group of two or more individuals were placing an order, the names of the people for whom the 33 lunch items were ordered was written at the bottom of the order form. Therefore, the sample for the present study consisted of the person who placed the order as well as the name or names of the people for whom a lunch was ordered. All Green Gourmet customers included in this sample were mailed a questionnaire for this study (Appendix C). The data collection period was limited to 15 months to decrease the effect of memory as a threat to validity. A total of 245 questionnaires were mailed out for this study. 3.3 Pilot Testiag Questionnaire Only MSU employees who had received food from Green Gourmet at lunchtime between January 1990 and February 1991 were included in the pilot test. Using a table of random numbers, a total of 25 Green Gourmet customers were selected from the sampling frame to participate in the pilot testing of the questionnaire. These participants were not included in the final data collection phase of this study. Participants were asked to complete a questionnaire (Appendix D) and provide feedback on the length, content, and clarity of the questionnaire. .Additional comments or suggestions that would improve the quality of the questionnaire were also requested. Twenty-five questionnaires were mailed; eleven were completed and returned (44% response rate). The pilot test (n=25) was conducted in February of 1991. Responses were evaluated by reviewing the consistency between questions and the frequency of "I do not know" responses. 34 Length, content, and clarity were evaluated based on responses to open-ended questions. An item analysis was conducted to assess reliability, difficulty and discrimination of five knowledge questions (Table 2) (Carmines and Zeller, 1985). The mean score of the ten persons who responded to the five knowledge questions for the pilot test was 2.5 (50%). The reliability (Kuder Richardson Reliability #20) of this five-question scale was 0.47. Reliability in this research referred to whether the instrument discriminated between masters (upper group scorers) and non-masters (lower group scorers). The reliability score was influenced by the total number (n=5) of items on the questionnaire that assessed knowledge. The difficulty of individual questions ranged from 10-90, with a mean of 50. The difficulty index is defined as the proportion of total respondents who selected the correct response. The mean difficulty score was influenced by low scores on two items (questions 4 and 5) . These questions were more difficult than the multiple choice items (questions 1, 2, and 3) because they were open-ended questions. These open- ended questions required respondents to identify the minimum reheating temperature required for leftovers (165°F) and the maximum safe operating temperature of a refrigerator (40°F). Although these questions were difficult, they were considered necessary and appropriate for this research. 35 Arum aouuonv nsoum Hmsoa on» no wmoucmouom on» one Awbm mouv msoum noun: 0:» no mmmucoonmm on» cowsumn oosououuao «a uncommon uoonuoo 0:9 omuomaom 0:3 musoocommou no :oHuuomoua a mm on ousumuoaaou soaumuomflumou Renown .m mm oH muo>ouuoa mo onwusoaou Homonm .e mm on nvsoum Hoflumuoon Mom msowuaosoo .n mm om ooou enemas «0 coauooauwusmofl .m mm ow owuouoon mo monsoon coon .H «rsowumsaafiuomwo «auasowmuwa DamosxaoUH .mcofiunosu mmooasosx no new» uoHaq on» Bonn muasmou uwu>aoso aouH .m manna 36 The mean discrimination level was 33. The discrimination index is defined as the difference between the proportion of high scorers (upper 27%) who selected the correct response minus the proportion of low scorers (lower 27%) who selected the correct response. The ability of the questions to discriminate between masters (high scorers) and nonmasters (low scorers) was acceptable for all knowledge questions. Based on the results of the item analysis, all questions were considered appropriate regarding level of difficulty and discrimination for inclusion in the final version of the questionnaire. Revisions were made and the final questionnaire was printed (Appendix C). 3.4 Qaesaionnaira pevalopment A booklet-style questionnaire was designed for use in this study (Appendix C). The questionnaire contained five questions about safe food handling knowledge, seven questions concerning practices related to safe food handling, and three questions to assess opinions of the respondents on safe food handling. In addition, nine demographic questions were included at the end of the questionnaire. A cover letter was enclosed with the questionnaire (Appendix E). The letter explained the purpose of the study and the issues addressed in the body of the questionnaire. Additionally, a University Committee on Research Involving Human Subjects (UCRIHS) consent form was also distributed with each questionnaire (Appendix F). Participants were asked to 37 complete the consent form before proceeding with the questionnaire and to return the form with the questionnaire. The questionnaire, cover letter, and consent form were reviewed and approved by the UCRIHS at MSU (Appendix G). 3.5 Qistributioa of Questioanaires For this study, 245 questionnaires were distributed in April of 1991 via MSU campus mail. To increase the likelihood that the questionnaires were sent to the correct campus address, addresses of Green Gourmet users in the sample were verified using the current MSU directory (September 1990). This method was preferred rather than using the campus address appearing on the Green Gourmet order form because that address might not have been the current office address for participants. The participants were requested to return the completed. questionnaire ‘using campus ‘mail. Of the 245 questionnaires initially mailed, 68 were returned (28% initial response). 3.6 Follow-Up Two types of follow-up were conducted to increase the response rate in this study: (1) telephone calls and (2) a second mailing which included a revised cover letter and a second copy of the questionnaire. The telephone call follow-up was conducted on April 26, 1991, three weeks after the first questionnaires were mailed. Green Gourmet customers who did not respond to the initial 38 mailing, were contacted by telephone. Of the 177 remaining participants, 93 (52%) were able to be contacted by telephone. Of those contacted, 11 (12%) were uninterested in completing a questionnaire and 25 (27%) were unavailable to participate in the study (two on military leave, two on sabbatical, three on maternity leave, three retired, four out-of—town, five unavailable, and six no longer working at MSU). Of the 84 remaining participants who were not personally contacted, a message was left with 46 which encouraged them to return the questionnaire; 38 were unable to be contacted. As a result of the telephone call follow-up, 43 additional questionnaires‘wereimailedm IMailed questionnaires were requested or were part of the 38 who were unable to be contacted. The follow-up mailing included a cover letter explaining the purpose of the follow-up and a replacement questionnaire. As a result of the telephone call follow-up and second mailing, an additional 64 surveys were returned (54% response rate). To calculate an accurate response rate, noneligible and unavailable participants were removed from the sample. Noneligible participants (17) were defined as people who had never received and eaten an office-delivered lunch from.Green Gourmet between January 2, 1990 and March 18, 1991. Unavailable participants (25) were defined as people who were unable to participate in the study because they were on military or maternity leave, on sabbatical, retired from or were no longer 'working' at IMSU, or ‘were out-of-town or 39 unavailable at the time of the study. Of the original 245 participants, 17 were classified as noneligible and 25 as unavailable resulting in a total sample size of 203. The adjusted response rate was 65% (n=132). 3-7 W The Statistical Package for the Social Sciences (SPSS/PC+, version 4.0.1, 1990) was used for all analyses in this study. A frequency (% response) was calculated for all questions. The safe food handling knowledge responses were scored. as correct. or incorrect" IFor’ each. of the‘ five knowledge questions, a point was given for each correct answer. A total score of five was possible, with a score of 0 representing no correct answers and 5 representing all questions answered correctly (minimum = 0, maximum = 5) . For safe food handling knowledge, the difference in score distributions among age, gender, educational level, and race was analyzed using cross tabulations. Responses to each of the safe food handling practice questions were categorized as desirable or undesirable. The level of significance selected for all statistical analyses was P50.05 (significance designated by *). 4.0 RESULTS AND DISCUSSION The results of the questionnaire were analyzed to determine: (1) if participants were knowledgeable about safe food handling concepts related to office-delivered food; (2) if participants followed safe food handling practices when an office-delivered lunch was received, eaten, or stored; and ( 3) respondents' opinions related to safe food handling. Results were also analyzed to determine if the demographic characteristics of respondents were related to their safe food handling knowledge. 4.1 Qaaographics of Respaadaata Demographic data of the 132 respondents are presented in Table 3. For this report, results related to race were not used for statistical comparisons due to the high number of white respondents (93.1%). IHowever, data on. race *were included in the tables for informational purposes. Those with the highest rate of response were 40-44 years of age (n=27, 20.6%) . The demographic age group between 20-24 years of age constituted the smallest group of respondents (n=3, 2.3%). Similar results were found by Williamson et al. (1992) who reported results of a survey on home food preparation practices (n=869) . Most of the respondents in the 40 41 Table 3. Demographic data of respondents to a questionnaire on safe food handling knowledge, practices and opinions of consumers who received office-delivered food at lunchtime. DEMOGRAPHIC VARIABLE FREQUENCY PERCENT (n)* (%) AGE 20-24 3 2.3 25-29 15 11.5 30-34 12 9.2 35-39 19 14.5 40-44 27 20.6 45-49 20 15.3 50-54 16 12.2 55-59 12 9.2 60 or older 7 5.3 TOTAL 131 100.0 GENDER Female 101 77.1 Male 30 22.9 TOTAL 131 100.0 BBCE** Black 4 3.1 Hispanic 3 2.3 White 121 93.1 Other*** 2 1.5 TOTAL 130 100.0 0 E UC O 0 High school graduate 8 6.2 Some college 34 26.2 College graduate, associates degree 8 6.2 College graduate, Bachelors degree 21 16.2 Some graduate school or professional school 9 6.9 Graduate school or professional school graduate 50 38.5 TOTAL 130 100.0 * = demographic questions were not completed by all respondents (n=132) Asian/Pacific Islander and American Indian/Alaskan Native respondents = 0 *** = both responses to other were "European" ** 42 study by Williamson et al. (1992) were 35-44 years of age (24%); the demographic age group which responded least were those 24 years old and less (4%). Of those who responded to the present study, 77.1% (n=101) were females and 22.9% (n=30) were male. Other studies on safe food handling have also shown a higher number of female respondents (Chin, 1992; Woodburn and Van DeRiet, 1935). Data on level of education completed by respondents is also reported in Table 3. Most respondents indicated they had received a graduate or professional degree (n=50, 38.5%). Eight (6.2%) respondents indicated they had at most a high school degree. Other studies conducted on similar topics showed that most respondents had only a high school degree (Woodburn and Van DeRiet, 1985; Jones and Weimer, 1977). The majority of respondents in the present study were white (n=121, 93.1%) . The smalest number of respondents (n=2, 1.5%) were categorized as "other" and identified as "European." When asked "have you ever received information on safe food handling?" (Appendix C, question 22), 51.5% responded "yes" and 48.5% responded "no" (n=132) . Respondents were then asked to identify the sources from which they obtained information on safe food handling (Appendix C, question 23). Primary sources indicated were magazines (31.1%), family and friends (25%), and newspapers (24.2%). Similar results were found by Chin (1992) when third-grade teachers in Michigan 43 (n=439) were surveyed regarding safe food handling knowledge. Sources from.*which ‘teachers obtained safe food. handling information were most often newspaper/magazines (66%) and friends and family (40.4%). Gravani et al. (1992) indicated that respondents (n=869) to a Cornell University survey on consumer food safety knowledge felt that newspapers (75%), magazines (75%), and health professionals (75%) were the most reliable sources for food safety information. 4.2 Knowledge of Safe Food Haadling The first research objective of this study was to assess consumer knowledge about safe food handling concepts related to office-delivered food. To determine safe food handling knowledge, respondents were asked to answer five questions-- two on causes of foodborne illness (Appendix C, questions 8 and 10) and three on temperature control (Appendix C, questions 9, 13 and 14). Table 4 lists the results of the safe food handling knowledge question responses of all respondents. Most respondents were knowledgeable about causes of foodborne illness but did not know the answers to questions related to temperature control. 4 l4 uncommon uomuuoo u « 0.00H and ..........mmm¢0 GHA¢> AdBOB m. 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NUZHDOHKM semfimzommflm a ZOHBmmDO Av no n.au.o.unoov .v oanea .munoonommou he oHHennoHpmono on» nH nouuwus onoa ooumHH momnommou «nOHumoso ooonotnomo ne mes mHnB onnoomou uoouuoo as ll '3 0.00H O n H e e e e o e e e e .mmmdo DHA<> AdBOB 47 ..............mmmmo unflmmflz ... onx uon oo H 0........................om O O (‘01-! In F 0 O O 0 0 D O O I O ‘OH .........................m¢ .........................m¢ .........................n¢ .........................N¢ .ooe ......D................COG" O.........D..............mm .........................mM 0 HM” O........................¢n O........................nm O........................~n mwmmflmwmmmmwwm e m N HHHNIDQ‘HHHHO‘NHON n o a e e e e e e e e e e o e o e e e e e e o 0 Q O........................¢ "nenv Hoann on Ahoy onsueuooaou e ue oueuooo oHsonm uoueuoOHuuoH dueHo If n: eznommm uozmoonmn «.mnmzommnm a onemeoo «v H0 v.ml.o.unoov .e oHneB 48 4.2.1 Causes of foodborne illness When asked "Which 'of the following can carry harmful bacteria that cause foodborne illness?" (Appendix C, question 8), 65.1% of respondents knew that fresh fruits and vegetables, healthy people, and raw chicken breast can carry harmful.bacteria.that.could.cause foodborne illness (Table 4). However, 28.6% selected only the response "raw chicken breast"; 6.3% indicated that they did not know the answer. Recently, fruits and vegetables have received a considerable amount of attention in relation to food safety. The potential for 'microbial. contamination. in jproduce is considered high (Madden, 1992). Contamination could occur from a variety of conditions to which produce are exposed. These conditions include growth, harvest, and method and duration of distribution. The knowledge question, "Certain types of bacteria which cause food poisoning can grow:" (Appendix C, question 10) was answered incorrectly by almost 26% of respondents (Table 4). These respondents indicated that bacteria can grow only at room temperature and not at refrigerator temperatures. Another 7.6% did not know the answer; 66.7% responded correctly. Numerous studies have shown that pathogenic bacteria can grow at refrigeration temperatures (Gourama et al., 1991; Doyle, 1990; Corlett, 1989; Cox, 1989; Moberg, 1989; IFT Expert Panel on Food Safety and Nutrition, 1988; Lechowich, 1988). 49 4.2.2 Temperature control For the knowledge question, "Which of the following foods is microbiologically safe to consume after sitting out at room temperature for more than two hours?" (Appendix C, question 9), nearly 3/4 of respondents (71.8%) knew that a roast beef sandwich, pasta salad, and vegetable salad were probably not microbiologically safe to consume after sitting out at room temperature for more than two hours (Table 4) . However, 19.8% answered incorrectly and 8.4% did not know the answer. The knowledge question, "Leftover delivered lunch entrees that are to be served hot should be reheated to an internal temperature of:" (Appendix C, question 13) , was answered correctly’ by' one (0.8%) respondent, and 109 respondents (83.2%) did not know the answer (Table 4) . A suggested improvement for future research would be to accept a range (ie. 160-165°F) as a correct response. For the purposes of this study, one answer (165°F) was accepted as the correct response. Heating food to an internal temperature of 165°F (74°C) destroys most vegetative cells present in foods (Unklesbay et a1 . , 1977) . Heating does not always destroy bacterial spores, but the viable population of bacteria is reduced, and the possibility of foodborne illness is minimized. The knowledge question, "A refrigerator should operate at a temperature no higher than:" (Appendix C, question 14) was answered correctly (no Ihigher’ than 40°F) by 31 (23.8%) respondents (Table 4) . Seventy respondents (53%) did not know —7——"—"”" 50 the answer. Similar results were obtained by Gravani et al. (1992). In their study, 42% of respondents from a national consumer survey did not know the maximum safe operating temperature for a refrigerator. The public health code of Michigan (MEHA, 1989) identifies 45°F as a safe temperature for cooked foods that are to be served cold. In order to maintain food temperature at 45°F or less, the United States Department of Agriculture (USDA) and Food Safety and Inspection Service (F818) (1989) have recommended. that. refrigerators should operate at a maximum of 40°F for optimal safety. Similarly, the Food Marketing Institute (1989), recommends that cooked foods that are to be served cold, should be held at 40°F or below while in a refrigerator. 4.2.3 Safe food handling knowledge scores and mean scores To further examine safe food handling knowledge, the five knowledge questions (Q8, Q9, Q10, Q13, and.Q14) for this study were used to describe the level of safe food handling knowledge among respondents. Answers were coded to indicate a correct or incorrect response. Safe food handling knowledge scores and mean score results are shown in Table 5. Respondents had an overall (n=132) mean knowledge score of 2.2 (44% correct) (Table 5) . Of the 132 respondents, eight (6.1%) answered all five knowledge questions incorrectly, 30 (22.7%) answered one question correctly, 34 (25.8%) answered ‘two questions correctly, 42 (31.8%) answered three questions (nerrectly, 18 (13.6%) answered four questions correctly, and 51 mHuoounoo oouosmne mnoHuooso omooHsonx HHe UT>GHH~OM HOG mfl3 THOUN onnommon uoouuoo on u noHumoso\omnommoH uoounoo noeo Mom unHom H Ilom m.~ H.m e.H m.~ m.~ ~.m n.~ ~.~ ~.~........mmoom zen: Home Acme Amy AHNHV Home Anode Ammo Hose Aamac me on e no nu be me we ooH...mwmzommmn nesoe "' I" 'l' "' --- 'I' '|' I'- 'l' O I O O O 0 I 0 0m. 0 O O 0 0 O 0 Heac lee Adv Aeav new lens nos ANAL Away m.eH o.m H.HH o.eH n.nH m.ma m.oa e.mH o.nH.........e........ .emv Anny Amy Home Away Home Aowv name Huey e.mn o.o~ ~.- «.mn o.oe e.m~ e.on o.e~ m.am.........n........ AeHV Anne nun Anny Ame Ammo Away nose Heme "OHN GOV” "' ”CNN 0.0m QO¢N NON" HCHN womNOOOOOOOOONOOOOOOOO Amnv mev Amy Ammo 14c Ammo Ame Ammv Home e.eH o.om o.mm e.o~ m.na e.m~ m.eH m.e~ e.-.........H........ .Aev lav .Hv .ev lav Ase Inc Ame “my m.” CON HOHH ”Om m." m0m mOm m0“ H00 ......OOOOIOOOOOOO A V .mnoom moomnsozx C A n . L v ImoemMilmoeev o s z m +me empowl oneeuoom moan mmozno woe aeeoa A mnmeHme> onmenooznn v oHnoeHooEoo an nouoou neon one mouoou omooHsonx onHHonen ooou ouem .oHneHHe> .m CHAMB 52 none on the 132 respondents answered all five knowledge questions correctly. Similar results were found by Chin (1992) where third-grade Michigan teachers had a mean knowledge score of 55.5% (n=8). In a study conducted by the USDA.and FDA (1991) on food safety knowledge (n=2,797), 97% of respondents rated themselves as "average" or "above average" with respect to knowledge regarding food safety issues. 4.2.4 Statistical analysis of safe food handling knowledge The second research objective was to determine if demographic characteristics of respondents were related to their safe food handling knowledge score. Mean safe food handling knowledge scores were cross-tabulated with three demographic variables; age, gender, and education (Table 5). Because the size of the respondent population was small, demographic variables (excluding gender) were collapsed from four to two categories each (Figure 2). Demographic variables were not statistically related to mean knowledge score (Table 6). Respondents in the age group 44 and younger (n=76, 58%) had a mean food safety knowledge score of 2.2 and those 45 and older (n=55, 42%) had a mean score of 2.3. Those with a bachelors degree or less had a mean knowledge score of 2.1 (n=50, 38%), and those with at least a bachelors degree and above had a mean score of 2.3 (n=80, 62%). Williamson et al. (1992) assessed food safety knowledge of consumers to determine if there was a difference in 53 DEMOGRAPHIC VARIABLES Age................ ........ ....... Gender ............................ Ethnicity ......................... Education ......... . ............... (1) (1) (2) QAIEQQBIES 20-44 45+ (included those who were age 45 and older) F (female) M (male) W (white) 0 (other, included those who were Black, Hispanic,Asian/Pacific Islander, American Indian/Alaskan Native and European) Bach (included those who had a bachelor degree, some graduate or professional school, or a graduate or professional school degree) Figure 2. Collapsed demographic variables and categories for a study on safe food handling knowledge, practices, and opinions of consumers who received office- delivered food at lunchtime. 54 NnH ....ZOHfiflflmeA AdBOB om om HNH on HOH mm ob ...oouooo uuoHonoemA ...oonmoo uHOHonoemv ZOHBGUDDH ...............um:”o O . .muflg fiOdm . . . .QHMS ..oHeaom mmazmu .....+m¢ ...VfiINN Amneosc woe ~.H Aoev m.~ o4 83 o.~ m.H Aemv >.H H.H Aoev m.~ o.H Aomv m.m ~.H Heev ~.~ o.H noev n.~ ~.H Ines ~.~ .o.mt Awe zen: mfizmozcmmmm ho “HQZDZ mfldem4> UHmmdeOZHQ . AmMHHGV OEHHQOCQH HQ 600% ”OHOKVMHOCIOOfiHHO UO>H000H 0:3 mhflgmcoo mo oHneHue> oHnmeHooaoo kn monoou omooHsonx neon mnHHonen ooou ouem .o oHneB 55 knowledge score between age groups and educational levels. Results indicated those 35 years of age and less had the lowest scores and those 36-65 years of age had an increase in knowledge score. Mean scores increased with educational level up to that of associate degree, but decreased for college graduates and those with advanced degrees. In the present study, differences in knowledge scores between educational levels and between age groups were not found. 4.3 Safe Food Hangling Practices The third. research. objective: of this study' was to determine if consumers followed recommended safe food handling practices when office-delivered food.was received, stored and consumed. Respondents were asked to answer questions about their practices regarding personal hygiene (Appendix C, question 1), food storage at an office (Appendix C, questions 2 and 12) , and food consumption and preparation practices (Appendix C, questions 4, 6, 7 and 11). Table 7 includes the frequency of responses and percentages for questions about safe food handling practice. The practice question with the smallest number of desirable responses was "I wash my hands with warm soapy water and then rinse them before eating a delivered lunch at my work place" (Appendix C, question 1) ; only 9.1% of respondents indicated "always" (Table 7). Schafer et al. (1993) found that consumers with high readiness and health motivation but low self-efficacy might be unable or unwilling to act upon 56 onnonmon oHneanoo u e o.ooa NmH ......mmm A4808 . FiN . NHHoo noon ......Amme3He nmonHev ...momeo mnHmmHS a e e e o e Am>~3HMV e e e e e Awdflagmgv ...AmoaHuonomv o o e e e e Aeouflmmv Ano>on umonHeV eeeeeeeAHo>mcv °* F1N¢W neeoe o o no oooooeoeoeemmmmo mafimmfiz Hem NH 0. oooooooooeeoooAm>fl3HMv W‘ ~.en em .. .......xm>e3ne amoenev m NoHN ”N .0 oooeeooeooeeeAhflflmawgv G OomwN MN on ooooeooeeeeAmmaflumaomv m Hem NH .0 eoeeeeeoeeeoooaaooflmmv N HeNH WH oo oooeeoeoAaHm>mc umOEHMV H Mom N. on oooooooooeeooooahm>mcv o .ooeHQ xnoa he ue nonnH oono>HHoo e maneo onomon non» oman non» one noues mmeom fines nuns monen an nmez HIHO A». BZflUmmm one hononoonu "unoHuuono oowuoenn mnHHonen ooom omem an. NUZHDOmmh mwmzommmm a ZOHBmWDO .uounomuon no vnoonom 1e no n.nc .e onnea S7 AHHunV ooonommmu on3 omonu mo unmonom v nonnnn noflummnv um3mnm ou oouowuflo who: munoonommmn meow hano mmnonmmn manmufimmo «at «« .mmm40 DHQ<> A4908 HO 0.00H HMH m. H m.mm NHH m.¢H ma .....mmmmo mnfimmfiz ......CCCCOZ ......CCOmm» .m .< mmumo Mound a an nOwumasmnoo How u« puma m>mm >Haonuon no» on .xnoz no no» on ooum>waoo nonnd o m>on no» nonalma *«¥0.00H «*HH .mmmdv DHA¢> AflBOB m N H N N HHMHHMHI‘ GGI‘O‘O‘FO‘H HHMHHMHH .....mmmmo mnwmmfiz o o o o o o Amhwzflflv .Ammmaam umonflov o o o o o Aaflflmgmgv ...Ammnwuonomv o o o o no AEOUHmmV Auo>on umonamv COOOOOOAH0>0HHV HNMQ‘IDC co .oomoxoom hanoaoumnfl mum van» maouw nonna omuo>waoo now cha any any Ezmummm wozwDOWMh Av no N.Qno.unoov mflmzommmm a ZOHBmWDO .h OHnda 58 Abaunv ooonommon on3 omonu no unoouom u «x b nonnnn nonumonv uoSmnm ou oouoouwo ouo3 munoonommou onom hano u « o.ooa and ..........mmm Adaoa .H ooooooouoooooowmmflo m—hflmmflz o o ....ounon 03¢ nun» ouoz .0 N oooooooooorooooooomuaon O3“. 6C0 0C0 CUG3U¢Q om m.mm mNH .....HflOfi 0S0 Gflflv‘mmflfl .¢ muw poo no» onomon aflo3 waaonmn no» on mnoa Son .xuoa um 50> ou oouo>flaoo noon won nonna o nouunldao «£0.00H thH ..........mflm¢0 DHA¢> A4909 H 0 pm mHH . C O O ... O O O O O C O .mmmmo UCflmmfi: ”Om” o ......OCOOOOOOOCOOOOOOZ Om 50¢m HH ......OOOCOOCOOCCICImG» 0‘ wuon connmnoo on on ooonounfi ohm hon» u“ non» noonon adamowmau no» on .nonnH oouo>waoo know noun mno>ouuoH on» poo ou homo“ ohm no» nonzlba a». any 92fl0mmm HUZWDOHMH mmmzommmm a ZOH9MHDO Aw no n.mlo.unoov .h oanos 59 c.00H mNH ..........mmm40 DHA¢> A¢909 Mom N. oooooooooooooommmmo wcflmmflz m. H ....nowuoooa nonuo oaom .o m.¢¢ om ......uouonomwuuou o nH .0 mom¢ H0 coco-cocooooooomou gum” no oanou .Hounnoo o no .m w.m h ..............xmoo o nH .< so» oo ouonz .xuo3 um gonna oono>waoo Moo» poo a». 9zmummm any wuszOka muw ououm aaaonuon on onwuwoz ohm no» oawnznmao mmmzommmm a ZOH9mNDO Av mo «.auu.ucoov .5 manna 60 their concerns related to safe food handling. Furthermore, Woodburn and Van DeRiet (1985) found that 34% of consumers (n=100) did not wash their hands after handling raw chicken and before cutting vegetables for salads. For the present study, the practice question with the largest number of desirable responses was "I let a lunch that has been delivered to my work place set out at room temperature for two hours or more before I eat it" (Appendix C, question 2); 72.7% "never" allowed office-delivered food to remain at room temperature for two hours or more before it was eaten (Table 7) . However, some respondents "always" (2.3%) or "almost always" (1.5) let.their office-delivered 1unch.set.out at room temperature for two hours or more. These results are not consistent with those of Woodburn and Van beRiet (1985). Respondents in their study would let roast beef (24%) and chicken salad (13%) remain at room temperature for more than three hours. In addition, 50% of respondents in the Woodburn study would allow most foods to cool to room temperature before refrigerating. When asked, "While you are waiting to eat your delivered lunch at work, where do you normally store it?" (Appendix C, question 12), respondents indicated they most often stored their office-delivered lunch on a counter, table, or desk top (48.8%), or they stored it in a refrigerator (44.8%) (Table 7). Results from other studies were not available on safe food handling practices of consumers who received office- delivered food. 61 4.4 Qpinions on safe zood Handling The fourth research objective of this study was to assess consumer opinions related to safe food handling of office- delivered food. To determine opinions, respondents were asked to answer one question about each of the following topics; packaging (Appendix C, question 3), microbiological contamination of delivered foods (Appendix C, question 5) , and food safety labeling. Table 8 includes the frequency and percent of responses for food safety opinion questions. When asked "The delivered lunch items that I receive at work are improperly packaged" (Appendix C, question 3), the majority of respondents (91.5%) believed that their delivered lunch items were "never" (44.2%) or "almost never" (47.3%) improperly packaged (Table 8). When asked "In my opinion, delivered lunch items that I receive at work are free from microbiological contamination" (Appendix C, question 5), the majority (71.4%) believed that their delivered lunch items were "always" (15.2%), "almost always" (44.8), or "usually" (11.4%) free from microbiological contamination at the time of delivery. According to a Food Marketing Institute study (1992) , there was a lack of consumer confidence in overall food safety. Of the 1,000 consumers surveyed, 9% (up from 3% in 1991) were concerned about contamination from bacteria. Lastly, 64.4% of respondents indicated that they were not willing to pay more for an office delivered lunch that 0.00H mOH .........mmm¢U DHQ¢> A<909 moON FN ooooooooooooomwwmo vCflmmfiz NamH @H ooooooooooooooooAmim3HMV W wo¢¢ Ffi cacao-oooam%fl3flm “MOEHMV m @oHH NH ooooooooooooooofihfiflflgmgv ¢ 50W F oooooooooooooammafipmaomv m moH N ooooooooooooooooaaocflmmv N n.vH mH ..........Auo>on umonHov H bum W occooooooooooooooAH0>mcv o .noHuoanounoo HooHooHoHnonoHn noun & oonu ono xnos no o>Ho0on H van» mnouH nonnH oouo>HHoo .nOHnHmo an nHImO 0.00H mNH .........mmm¢0 DH44> Q4909 no“ m ooooooooooooommmmo GAR-“mm“: m. H OOCOQOIQOQOCOOOOAm>M3HMV m on .H oooooooooam>manfim “mo—“Amy m w. .H OOQOOOQOOOOOOOOAafiflmgmav ¢ we.” N oooooooooooooammaflumaomv " 50¢ m oooooooooooooooonEOGHmmv N m.>¢ Ho ..........Ano>on umonHov H No¢¢ pm ooooooooooooooooo&“0>mcv o .oomoxoom mHuomonmnH ono xuoa no o>Hooon H awn» mnouH nonnH nono>HHoo onalmo Aw. RSV BZQUMWQ >UZHDOHmh mmmzcmmmm a ZOHBWWDO .momnommon mo unoouom ono aononuouu "mnoHumonU noHnHmo mnHHonmn ooou ouom AN uo H.9v .w oHnoB 63 NnH «H mm on .........mmm¢o aHnm> ameoe .............m0mm0 Ocflmmwz .....................onHu mHnu no noHnHQo on o>on H ......onon >om uon oHnoa H .onon aHuanHm mom oHno3 H .....................onon mHnonoonnoo mom oHsoz H mnowuonuounH ommnoum no oumo an onnmnoo o no nonm .unHHonmn noon oumm no noHuonnounH own van» cocoa HonoH a was ononu NH mnouH nonnH oouo>HHoo oOHuuo you ouon >om ou mnHHHHz on so» oHsos .nonnmnoo o mauvmo A». 92H0mmm an. MUZNDONMK mmmzcmmmm a ZOH9mmDO «N no «.mlo.unoov .m oHnoB 64 provided safe food handling information (Appendix C, question 24); only 2.3% would pay considerably more. 4.5 gmplications In this study, Green Gourmet customers at MSU’were asked to complete a questionnaire which assessed safe food handling knowledge, practices, and opinions as they related to office- delivered food (Appendix C). Responses in all three areas were rated as poor by this researcheru Other researchers have indicated inadequate safe food handling knowledge and practices of respondents (Chin, 1992; Li, 1992; Williamson et a1., 1992; Burch and Sawyer, 1991; Wyatt, 1979). 4.5.1 Safe food handling knowledge, practices, and opinions Respondents in the present study had a mean safe food handling knowledge score of less than 50% on five questions. According to a consumer survey (n=1,000), consumers place the most faith in their own knowledge to ensure the safety of the foods they buy (40%), followed by government (21%), manufacturers (20%), and food stores (9%). However, results from the present study indicate that consumers answered less than 50% of the safe food handling questions correctly. In addition, the question on hand washing had the highest number of undesireable responses. Results of this study indicated that consumers did not have a high enough safe food handling knowledge score or practice safe food handling procedures often enough to ensure the safe consumption of foods delivered to their offices at 1 65 lunchtime. In the opinion of this researcher, safe food handling information related to delivered food is needed. Consumers in the present study received information on safe food handling from magazines (31.1%), family and friends (25%) and newspapers (24.2%) (Appendix: C, question 23). Similar consumer sources of safe food handling information were mentioned by other researchers (Chin, 1992; Gravani et al., 1992). In the opinion of this researcher, the current sources of information that consumers use have not been effective in helping them to increase safe food handling knowledge and desireable practices with relation to delivered food. With the onset of new technology and emerging pathogenic bacteria that are resistant to cold temperatures, there is a need for specific safe food.hand1ing information on cold delivered food. To communicate safe food handling information related to cold delivered food to consumers, a label could be used. This label could be adhered to the package of delivered food. In the opinion of this researcher, safe food handling information related to delivered food was not thought of as a high priority to those who responded to this survey (Appendix C). When asked "would you be willing to pay more for office- delivered food.if there was a label added.that.had information on safe food handling, such as consume by date or storage information?", 64.4% (n=85) of respondents indicated that they would not pay more. In this study, reasons for not wanting safe food handling information were not determined. Reasons, I. 66 however, could have included: (1) current price of Green Gourmet food was the maximum customers would pay, (2) Green Gourmet customers did not believe that safe food handling information was important or necessary, or (3) Green Gourmet customers were unaware of their poor safe food handling knowledge and practices. In addition to poor knowledge, only 9.1% (n=12) of respondents in the present study indicated they "always" wash their hands before consuming office-delivered food. In this study, reasons for not washing hands before consuming delivered food were not determined. Responses, however, could indicate that respondents do not know that hand washing can minimize the spread of harmful bacteria that could cause foodborne illness. Personal hygiene, such as hand washing, is a safe food handling practice that is necessary to help decrease the rate of foodborne illness in the United States (CDC, 1990; Bryan, 1988) . 0f the reported outbreaks of foodborne illness between 1973 and 1987 in which causal factors were reported, 59% were due to poor personal hygiene (Bean and Griffin, 1990). Prompt refrigeration of food is a practice that is important to optimal safety of delivered food (IAMFES, 1991; Corlett, 1989; Lechowich, 1988). For the present study, 98.5% (n=129) of respondents indicated they wait less than one hour before they consume office-delivered food (Appendix C, question 11). Yet, only 44.8% (n=56) stored their food in a 67 refrigerator during the time period between receiving and consumption (Appendix C, question 12). In relation to bacterial contamination, two hours or less is suggested for the amount of time that food can "safely" be held at room temperature. During this two hour period, quality could decrease and risks associated with delivered food might increase (Figure 1). Change in quality and risks could occur because food :might. have been. mishandled. by foodservice personnel before it was received by the consumer (Chin, 1992; Burch and Sawyer, 1991; Martin, 19918; wyatt, 1979). 4.5.2 Level of risk of delivered food prepared by a cook/chill system Risk of foodborne illness might be higher for consumers who handle delivered food from a foodservice establishment using a cook/chill system as opposed to a "brown bag" meal or food from home (Farquhar and Symons, 1992; Bryan, 1990). A cook/chill system can be defined as a method where food is prepared and either preplated or put into bulk containers then rapidly chilled to 45°F or less and stored for at least two days until use. Risk of foodborne illness increases with relation to delivered food because food must first be handled by foodservice personnel then distributed to consumers (Figure 1) (Burch and Sawyer, 1991; Wyatt, 1979). In the study conducted by Burch and Sawyer (1991), distribution of food was a major factor in growth of pathogenic bacteria in sandwiches. The 68 higher the risk of foodborne illness, the greater the need for consumer knowledge in safe food handling. 4.5.3 Labeling One method to communicate risks and associated safe food handling practices related to office-delivered food is in the form of a label to consumers who receive delivered food (Figure 3) . Risk Assessment and communication associated with food handling have recently been recognized as important tools for conveying information (Felix, 1992; Bryan, 1988). The critical control points that require greatest emphasis in the consumer communication process are storage and handling of food (IAMFES, 1991; CDC, 1990; Bryan, 1988). 4.5.3.1 Color-coding . To communicate risks of delivered food to consumers, a color-coded label system is recommended. Three different labels are proposed: (1) red = "high risk" food, (2) yellow = "moderate risk" food and (3) green = "low risk" food. These labels are based on three general categories which identify specific foods according to their level of risk (Farquhar and Symons, 1992) . These researchers recommended that fresh meat, fresh poultry, ready-to-eat and open-pack cold meats and poultry, fresh and smoked fish and shellfish be stored.between 30 and 34°F; milk, cream, yogurts, soft cheeses, coleslaw, prepared salads, mayonnaise, cut fresh fruit, sliced mushrooms, bakery goods, pizza and products prepared by a formal cook/chill catering system be stored between 32 and 38°F. Other foods such as chips, cookies, muffins and uncut 69 HIGH RISK FOOD REFRIGERATE IMMEDIATELY AFTER RECEIVING. CONSUME-BY-(DATE) PLEASE REMEMBER TO WASH HANDS BEFORE EATING. MODERATE RISK FOOD REFRIGERATE IMMEDIATELY AFTER RECEIVING. CONSUME-BY-(DATE) PLEASE REMEMBER TO WASH HANDS BEFORE EATING. LOW RISK FOOD EXPOSURE TO TEMPERATURES ABOVE ROOM TEMPERATURE COULD EFFECT QUALITY OF THIS ITEM. CONSUME-BY-(DATE) PLEASE REMEMBER TO WASH HANDS BEFORE EATING. Figure 3. of delivered food. Examples of safe food handling labels for consumers 70 fruit require minimal temperature control for quality but not to the sane degree as categories one and two above. A color-coding system such as the one proposed by this researcher, would be relatively inexpensive, especially in comparison to costs associated with a foodborne illness outbreak (Todd, 1989). Cost of labels would be approximately $.03/5,000, excluding labor and education costs. This color- coded label system could also be used with low literacy groups to indicate level of foodborne illness risk associated with delivered food. 4.5.3.2 Label text To communicate desired safe food handling practices associated with delivered food, a label statement indicating storage information, consume-by-date and safe handling procedures could be included (Figure 3). At the 1992 Conference for Food Protection, label statements such as "Important-must be kept refrigerated" were highly recommended for ready-to-eat sandwiches (Felix, 1992). In the opinion of this researcher, label statements could be used with almost all types of delivered food, not just sandwiches. In addition to a message which communicates the importance of refrigeration, this researcher also believes that the label should include consume-by-date information. Consume-by-date information would indicate to a consumer the last day the associated food ‘would be considered microbiologically safe to consume. However, consume-by-date would only be effective if safe food handling practices were 71 followed by food handlers before consumers receive the associated food item. Unfortunately, current Michigan regulations allow foodservice establishments to determine consume-by-dates of food items. In the opinion of this researcher, the lack of regulation regarding consume-by-date could be contributing to potential problems with pathogenic bacteria. For foodservice handlers to provide accurate safe food handling information on labels, therefore increasing' the safety of foods before reaching the consumer, a safe food handling training program could be ideveloped for foodservice jpersonnel (Burch. and Sawyer, 1991; Martin, 19918; Wyatt, 1979) . The training program could standardize consume-by-date information on delivered food labels and increase safe food handling knowledge and practices of foodservice personnel. 5.0 CONCLUSIONS The results of this study have indicated the need for safe food handling information for consumers who receive office-delivered food at lunchtime. In the opinion of this researcher, a label which communicates risk of foodborne illness and associated safe food handling practices could be effective in educating consumers of delivered food. This label method could be implemented while only incurring minimal cost. 5.1 Recommendat o for Future Research For Green Gourmet customers, communication of foodborne illness risks and safe food handling practices related to office-delivered food would have been important in helping to educate consumers and decrease the risk of foodborne illness. However, communicating foodborne illness risks and safe food handling practices is even more important for food delivery services which cater to those who are at greater risk of foodborne illness such as the elderly and immunocomprised (Wolf, 1989). "Meals on Wheels" is an example of a home- delivery meal service primarily for the elderly. "Caring Cuisine" is an example of a meal service primarily for persons with AIDS (Reineke et a1., 1993). 72 73 It is recommended that studies be conducted with delivery services such as "Meals on Wheels" and "Caring Cuisine" to determine effectiveness of labels that have safe food handling information related to delivered food. For elderly and low literacy populations, print size and reading level could also be evaluated. In addition, the use of symbols verses words on a label could also be evaluated for effectiveness. 5.2 Study Limitations A possible limitation of this study was the small number of respondents (n=132) . However, 100% of Green Gourmet customers were sent questionnaires. The small number of respondents may be attributed to the fact that Green Gourmet was a new service on campus at MSU. The second possible limitation of this study was the education level of respondents. The majority (n=80; 62%) of respondents had at least a bachelors degree. One would assume the level of education would interfere‘with.the results of the study, however, there was nearly equal mean knowledge scores between respondents who had less than a bachelors degree (2.1/5.0) and at least a bachelors degree (2.3/5.0). Furthermore, Williamson et a1. (1992) found that the mean food safety knowledge score of consumers increased with education level up to associates degree, but decreased for college graduates and those with advanced degrees. The third possible limitation of this study was the format of the questions in the questionnaire. 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Michigan State University, Department of Food Science and Human Nutrition. Conroy, K. 1988. More lunch options for working consumers. Restaurants USA. Jan., 37-39. Corlett, D.A. 1989. Refrigerated foods and use of hazard analysis and critical control point principles. Food Technol. 2:91-94. Cox, L.J., T. Kleiss, J.L. Cordier, C. Cordellana, P. Konkel, C. Pedrazzini, R. Beumer and A. Siebenga. 1989. Listeria spp. in food processing, non-food and domestic environments. Food Microbiology. 6(1):49. Cox, L.J. 1989. A perspective on listeriosis. Food Technol. 12:52-58. 77 Doyle, M.P. 1990. Foodborne Illness: Pathogenic Escherichia coli, Yersinia enterocoliltica, and ‘Vibrio parahaemolyticus. Lancet 336(8723):1111-1115. Eck, L.S. and H. Ponce. 1993. HACCP: A food safety model. School Foodservice Journal. February 1993. 50-52. Farquhar J. and H.W. Symons. 1992. Chilled food handling and merchandising: A code of recommended practices endorsed by many bodies. 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Food Prot. 54(3):162-165. Gourama, H., W.Y.J. Tsai and L.B. Bullerman. 1991. Growth and. production. by .Staphylococcus aureus in salad. bar ingredients and clam chowder. J. Food Prot. 54(11):844- 847. Gravani R., D. Williamson and D. Blumenthal. 1992. What do consumers know about food safety? FSIS Food Safety Review. 2:12-14. Hanna, M.O., J.C. Stewart, D.L. Zink, z.L. Carpenter and C. Vanderzant. 1977. Development of Yersinia enterocolitica on raw and cooked beef and pork at different temperatures. J. Food Sci. 42:1180. 78 Hurst, W.C. and G.A. Schuler. 1992. Fresh produce processing--an industry perspective. J. Food Prot. 55(10):824-827. IFT (Institute of Food Technologists') Expert Panel on Food Safety & Nutrition. 1988. Bacteria associated with foodborne diseases. Scientific Status Summary. Food Technol. 4:181-200. IAMFES (International Association of Milk, Food and Environmental Sanitarians) . 1991. Procedures to implement the Hazard Analysis Critical Control Point system. 502 E. Lincoln Way, Ames, Iowa 50010-6666, USA. Irwin, K., J. Ballard, J. Grendon and J. Kobayashi. 1989. Results of routine restaurant inspections can predict outbreaks of foodborne illness: The Seattle-King county experience. Amer. J. Public Health. 79(5):586-590. Jones J.L. and Weimer J.P. 1977. Food safety: Homemakers' attitudes and practices. Report # 360. United States Department of Agriculture. Washington, D.C. Kerr, K.G., N.A. Rotowa, P.M. Hawkey and R.W. Lacey. 1990. Incidence of Listeria spp. in pre-cooked, chilled chicken products as determined by culture and enzyme-linked immunoassay (ELISA). J. Food Prot. 53(7):606-607. Kochak, J. 1988. Takeout. Restaurant Business. Nov. 20, pp. 151-166 Labuza, T.P. 1989. Preventing chaos-Another challenge for IFTers. Food Technol. 6:8-9. Lechowich, R.V. 1988. Microbiological challenges of refrigerated foods. Food Technol. 12:84-86. Li, K.T. 1992. Michigan health information providers: Knowledge of safe food handling. Michigan State University, Department of Food Science and Human Nutrition. Liston, J. 1989. Current issues in food safety-especially seafoods. J. Amer. Diet. Assoc. 89(7):911-913. Lund, B.M. 1990. Foodborne illness: Foodborne fr “hm DJ ‘ 7 Jul:- U TotalCdain-‘D an \ lTomlCalab-B‘ roam-1.3; Team-.2; Taupe-.4. TomlFIl-JI helm-11.0; rum-33d: mauve-4e CahbhuPI-fi mm Tum-ta Tum-7.5. TdFfl-TJ‘ many TflIW-IO'T; 196 (Appendix D) GREEN GOURMET FOOD FREQUENCY CHART: Week of through Mon. Tues. Wed. Thurs. Fri. TOTAL Louis Seafood Salad Greek Salad Marinated Chicken Saladi Vegetable Medley Salad Pesto Salad Fruit Platter Gourmet Deli Sandwich Vegetarian Sandwich Combination Plate Chicken Salad Croissanfl Tuna Salad Croissant TOTAL: 197 (Appendix E) GREEN GOURMET ORDER FORM CUSTOMER NAME ROOM/BLDG. TO DELIVER TO CUSTOMER PHONE # DELIVERY TIME AND DATE ORDER TAKEN BY DATE/TIME ORDER TAKEN SALADS QUANTITY PRICE TOTAL MARINATED CHICKEN $4.50 VEGETABLE MEDLEY 54.00 LOUIS SEAFOOD ' $4.50 FRUIT PLATTER $4.50 GREEK $3.60 PESTO $3.50 SANDWICHES CHICKEN SALAD CROISSANT $4.50 . TUNA SALAD CROISSANT $4.50 VEGETARIAN SANDWICH $3.25 GOURMET DEU: MeatCT. H, RB). Cheesem. S). BreodM. Hw. H8. 0) $425 COMBO PLATE: Meatcr. H. RB). Cheesecc. 5.). BroodON. Hw. H8. 0) $4.50 m6 . POP:Coke() DietCoke() Spmec) DIeiSpme() ] .80 MILK: Whole (Ln: < ) < ) I T—‘ JUICE: Grapefruit ( ) Orange ( > Apple ( ) Grape ( ) | .80 MEATS: T-TURIGY.H-HAM.RB-ROAST BEEF CHEESES: WARS-SWISS BREADS: VII-WHITE. HIM-WHOLE WHEAT. HB-HOIGY BRAN. O-OATMEAL IDT 1.1 DEUVERY CHARGE .75/Entree 22%.”? SUB TOTAL # Ar mg TAX (NONE IF IDT) PURPOSE TOTAL 198 (Appendix F) BANE RELEASE FORM 199 (Appendix G) hMC}m3AN!flAflEUNnflR5flY 0 INTERDEPARTMENTAL TRANSFER/HOSPITALITY SERVICES N’ 2 8 3 3 1 MSU UNION ’ 3858458 Expenses for food. beverage 8: room rental must ACCOUNT NUMBER axflmnhaumflxudSamddootmeNBU DEMRHMD" Manual of Business Procedures. The following BILLING ADDRESS ImbmmnbnbmammedbyuxmmwaiRaunvwwe and yellow copies to Union Business Office. retain PHONE pmkcopykxyouweouds HflKNKNIDAE FULLY EXPLAIN SPECIFIC BUSIMSS PURPOSE AFFILIATIONS/ORG. RE’RESENTED/NAMES (or I II more men M) l. 4. 2. 5. 3. # Shnknsmwueed Rxm Anew“ lcmfinmmdheNBUUflowamheacxMxno smMokfl ' trumpdmakmmamnuflhoflnflkmanuflcnd INX*GI*N&*”TCX Acoouflhhnflxwlfledabowi TOTAL Aulhorlaed :Tlonatue Date mammmwm ems: (Appendix H) GUARANTEES 8 PICKUPS .200 SUNDAY AUGUST 11, 1991 FUNCTION NO FOOD FUNCTION SCHEDULED GUARANTEES Hemens Studies Gold B Union Catering Rarior A Catering 8 PICKUPS MONDAY AUGUST 12, 1991 FUNCTION Refreshments/HATER 1h Refreshments 20 Return to SOHN Return to Sohn 6 Mauve 'Overiays GREEN GWRMET Library Delivery to w 102 Library Directors Office Kiwanis Parlor BC (set rm. for 88) Catering Cafeteria Romans Studies CUR Gold 8 Union Catering CUR Parlor A Library? PUE H102 Library-Directors Deliveries Delivery BUFFET LUNCHEON Buffet Luncheon CUR CUR PUE Office GUARANTEE SET GUARANTEE SET 8:15 an M ‘ Ke lozhs am -€31761A/€3' in am “VII k163. 11 am to 12:30 pm Heals STEVE. 11:00 am Steve 11:50 am DCWIG 58 - 76 I2 Noon COJFFIQ 12 12:30 pm STEVE 1:15 pm S‘I’CVC 2:00 pm S‘I‘five, 201 (Appendix I) VEGETARIAN SANDWICH: Ingredients Quantity pita bread, whole ................................ 1 each leaf lettuce ..................................... 2 leaves cheddar cheese, sliced ........................... 0.5 oz (1 slice) swiss Cheese, sliced ............................. 0.5 oz (1 slice) fresh tomato, sliced ............................. 2.0 oz cucumber, sliced ................................. 1.0 02 fresh mushrooms, sliced .......................... 0.5 02 head lettuce, chopped ............................ 1.0 oz lite Italian dressing ................... . ........ 2.0 oz (PC) GG platter plasticware (K- F— S) GG platter lid wet- nap GG napkin 66 place met 1. PLACE PITA BREAD ON PLATTER (DO NOT CUT OPEN OR FOLD). 2. WASH LEAF LETTUCE. DRY. PLACE AT TOP OF PITA BREAD. 3. DISTRIBUTE EACH TYPE OF CHEESE ON PITA BELOW LEAF LETTUCE. 4. WASH TOMATO, CUT INTO 1/4" SLICES AND PLACE ON TOP OF CHEESE. 5. WASH CUCUMBER, CUT INTO SLICES AND PLACE ON TOP OF TOMATO SLICES. 6. WASH MUSHROOMS, SLICE AND PLACE ON TOP OF CUCUMBER SLICES. 7. PLACE CHOPPED LETTUCE ON TOP OF LEAF LETTUCE. 8. FOLD PITA. PLACE DRESSING PC ON PLATTER ABOVE PITA. 9. COVER PREPARED SANDWICH WITH LID AND REFRIGERATE UNTIL READY TO DELIVER. 202 GOURMET DELI SANDWICH: Ingredients Quantitv leaf lettuce ..................................... 1 leaf bread (customers choice) ......................... 2 slices cheese, sliced (customers choice) ................ 0.5 oz (1 slice) meat, sliced (customers choice) .................. 3.0 oz fresh tomato, sliced ............................. 0.5 oz (1 slice) dill pickle spear ................................ 1 each Miracle Whip salad dressing, lite ................ 1 PC mustard .......................................... 1 PC GG platter plasticware (K-F-S) GG platter lid wet-nap GG napkin 66 place mat 1. 2. 3 40 (DVD) WA SH LEAF LETTUCE, DRY. PLACE ON ONE END OF PLATTER. ON ONE SLICE OF BREAD, PLACE CHEESE. PLACE PORTIONED MEAT ON TOP OF CHEESE, COVER WITH SECOND SLICE OF BREAD. DIVIDE SANDWICH IN HALF DIAGONALLY. WRAP EACH HALF IN PLASTIC WRAP. ARRANGE SANDWICH HALVES ON PLATTER WITH CRUSTS POINTING OUT (MAKE SURE CONTENTS OF SANDWICH CAN BE SEEN). WASH TOMATO AND CUT INTO 1/4" SLICE. CUT SLICE IN HALF AND PLACE ON LEAF LETTUCE. PLACE PICKLE SPEAR ON LEAF LETTUCE, BELOW TOMATO SLICES. PLACE PC’S ON PLATTER BETWEEN SANDWICH AND PICKLE SPEAR. COVER PREPARED SANDWICH WITH LID AND REFRIGERATE UNTIL READY TO DELIVER. 203 FRUIT PLATTER: Ingredients Quantity leaf lettuce ..................................... 2 leaves fresh honeydew ................................... 3.0 oz fresh canteloupe ................................. 3.0 oz fresh grapes (red or green) ...................... 3.0 oz fresh strawberries ............................... 3.0 oz crackers ......................................... 1 package *fruit dip* yogurt (any available flavor) .................... 1 container honey ............................................ 0.5 02 G6 platter plasticware (K-F-S) GG platter lid souffle cup (5.5 oz) GG napkin souffle cup lid (5.5 oz) 66 place mat wet-nap 1. WASH LEAF LETTUCE, DRY. PLACE ONE LEAF ON EACH END OF PLATTER. 2. PEEL MELONS AND REMOVE SEEDS. CUT INTO CUBES AND PLACE IN COUNTER PAN. 3. REMOVE GRAPES FROM STEM, WASH AND PLACE IN PAN WITH MELON. 4. WASH STRAWBERRIES, REMOVE STEMS AND CUT INTO HALVES. PLACE IN PAN WITH ABOVE FRUIT. 5. MIX FRUIT TOGETHER AND PLACE ON PLATTER. 6. COMBINE FRUIT DIP INGREDIENTS TOGETHER IN SMALL CONTAINER. PORTION INTO SOUFFLE CUP, COVER WITH LID AND PLACE IN CENTER OF PLATTER. 7. PLACE CRACKERS ON TOP OF FRUIT AT ONE END OF PLATTER. 8. COVER PREPARED SALAD WITH LID AND REFRIGERATE UNTIL READY TO DELIVER. 204 COMBINATION PLATE: Ingredients Quantity leaf lettuce ..................................... 1 leaf fresh honeydew ................................... 1.5 oz fresh canteloupe ................................. 1.5 oz fresh grapes (red or green) ...................... 1.5 02 fresh strawberries ............................... 1.5 oz bread (customers choice) ......................... 1 slice cheese, sliced (customers choice) ................ 0.5 oz (1 slice) meat, sliced (customers choice) .................. 1.5 02 fresh tomato, sliced ............................. 0.5 oz (1 slice) Miracle Whip salad dressing, lite ................ 1 PC mustard .......................................... 1 PC *fruit dip* yogurt (any available flavor) .................... 1 container honey ............................................ 0.5 oz GG platter plasticware (K-F-S) GG platter lid souffle Cup (2 oz) GG napkin souffle cup lid (2 oz) GG place mat wet-nap 10. 11. 12. WASH LEAF LETTUCE, DRY. PLACE ONE LEAF ON EACH END OF PLATTER. PEEL MELONS AND REMOVE SEEDS. CUT INTO CUBES AND PLACE IN COUNTER PAN. REMOVE GRAPES FROM STEM, WASH AND PLACE IN PAN WITH MELON. WASH STRAWBERRIES, REMOVE STEMS AND CUT INTO HALVES. PLACE IN PAN WITH ABOVE FRUIT. ’ MIX FRUIT TOGETHER AND PLACE ON PLATTER. COMBINE FRUIT DIP INGREDIENTS TOGETHER IN SMALL CONTAINER. PORTION INTO SOUFFLE CUP, COVER WITH LID AND PLACE NEAR FRUIT. PLACE CHEESE ON SLICE OF BREAD, CUT IN HALF DIAGONALLY. PLACE PORTIONED MEAT ON ONE HALF OF SANDWICH. PUT SECOND HALF OF SANDWICH (BREAD AND CHEESE) ON TOP OF MEAT. WRAP IN PLASTIC WRAP. ARRANGE SANDWICH ON PLATTER BELOW FRUIT. (MAKE SURE CONTENTS OF SANDWICH CAN BE SEEN). WASH TOMATO AND CUT INTO 1/4" SLICE. CUT SLICE IN HALF AND PLACE BELOW SANDWICH. PLACE PC’S ON PLATTER BETWEEN SANDWICH AND FRUIT. COVER PREPARED ENTREE WITH LID AND REFRIGERATE UNTIL READY TO DELIVER. 205 GREEK SALAD: Ingredient Quantity head lettuce, chopped ............................ 5.5 oz fetta cheese ..................................... 1.0 oz fresh cherry tomatoes ............................ 1.5 oz cucumber, sliced ................................. 1.5 oz (4 slices) black olives, whole .............................. 0.5 oz (4 olives) red onion, sliced .................... . ........... 0.45 oz greek dressing, (powdered mix) ................... 2.0 oz GG platter plasticware (K-F-S) GG platter lid souffle cup (2 oz) GG napkin souffle cup lid (2 oz) GG place mat wet-nap 1. EVENLY DISTRIBUTE LETTUCE ON PLATTER. 2. CRUMBLE FETTA CHEESE, SPRINKLE OVER LETTUCE. 3 WASH TOMATOES, CUT IN HALF AND PLACE ON LETTUCE (AROUND PLATTER) WITH SEED SIDE DOWN. 4. WASH CUCUMBER, SLICE AND PLACE AROUND MIDDLE OF SALAD. 5. EVENLY DISTRIBUTE OLIVES AROUND PLATTER (IN BETWEEN TOMATO HALVES). 6. PEEL OUTSIDE OF SHELL OF ONION OFF. (NIT ONION INTO 1/8u SLICES AND PLACE ON TOP OF SALAD. 7. COVER PREPARED SALAD WITH LID AND REFRIGERATE UNTIL READY TO DELIVER. 8. PREPARE DRESSING ACCORDING TO PACKAGE DIRECTIONS. PORTION PREPARED DRESSING INTO SOUFFLE CUP AND COVER WITH LID. PLACE NEXT TO PREPARED SALAD IN REFRIGERATOR UNTIL READY TO DELIVER. 206 CHICKEN SALAD CROISSANT: Ingredients Quantity leaf lettuce ..................................... 1 leaf chicken breast, cooked and diced ................. 3.0 oz fresh pineapple, finely chopped .................. 1.0 oz celery, finely chopped ........................... 0.5 oz Miracle Whip salad dressing, lite ................ 1 Tbsp. black pepper ..................................... 1/8 tsp. fresh croissant .................................. 1 each fresh tomato ..................................... 0.5 oz (1 slice) cucumber, sliced ................................. 0.5 oz (3 slices) GG platter plasticware (K-F-S) GG platter lid wet-nap GG napkin GG place mat 1. WASH LEAF LETTUCE, DRY. PLACE ON ONE END OF PLATTER. COOK CHICKEN IN OVEN FOR APPROXIMATELY 10 MINUTES. AFTER COOKING, COOL IN REACH-IN REFRIGERATOR. WHEN CHICKEN IS COOLED, DICE INTO SMALL CHUNKS AND PLACE IN COUNTER PAN. PEEL PINEAPPLE AND DICE INTO SMALL CHUNKS. COMBINE WITH CHICKEN. WASH CELERY AND DICE INTO SMALL CHUNKS. COMBINE WITH CHICKEN AND PINEAPPLE. ADD DRESSING AND PEPPER TO ABOVE MIXTURE. MIx WELL. PORTION CHICKEN SALAD ONTO CROISSANT HALF. COVER WITH OTHER CROISSANT HALF. PLACE ON PLATTER BELOW LEAF LETTUCE. WASH TOMATO AND CUT A 1/4" SLICE. OUT IN HALF AND PLACE ON LEAF LETTUCE. ‘ WASH CUCUMBER AND CUT INTO SLICES. PLACE ON LEAF LETTUCE BELOW TOMATO SLICES. COVER PREPARED SANDWICH WITH LID AND REFRIGERATE UNTIL READY TO DELIVER. 207 TUNA SALAD CROISSANT: Ingredients Quantity leaf lettuce ..................................... 1 leaf tuna (packed in water) ........................... 3.0 oz celery, finely chopped ........................... 0.5 oz Miracle Whip salad dressing, lite ................ 1 Tbsp. black pepper ..................................... 1/8 tsp. fresh croissant .................................. 1 each fresh tomato ..................................... 0.5 oz (1 slice) cucumber, sliced ................................. 0.5 oz (3 slices) GG platter plasticware (K-F-S) GG platter lid wet-nap GG napkin GG place mat 1 WASH LEAF LETTUCE, DRY. PLACE ON ONE END OF PLATTER. 2. DRAIN TUNA AND PLACE IN COUNTER PAN. 3. WASH CELERY AND DICE INTO SMALL CHUNKS. COMBINE WITH TUNA. 4 ADD DRESSING AND PEPPER TO ABOVE MIXTURE. MIX WELL. 6 PORTION TUNA SALAD ONTO CROISSANT HALF. COVER WITH OTHER CROISSANT HALF. PLACE ON PLATTER BELOW LEAF LETTUCE. 7. WASH TOMATO AND CUT A 1/4" SLICE. CUT IN HALF AND PLACE ON LEAF LETTUCE. 8. WASH CUCUMBER AND CUT INTO SLICES. PLACE ON LEAF LETTUCE BELOW TOMATO SLICES. 9. COVER PREPARED SANDWICH WITH LID AND REFRIGERATE UNTIL READY TO DELIVER. 208 MARINATED CHICKEN SALAD: Ingredients Quantity *marinade* soy sauce ........................................ 0.25 cup sesame Oil ....................................... 0.125 cup garlic powder .................................... 0.063 tsp ground ginger .................................... 0.063 tsp chicken breast, boneless ......................... 3.5 02 head lettuce, chopped ............................ 6.5 oz whole sesame seeds ............................... 0.15 oz whole carrot, sliced ............................. 0.5 oz (4 slices) green pepper, strips ............................. 0.5 oz (4 strips) red pepper, strips ............................... 0.25 oz (2 strips) green onion, chopped ............................. 0.25 oz sliced almonds ................................... 0.25 oz *dressing* (Optional) vegetable Oil .................................... 0.35 cup white vinigar .................................... 3.0 Tbsp. white sugar ...................................... 2.0 Tbsp. black pepper ..................................... 0.5 tsp. Lawrey’s seasoning ............................... 1.0 tsp. GG platter plasticware (K-F-S) GG platter lid souffle cup (2 oz) 60 napkin souffle cup lid (2 oz) GG place mat wet-nap 1 COMBINE ALL MARINADE INGREDIENTS TOGETHER IN COUNTER PAN. 2. THAW CHICKEN BREAST(SJ. MARINADE CHICKEN IN ABOVE MIXTURE FOR APPROXIMATELY 15 MINUTES. 3. REMOVE MARINATED CHICKEN FROM PAN AND PLACE ON BAKING SHEET. COOK IN 350' F OVEN FOR APPROXIMATELY 10 MINUTES. AFTER COOKING, PLACE IN REACH-IN REFRIGERATOR TO COOL. 4. EVENLY DISTRIBUTE CHOPPED LETTUCE ON PLATTER. 5. SPRINKLE SESAME SEEDS OVER LETTUCE. 6 WASH CARROT AND CUT FOUR SLICES. PLACE ONE SLICE IN EACH CORNER OF PLATTER. 7. CUT COOLED CHICKEN INTO STRIPS. EVENLY DISTRIBUTE OVER MIDDLE SECTION OF LETTUCE. 8. WASH EACH TYPE OF PEPPER AND CUT INTO STRIPS. PLACE GREEN PEPPER STRIPS BETWEEN CARROT SLICES. PLACE RED PEPPER STRIPS ON TOP OF CHICKEN. 9. WASH GREEN ONION, CHOP AND SPRINKLE OVER TOP OF SALAD. JO. SPRINKLE ALMONDS OVER SALAD. 11. COVER PREPARED SALAD WITH LID AND REFRIGERATE UNTIL READY TO DELIVER. 12. COMBINE ALL DRESSING INGREDIENTS TOGETHER IN SMALL CONTAINER. PLACE ONE OUNCE OF PREPARED DRESSING IN SOUFFLE CUP. COVER AND PUT NEXT TO SALAD IN REFRIGERATOR UNTIL READY TO DELIVER. 209 LOUIS SEAFOOD SALAD: Ingredients Quantity leaf lettuce ..................................... 2 leaves head lettuce, chopped ............................ 4.0 oz fish fillets (any type available) ................ 1.0 oz salad shrimp, pre-cooked ......................... 2.0 oz immitation crab .................................. 2.0 oz egg, hard boiled ................................. 2 quarters black olive, whole ............................... 1 each fresh tomato, wedges ............................ 2.0 oz (2 wedges) *sauce* Miracle Whip salad dressing, lite ................ 1.0 oz chili sauce ...................................... 1.0 oz lemon juice (Realemon brand) ..................... 0.35 oz 66 platter plasticware (K-F-S) GG platter lid souffle cup (2 oz) GG napkin souffle cup lid (2 oz) 66 place mat wet-nap PLACE ONE LEAF ON EACH END OF PLATTER. EVENLY DISTRIBUTE LETTUCE ON PLATTER. PLACE FISH IN COUNTER PAN AND COOK IN STEAMER FOR 3-4 MINUTES. AFTER COOKING, REMOVE AND PUT INTO REACH-IN REFRIGERATOR TO COOL. PLACE SHRIMP IN COLANDER. THAW UNDER COLD RUNNING WATER. PLACE THAWED SHRIMP ON LETTUCE (BOTTOM LEFT SIDE OF PLATTER). PLACE CRAB IN COLANDER. THAW UNDER COLD RUNNING WATER. PLACE CRAB ON LETTUCE (BOTTOM CENTER OF PLATTER). IF BOILED EGGS ARE NOT AVAILABLE, COOK NEEDED AMOUNT IN STEAMER FOR 12 MINUTES. AFTER COOKING, REMOVE AND COOL UNDER COLD RUNNING WATER. PEEL COOKED EGG(S). CUT INTO QUARTERS AND PLACE TWO QUARTERS ON TOP SECTION OF PLATTER. PLACE OLIVE BETWEEN EGG QUARTERS. WASH TOMATO. CUT INTO FOUR WEDGES. PLACE TWO WEDGES ON PLATTER, ONE NEXT TO EACH EGG QUARTER. COVER PREPARED SALAD WITH LID AND REFRIGERATE UNTIL READY TO DELIVER. COMBINE ALL DRESSING INGREDIENTS TOGETHER IN SMALL CONTAINER. PLACE PREPARED DRESSING IN SOUFFLE CUP. COVER AND PUT NEXT TO SALAD IN REFRIGERATOR UNTIL READY TO DELIVER. 210 PESTO SALAD: Ingredients Quantity spaghetti ........................................ 2.0 oz raw 6.0 oz cooked pesto ............................................ 0.25 oz creamy Italian dressing .......................... 0.5 oz leaf lettuce ..................................... 2 leaves parmesan cheese, grated .......................... 0.5 oz egg, hard boiled ................................. 1 half fresh cherry tomatoes ............................ 1.0 oz (8 halves) green pepper ..................................... 0.6 oz (4 strips) black olives, whole .............................. 1.0 oz (6 olives) GG platter plasticware (K—F-S) GG platter lid wet-nap GG napkin 66 place mat 1. 2. #00 N001 10. COOK NOODLES IN BOILING WATER FOR 8-10 MINUTES OR UNTIL TENDER. STRAIN AND COOL UNDER COLD RUNNING WATER. IN BOWL, COMBINE NOODLES AND PESTO UNTIL PESTO IS EVENLY DISTRIBUTED. MIX ITALIAN DRESSING INTO NOODLES. WASH LEAF LETTUCE. DRY AND PLACE ONE LEAF ON EACH END OF PLATTER. PORTION NOODLE MIXTURE ONTO PLATTER. SPRINKLE CHEESE DOWN CENTER OF SALAD (LENGTH WISE) IF BOILED EGGS ARE NOT AVAILABLE, COOK NEEDED AMOUNT IN STEAMER FOR 12 MINUTES. AFTER COOKING, REMOVE AND COOL UNDER COLD RUNNING WATER. PEEL COOKED EGG(S), DICE AND DISTRIBUTE EVENLY ON CHEESE. WASH CHERRY TOMATOES, CUT INTO HALVES. PLACE FOUR HALVES ON EACH SIDE OF CHEESE/EGG (SEED SIDE DOWN). WASH GREEN PEPPER AND CUT INTO 1/4" JULIENNE STRIPS. PLACE OVER CHEESE/EGG WITH EACH GREEN PEPPER END TOUCHING TOMATO HALVES. COVER PREPARED SALAD WITH LID AND REFRIGERATE UNTIL READY TO DELIVER. 211 VEGETABLE MEDLEY SALAD: Ingredients Quantity head lettuce, chopped ............................ 6.5 oz broccoli, flowerettes ............................ 2.0 oz fresh mushrooms, sliced .......................... 1.0 02 fresh tomatoes, wedges or cherry ................. 2.0 oz fresh carrot, sliced ............................. 1.5 oz green pepper, diced .............................. 0.5 oz cheddar cheese, shredded ......................... 0.5 oz dressing, customers choice ....................... 2.0 oz (PC) GG platter plasticware (K-F-S) GG platter lid wet-nap GG napkin GG place mat 1. EVENLY DISTRIBUTE LETTUCE ON PLATTER. 2. WASH BROCCOLI, CUT INTO SMALL SECTIONS AND PLACE IN DIAGONAL ROW ALONG LEFT SIDE OF PLATTER. 3. WASH MUSHROOMS, SLICE AND PLACE NEXT T0 BROCCOLI. 4. WASH TOMATOES, CUT AND PLACE NEXT TO MUSHROOMS. 5. WASH CARROT, CUT INTO SLICES AND PLACE NEXT T0 TOMATOES. 6. WASH GREEN PEPPER, DICE AND PLACE NEXT TO CARROT SLICES. 7. PLACE SHREDDED CHEDDAR CHEESE NEXT TO GREEN PEPPER. 8. COVER PREPARED SALAD WITH LID, PLACE DRESSING PC ON TOP OF LID AND REFRIGERATE UNTIL READY TO DELIVER. 212 (Appendix J) STAINLESS STEEL COUNTER FANS AND CAPACITIES: Size Of Pan Depth Capacity (inches) (inches) quarts cups Full Size 2.25 7.50 30 12 x 20 Full Size 4.00 13.0 52 12 x 20 Half Size 2.25 3.75 15 12 x 10 ' Half Size 4.00 6.50 26 12 x 10 213 (Appendix K) DINNER OR OPERATOR Baeedonan inapectionthiadatheltemamukedDelowareviolatloneoIAcImPA Ioninopera- tIOII Dr Iacllitlea which muet be corrected by the next routine impaction. or within a period apecmed by the Health Authority In writing. Faliun to comply with thla notice may muit III ilCDIIae auopeno m 6i EIWI alon and/or other legal action. You have the right to appeal any violations Iiated. W FOOD SERVICE EsTABLISHNIENT W T T INSPECTION REPORT Health Department DP In- 'T. II. VI. an NT. 0 ACCURATE TNERNOIIETERe. CNOAICAL GARBAGE AND OOUNCE‘ DOUND CONDITION. No 17 Tax Rm PROVIDED. OAUDE ODOR 1 “we: '0‘ mugs 5 W CONTAINERS OR RECEPTACLu. 2 mm. TADLEWARE 02 33%CONTAINEIEPRDPEIEY 1 II mwmmm A a OOVEREDADEOUATENwaERIN-cn —FOOD PROTECTION “MI W ““7“: m- OUTSIDE ETDRAOE AMA m POTENTIALLY NAzARDOUs FOOD NEETE I. I m n mm“ 2 3‘ WV mm- m I ‘03 TENPERATURE REOUIRENENTE DURINO 5 RANITIzATION NINGE: CLEAN. ,w gmn'figwm . mammmszza'm . msecmoom A "mm, ma, AmoumNmmL FACILITIES TO NAINTAIN m ”mm m m op W '04 TEMPERATURE 4 m- L '35 OUTER mg‘m No one. 4 THENNONEI’ENS PROVIDED AND “mm W MW 1 22 mmmmw'fiom'wmg °' 2 Room. mus mo 06 POTENTRIGLLYLAWFOW 2 CLEAN.FREEOPAaRAaIva. CILINGS rams-CON j ; - NON-FOODCONTACTEURPACEDOP I m-mmmm I ‘07 ummgmgwmuv 4 23 EOUIPNENT AND UTENaILa CLEAN 1 WWW- m M NAzARDOUS F000 NOT REOERVED — m "mm o, m “m m mm mm up... w 3 WALLS. CEILING. ATTACN. W on PREPARATION. MISTY“ 2 :4 mfg” I 31 W W 1 TRANSPORTATION as ETORAOE. new I am NANDLINO OF FOOD i among. RUITAaLEofi’Efla 2_ m °' W m 2 LIGHTING mo www.mm — —'1 LIONnNOPROVIDEDAam. _‘9 wmvfl I w”IIEIIIERROIIIIICEJME.IIDTIIIID 8| "”unflmmm 1 man 1 COLD UNDER PREEEURE 6 VENTILATION PERRONNEL wITN INPECIIDNR SEWAGE Room AND m m AD ”I ”M 5 '20 mm AND INAETE WATER ‘ ” m- I NANDR NASNED AND CLEAN. OOOD _ W WW2 5 PLUNIING °"?."..'.‘.°...".’.°".:....m I: CLEANCLDTNEENAIR 1 a INETALLEDJAAINTAINED 1 en FACILITIESCLE'AN.LOCATED.IIaaD 1 Iagiuwwflyw nogxggnfigggxu 5 Dufamumumms Y N HA .. MWBmmmmm 2 RETAINER... "' ......"°"‘°...;.“'....“‘°“’.'E° ‘ INSTALLED. LOCATED ' ' . "W.“ mm' m 4 42 UNNECEERIRY MW? NONFOOD CONTACT aURFACE: 31 mum .mw “mm mm MI“ 1 ‘ TOILET ROONE m. an: ' '5 WE'W'WM‘ 1 a mommm "M.MMOWEL w- REPAIR. CLEAN, HAND CLEANRER CONPLETE SEPARATION PRDN um . DIRIRNAENINO FACILITIES. DEEIONED. 2 aANITARY TONELRITIRRUEINAND 43 ELEEPINO OUARTERE. LAUNDRY 1 I LOCATED. OPERA‘TAEIDTMED' "m m RECEPTACLEO ' u wanna LINEN my 1 ROUTINE INSPECTION RATING SCORE V N IDDLESSWEIOHTOFITENSVIOLATED Y k ,Fwonumswm E] D i i NONoSMOKERS AREA PARTIAL OR FOLLOW-UP Cl NANAOER CERTIFIED D C] "MORE” mus D C] cammmwnmmmmnmmutl TWEuwmeuwnx E] [3 ImomwanmnnN E] Daaumutuwna Cl C] same 0 D 8. LICENSE POSTED FOR FURTHER DETAILS _ -CRITICAI. ITENS REDIIIRINO BEE ACCONPANYINO °° “mo"mm ”WWW" D D IMMEDIATE ACTION EXPLANATION m air an» an Illa . IIIaPaCTm av (Nu-- m Tia-I “mmmMWuw-mmmaubd. nine-I.“ (Appendix L) 214 BUDGET ANALYSIS FOR MARCH - JULY, 1989 SI 002:0 010.) 02.211 51 1101 51 10.95 51 1111 $1 10701 05013117 00002117 05005111 1910:0111 20002111 020015111 0015 0.: 3201-112 5.000 25.000 30.000 29.000 20.000 117.000 100011 50152111 05.350 205.050 55.031 303.950 331.730 1041.510 00.570000501110121 17.500 0.390 79.790 0.390 305.110 0.310 99.710 0.330 102.370 0.310 000.500 0.320 0005000021113) 27.790 0.010 125.000 0.010 009.920 0.000 200.200 0.070 229.300 00901230070 0.070 00:00. 055157.10» 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0900 10000.15) 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 05027. 10000001 3.470 0.000 7.710 0.040 9.200 0. 010 12.730 0. 040 25. 032 0. 000 50.202 0.030 020. 100001-77 10.410 0.230 01.000 0.200 143.240 0.150 00. 000 0.130 0. 000 0. 000 235.090 0.130 1141151. 990) (0. 170) (70 400) (0.210)(317.700) (0.170) 1001150. 1000010) 4.020 0.100 11.000 0.000 31.220 0. 030 10. 000 0. 030 0. 000 0. 000 57.000 0.030 (10.100) (0.050)L00.430) (0.120)ao0.050) (0.000) 10701201001119) 10.510 0.010 00.910 0.300 103.720 0.190 03.570 0.210 25.032 0.000 351.742 0.190 (00.900) (0.2703(135322) (04161570242) (0.200) 7007152007001 0.000 0.010 2.000 0.010 2.370 0.010 2.100 0.010 3.072 0.010 11.004 0.010 151220011500) 7.500 0.170 30.000 0.150 30.000 0.030 30.000 0.100 30.000 0.090 127.500 0.070 10570551121 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 111111715509.) 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 05101015112) 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 000501.7201111 03) 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0510. 3021.11101. 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 201112112111 04) 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 00101010200200) 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 10111100111» 0.070 0.020 3.400 0.020 4.000 0.010 2.010 0.010 4.930 0.010 15.950 0.010 70101011030104.) 9.010 0.200 30.200 0.100 30.430 0.000 30.770 0.110 30.002 0.120 155.114 0.000 1127059511112 07) 0.202 0.110 20.002 0.100 029.704 0.050 105.900 0.035 0.500 730.114 022 0. 400 L02. 570) (0. 290L514. 7020. 171101.11» (0. 330) (3’97 EL- 215 FORCASTED AMOUNTS FOR 1989-90 005107 5397‘ 0:7 1:09 050 100: :25 09:0 09711 7101 10115 70772. 00570112.! 5011570) 05.000 100.000 170.000 190.010 90.000 100.000 290.050 100.000 170.000 100.0. 00.05:“. 101000. 00155(2.I) 207.000 059.200 700.000 701.000 370.000 741.000 702.000 701.000 700.000 059.200 059.200 7020.000 0057000055010 93.730 230.720 245.140 259.500 129.700 259.500 273.900 255.500. 245.140 230.720 230.720 2050.010 59.025 09.0517 171.010 423,430 055.200 082.040 z+I.020 962.090 508.920 «87990 45.1010 029.460 013.000.15.050» 0000. 050157. 095010005: .530 2.30 00097.10002 13.3% 32.900 55. 31.000 13. 37.000 39.990 31-050 215w 313” 3Z ' 05010000: 50.332125346133070 040.904 70. 0403311105132 140.9090 Iaa.a70n_3,2 .25. 1:30.qu 79.01159. 101-09. 06.1400 40.140 09.028 51.9Iz 2.5. 57.qu 59.790 51.912 40.040 410M! 4‘9"?”- 707019072011 25.0.90 210.900 224.120 237.312 110.050 237.312 250.490 237.312 224.120 210.904 210.904 2247.072 790050027. 75157-100111 9057005 1171117155 05107015 029597.120107 0511. 50091.7007. 590190097 11011170110505: 101100171 701010750 30.014 05.090 91.052 90.000 00.200 90.400 101.704 90.000 91.052 05.090 05.090 913.190 1007 059510115 01.594 151.020 101.092 770.500 05.204 170.500 100.040 170.500 101.092 151.010 151.010‘ 1015.050 (2) (3) (4) (5) (6) (7) (8) (9) 216 FOOTNOTES FOR GREEN GOURMET BUDGET ANALYSIS: Lunch sales are based on the selling price of the food items plus a $ .75 delivery charge per customer. (for a listing of current selling prices, see attached price list labeled Appendix A.). The cost of goods sold is based on the food cost of each item. The food cost includes the cost of ingredients and packaging. (for a listing of current food costs, see attached food cost analysis labeled Appendix B.). The gross profit = lunch sales - cost goods sold (3) (1) (2) Graduate assistant funds do not come out of the MSU Union payroll and, therefore, were not calculated as part of the total payroll. APSA labor showed as cost of zero due to the fact that there is mininal time put in to oversee Green Gourmet operations. The only substantial amount of time put into Green Gourmet by APSA employees is the attendance at Green Gourmet committee meetings which are held approximately one time per month for two hours each. I} was decided that these hours would not'be figured into the overall budget. Receptionists labor is based on 5 min. per order for small orders (1-9 entrees) and 10 min. per order for large group orders ()9 entrees). With labor figured in at $ 4.62/hour each 5 min. costs $ .385. Regular labor is based on $ 4.62/hour and is dependent upon the food item that was produced. See below: marinated chicken = 30 min. = s 2.31 (individual lunch) fruit platter = 30 min. = $ 2.31 ” pesto salad = 30 min. = s 2.31 ' ” all others = 15 min. = $ 1.16 ” 1-5 entrees of the same kind 30 min. = s 2.31 Transportation labor is based on t 4.62/hour and is dependent upon the number of deliveries being made. See below: 1-5 lunches in same location = 15 min. = $ 1.16 l—? lunches in different locations = 15 min. each at $ 1.16 5-10 lunches in the same location = 30 min. = S 2.31 >10 lunches in the same location = 30-60 min. = $ 2.31-s 4.62 Total payroll = APSA + receptionists + regular + transportatn. labor labor labor labor (9) (5) (6) V (7) ' (8) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) (20) 217 Transportation is based on the cost of gas for the vehicle. At $ 1.08/gallon with the delivery vans getting an average of 10 miles/gallon, it can be calculated that 1 mile of travel = $ .108. On the average, a delivery van will travel 2 miles each day for deliveries. Telephone costs are based on an average $ 30.00 line charge per month. Postage, utilities, and rentals show a cost of zero because they are payed through the university or are not applicable. Advertising and printing costs are zero because these costs are incured through Housing and Foodservice. Equipment and maintenance costs are zero because they are not applicable to the Green Gourmet. Laundry cost is based on the use of one apron per day per production person. The cost to clean one apron = S .29. Total other = the addition of all items between (10) and (15) (16) inclusive. Net revenue = total payroll + total other - gross profit (17) (9) (16) (3) Statistical indicators (X) are all calculated as a percentage of lunch sales. = X = percentage lunch sales for that month of sales ** where X = items (2)-(17) These calculations were done for the months of March, April, May, June, and July 1989. Because there was no regular labor working for Green Gourmet June 15-July 31, 1989, the costs were not directly in- corporated into the results. However, the ( ) indicate what the costs would have been if the work had been done by Union employees. The ( ) costs are shown for both pro- duction and distribution. The actual labor for June lS-July 31, 1898 was done by a graduate assistant who is funded through Housing and Food- service. These wages were not calculated into the budget because the Union is not paying the individual directly. The forcasted customer counts are based on the following: May 1989 customer count = 72 (does not include group order of 150 people) Therefore, August = 10 X less than May = 65 customers (21) 218 September = double May, increase 10 x = 160 This higher count can be justified by the increase of faculty and staff returning to campus. October = 5 X higher than September = 170 November = 5 x higher than October = 180 December = 50 X of November = 90 This can be justified because there are only two weeks in December that the university is operating due to the Christmas holiday. January = same as November = 180 February = 5 X higher than January = 190 This increase is due to cold weather. March = 5 3 lower than February = 180 This decrease can be justified because there are three operating weeks in March due to the Easter holiday. April = 5 x lower than March = 170 This decrease is due to the spring season which is not as popular as winter months. May = 5 2 lower than April = 160 June = same as May = 160 The customer count should stay the same throughout the summer due to increase publicity and popularity. The forcast lunch sales for August 1989-June 1990 are based on average lunch sales for May 1989 divided by the number of customers served for May 1989 (these figures do not include the group order for 150 people). See below: $ 296.83 = $ 4.12 = average check 72 This average check amount was then multiplied by the forcasted customer count for each month. For example: forcasted lunch sales for September = 3 4.12 X 160 = 8 659.20 The forcasted amounts for the remaining items in the left hand column for August 1989- June 1990 were calculated from average percentages from March-July 1989. Average percentages can be seen below: 219 cost goods sold = 35 X gross profit = 65 X receptionist labor = 05 X regular labor = 19 X transportation labor = 07 X total payroll = 32 X transportation = 01 X telephone = 11 X laundry = 01 X total other = 13 X net revenue = 23 X 1* all items which showed a cost of zero were excluded from this section because they do not apply. Once an average percentage was determined for each of the categories in the left margin, the percentage was then multiplied by the forcasted lunch sales in that particular month. The results give the forcasted amounts for each item in the left hand column for each month (August 1989 through June 1990). ADDITIONAL INFORMATION: It can be estimated that the forcasted sales for August 1989 through June 1990 will increase by approximately 25 X due to the addition of the new take-out service that will start fall term 1989. The value of publicity to Union foodservice should be noted at this time. The following is a list of the sources that have given publicity: Healthy U publications MSU News Bulletin State News Lansing State Journal Nations Restaurant news other campus publications At an average of $ 250.00/ad for local ads and an average of s 500.00/ad for non-local ads, it can be concluded that the free publicity has saved the Union a substantial amount of money. There was also free publicity through the Healthy U and Michigan Dietetic Association Association poster displays which were held in May 1989. First 5 Mth. of operat. Lunch Sales Cost Goods Sold Gross Profit Recpt. Labor Reg. Labor Transp. Labor Total Payroll Total Other Net Revenue A COMPARISON OF TOTALS $ 1,841. $ 604. $ 1,236. $ 58. $ 317. $ 104. $ 479. $ 155. $ 601. 220 51 54 97 20 70 05 24 11 82 11 Mth. forcasted (#969) 7,024.60 2,458.61 4,565.99 351.23 1,334.67 491.72 2,247.87 913.20 $ 1,615.66 r_ SECTION 9. REFERENCES Institute of Food Technologists' Expert Panel on Food Safety 8 Nutrition, "Bacteria Associated With Foodborne Diseases", £22d_1e2hn21232. (April 1988). p- 181-200- Michigan Environmental Health Association, ' W. updated November 1989. p. 16-21. 0.8. Department of Agriculture, Food Safety and Inspection Service , , Home A_Qui2K_Q9nsumer_QuideJIQ_Safe_£99d_nandling and Garden Bulletin No. 248 (0.8. Government Printing Office, September 1990). APPENDIX B. GREEN GOURMET ORDER FORM 222 Appendix B. Green Gourmet order form GREEN GOURMET ORDER FORM CUSTOMER NAME ROOM/BLDG. TO DELIVER TO CUSTOMER PHONE # DELIVERY TIME AND DATE ORDER TAKEN BY DATE/TIME ORDER TAKEN SALADS QUANTITY PRICE TOTAL MARINATED CHICKEN $4.50 VEGETABLE MEDLEY $4.00 LOUIS SEAFOOD ' $4.50 FRUIT PLATTER $4.50 GREEK $3.60 PESTO $3.50 SANDWICHES CHICKEN SALAD CROISSANT $4.50 TUNA SALAD CROISSANT $4.50 VEGETARIAN SANDWICH $3.25 GOURMET DEU: Mea‘ICT. H, RB). Cheese(C. S). Bread(W. HW. H8. 0) $4.25 COMBO PLATE: MeatCT. H. RB). Cheese(C. 8.). BreOdCW. Hw, H8. 0) $4.50 BEVERAGES POP: Coke( ) Diet Coke ( ) Sprite ( ) DIet Sprite ( ) .80 MILK: Whole ( ) W) .50 JUICE: Grapefruit ( ) Orange ( ) Apple ( ) Grape ( ) .80 IDT .4 DEUVERY CHARGE .75/Entree 25%?” SUB TOTAL , A, we. TAx (NONE IF IDT) PURPOSE TOTAL MEATS: Tan-TURKEY. H-HAM. RB-ROAST BEEF CHEESES: C-CHEDDAR. S-SWISS BREADS: W-WHITE. HW-WHOLE WHEAT. FIB-HONEY BRAN. O-OATMEAL APPENDIX C. QUESTIONNAIRE FOR A STUDY ON SAFE FOOD HANDLING KNOWLEDGE, PRACTICES, AND OPINIONS OF CONSUMERS WHO RECEIVED OFFICE-DELIVERED FOOD AT LUNCHTIME 223 Appendix C. Questionnaire for a study on safe food handling knowledge, practices, and opinions of consumers who received office-delivered food at lunchtime MICHIGAN STATE UNIVERSITY This study'is designed to find out the food.sefety' knowledge, practices and opinions of consumers who eat office delivered food for lunch. Information concerning the purpose of this study' is provided inside. Your help with this study’is greatly appreciated. Thank-you for,your time and cooperationl! The Department of Food Science and Hanan nutrition Michigan state University East Lansing, Michigan 48824 224 This survey will focus specifically on food safety issues surrounding lunch food that is delivered to and eaten at one's work place. Types of establishments that deliver lunch food to people's work place include Green Gourmet, pizza establishments and various restaurants which provide food such as sandwiches, salads and entrees. SECTION 1. Rating Scale Read the following statements and rate gagh according to the scale given belowu Circle the number to the right of the statement which corresponds to your choice. SCALE: 0 = Never (no exceptions) Almost Never (very few exceptions) = Seldom (not very often) = Usually (majority of the time) 1 2 3 = Sometimes (50‘ of the time) 4 5 Almost Always (very few exceptions) 6 2 Always (no exceptions) 1. I wash my hands with warm soapy water and then rinse them before eating aTdelivered lunch at my work place. (Circle one number) 2. I'let a lunch that has been delivered to my work place set out at room temperature for two hours or more before I eat it. (Circle one number) 0 1 2 3 4 5 6 3. The delivered lunch items that I receive at work are improperly packaged (for example: the lid is not snapped on all the way, the lid is cracked or the packaging is torn or punctured). (Circle one number) 0 1 2 3 4 5 6 I___l_o If you responded by circling 0 or 1, please skip to question i 5. 4. 225 I eat delivered lunch items that are improperly packaged. (Please use the rating scale on the previous page to answer this question). (Circle one number) 0 1 2 3 4 5 6 In my opinion, delivered lunch items that I receive at work are free from microbiological contamination. (Please use the rating scale on the previous page to answer this question). (Circle one number) 0 1 2 3 4 5 6 SEKTTICMN JTI. Phaltuipflue Cauoicue The following questions are multiple choice. Please circle the letter to the left of the answer which you believe to be the best answer. Please circle only'gng letter for each question. When you have a lunch delivered to you at work, do you normally save part of it for consumption at a later date? (Circle one letter) A. Yes 3. No__o;£_ng, please skip to question I 8 When you are ready to eat the leftovers from your delivered lunch, do you typically reheat them if they are intended to be consumed hot? (Circle one letter) A. Yes—Rm please indicate which food item you would most often reheat: (Check one) B. No Entree (Please specify) Sandwich (Please specify) Other (Please specify) 10. 226 Which of the following can carry harmful bacteria that cause foodborne illness? (Circle one letter) A. Fresh fruits 8. Fresh vegetables C. Healthy people D. Raw chicken breast B. All of the above F. None of the above G. I do not know Which of the following foods is microbiologically safe to consume after sitting out at room temperature for more than two hours? (Circle one letter) A. Roast beef sandwich B. Pasta salad C. Vegetable salad D. All of the above 3. None of the above F. I do not know Certain types of bacteria which cause food poisoning can grow: (Circle one letter) A. At refrigerator temperatures 3. At room temperature C. Both A and B are ggzzgg;_ D. Both A and S are inggnggt_ B. I do not know 11. 12. The following two questions are fill-in the blank. 227 After a lunch has been delivered to you at work, how long do you usually wait before you eat it? (Circle one letter) A. Less than one hour B. Between one and two hours C. More than two hours While you are waiting to eat your delivered lunch at work, where do you normally store it? (Circle one letter) A. In a desk B. On a counter, table or desk top C. In a refrigerator D. Some other location (Please specify SECTION III. Fill-In The Blank Please place your answer in the space provided g; put a check l’next to the statement "I do not know” if you do not know'the correct response. 13. 14. Leftover delivered lunch entrees that are to be served hot should be reheated to an internal temperature of: ______:F (Degrees Fahrenheit) I do not know A.refrigerator should operate at a temperature no higher than: °F (Degrees Fahrenheit) I do not know Finally; 228 SECTION IV. Demographic Information I would like to ask you some questions about yourself. For each statement, put a check /’next to the selection which best describes you or put a response in the space provided. 15. 16. 17. What is your age? (Check one) 20-24 _____35-39 25-29 40-44 30-34 45-49 What is your gender? (Check one) 50-54 _____55-59 _____50 or older __Female __Na1e Please indicate your main ethnic heritage: _____African-American (Black) _____American Indian or Alaskan Native Asian/Pacific Islander _____fiispanic (American Mexican) White Other (Please specify (Check one) 18. 19. 20. 21. 229 What is the highest level of education you have completed? (Check one) _____Less than high school _____fiigh school graduate Some college College graduate (Associates degree) College graduate (Bachelors degree) Some graduate school or some professional (law, medical, dental) school Graduate school or professional school graduate (Please specify degree ) Typically, how many times do you purchase W food (such as food from Westside Deli, Green Gourmet or other restaurants) and have it delivered to your work place for lunch? (Please put a number in only gng_of the spaces below) Times per week Times per month Times per year Besides lunch, do you purchase food and have it delivered to your work place for any other meal/snack time? (Check one) Yes——>Lfi_ygg, please specify No Do you have a refrigerator at work that you have used to store a delivered lunch? (Check one) Yes _____N° 230 22. Have you ever received information on safe food handling? (Check one) Yes No—_o1£;pg, please skip to question i 24 23. What are your major.sources of information about safe food handling? (Please check all that apply and circle the one that you use most often) Friends or family _____Governmental pamphlets Television Formal classes Radio _____Job training Newspaper _____Health care provider Magazine _____Other (Please specify) Books 24. As a consumer, would you be willing to pay more for office delivered lunch items if there was a label added that had information on safe food handling, such as a consume by date or storage information? (Check one) I would pay considerably more I would pay slightly more I would not pay more I have no opinion at this time Please continue on next page. 231 THANK-YOU FOR PARTICIPATING IN THIS STUDY. YOUR HELP IS GREA TL 1’ APPRECIA TED . If you would like to share any additional comments, please write on the space provided below. APPENDIX D. PILOT TESTING QUESTIONNAIRE 232 Appendix D. Pilot testing questionnaire FOOD SAFETY QUESTIONNAIRE FOR GREEN GOURMET CUSTOMERS SECTION I. RATING SCALE Read the following statements and rate each according to the scale given below. Circle the number to the right of the statement which correspondes to your choice. Scale: Almost Always (very few exceptions) Usually (majority of the time) Sometimes (50X of the time) Seldom (not very often) 1 2 3 4 5 Almost Never (very few exceptions) 1. How often do you wash your hands with warm soapy water and then rinse them before eating your lunch? ......................... l 2 3 4 5 2. How often do you save part of your delivered lunch for consumption at a later date? ................................ l 2 3 4 5 3. How often do you reheat lunch leftovers?.r.l 2 3 4 5 4. How often do you cool lunch leftovers to room temperature on a counter or other location outside of a refrigerator? ........ l 2 3 4 5 5. How often do you let your delivered lunch set out at room temperature for two hours or more? ................................... l 2 3 4 5 233 6. How often do you encounter a delivered meal that is not properly packaged (for example: the lid is not on all the way, the lid is cracked, or the packaging is torn or punctured)? ............................. 1 2 3 4 5 7. If you circled l, 2, 3, or 4 on question 3 6 above, how often do you eat a delivered lunch item that is not properly packaged? .................................. l 2 3 4 5 8. How often do you check the temperature of reheated leftovers prior to consumption?...l 2 3 4 5 9. How often do you believe your delivered lunch is free from microbiological contamination? ............................. l 2 3 4 5 SECTION II. MULTIPLE CHOICE The following questions are multiple choice. Please circle the letter to the left of the answer which you believe to be correct. 10. Which of the following can carry harmful bacteria that cause foodborne illness? fresh fruits fresh vegetables raw chicken breast A B C. healthy people D E all of the above F none of the above ll. 12. 13. 14. 234 Which of the following foods is safe to consume after sitting out at room temperature for more than two hours? A. meow roast beef sandwich pasta salad marinated chicken salad all of the above none of the above Food poisioning bacteria can grow: A. B C. D at refrigerator temperatures at room temperature both A and B are correct both A and B are incorrect Do you have a refrigerator at work that you use to store your food items? A. B. If you answered yes to question S 13 above, do you believe that your refrigerator at work is operating at the proper yes no temperature? A. yes B. no C. I do not know 235 SECTION III. FILL-IN THE BLANK The following two questions are fill-in the blank. Please place your answer in the space provided gr_place a check next to the statement “I do not know" if you do not know the correct response. 15. Leftovers should be reheated to an internal temperature of: “F I do not know 16. A refrigerator should operate at a temperature no higher than: °F I do not know SECTION IV. DEMOGRAPHIC INFORMATION Finally, we would like to ask you several questions about yourself. For each statement, put a check next to the selection which best describes you or put a response in the space provided. 17. What is your age? 20-24 35-39 50-54 25-29 40-44 55-59 30-34 45-49 60 or older 18. What is your gender? male female 19. 20. 21. 22. 236 Please indicate your main ethnic heritage: Africian-American (Black) American Indian or Alaskan Native Asian/Pacific Islander Hispanic (American Mexican) White Other What is the highest level of education you have completed? less than high school high school graduate some college college graduate _____graduate school Please specify _____professional school Please specify During a typical week, how many dalixgzgd meals (such as food from Westside deli, Green Gourmet or a pizza establishment) do you purchase? During a typical week, how many times do you buy figliygzgd food for the following meal times? (please place the appropriate number next to each meal time, even if the number is zero) Breakfast A.M. Break Lunch P.M. Break Dinner 237 Have you ever received information on food safety? Yes No If you answered yes to question 8 23, what are your major sources of information about food safety? (please check all that apply) Friends or family Television Radio Newspaper Magazine Books Governmental pamphlets Formal classes ._____Job training Health care provider _____0ther (please specify) Are there any problems with delivered food that you would like to comment on? 238 I would appreciate your comments and feedback on the length, content, and clarity of this survey. Please be as specific as possible. Length of survey Content of survey Clarity of survey Additional Comments APPENDIX E. A COVER LETTER REQUESTING GREEN GOURMET CUSTOMERS PARTICIPATE IN THE STUDY 239 Appendix E. A cover letter requesting Green Gourmet customers participate in the study Dear Participant, Foodborne illness continues to be a growing problem in the United States. As the number of yearly cases increases, it becomes important to determine and understand the level of awareness people have on issues related to food safety. In turn, it is equally important to determine what preventative measures can be taken to decrease the number of cases of foodborne illness. You are one of many Green Gourmet customers that has been selected to participate in this study. In order for the results of this study to truly represent the food safety awareness of people who patronize ”office catering" such as Green Gourmet, it is important that you complete the survey’according to the directions. Once you have completed the survey, place it in the envelope you received it in and return in campus mail. A return address label has been included for your convenience. Your prompt return is appreciated. Also, attached is a Green Gourmet coupon to thank you for your time and cooperation. Your answers are confidential. Your name is not required on the survey and federal law prevents the publication of results or any other use that would allow individuals to be identified. This survey is completely voluntary. But, I do hope that you will complete and return the survey, especially since the information gathered from ‘this survey' will be used to take preventative measures towards minimizing the occurrence of foodborne illness. Results of this survey will be provided to all interested parties. If you would like a summary of the results, please put your name and campus address on the index card provided, place it in the envelope provided and return in campus mail. This survey will take approximately ten minutes to complete. If you have not eaten a delivered Green Gourmet lunch or an office delivered lunch from another establishment within the current or past year, please dg_ng;,complete this survey and simply return the survey as instructed in paragraph two above. Thank-you for your time and cooperation. Cordially, Deborah A. Grischke Study Director APPENDIX F. A WRITTEN CONSENT FORM 240 Appendix F. A written consent-form iflRIIHEEfll cxnusrnrr INDRDI I represent the Department of Food Science and Human Nutrition at Michigan State Universityu As a representative, I am interested in having you fill out a survey so I can learn more about food safety knowledge, practices and opinions of people who use "office catering" for lunch. This survey will take you approximately ten minutes to complete. I believe that this information will be useful to food service managers, supermarkets, restaurants, schools, medical facilities and consumers. Your name is not required on this survey. However, it is necessary to have you sign a written consent form which gives me, the study director, permission to use your answers as part of the study. After you have signed and dated this form, please return it in the same envelope with your completed survey. This form will be kept separate from the survey once it is received. All results will be treated confidentially to prevent individual surveys from being identified. If you have any questions about this study you may contact . Deborah Grischke at (517) 353-9663 (Department of Food Science and Human Nutrition). Would you be willing to provide the following information: 1. demographic information (age, gender, educational background, etc.) about yourself? 2. answers to questions about food safety? If you are willing to provide the above information, your signature below indicates your voluntary agreement to participate in this study. NAME DATE APPENDIX G. APPROVAL LETTER FROM THE UNIVERSITY COMMITTEE ON RESEARCH INVOLVING HUMAN SUBJECTS 241 Appendix G. Approval letter from the University Committee on Research Involving Human Subjects MICHIGAN STATE UNIVERSITY OMCIOFWCEWFOIW EASILANSINGOIICHIGAN-OIu-IO“ ANDDEANOFTHEGIADUATESCHOOL April a. 1991 Ms. Deborah A. Grischko Food Science and Human Nutrition 139 Food Science Bldg. RE: ASSESSMENT OF FOOD SAFETY KNWLEDCE, PRACTICES AND OPINIONS OF CONSUMERS WHO EAT OFFICE DELIVERED FOOD FOR LUNCH, 183,904.16 Dear Ms . Grischka: Your request for a revision to the above project has been approved. I have reviewed the proposed research protocol and find that the rights and welfare of human subjects appear to be protected. You have approval to conduct the research. You are reminded that UCRIHS approval is valid for one calendar year. If you plan to continue this project beyond one year, pious make provisions for obtaining appropriate UCRIHS approval one month prior to Hatch 27, 1992. Any changes in procedures involving human subjects must be reviewed by the UCRIHS prior to initiation of the change. UCRIHS must also be notified promptly of any problems (unexpected side affects, complaints, etc.) involving lumen subjects during the course of the work. Thank you for bringing this project to our attention. If we can be of any future help, please do not hesitate to let us know. Sincerely , vid B. Wright, Ph.D. 1:. ucnias DEW/doc cc: Dr. Carol Sawyer ”Uh-WWW“