v-.‘_.,.“ .- pry» . w. . .1- .u... . .._.. ..... ‘ .. ‘. _, . .-... V." .- 4 — , . , , ‘ . . ‘ : , . . v . > v ' ~ , . _ - . . '. . . ' ' ‘ V I V V _ , ~ ' ‘- ‘ . , V ' . . , ‘ - _ ‘ . » ' " h A V This is to certify that the dissertation entitled MICHIGAN APPLE CIDER: PROCESSING PRACTICES. HAZARD SURVEILLANCE, AND PERCEPTIONS presented by DONNA J. THEDE has been accepted towards fulfillment of the requirements for the Ph. D. degree in Food Science and Human Nutrition M). 50.0.41”; Major Professor’s? Signature 7/30/01 Date MSU is an Affinnative Action/Equal Opportunity Institution LIBRARY ' Michigan State University PLACE IN RETURN BOX to remove this checkout from your record. TO AVOID FINES return on or before date due. MAY BE RECALLED with earlier due date if requested. DATE DUE DATE DUE DATE DUE 6/01 cJClRC/DateDuopfiS-ots MICHIGAN APPLE CIDER: PROCESSING PRACTICES, HAZARD SURVEILLANCE, AND PERCEPTIONS By Donna J. Thede A DISSERTATION Submitted to Michigan State University in partial fulfillment of the requirements for the degree of DOCTOR OF PHILOSOPHY Department of Food Science and Human Nutrition 2004 ABSTRACT MICHIGAN APPLE CIDER: PROCESSING PRACTICES, HAZARD SURVEILLANCE, AND PERCEPTIONS By Donna J. Thede Numerous foodbome illness outbreaks linked to consumption of j uice containing microbial pathogens occurred in the US. in the 1990’s and increased public concern about cider safety. Sources of several foodbome illness outbreaks were unpasteurized apple juice and cider, which contained the pathogen E. coli 01572H7 because of poor food safety practices in orchards and processing facilities. Therefore, the US. Food and Drug Administration (FDA) announced a comprehensive program to eliminate pathogen contaminations of juice and in 2001 issued the juice Hazard Analysis and Critical Control Points (HACCP) regulation, which require juice processors to implement HACCP into their processing facilities. Processors who only sell juice directly to consumers are not required to implement HACCP but they must include a warning statement about the risk of pathogens on their juice containers. The objectives of this study were to determine a) bacterial counts of cider and manufacturing practices of Michigan cider processors between 1997 and 2002 and b) perceptions of both Michigan cider processors and consumers regarding HACCP and juice safety in 2002. E. coli 0157:H7 was not detected in any of the cider samples tested during 1997- 2002 (n=5 82). A small percentage (5.8%) of cider samples contained generic E. coli, indicating potential fecal contamination and the need to improve sanitation practices in some mills. During 1997-2002, more processors took affirmative steps to carefully inspect and safely store apples and had upgraded processing facilities and equipment. In 2002, 26% of the processors producing over 4,000 gallons of cider per year had installed thermal pasteurization (n=17) or ultraviolet (UV) light irradiation (n=7) equipment to reduce the risk of pathogens, but microbial data also indicated that some processors either did not operate the equipment properly or post-processing contamination occurred. Michigan cider processors were divided regarding the juice HACCP regulation: 31% agreed, 21% were neutral, and 48% opposed HACCP regulations. In contrast to processors that favored HACCP, processors that disagreed with HACCP did not prepare for HACCP. Those processors believed that HACCP was not necessary for cider safety and did not improve consumer confidence because they believed that their customers trusted their cider mill and preferred the taste of untreated cider. Michigan apple cider and juice consumers were concerned about food safety but not knowledgeable about labeling or HACCP. Only 20% of those surveyed were aware that HACCP is a food safety program. Our respondents based their apple cider or juice purchase decisions first on their perception of its taste and then safety. Consumers would buy juice from grocery stores if they look for safety, whereas consumers would buy juice from local farms or orchards if they look for freshness and 100% juice. Future research should further evaluate the safety of Michigan cider and how to overcome perceived constraints of processors to HACCP implementation. Additionally, using focus groups and interviews to examine consumers’ perceptions and purchase decision about apple cider and juice are warranted. To my mom and dad who taught me perseverance and to realize great things happen when you least expect them and Danny for his love, patience and understanding. iv ACKNOWLEDGEMENTS This dissertation was accomplished through the support and assistance of many individuals. Foremost, I would like to thank my advisor, Dr. Leslie Bourquin and committee member, Dr. Toby Ten Eyck for providing advice and guidance. A special thank you to my committee members, Dr. Al Booren and Dr. Uebersax for their guidance on this research. I also thank Dr. Michael McBurney for being my Kellogg sponsor and committee member. I am extremely appreciative to Dr. Dale Romsos for providing editorial support and guidance to finish this dissertation. I am most grateful and deeply appreciative to Dr. Gerd Bobe for his guidance, statistical analyses, and the many hours he spent analyzing and discussing the data with me. Special appreciation and gratitude is extended to Gerry Wojtala of the Michigan Department of Agriculture and the inspectors who visited the cider mills and collected samples. I also extend this appreciation to Bonnie Moon at the Michigan State Laboratory and the microbiologists who analyzed the cider samples. I also thank Dr. Donna Banks who provided the opportunity to achieve this degree through a graduate program for Kellogg employees. A special thank you to my Kellogg managers, Dr. Celeste Clark and Linda Pell, and the Kellogg cohort group who provided constant encouragement. At last, a special thank you to my parents for their love and encouragement, my study buddies Winnie and Puglet, and most of all to my husband, Danny for his outstanding patience and loving support. This research study was supported by Kellogg Company and a portion of the data were provided by the Michigan Department of Agriculture. Any opinions, findings, conclusions or recommendations in this document are those of the author and do not necessarily reflect the views of Kellogg Company or the Michigan Department of Agriculture. vi TABLE OF CONTENTS LIST OF TABLES ........................................................................................................... x LIST OF FIGURES .......................................................................................................... xii LIST OF ABBREVIATIONS .......................................................................................... xiii CHAPTER I. INTRODUCTION. . . ........................................................................................................ 1 A. Juice Food Safety Concerns and HACCP ...................................................... 1 B. Objective, Hypotheses and Specific Aims ..................................................... 5 CHAPTER 11. REVIEW OF LITERATURE .......................................................................................... 9 A. Juice F oodborne Illness Outbreaks and Bacterial Hazards ............................ 9 B. Juice Characteristics and Bacterial Survival .................................................. 12 C. Chemical and Physical Hazards in Juice ........................................................ 13 D. Juice Hazard Analysis and Critical Control Points (HACCP) ....................... 14 E. Apple Production and Juice Processing ......................................................... 17 F. Interventions and Technologies to Reduce Bacterial Levels in Apple Juice ................................................................................................ 22 G. Perceptions of Food Safety ............................................................................ 27 CHAPTER III. MICHIGAN CIDER CURRENT GOOD MANUFACTURING PRACTICES AND INTERVENTION TECHNOLOGY ..................................................................... 39 A. Abstract ................................................................................................................ 39 B. Introduction .......................................................................................................... 40 C. Materials and Methods ......................................................................................... 43 D. Results and Discussion ........................................................................................ 45 E. Conclusion ........................................................................................................... 50 vii CHAPTER IV. MICHIGAN CIDER PROCESSORS’ PERCEPTIONS AND DECISIONS IN RESPONSE TO JUICE HACCP REGULATION .......................................................... 64 A. Abstract ................................................................................................................ 64 B. Introduction .......................................................................................................... 65 C. Materials and Methods ......................................................................................... 68 D. Results and Discussion ........................................................................................ 69 E. Conclusion ........................................................................................................... 78 CHAPTER V. APPLE CIDER AND JUICE FOOD SAFETY: A CONSUMER PERCEPTION SURVEY .......................................................................................................................... 90 A. Abstract ................................................................................................................ 90 B. Introduction .......................................................................................................... 91 C. Materials and Methods ......................................................................................... 93 D. Results and Discussion ........................................................................................ 93 E. Conclusion ........................................................................................................... 101 CHAPTER VI. SUMMARY, CONCLUSIONS AND FUTURE RESEARCH ....................................... 110 A. Summary .............................................................................................................. 110 B. Conclusions .......................................................................................................... 113 C. Future Research .................................................................................................... 114 APPENDIX A: UCRIHS FORM ..................................................................................... 118 APPENDD( B: 1997 MICHIGAN DEPARTMENT OF AGRICULTURE SURVEY ..120 APPENDIX C: 1998 MICHIGAN DEPARTMENT OF AGRICULTURE SURVEY ..125 APPENDIX D: 1999 MICHIGAN DEPARTMENT OF AGRICULTURE SURVEY...128 APPENDIX E: 2000 MICHIGAN DEPARTMENT OF AGRICULTURE SURVEY ...130 APPENDIX F: 2001 MICHIGAN DEPARTMENT OF AGRICULTURE SURVEY ...132 APPENDIX G: 2002 MICHIGAN DEPARTMENT OF AGRICULTURE SURVEY...134 APPENDIX H: LETTER FOR PROCESSORS’ PRACTICES SURVEY ..................... 136 APPENDIX 1: CIDER PROCESSORS’ PRACTICES SURVEY ................................... 138 APPENDD( J: LETTER FOR PROCESSORS’ PERCEPTIONS SURVEY .................. 146 viii APPENDIX K: CIDER PROCESSORS’ PERCEPTIONS SURVEY ............................ 148 APPENDIX L: FOLLOW-UP LETTER TO NON-RESPONDENTS ............................ 153 APPENDIX M: THANK YOU LETTER TO PARTCIPANTS ...................................... 155 APPENDIX N: CONSUMER E-MAIL SURVEY .......................................................... 157 APPENDD( 0: APPLE CIDER PROCESSING STEPS ................................................. 163 REFERENCES ................................................................................................................ 165 ix LIST OF TABLES Table 1. History of Hazard Analysis and Critical Control Points (HACCP) ................... 7 Table 2. Juice associated foodbome illness outbreaks in North America (partial listing) .............................................................................................................. 36 Table 3. Effectiveness of interventions and technologies on pathogens in apple juice ................................................................................................................ 37 Table 4. Apple inspection and storage practices of Michigan cider processors in 1997 and 2002 .............................................................................................................. 53 Table 5. Processing facilities and manufacturing practices in Michigan cider mills in 1997 and 2002 ................................................................................................. 54 Table 6. Proportion of Michigan cider mills that used thermal pasteurization or UV light irradiation between 1997 and 2002 .......................................................... 56 Table 7. Bacterial counts in Michigan apple cider 1997 to 2002 .................................... 57 Table 8. Correlations between bacterial concentrations in Michigan cider 1997-2002 .................................................................................................................... 58 Table 9. Bacterial populations in Michigan cider samples by year between 1997 and 2002 ............................................................................................... 59 Table 10. Bacterial counts in Michigan cider from mills with different production volumes ...................................................................................................... 60 Table 11. Bacterial populations in Michigan apple cider from mills using thermal pasteurization or UV light irradiation compared with mills using no intervention technology ................................................................................................ 62 Table 12. Characteristics of cider mills and processors’ agreement with HACCP implementation is necessary for cider safety (11 = 52) ................................................. 80 Table 13. Comparison of juice manufacture size definitions according to the US. Food and Drug Administration (FDA) and according to the Michigan Department of production volumes ................................................................................................. 82 Table 14. Processors’ perceptions of the need and effectiveness of the juice HACCP regulation and rationalizations for these perceptions .................................... 83 Table 15. Processors’ perceptions of the juice HACCP regulation ................................ 84 Table 16. Responses of processors to the juice HACCP regulation ............................... 85 Table 17. Processors’ perceptions of visiting frequency of consumers to their cider mill ............................................................................................................................... 86 Table 18. Processors’ perceptions of consumers’ response to the juice HACCP regulation and rationalizations for these perceptions .................................................. 87 Table 19. Processors’ perceptions of consumers’ motivations to purchase cider ........... 88 Table 20. Cider qualities promoted by processors .......................................................... 89 Table 21. Demographic characteristics of Michigan e-mail respondents and the US. Population .................................................................................................................... 102 Table 22. Michigan apple cider and juice consumers’ concerns about potential hazards refrigerated juice (n = 497) .......................................................................................... 104 Table 23. Michigan apple cider and juice consumers’ sources of food safety information (11 = 497) ................................................................................................... 105 Table 24. Michigan apple cider and juice consumers’ knowledge of cider labeling requirements (n = 497) ................................................................................................. 106 Table 25. Michigan apple cider and juice consumers’ knowledge of food safety terms (n = 497) ............................................................................................................. 107 Table 26. Labeling statements likely to influence Michigan apple cider and juice consumers’ purchase decisions (11 = 497) ........................................................................ 108 Table 27. Michigan apple cider and juice consumers preferred retailer to purchase refrigerated apple cider or juice with following characteristics (11 = 497) ................... 109 xi LIST OF FIGURES Figure 1. Number of active cider mills in Michigan stratified by production volume of mill (1997-2002) ...................................................................................................... 52 Figure 2. Percentage of cider mills having adequate compliance with Current Good Manufacturing Practices stratified by production volume of mill ............................... 55 Figure 3. Total aerobic plate counts of Michigan cider between 1997 and 2002 stratified by production volume of mill ....................................................................... 61 Figure 4. Total aerobic plate counts in Michigan apple cider using thermal pasteurization or UV light irradiation compared with mills using no intervention technology .................................................................................................................... 63 xii LIST OF ABBREVIATIONS CDC ................................................... US. Centers or Disease Control and Prevention CFU .................................................... Colony Forming Unit CFR .................................................... US. Code of Federal Regulations CGMPs ............................................... Current Good Manufacturing Practices CODEX .............................................. Codex Alimentarius Commission CSA .................................................... Community Supported Agriculture FDA .................................................... United States Food and Drug Administration GAPS .................................................. Good Agricultural Practices HACCP .............................................. Hazard Analysis and Critical Control Points HTST .................................................. High Temperature Short Time Thermal Pasteurization HUS .................................................... Hemolytic Uremic Syndrome MDA .................................................. Michigan Department of Agriculture NACMCF ........................................... National Advisory Committee on Microbiological Criteria for Foods PEF ..................................................... Pulsed Electrical Field SEM ................................................... Standard Error of Mean SSOPs ................................................ Sanitation Standard Operating Procedures U.S. .................................................... United States USDA ................................................. United States Department of Agriculture USGAO .............................................. United States General Accounting Office UV light ............................................. Ultraviolet light irradiation xiii CHAPTER I. INTRODUCTION Juice Food Safety Concerns and HACCP The United States (U .S.) is considered to have one of the safest food supplies in the world. Research and opinion polls, however, continue to find that consumers are concerned about food safety. To address these concerns, the government agencies responsible for food safety have investigated foodbome outbreaks to identify sources of contamination and other factors that contribute to these illnesses. Additional laws and regulations have been established for foods that the agencies believe present significant risk to consumers. Juice is a food of concern because there have been several well- publicized foodbome illness outbreaks and the US. Food and Drug Administration (FDA) estimates there are between 16,000 to 48,000 cases of juice-related illnesses each year in the US. (FDA, 2001). The FDA recently promulgated a regulation requiring Hazard Analysis and Critical Control Point (HACCP) systems be implemented by the juice industry. Investigations into juice outbreaks and operating procedures in juice processing facilities determined that the pathogens, Salmonella spp., E. coli 0157:H7 and Cryptosporidium parvum, are the most resistant microorganisms of public health significance found in juice and considered to be the pertinent juice pathogens (FDA, 2001). In January 2001, the FDA published the final juice HACCP regulation with compliance to occur in phases based on the size of the juice manufacturing business. In January 2002, implementation of the FDA juice HACCP regulation was expected for the largest juice manufacturers — those having more than 500 employees and not being defined as small or very small businesses. Small businesses were to comply no later than January 2003 and were defined as operations employing fewer than 500 employees and not considered a very small operation. Very small juice manufacturers were required to comply with the regulation in January 2004 and were defined as those Operations that have either total annual sales of less than $500,000, or have total annual sales greater than $500,000 but their total food sales are less than $50,000 or are operations that employ fewer than an average of 100 full-time equivalent employees and sell fewer than 100,000 units of juice in the US. (FDA, 2001). The juice HACCP regulation states that significant food safety hazards must be addressed at all points in fruit and vegetable growing, harvesting, processing, storage and distribution of juice. The regulation also established a performance standard, such that juice products subject to the regulation must be treated in a manner that will achieve a 5-log reduction of the pertinent pathogens. An exception was made to the juice HACCP regulation for juice processed and sold at the same retail establishment and directly to consumers. These juice manufacturers were exempted from implementing HACCP and a 5-log reduction step to reduce the risk of pertinent pathogens but were required to have a specific warning label on juice packaging informing consumers about the risk of pathogens in the juice (FDA, 2001). The juice HACCP regulation provides a research opportunity to investigate processors’ food safety practices and their perceptions of HACCP. HACCP is a well- established food safety program, in the US. and internationally, and required in most sectors of the US. food industry (Table 1). HACCP is a systematic approach to the identification, evaluation and control of chemical, physical and biological hazards in the food supply. The objective of HACCP is to make the food safe and to be able to prove that food was produced in a manner that ensures its safety. In 1995, the FDA issued the first legislation requiring HAACP implementation in the seafood industry. The United States Department of Agriculture (USDA) closely followed with issuance of a HACCP regulation better known as the “Mega-Reg” in 1996 for the meat and poultry industry (FDA, 2001; National Research Council, 1998; Stevenson and Bernard, 1999; USDA, 1999). A report from the US. General Accounting Office (U SGAO) into HACCP compliance found that in the seafood industry, two years after implementation of the HACCP regulation, only 44% of processors were using HACCP (U SGAO, 2001). This poor compliance was believed to stem from a lack of processor knowledge, disagreement with the seafood legislation, and limited enforcement by FDA inspectors. Successful implementation of HACCP depends upon processors’ consensus that it is beneficial to improving food safety of their products and agency inspectors ensuring that HACCP systems are in place and effective (U SGAO, 2001). Another research opportunity provided by the juice HACCP regulation is to investigate consumers’ perception of food safety in regards to juice and HACCP. Surveys of consumers’ perceptions reveal that concerns over food safety are increasing (Bruhn and Schutz, 1999; Johnson and Griffith, 1996; Unklesbay et al., 1998). At the same time, perceptions and behaviors are not necessarily correlated. For example, Bruhn and Schutz (1999) surveyed over 600 California residents, and found that while many were aware of the cross-contamination risks associated with raw meat and fruits and vegetables, they would often wash cutting boards and utensils with nothing more than water. In addition, many relied on sensory perceptions to judge the safety of the food, instead of safe handling practices. Johnson and Griffith (1996) studied consumers’ perceptions toward seafood and pollution, and concluded that while consumers were concerned with heavy metals in their seafood, there was not enough information for consmners to make informed purchase decisions. Consumers involved in focus groups about food safety of meat were not familiar with HACCP. After an explanation of HACCP consumers were asked if a HACCP approval seal on the meat package would increase their confidence in the product and would they be willing to pay a higher price for the meat if it carried the HACCP seal. Consumers indicated HACCP would increase their confidence in the product but believed this type of food safety program should already be the standard operating procedure for meat processors. Therefore, they were not willing to pay more for a HACCP approval seal (Ford et al., 1998). This research study investigates Michigan cider processor food safety practices from 1997 through 2002 and the bacterial populations of Michigan apple cider. We also surveyed processors in 2002 on their perceptions of the juice HACCP regulation and cider safety, and Michigan consumers who purchased apple cider and juice during 2002 about their perceptions of juice food safety. Apples, apple cider and juice are important commodities to the state of Michigan. Michigan is one of the top four apple producing states and one of the top three states in cider production with approximately 30 percent of Michigan apples processed into cider each year (Michigan Apple Association, 2004; Michigan Agricultural Statistics, 2003). In this dissertation, the term cider describes unfiltered apple juice. Cider mills describe processing plants that process apples into unfiltered juice and processors of these plants are referred to as cider processors. In the literature review, the term juice refers to fruit juice and apple juice is used when the research does not specific cider. Objective, Hypotheses And Specific Aims The objective of this research was to determine if bacterial hazards and perceptions of cider by Michigan processors and consumers have changed due to foooborne illness outbreaks associated with juice and the implementation of the FDA juice HACCP regulation. My hypothesis is; H0: Because of the FDA juice regulation it is hypothesized that: a) From 1997 through 2002, bacterial counts in cider are influenced by cider mill size and implementation of technologies to reduce bacterial load; b) In 2002, practices and perceptions about HACCP differ among processors; c) In 2002, consumers will be concerned about juice safety and these concerns will influence purchase decisions about apple cider and juice. The specific aims are: 0 To determine if the size of the cider mill, based on production volume, influenced compliance with Current Good Manufacturing Practices and adoption of intervention technology, such as thermal pasteurization and ultraviolet light irradiation and bacterial populations from 1997 through 2002 in Michigan. 0 To determine cider mill processors perceptions about cider food safety and the FDA Juice HACCP Regulation. 0 To determine Michigan apple cider and juice consurners’ perceptions about food safety and apple cider or juice. Data from Michigan Department of Agriculture (MDA) annual inspections of cider mills from 1997 through 2002 and bacterial analyses of end-product cider samples were used for this study. Microbial analysis included total aerobic plate count, total coliforrns, generic E. coli, and E. coli 0157:H7. In August and September 2002, two surveys were mailed to cider processors asking about their processing practices and perceptions of the juice HACCP regulation. In October 2002, an e-mail survey was sent to Michigan consumers who purchased apple cider and juice to inquire about their perceptions of food safety and apple cider or juice. Dillman’s (2000) survey research methods were used to design, write and implement the survey questions and data collection. Data were analyzed using Statistical Analysis Software (SAS), Cary, NC. Table 1. History of Hazard Analysis and Critical Control Points (HACCP) Year Organization Purpose Description Reference 1959 Pillsbury Space foods As a result of Stevenson and Company, US NASA food safety Bernard, 1999 Army Natick requirements for Laboratories and space foods served NASA during manned space flights 1973 Pillsbury Company Canned and frozen Cooperative Stevenson and foods project with FDA Bernard, 1999 to develop inspections of food processing facilities 1973 Food and Drug Low-acid foods CFR 21, Part 113 FDA, 1973 Administration and acidified outlines initial (FDA) canned foods principles of regulations HACCP 1985 National Academy Food safety of Issued report to NAS, 1985 of Sciences (NAS) processed foods establish microbial criteria of foods and endorsement of HACCP 1989 National Advisory Food safety Microbial criteria NACMCF, 1989 Committee on for food and food Microbial Criteria ingredients and for Foods seven steps of (N ACMCF) HACCP established 1993 Food and Drug Milk and milk Grade A FDA, 1993 Administration products Pasteurized Milk (FDA) Ordinance (PMO) requires dairy processors to follow PMO based on HACCP principles 1995 Food and Drug Seafood CFR 21, Part 123 FDA, 1995 Administration Procedures for the (FDA) Safe & Sanitary Processing and Importing of Fish and Fisheries Products 1996 United States Meat and poultry CF R 9, Parts 416 USDA/F SIS, 1996 Department of & 417 Agriculture Pathogen (USDA) reduction; HACCP systems for Meat and Poultry Table l (cont’d). 1997 National Advisory Food safety HACCP Principles NACMCF, 1997 Committee on and Application Microbial Criteria Guidelines for Foods (NACMCF) 1997 Codex Food safety of International CODEX General Alimentarius processed foods adoption of Principles of Food Committee on HACCP Hygiene, 1997 Food Hygiene (CODEX) 2001 Food and Drug Juice CF R 21, Part 120 FDA, 2001 Administration HACCP; (FDA) Procedures for the Safe and Sanitary Processing and Importing of Juice; Final Rule. CHAPTER II. REVIEW OF LITERATURE A. Juice Foodborne Illness Outbreaks and Bacterial Hazards The FDA estimates there are between 16,000-48,000 juice-related illnesses per year in the United States (FDA, 2001). The majority of these illnesses are believed to results from the presence of pathogenic microorganisms in juice. Unpasteurized juices are of greatest concern because of a significant number of foodbome illness outbreaks associated with consumption of these products (Table 2). These outbreaks generally have resulted either from use of contaminated fi'uit or improper sanitation during processing. The quality of incoming fruit and appropriate methods to clean and sanitize fruit and processing equipment are most critical when processing unpasteurized juice (Besser, et al., 1993; FDA, 2001). The ability of some pathogens (e.g., E. coli 01 57:H7, Salmonella spp. and Cryptosporidium parvum) to survive under the mildly acidic conditions of apple and orange juice has further heightened concern about the safety of unpasteurized juice products (FDA, 2001; Zhao et al., 1993). The presence of pathogens in untreated juice was reported as early as 1923 when Salmonella Typhimurium was traced to unpasteurized cider (Parish, 2000). Heightened awareness about pathogens in fresh juice occurred in 1974 when the Centers for Disease Control and Prevention (CDC) issued a report about an outbreak because of to Salmonella Typhimurium in commercial unpasteurized apple juice. The presence of Salmonella in the unpasteurized juice was believed to have resulted from the juice being made from apples that had fallen to the ground where they were exposed to manure. The contaminated apples were then processed under poor sanitation conditions (CDC, 1975). In 1980, fresh unpasteurized apple juice was suspected to be the cause of several cases of hemolytic uremic syndrome (HUS) in Canada after the victims drank the fresh juice; however, because of a lack of samples the cause of the illnesses was not confirmed (Steele, et al., 1982; Parrish, 2000). In 1982, E. coli 0157:H7 was identified as a human pathogen (Doyle, 1991). A confirmed HUS outbreak in the United States in 1991 was linked to consumption of fresh-pressed unpasteurized apple juice (FDA, 1998). E. coli 0157:H7 was found in the unpreserved refrigerated apple juice and the organism was believed to have survived for over 20 days (Zhao, et al,. 1993). The juice was made from apples that had dropped from trees and were not washed before processing. It was concluded that fresh unpreserved apple juice could transmit E. coli 01572H7, and using only tree-picked, washed and brushed apples would reduce the risk of transmission of E. coli 0157:H7 into the finished juice (Besser et al., 1993). In 1996, two foodbome illness outbreaks were traced back to the presence of E. coli 01 57:H7 in unpasteurized apple juice. One incident involved several people becoming ill at a church function after consuming unpasteurized cider (CDC, 1996; FDA, 1999) and the second was a multi- state HUS outbreak in the western US. and Canada. The latter outbreak involved 70 people, of which 50 percent were children under five years of age, and caused the death of one child (CDC, 1996). Again, these incidents were believed to have occurred due to improper handling of the fruit and poor sanitation during processing (Parish, 1997). Unpasteurized orange juice contaminated with Salmonella spp. has been associated with several foodbome illness outbreaks. Testing of the contaminated orange juice from the 1995 outbreak confirmed the presence of three serotypes of Salmonella (Hartford, Gaminara and Rubislaw) and a second outbreak in 1999 was attributed to Salmonella Muenchen. In 2000, a third outbreak occurred and Salmonella Enteritidis 10 was found in the unpasteurized orange juice. These foodbome illness outbreaks all resulted from poor sanitation practices, processing equipment not being properly cleaned and the processing facility not adequately screened or secured to prevent the entrance of insects and animals (Cook, etal., 1998; FDA 2001; Parrish, 1997, 1998, 2000). Two foodbome illness outbreaks associated with apple juice and the presence of Cryptosporidium parvum have occurred, one in 1996 and one in 2003 (Table 2). The 1996 outbreak was investigated since Cryptosporidium parvum, a protozoan parasite, is commonly recognized as a waterborne parasite. Cryptosporidium oocysts are extremely stable and can remain infectious for long periods of time in water and food. The investigation found oocysts to be resistant to sanitizers used in wash water for apples, and the CDC suggested that the apples might have been the source of the contamination (CDC 1996; Ohio Department of Health, 2003). The bacterial agents of most concern in acidic juice (pH 4.6 or less) include E. coli 0157:H7, various Salmonella spp. and the protozoan parasite Cryptosporidium parvum. Listeria monocytogenes is also considered a possible pertinent pathogen of concern due to its ubiquitous nature. These pathogens can thrive on damaged fi'uit. If this fruit is used in juice production, the pathogens have the ability to resist sanitizers and survive in acidic conditions. It is believed that using damaged fruit along with inadequate processing controls are the reasons for juice-associated foodbome illness outbreaks (FDA, 2004). Pathogens contaminate fi'uit through contact with feces, contaminated water or soil, insects or equipment surfaces. Their presence in juice can be controlled through the appropriate use 11 Current Good Manufacturing Practices (CGMPs) and a lethality step in processing (FDA, 2002; FDA 2004). B. Juice Characteristics and Bacterial Survival Although juice-associated foodbome illness outbreaks were reported as early as 1923 (Table 2), research and food safety concerns were not focused on bacteria surviving and growing in juice. Fruit is high in moisture content, has a high percentage of carbohydrate and a low pH, ranging from 2.9 to 5.0 depending on the fruit. Fruit is also protected by a skin serving as a protective barrier that discourages microorganisms from invading the inside of the fruit (Jay, 1996). There are two types of microorganisms that can adhere to the surface of fruit. The first is a natural floral consisting of aerobic non-pathogenic bacteria, yeast and molds that attach to the fruit surface. The second type of microorganisms found on fruit results from external forces such as wind, soil, dust, rain, floods, insects, birds and rodents. These microorganisms, which may include pathogens, can contaminate the fruit’s surface and vary geographically and from orchard to orchard. When an injury occurs to the fruit’s surface, microorganisms can penetrate to the interior and grow depending on the temperature, presence of moisture and length of exposure (Doores, 1993; Jay, 1996). The pH of the apple may also be a factor in supporting the presence of pathogens. Fisher and Golden (1998) found Golden and Red Delicious apples tend to support the growth of E. coli 0157:H7 due to their higher pH compared with other apple varieties. Another study found that mold on the apple’s surface can cause damage and raise the apple’s pH. If a pathogen, such as E. coli 01 57:H7, is present on a mold-damaged apple it can enter the interior and grow due to the higher pH (Doores, 1993). 12 Concerns about pathogens surviving in juice were validated by research that investigated the pH and cold tolerance of E. coli 01572H7. This pathogen can survive at pH below 4.0 and at typical refiigeration temperatures of approximately 4.4°C (40°F) (Riordan et al., 2001; Tauxe et al., 1997; Zhao et al., 1993) This research study focuses on bacterial hazards in Michigan cider; however, other hazards can occur in cider processing such as chemical and physical hazards. C. Chemical and Physical Hazards in Juice In addition to bacterial hazards, chemical and physical hazards are a concern in juice. Chemical hazards can exist if sanitizers or other chemicals used to clean equipment are not properly used. For example, residual cleaning or sanitizing solution may contaminate the product if equipment or plumbing is not effectively rinsed following cleaning and sanitizing procedures. An example of this occurred in 2002, when orange juice was recalled due to the likely presence of equipment cleaning solution (FDA, 2002). Another chemical hazard associated with juice is the mycotoxin patulin in apple juice. Patulin is produced in rotting and moldy apples. Fallen and damaged apples are susceptible to the growth of patulin-producing molds. Improper or extended storage of apples (more than a few months) encourages patulin growth. High levels of patulin may occur in juice, including pasteurized juice, because thermal processing does not effectively destroy patulin. Exposure to high levels of patulin over time can be a health hazard. The FDA has established an action level for patulin of 50 micrograms per kilogram (FDA, 2001). Undeclared food allergens in juice represent another chemical hazard that may result from cross-contamination from shared processing equipment. Many large juice 13 manufacturers use the same equipment to process milk. If the equipment is inadequately cleaned, any milk protein left on the equipment could contaminate the juice resulting in a milk allergen concern. Other chemical hazards that should be considered in a HACCP plan include pesticide residues from treated fi'uit, possible lead contamination stemming from the historical use of lead arsenate as an insecticide and tin if the fruit juice is packaged into cans (FDA, 2004). Physical hazards are generally classified as any potentially harmful extraneous matter not normally found in food and capable of causing personal injury. Examples of physical hazards that may occur in juice include glass fragments because of breakage if juice is packaged in glass containers or metal that may arise from equipment during processing. Each potential hazard needs to be evaluated based on the processing operation and the likelihood of the hazard (FDA, 2004). Investigation in the chemical and physical hazards in cider is not included in this research. D. Juice Hazard Analysis and Critical Control Points (HACCP) In August 1997, the FDA published a notice of intent announcing a comprehensive program to address foodbome illness and hazards associated with juice products. The first regulation, promulgated in 1998, required a warning statement on the product label for juice products that were not processed using HACCP or a lethality step that would achieve a cumulative 5-log reduction of the pertinent pathogens. The warning statement reads; “WARNING: This product has not been pasteurized and, therefore, may contain harmful bacteria which can cause serious illness in children, the elderly, and persons with weakened immune systems.” In addition, educational programs on juice safety and HACCP were established for juice manufacturers. 14 In 1998, the FDA announced its intention to require juice processors to develop and implement HACCP systems. A lengthy process whereby the agency sought public comments and scientific advice ensued. During the comment period additional consideration was given to four areas: 1) internalization and survival of pathogens in produce used for juice, 2) application of the 5-log reduction standard, 3) current methods used by juice processors to monitor the application of heat treatment to juice and 4) certain economic matters related to the juice regulation. For the areas of internalization and survival of pathogens, and application and measurement of the 5-log reduction standard, the FDA sought the guidance of the National Advisory Committee on Microbiological Criteria for Foods (NACMCF). NACMCF members concurred that it is theoretically possible for microorganisms to enter the interior of apparently sound, intact fruit under certain processing conditions, such as when temperature differences occur between the fi'uit and the wash water. The committee concurred that the likelihood of bacteria entering intact fruit via wash water in concentrations sufficient to cause foodbome illness was relatively low. However, once a pathogen is introduced into the fi'uit juice, it can survive the juice’s acidic pH (FDA 1999; FDA 2001). NACMCF also provided the FDA with five basic consensus decisions related to the application and measurement of a 5-log reduction standard for juice. The five decisions stated that the 5-log reduction need not start with the extracted juice but may begin with the exterior decontamination of fruit. However, processors should not begin calculation of the cumulative S-log reduction until the fruit is cleaned and culled. Secondly, a possible method to minimize potential microbial infiltration into the fruit would be controlling the wash water temperatures, as well as excluding damaged fruit. 15 This was based on research concluding that microbes can penetrate into damaged fruit when warm fruit is washed with cold water (Annous et al., 1995; Kenney et al., 2001). Thirdly, the entire 5-log reduction must occur under one firm’s control and in one processing facility. If processors transport fruit or juice to another facility for extraction, blending or final packaging, then a S-log reduction must be accomplished in the second facility. F ourthly, bulk juice repacked at another facility must have a 5-log reduction process at the final packing facility. Lastly, as part of the HACCP verification program, firms must conduct microbial testing on the final product if the 5-log reduction process relies in part on fruit surface treatment. This testing would verify the 5-log reduction process by testing for generic E. coli as a means to assess the control of the process and utilize the appropriate bacteria sampling method, conducted as part of the HACCP plan. Although generic E. coli is not a pathogen, its presence is an indicator of fecal contamination that may indicate the presence of pathogens such as E. coli 0157:H7, Salmonella spp. and Cryptosporidium parvum. If the end-product tests positive for generic E. coli then testing is to be conducted for specific pathogens of concern (FDA, 2001) Based on the history of outbreaks from juice products, the Fresh Produce Subcommittee of the NACMCF and several other organizations recommended to the FDA that they move toward adopting mandatory HACCP for the juice industry to assist in reducing microbiological risks associated with juice. In response to this and other input, the FDA published the final regulation - Hazard Analysis and Critical Control Point (HACCP); Procedures for the Safe and Sanitary Processing and Importing of Juice; Final Rule (21 CF R Part 120) in January 2001. Required compliance with the juice l6 HACCP regulation was phased in over a three-year period with large, small and very small processors having to implement HACCP systems in January 2002, 2003 and 2004 respectively. FDA did not accept all of the NACMCF’S recommendations and made the following exceptions; 1) the juice HACCP regulation only applies to 100% juice beverage products and 2) retail establishments or businesses that make and sell juice directly to consumers and do not sell juice to other businesses are exempt from the juice HACCP regulation, but must comply with F DA’s food labeling regulation that requires a warning statement on packaged fruit and vegetable juice products that have not been processed using a lethality step to reduce the risk of pathogens (FDA, 2001). E. Apple Production and Juice Processing The juice HACCP regulation applies to the processing of juice. It does not directly apply to the growing, harvesting and transporting of fruits and vegetables that are used to process juice. However, growers, transporters and juice processors are encouraged to undertake some activities and functions that are not HACCP control measures but serve as prerequisites for a HACCP plan. These activities and functions include Good Agriculture Practices (GAPS), Current Good Manufacturing Practices (CGMPS) and Sanitation Standard Operating Practices (SSOPs) from the orchard to storage and distribution of the bottled juice. Juice processing research investigating possible contamination venues from growing and harvesting to the final product support the use of GAPS and CGMPS to reduce the risk of pathogens contaminating juice. The entire juice processing process needs to be evaluated since contamination can be attributed to many factors throughout processing (Dingman, 1999). 17 Practices in the orchard such as the water used, presence of animals, harvesting of dropped apples and timing of harvesting can increase the risk of coliforms, generic E. coli and E. coli 0157:H7 being present on or in fruit. It is recommended that precautions be taken in the orchard to prevent animals from contaminating the water for irrigation. Processors also need to take safeguards to reduce the roaming of animals in the orchard due to potential contamination from fecal droppings. In addition, uncomposted manure is not to be used as a fertilizer since it is a source of E. coli and other pathogens. Workers also need to practice good personal hygiene and sanitation while in the orchard and while harvesting apples to prevent contamination of the apples, harvesting equipment and storage containers (Castelnuovo and Ingham, 2001; FDA, 1998; FDA, 2004). In a study to determine potential orchard reservoirs of E. coli 0157:H7, fourteen apple orchards located throughout the United States were investigated in late September 1999. Irrigation water in three of the orchards tested positive for generic E. coli. Orchards that allowed animals to roam had a higher incidence of generic E. coli and coliforms on the fruit than those that had fences to prevent roaming animals. E. coli 0157:H7 was not detected in the soil of any of the orchards (Riordan et al., 2001). Ujlas and Ingharn (2000) also determined that the proximity of the orchard to pastures where animals roamed and the potential for water run-off from livestock operations also increased the presence of E. coli and coliforms in the orchard soil. Culling of the fruit to separate dropped, damaged or decayed fruit is particularly important in juice processing since damaged fruit is more likely to carry pathogens. Several studies investigating the presence of coliforms and generic E. coli on apples, before processing, found dropped apples had the highest counts of total coliforms and 18 generic E. coli (Riordan et al., 2001; Dingrnan, 1999; Uljas and Ingham, 2000). In a 1991 study, all of the cider producers surveyed used dropped apples to make apple cider (Besser et al. 1993). It is important to note that this study was conducted before the large outbreaks of E. coli 0157:H7 associated with apple cider were widely recognized (Besser et al., 1993). In more recent surveys, dropped apples continue to be used, but to a lesser extent. Wright et al. (2000) found that 32 percent of apple cider producers surveyed used dropped apples while Uljas and Ingharn (2000) found only 14 percent of producers surveyed used dropped apples. In Michigan, based on state inspections, the use of dropped apples to make juice was less than 10 percent in 2002 (Wojtala, 2003). The timing and duration of apple storage may also influence the presence of generic E. coli and E. coli 0157:H7. A Connecticut orchard study found that apples harvested and later stored in the season (mid-October to mid-November) had a higher incidence of E. coli and E. coli 0157:H7 than apples harvested and stored earlier in the season (mid-September to early October). The higher incidence of E. coli in apples harvested and stored later was believed to be due to the apples coming in contact with more rodents and birds as the weather became colder. Storage containers also can be a source of contamination and need to be kept flee from debris, cleaned after each use and then stored to prevent access to rodents, birds and wildlife. To reduce exposure to animals and pathogens it is recommended that apples be stored covered in a cool area (Dingman, 1999). Harvesting practices such as selecting undamaged tree-picked apples, good personal hygiene of workers and proper storage are important to help prevent juice contamination. However, research also has found that contamination cannot be directly tracked to harvesting practices (Riordan et al., 2001). 19 CGMPS are required for personnel, buildings and facilities, equipment and utensils, production and process controls and warehousing and distribution. CGMPS for personnel include disease control, cleanliness, educational training and supervision. The employee practices that can reduce the likelihood of pathogens include ensuring the workers are free of illness and frequently wash their hands with soap. Additional good employee practices to prevent contamination and foreign objects from entering juice include wearing of clean outer garments, hairnets or caps, removal of j ewelry and other objects that may fall into food, equipment or containers, and avoid eating or drinking in the food processing area. In addition, employees are to be trained on proper food handling and supervisors are responsible for ensuring employees are following good personal hygiene practices (Stevenson and Bernard, 1999). The juice processing building and facilities should be fully enclosed, have sufficient space for equipment, have hot and cold running water, have adequate storage for chemicals away from processing equipment and food, and be adequately screened to prevent the entry of animals or insects. Precautions need to be taken to ensure processing areas are cleaned and sanitized frequently to protect against food contamination (FDA, 1998) Processing CGMPS start with the washing and brushing of apples used for juice production to reduce the risk of contamination. The wash water needs to be potable and not re-circulated and brusher units should be cleaned and sanitized on a regular basis. Wash water temperature is an important consideration. Research on wash water temperatures and apples found that when the water is more than 10 °F cooler than the fruit, bacteria are more likely to penetrate through wounds or the apple’s stem or calyx 20 (Kenney et al., 2002). Sanitizers such as chlorine, organic acids, and hydrogen peroxide often are used to reduce the risk of bacterial contamination through wash water. Sanitizers can result in a 2- to 3-log reduction of total bacterial populations on apple surfaces. However, research also indicates that certain pathogens can become tolerant of sanitizers (Kenney et al., 2001; Sapers et al., 1999; Wright et al., 2000). Bacteria such as E. coli can easily bind to small puncture wounds on the apple surfaces as well as onto the apple stems or the calyx end. If bacteria penetrate the apple subsurfaces through wounds they may be protected from decontamination treatments. Difficulty associated with removal of microorganisms from fruit surfaces reinforces the need for additional measures to control pathogens in juice products (Annous et al., 2001; Sapers et al., 1999; Wright et al., 2000). Appropriate cleaning and sanitation of the hammer mill, press and press clothes are critical to prevent cross-contamination. Equipment needs to thoroughly cleaned and sanitized after each juice production run. To emphasize the need for proper sanitation of this processing step, Annous et al. (2001) found that cross-contamination can occur at the hammer mill and pressing stage due to protected bacteria in the apple subsurfaces being released during apple crushing. Improper sanitation of the mill, press and press clothes can allow pathogens to survive and infect additional batches of cider. After pressing the apples, cider is placed in a holding tank. Tanks can be a source of contamination if not covered and thoroughly cleaned and sanitized before use. Annous et al. (2001) did not find tanks to be a source of cross-contamination. 21 F. Interventions and Technologies to Reduce Bacterial Levels in Apple Juice The juice HACCP regulation requires a 5-log pathogen reduction of the pertinent pathogens of concern. The pathogens of concern are E. coli 0157:H7 and Cryptosporidium parvum for apple cider and juice, and Salmonella spp. for citrus juices (FDA, 2004). For citrus juices, pathogen reduction treatments can be applied to the surface of the citrus fruit prior to extracting the juice. For other fruit and vegetable juices, the 5-log pathogen reduction must occur afier the juice has been extracted. The 5- log reduction must occur in a single facility that also packages the juice for sale. Exceptions to this portion of the HACCP regulation have been granted when high degree Brix juice concentrates are used, or when the bulk transport and packaging of shelf-stable single strength juice is transported in aseptic packaging. The FDA has approved both thermal pasteurization and UV light irradiation as one-step processes to control microorganisms (FDA, 2004). The juice HACCP regulation allows for multiple processing steps to be used to achieve the 5-log reduction of pertinent pathogens and research has investigated a variety of methods (Table 3). Chemical preservatives are effective germicides since they are able to denature bacterial enzymes resulting in cell death and thereby prolong shelf life of the product (Jay, 1996). Sodium benzoate and potassitun sorbate are the most commonly used preservatives in apple juice. Sodium benzoate in combination with potassium sorbate is the most effective and these chemicals also tend to reduce the heat resistance of E. coli 0157:H7 (Zhao et al., 1993). Preservatives alone can achieve up to a 3-log reduction in pathogens, but this reduction can take as long as twenty-one days (Kasper and Miller, 1994). When 50 milligrams of sulfur dioxide was added to a liter of cider, a 5-log 22 reduction of E. coli 0157:H7 was achieved after approximately 4.5 hours at ambient temperatures. However sulfur dioxide alters the sensory characteristics of the cider and it may not be acceptable to consumers (Worobo et al., 1998). Dimethyl dicarbonate is also effective in achieving a 5-log reduction for E. coli 0157:H7, but it is not approved for use in cider (Worobo et al., 1998). Researchers conclude that chemical preservatives need to be used in combination with other treatments to achieve a 5-log reduction, and not be the primary method to reduce bacterial load in cider (Miller and Kaspar, 1994; Worobo 1998) A 5-log reduction of E. coli 0157:H7 in cider was achieved with the combined use of copper ion water and sodium hypochlorite followed by sonication at 44 to 48 kHz (Rogers and Ryser, 2004). Additional investigation is needed to assess implementation, application, and feasibility of this process in actual production facilities and any effect on the sensory attributes on the cider. Fermentation of cider is an effective method to reduce E. coli 0157:H7 by more than a 5-log reduction after 3 days. However, the fermented cider contains ethanol and is no longer considered a juice (Semanchek and Golden, 1996). Storing cider at -20°C, followed by thawing and refreezing cycles, achieved a 1- log reduction of E. coli 0157:H7. Decreases in bacterial populations resulted after each freeze-thaw cycle (Yamamoto, 2001). Sage and Ingham (1998) studied freeze-thaw cycles and the injury of E. coli 0157:H7, and found inconsistency in the rates at which cells are injured. The sensory characteristics of the resulting cider also may not be acceptable. Freezing would need to be used in combination with another method to achieve a 5-log reduction. 23 Ozone treatment technology involves pumping ozone into juice to destroy bacteria. In a study using ozone to inactivate E. coli 0157:H7, it took 240 minutes at 4°C to achieve a 5-log reduction. At higher concentrations of juice solids, the length of ozone treatment had to be increased. In addition, sensory characteristics of the juice changed and were not acceptable by taste testers in the study. The length of time to achieve the required bacterial reduction and adverse effects on sensory characteristics may prevent ozone treatment from being a feasible and cost-effective treatment for juice processing (Williams, 2001). Ultrafiltration is another technology effective in reducing bacterial levels. Ultrafiltration is essentially a sieving or filtering process using a membrane based on the Size and shape of the compound. Flavor, color and nutrient characteristics are often maintained. Ultrafiltration of apple juice can achieve a 5-log reduction in aerobic plate count, molds and yeasts. Because of the relatively large size of solids in apple cider, multiple membranes are necessary to filter the juice and can result in variability in reduction of bacterial populations. Additionally, ultrafiltration technology may not be cost or time effective in cider mills (Ortega-Rivas et al., 1998). Buchanan et al. (1998) investigated the effectiveness of low-dose gamma irradiation on reducing E. coli 0157:H7 in apple juice. Gamma irradiation was effective at refrigerated temperatures, but juice having high solids contents required an increased dose of irradiation and longer exposure times to achieve the 5-log reduction. Sensory characteristics of the juice were also altered. Additional research is needed to further validate appropriate procedures for the use of gamma irradiation with juice. 24 High-pressure treatment involves the application of extremely high hydrostatic pressure in combination with time and temperature to reduce bacterial populations. High-pressure treatment also maintains sensory characteristics of the cider. Hi gh-pressure treatment in commercial settings has achieved a 5-log reduction of E. coli 0157:H7 in juice when using pressures of 80,000 psi for 30 seconds (Balasubramaniam, 2000). High-pressure technology using 80,000 psi for 60 seconds achieved a 3-log reduction in Cryptosporidium parvum in inoculated apple and orange juice; however, the researchers recommended additional validation testing since results varied due to juice solids (Sliflco et al., 2000). Pulsed electrical field (PEF) treatment involves the application of rapidly varying electric fields through a liquid medium. Research using an electrical field strength of 80 kV/cm and frequency of 30 pulses at 42°C resulted in cell injury and death and achievement of a 5-log reduction of E. coli 0157:H7 in inoculated apple cider (Iu et al., 2001). Care needs to be taken when using PEF to control pathogens because results can vary depending on the concentration of juice solids (Evrendilek et al., 2003; FDA, 2004). UV light irradiation is a FDA approved treatment for the processing of juice. Research at Cornell University validated that UV light treatment using the CiderSure system consistently achieved a 5-log reduction of E. coli 0157:H7 in apple juice. Several factors can influence the effectiveness of UV light treatment in reducing pathogen numbers. These factors include exposure time, the amount of juice solids and the presence of compounds such as benzoate that quench UV light (Duffy et al., 2000; FDA, 2004; Senkel et al., 1999; Wright et al., 2000; Worobo, 1998). Hanes et al. (2002) assessed the potential of UV light to inactivate Cryptosporidium parvum oocysts that 25 were inoculated into apple cider. Effectiveness of UV light treatment against Cryptosporidium parvum was assessed through a mouse feeding bioassay. Mice were administered apple cider inoculated with Cryptosporidium parvum before and after UV treatment. The CiderSure system was utilized to evaluate the effectiveness of UV light to inactivate the ooycts. Cider was inoculated at varying concentrations of Cryptosporidium parvum oocysts with the highest being 10". Mice drinking the untreated contaminated cider became ill or died. Mice given the UV treated cider, regardless of the pathogen concentration, had no adverse reactions, indicating that UV light effectively inactivates Cryptosporidium parvum oocysts (Hanes et al., 2002). Processors choosing to use UV light cannot label their juice as pasteurized since this implies thermal pasteurization. Labeling terms allowed with this lethality step include “treated with UV light to control pathogens”, “treated with UV light to control harmful bacteria”, or “UV treated”. Juice processed using UV light cannot be labeled as “fresh” (FDA, 2004). High temperature, short time (HTST) thermal pasteurization involves using a constant time and temperature and has consistently proven to be the most effective method to achieve a S-log reduction of the pertinent pathogens in juice. One concern with thermal processing is that an undesirable cooked flavor can result either when the cider iS heated at excessively high temperatures or for extended periods of times. Temperature and time combinations to achieve a S-log reduction in E. coli 0157:H7 without noticeable effects on the sensory characteristics of cider were reported by Splitstoessor et al. (1995). They determined that effective thermal pasteurization regimes were 71.1°C (160°F) for 6 seconds for apple juice and 71.1°C (160°F) for 11 seconds for cider containing >50% Red Delicious apples due to the higher pH (Splittstoesser et al., 26 1995; Worobo, 1998). Mak et al. (2001) determined that 681°C (155°F) for 14 seconds or 71.1°C (160°F) for 6 seconds was sufficient to achieve a 5-log reduction of E. coli 0157:H7, Salmonella spp., and Listeria monocytogenes. Sensory characteristics of the juice were still acceptable to consumers (Mak et al., 2001). Although thermal pasteurization is highly effective, the equipment is expensive and may not be feasible for many small cider producers (Kozempel et al., 1998; McLellan and Splitstoesser, 1996; Worobo, 2001). The requirements of the juice HACCP regulation will impact the amount of time and money juice processors spend in additional surveillance and record-keeping as well as upgrades to their processing facilities and equipment (Kozempel et al., 1998, Worobo, 2001). Juice processors have been aware of the impending juice HACCP regulation since 1997. Investigation into how processors’ practices have changed in anticipation of the juice HACCP regulation and their perceptions of HACCP can help determine if additional measures are needed to ensure compliance with the new regulation. The overall goal of HACCP is to provide safe food to the public. Consumers state they are concerned about food safety and investigations into public perceptions of food safety, where they receive food safety information and their food safety concerns may also help determine how to educate both processors and consumers about juice safety. G. Perceptions of Food Safety Americans are faced with many decisions when choosing food and react to food safety information based on personal experience, information received and perceived risk (Sparks and Shepard, 1994). Prominent food safety issues, such as foodbome illness outbreaks, continue to occur and receive attention from the media and consumers. A 27 popular opinion study found that two-thirds of Americans are concerned about food safety (Roper, 2001). The International Food Information Council (1999) found that public concern about foodbome risks often exceeds concerns for other health and safety hazards, despite government assurances that the US. food supply is one of the safest in the world. Consumer’s reactions to food safety issues are influenced by their lifestyle, demographics and information sources (Yeung and Morris, 2001). In a study investigating personal food safety behaviors, it was found that belief in practicing positive health behaviors, such as eating healthier or exercising, socio-demographic factors and especially the presence of children in the household, are indicators as to whether or not a person follows food safety recommendations and how they evaluate personal risks (Schafer et al., 1993). Herrmann et al. (1997) studied reactions to food safety issues and found households with young children tend to be the most reactive and likely to make a change in their food behaviors due to a food safety issue. A survey of consumers’ attitudes about food safety found over 50 percent were concerned about food safety. Significant differences among sex, race, education, age and presence of children were found, with the greatest differences occurring with mothers of younger children, older women and women with higher education levels (Herrmann et al., 2000). Another study about food safety attitudes utilized focus groups and found adults of all ages were concerned about food safety but they “did not lose sleep over food safety”. Older adults indicated they believed food safety was a recent phenomenon driven by the media (Roe et al., 2001). 28 Although consumers indicate they are concerned and knowledgeable about food safety, many consumers do not necessarily make food purchases based on food safety or practice food safety in the home. Of those actually following food safety recommendations, females, older individuals and those preparing food for large households were more likely to follow recommended food safety practices than men, younger adults and those in smaller households (Meer and Misner, 2000). Studies have also examined whether or not poor food safety practices stemmed from a lack of knowledge. A survey on food safety knowledge found that 15 percent of consumers surveyed felt they were very knowledgeable about food safety, 65 percent considered themselves somewhat knowledgeable, 19 percent felt they were not very knowledgeable and one percent not knowledgeable at all (Bruhn and Schutz, 1999). Consumers often have a broad and moderate knowledge about food safety, and their concerns differ depending on the consumers’ personal perspectives and needs (Roe et al., 2001) Consumers are exposed to information from the mass media, health professionals, scientists, other credible individuals, and food labels. Although consumers vary in their concern, knowledge and food preparation practices, they seem to use two common information sources. Hermann et al. (2000), in a survey on nutrition and food safety information sources, found over 75 percent of consumers surveyed rely on news stories and food labels as their primary information sources. Another survey asking consumers where they learned about food safety practices, identified the media as the top source followed by family and friends (Meer and Misner, 2000). 29 In a food safety survey by Bruhn and Schutz (1999), in which consumers were asked what information sources were the most credible, they selected university scientists, health professionals, and science and consumer interest magazines; however, these were also the least referred to sources. Journalists, scientists and government agencies communicate food safety issues, but during a food safety crisis consumers receive the most information from the media. In an analysis of food safety news stories over twelve years, journalists reported on the same story several times and in different publications creating clusters of information, especially in a time of crisis. In addition, journalists emphasized elements of the issue through colorful language to amplify the food safety risk (Ten Eyck, 2000). Haynes (2000), in an editorial on the media and health scares, stated health and food issues are often caused by journalists taking research findings out of context due to lack of understanding the research. Stories are often reported as fact when they are largely based on speculation. The reporting on food issues often results in consumers losing confidence in scientists and other authorities who have the most knowledge about food safety (Grose, 1988). Sandman (1997) in a discussion on food safety risk perceptions commented that people often separate risks into two lists, those that kill you and those that alarm you. These lists are very different and he believes it is the way in which risks are communicated from the scientist to the journalist that has led to confusion and misunderstandings about food safety. To help consumers decipher research findings reported in the news and put more of a realistic focus on food safety issues, the International Food Information Council (1998) stresses it is important for government 30 agencies, health professionals, university scientists and journalists to create a framework in which risks from food and other concerns can be compared to help reduce food safety scares in the media. As consumers translate information from news stories to their personal risk assessment, they may or may not use the information to make decisions about food. In an investigation into the public perception of food scares in the United Kingdom, Fife- Schaw and Rowe (1996) found that food choices tend to be personal and driven by a range of factors not present in many public debates over food hazards. Most food choices are habitual and decisions are made based on taste appeal, familiarity, nutritional profile and how the food made them feel after eating it. Eating is not considered to be hazardous, except in the time of a food scare (Sparks and Shepard, 1994). Research on the media and food safety issues concludes that severity, awareness, exposure and personal relevance to a potential food hazard affect how consmners perceive food risks and apply these risks to their attitude and behavior about food Gife-Schaw and Rowe, 1996; Sparks and Shepard, 1994). Consumers also rely on food labels as a reliable and important information source. Herrman et al. (2000) found that survey participants who were most interested in food safety were frequent readers of food labels. Consumers concerned about health and food safety read the food label to check ingredients, food additives, preservatives and allergens (Meer and Misner, 2000; Nayga et al., 1997). Food processors and manufacturers have included messages concerning safety, preparation and storage on labels for fresh meats and produce with the goal of increasing the foods’ perceived quality. It is uncertain, however, if consumers actually use this information to prepare 31 and store food (Caswell and Moj duszka, 1996). When consumers were presented with food safety information on food labels, they felt this information was helpful in making a purchase decision but only if the statement was not too detailed and provided positive information to help them make food choices (Roe etal., 2001). To determine if including HACCP statements on meat packaging increased consumer confidence about the food and manufacturer, a series of focus groups were held with consumers. Those consumers who participated believed the HACCP statement helped to build confidence in the product and manufacturer, but they were not in agreement as to whether or not it warranted paying a higher price for the food. Many of the consumers indicated that they believed food safety programs should be mandatory and common practice in manufacturing and that they should not have to pay if a manufacturer followed HACCP (Ford et al., 1998). Bocker and Hanf (2000) examined what happens to brand names, manufacturers, retailers and confidence in products after a food safety issue. They found that if trust in a product was established before a food scare, it is more easily regained. Therefore, if a consumer has had many safe experiences with a product, believes it has high quality, and trusts the manufacturer or distributor, the food scare will have little affect on long-term purchases. This also is supported by a study conducted on brand name recognition among college students. The students were presented with negative publicity on favorite brands for a variety of products. Those that initially trusted the brands continued to do so regardless of the bad news (Ahluwalia et al., 2000). Trust in food labeling information, brand names and manufacturers affects both the consumer and food processor. Over the course of the past four decades, agriculture 32 has evolved from the local farmer producing the local food to our current national and international food distribution systems. The processors who tend to be the most affected by consumer concerns are the smaller farmers and processors who serve a smaller number of consumers. If a concern arises with products of a small producer, consumers can easily find another food source (Stevenson, 1998;Torjunsen et al., 2001). In addition, small processors generally lack the methods or financial means to fully test their products as would be normal among larger manufacturers, putting smaller processors at Slightly higher risk for food safety issues (Auld etal., 1994). Although the food system has evolved, consumers still believe that locally produced food is fresher, safer and more nutritious (Jolly et al., 1989; Torjunsen et al., 2001). Consumers and food processors often share many of the same food safety concerns including chemical contaminates, physical and microbial hazards (Auld et al., 1994; FDA, 2001; Jussaume and Higgins, 1998; Roper, 2001; Torjusen et al., 2001). Consumers across socio-economics levels associate the presence or absence of chemicals they perceive as undesirable with the quality of the food. Concerns over pesticides, preservatives, artificial colors and flavors and other additives in food have generated an interest in organic foods, food cooperatives and locally grown foods (Auld et al., 1994; Jussaume and Higgins, 1998; Sloan, 1999; Wilkens and Hillers, 1994). In a survey of consumers shopping at food cooperatives and seeking organic foods, approximately 80 percent of those surveyed believed they were purchasing safer and higher quality food at the cooperative since it was produced by local farmers who used less pesticides and chemicals (Jolly et al., 1989). Other research supports this view that consumers are seeking both organic and locally grown foods because of their perceived 33 higher quality, concern about pesticides and knowledge of who produced the food (Goldman and Clancy, 1991; Jussaume and Higgins, 1998; Wilkens and Hillers, 1994). Physical hazards include foreign material, such as glass or metal, and is generally attributed to poor manufacturing standards. Although physical hazards are a concern, they are typically not associated with illness due to good manufacturing practices, regular inspections of facilities, legislation and product liability risks helping to minimize their occurrence. In addition, when a physical hazard occurs it usually only impacts a small number of consumers (Lewis, 1998; Stevenson, 1998). Microbial contamination is the most common food safety concern and the percentage of Americans who believe microbial organisms are serious sources of food safety risk increased from 36 percent in 1993 to 55 percent in 1998 (Wong et al., 2000). An opinion poll survey comparing food safety issues found that consumers are more worried about harmful bacteria than chemicals or foreign material in their food (Roper, 2001) Studies into processor perceptions about food safety has been limited and comprised mainly of focus groups with smaller processors (Torjunsen et al., 2001; Zepeda et al., 2003). Focus groups have found that although processors are concerned about food safety risks in their products, they are just as concerned about staying in business (Zepeda et al., 2003). In focus groups with both local processors and consumers, trust between the two groups was the top reason for growing and purchasing food (Torjunsen et al., 2001). Interviews and focus groups with small farmers found that they believe trust of the consumer is often more important than adopting government regulations because of its impact on their overall operating costs (Gilling et al., 2001). A 34 report from the US. General Accounting Office (2000) regarding compliance with HACCP regulations in the seafood industry found only 44 percent of processors were practicing HACCP two years after the mandated implementation date. Wright et al. (2000) reported that small cider processors in Virginia were very concerned about the possibility of being forced to implement HACCP due to implementation costs and many stated that they would rather go out of business than to implement HACCP. In summary, consumers are concerned about food safety and look to the media for information. Consumers perceive microbial contamination as a primary food safety risk and cause of foodbome outbreaks. Consumers tend to have confidence in locally produced food made by smaller processors. Smaller processors rely on trust of the consumer and are concerned that regulations to improve food safety may be too costly and ultimately put them out of business. These findings provide a research opportunity to explore the perceptions of processors and consumers regarding juice and food safety. 35 Table 2. Juice associated foodbome illness outbreaks in North America (Partial Listing) Unpasteurized Year Associated Location of # of Reference Juice Pathogen Outbreak reported illnesses Apple juice 1923 Salmonella Not identified 23 Parish, 2000 Typhimurium Orange juice 1944 Salmonella Ohio 18 Parish, 1997 Typhimurium Apple juice 1974 Salmonella New Jersey 296 CDC, 1975 Typhimurium Apple juice 1980 Unconfirmed Ontario, 14 Parish, 2000 E. coli 0157:H7 Canada Apple juice 1991 E. coli 0157:H7 Massachusetts 23 FDA, 1991 Watermelon juice 1993 Salmonella spp. Florida 18 Parrish, 2000 Apple juice 1993 Cryptosporidium Maine 160 FDA, 1993 parvum Oranflice 1995 Salmonella spp. Florida 62 Parrish, 1998 Apple juice 1996 E. coli 0157:H7 California, 70 CDC, 1996 Colorado, Washington and British Columbia, Canada Apple juice 1996 E. coli 0157:H7 Connecticut 14 CDC, 1996 Apple juice 1996 Cryptosporidium New York 31 CDC, 1996 parvum Apple juice 1996 E. coli 0157:H7 New York 1 CDC, 1996 Apple juice 1997 E. coli 0157:H7 Ontario, 9 Parrish, 2000 Canada Orange juice 1999 Salmonella Florida 423 Parrish, 2000 Muenchen Orange juice 2000 Salmonella Florida 88 Parrish, 2000 Enteritidis Apple juice 2003 Cryptosporidium Ohio 10 Ohio Dept. of parvum Health, 2003 CDC: Centers for Disease Control and Prevention; FDA: United States Food and Drug Administration 36 Table 3. Effectiveness of interventions and technolrgies on patfigens in apple juice lnterventionfl‘eclrnology Pathogen used Conditions Achieved Reference for juice bacterial inoculation population reduction Sodium benzoate and E. coli 0157:H7 0.1% for 21 days 3-log reduction in Miller and Potassium sorbate E. coli 0157:H7 Kasper, 1994 Copper ion, sodium E. coli 0157 :H7 Combination of S-log reduction in Rogers and hypochlorite and copper ion and E. coli 0157:H7 Ryser, 2004 sonication sodium hypochlorite in [-120 followed by sonication at 44 to 48 kHz Fermentation E. coli 0157 :H7 3 days at 20°C 5-log reduction in Semanchek and E. coli 0157:H7 Golden, 1996 Freezing E. coli 0157:H7 Froze juice to — l-log reduction in Yamarnoto, 20°C for 3 days E. coli 0157:H7 2001 Ozone E. coli 0157:H7 Ozone pumped 5-log reduction in Williams, 2001 into apple cider E. coli 0157:H7, at 4°C for 240 results varied due min. to juice solids Ultrafiltration Aerobic plate Membrane pore 5-log reduction Ortega-Rivas et count, yeast, (50,000 daltons) achieved for total al., 1998 mold and aciduric and aerobic plate bacteria transmembrane count, results pressure varied due to (155kPa) juice solids Low-dose gamma E. coli 0157:H7 Dose of 1.8kGy 5-log reduction in Buchanan et al., irradiation E. coli 0157 :H7, 1998 results varied due to juice solids High pressure E. coli 0157:H7 30,00 psi 5-log reduction in Mermelstein, E. coli 0157:H7, 1999 results varied due to juice solids High pressure Cryptosporidium 80,000 psi 3-log reduction in Sliflto et al., parvum oocysts Cryptosporidium 2000 parvum oocysts Pulsed electric fields E. coli 0157:H7 Treated with 30 5-log reduction in In et al., 2001 pulses and E. coli 0157:H7, 80kV/cm at 42°C results varied due to juice solids Ultraviolet light radiation E. coli 0157 :H7 Quartz tubes 5-log reduction in Duffy et al., using CiderSure E. coli 0157:H7, 2000 UV pasteurizer results can varied due to juice solids Ultraviolet light radiation E. coli 0157:H7 CiderSure UV Mice fed cider Hanes, et al., pasteurizer treated with UV 2002 light and a 5-log reduction in E. coli 0157:H7 did not become ill 37 Table 3 (cont’d). Thermal pasteurization E. coli 0157:H7 <50% Red 5—log reduction in Splittstoesser et (HT ST) Delicious juice E. coli 0157:H7 al., 1995 160°F for 6 seconds or >50% Red Delicious juice 160°F for 11 seconds Thermal pasteurization E. coli 0157:H7, 681°C for 14 5-1og reduction of Mak et al., 2001 (HTST) Salmonella spp., seconds or all inoculated Listeria 71 .1°C for 6 pathogens monocytogenes seconds 38 CHAPTER III. MICHIGAN APPLE CIDER MILLS 1997-2002 CURRENT GOOD MANUFACTURING PRACTICES AND INTERVENTION TECHNOLOGY A. ABSTRACT In response to a series of foodbome-illness outbreaks resulting from consumption of unpasteurized juice contaminated with pathogens (Salmonella spp., E. coli 0157:H7 and Cryptosporidium parvum), the US. Food and Drug Administration (FDA, 2001), promulgated the juice Hazard Analysis and Critical Control Point (HACCP) regulation. This juice regulation requires juice manufacturers to implement a HACCP plan that includes control measures that achieve a cumulative 5-log reduction of pathogens or include a warning statement on juice containers about the risk of pathogens. Apple cider is an important commodity to the state of Michigan. Michigan ranks as one of the top three states in cider production with approximately 30 percent of Michigan apples processed into cider each year (Michigan Apple Association, 2004; Michigan Agricultural Statistics, 2003). To investigate possible food safety concerns, Michigan cider mills were inspected annually from 1997 through 2002, and processors were mailed a survey in 2002 to evaluate use of Current Good Manufacturing Practices (CGMPS) and intervention technology (thermal pasteurization and ultraviolet (UV) light irradiation). Cider end-product samples were analyzed for bacterial populations and the pertinent pathogen E. coli 0157:H7. Cider mills producing more than 20,000 gallons of cider per year were the first to implement CGMPS and utilize thermal pasteurization or UV light irradiation. In general, mills using intervention technology produced cider with lower bacterial counts. However, bacterial levels in several samples were not as low as would be expected from 39 cider treated by pasteurization or UV light, suggesting that some processors either were not properly using thermal pasteurization or UV light irradiation equipment or the cider was contaminated after being processed. E. coli 0157:H7 was not detected in any cider samples obtained during 1997 to 2002. B. INTRODUCTION Reports of foodbome illness outbreaks associated with consumption of juice have raised public concern regarding the safety of juice products (CDC, 1996; Parish, 1997). The source of several these outbreaks was unpasteurized apple juice contaminated with the pathogens E. coli 0157:H7 or Cryptosporidium parvum resulting from contamination or unsanitary conditions during growing, harvesting or processing (FDA, 2001). This pathogen contamination could have been prevented if processors had followed Good Agriculture Practices (GAPS) and Current Good Manufacturing Practices (CGMPS) and used intervention technologies such as thermal pasteurization or UV light irradiation during the processing of juice (FDA, 2001; Parrish, 2000). To address public concerns, the FDA published in 1998 a notice of intent to require juice processing plants to implement HACCP (FDA, 2001). HACCP is an approach designed to help manufacturers identify, evaluate, and control chemical, physical, and biological hazards in the food supply. Following an extended public comment period, the FDA published the juice HACCP final rule in the Federal Register in January 2001 (FDA, 2001). The final juice HACCP regulation required compliance to occur in phases based on the size of the juice manufacturing business. In January 2002, implementation of the FDA juice HACCP regulation was expected for large juice manufacturers (those operations having more than 500 employees). Small businesses 40 (those operations employing fewer than 500 employees and not considered a very small operation) were to comply no later than January 2003. Lastly, very small juice manufacturers (defined as those operations that have either total annual sales of less than $500,000; or have total annual sales greater than $500,000 but their total food sales are less than $50,000; or are operations that employ fewer than an average of 100 full-time equivalent employees and sell fewer than 100,000 units of juice in the US.) were required to comply with the regulation in January 2004 (FDA, 2001). The juice HACCP regulation requires a cumulative 5-log reduction of the pertinent pathogens of concern in juice through the use of intervention technologies such as thermal pasteurization or UV light irradiation. Juice processors who operate solely as retail establishments are exempt from the HACCP requirement, but are required to include a warning statement about the risk of pathogens on their juice containers. All juice processors, regardless of how they sell juice, were advised to follow GAPS and CGMPS in their juice processing to reduce risk of contamination. The majority of the cider industry in the US. is comprised of very small juice processors (<20,000 gallons per year) who sell their cider retail (U ljas and Ingham, 2000; Cummins et al., 2002) and only operate during the cider season, typically the months of September, October and November (Dingman, 1999; Wright et al., 2000; Cummins et al., 2002). Surveys in Virginia and Iowa have found that very small cider processors are Slow to adopt CGMPS and thermal pasteurization or UV light irradiation (Cummins et al., 2002; Wright et al., 2000). Effective CGMPS can help minimize contamination of apple juice. Thermal pasteurization or UV light irradiation has proven effective in decreasing bacterial levels 41 when apple juice is inoculated with pathogens (Senkel et al., 1999; Uljas and Ingham, 2000; Worobo et al., 1998). However, the effectiveness of CGMPS to prevent juice contamination and thermal pasteurization to decrease bacterial levels in cider samples produced at commercial cider mills was less than expected, suggesting ineffective implementation of these controls (Cummins et al., 2002; Wright, 2000). Michigan is one of the top four apple producing states in the US. and one of the top three states in cider production, with approximately 30 percent of Michigan apples processed into cider each year (Michigan Apple Association, 2004; Michigan Agricultural Statistics, 2003). Michigan cider mills are similar to those in other states with the majority of processors being small family businesses, producing less than 20,000 gallons of cider per year, and open only during the fall cider season. To better understand the food safety risks in Michigan cider mills, between 1997 and 2002 the Michigan Department of Agriculture (MDA) conducted annual inspections of these operations. During these inspections, MDA personnel collected product samples for bacterial analyses, determined compliance with GAPS and CGMPS, and if thermal pasteurization or UV light irradiation was used to reduce the risk of pathogens. Since most Michigan cider mills fall under the FDA’s definition of very small processors, MDA segregated cider mills into three smaller sub-groups to determine if differences existed based on cider production volume. As defined by MDA, the three groups of Michigan cider mills are small mills producing less than 4,000 gallons of cider per year, medium-size mills producing 4,000 to 20,000 gallons of cider per year and large cider mills producing more than 20,000 gallons of cider per year (Wojtala, 2003). The MDA 42 definitions of cider mill size are used in this study. The term cider is used to define unfiltered apple juice. The objectives of this study were, based on data from the MDA inspections, to determine a) if production volume had an effect on whether cider mills adopted GAPS, CGMPS and thermal pasteurization or UV light irradiation between 1997 and 2002, and b) whether year, cider mill production volume, thermal pasteurization or UV light irradiation influenced bacterial populations in cider. C. MATERIALS AND METHODS Cider mill inspections: MDA personnel conducted annual cider mill inspections during the months of September, October and November in 1997 through 2002. Important elements of the inspection were to determine annual cider production volume (in gallons) at the mill, compliance with GAPS and CGMPS, and if the mill had adopted thermal pasteurization or UV light irradiation technology (Appendices B, C, D, E, F and G). MDA classified cider mills into three groups based on annual cider production volume, small mills (<4,000 gallons per year), medium size mills (4,000-20,000 gallons per year) and large mills (>20,000 gallons per year; Wojtala; 2003). Determination of GAPS and CGMPs: In 1997, MDA personnel completed a questionnaire for each cider mill to determine the status of GAPS and CGMPS in each operation (Appendix B). In September 2002, a questionnaire from Michigan State University was mailed to Michigan cider processors to allow processors to self-report their status of GAPS and CGMPS (Appendix I). Participants were informed that the survey was voluntary, confidential, and conducted for Michigan State University (Appendix H). The study protocol was approved by Michigan State University 43 Committee on Research Involving Human Subjects (Appendix A). The questionnaire followed survey guidelines developed by Dillman (2000) and included pilot testing with cider processors (n=5) for clarity. A second mailing to non-respondents was conducted two weeks after sending the initial survey. Names and addresses for the questionnaire were provided by MDA (n = 134) and represented cider mills that had received a state food license between 1997 and 2002. Of the 134 surveys mailed, 30 were returned because of inaccurate addresses or the mill was not operating in 2002. Of the remaining 104 processors, 54 completed and returned the survey representing a 52% return rate (54 out of 104). Cider sampling and microbiological analyses: During the annual inspection, MDA personnel purchased a sample of cider (0.5-1 gallon) that had been processed and bottled within the last 14 days. Cider samples were kept refrigerated and analyzed within two days alter purchase in the MDA State Laboratory (East Lansing, MI). Microbiological analyses included presence and concentrations of E. coli 0157:H7 (Assurance® EIA EHEC, BioControl Systems, Inc., Washington, WA; based on AOAC 996.10), generic E. coli (ColiComplete®, BioControl Systems, Inc., Washington, WA; based on AOAC 992.30), total coliforms (ColiTrak®, BioControl Systems, Inc., Washington, WA; based on AOAC 992.30) and total aerobic plate count (TPC; AOAC 966.23). The pH of each cider sample was also determined using a pH meter. Statistical analyses: For statistical analyses SAS Version 8 was used (SAS Institute Inc., Cary, NC. USA 2001). The processor practices surveys for GAPS and CGMPS in 1997 and 2002 were analyzed using Fisher’s exact test in PROC FREQ. Incidence rates of bacterial populations were analyzed statistically in PROC GENMOD. The fixed 44 effects were use of control measures (untreated, thermal pasteurization, UV light irradiation), mill production volume (<4,000, 4,000-20,000, and >20,000 gal/yr), and cider production year (1997-2002). Groups were based on cider mill size (small, medium and large). Significant differences among groups were determined using a chi-square test. Bacterial levels were statistically analyzed using PROC MIXED and the same fixed effects. A completely unrestricted variance-covariance matrix (for inspection year) was used to account for repeated measures taken from samples at individual mills across time. Group differences were estimated using a t-test. Significance was declared at P S 0.05, and tendency of significance was declared at P S 0.10. For bacterial data, least-square means and standard errors of means (SEMS) are shown (Figure 2, Tables 9, 10 and 11). D. RESULTS AND DISCUSSION To our knowledge, this is the first reported study that compares the use of GAPS and CGMPS of cider processors during implementation of the juice HACCP regulation. The objective of the annual MDA cider mill inspections was to evaluate the safety of Michigan cider. MDA inspectors evaluated compliance with GAPS and CGMPS including inspection and storage of apples, sanitation and manufacturing practices and upgrades to equipment and facilities. Inspection reports indicated whether or not the cider mill was in compliance with CGMPS, and noted any violations found at the cider mill. MDA inspectors also suggested possible improvements such as upgrades to the facility or equipment and adoption of thermal pasteurization or UV light irradiation to enable cider processors to reduce the likelihood of pathogen contamination and to prepare for the impending juice HACCP regulation (Wojtala, 2003). 45 Between 1997 and 2002 the number of Michigan cider mills declined by 40%, from 157 mills in 1997 to 93 mills in 2002 (Figure l). The majority (81%) of Michigan cider mills are seasonal businesses producing less than 20,000 gallons of cider per year and sell cider directly to consumers. The decline in the number of Michigan cider mills is consistent with surveys in other states which also found that the number of cider mills producing less than 20,000 gallons of cider per year and operated seasonally by local farmers had declined in recent years (Cummins et al., 2002; Wright et al., 2000). The 1997 and 2002 surveys were compared for Similar questions and only the answers to these common questions were analyzed. In some incidences processors did not answer all of the questions in each survey. Therefore, only answers in which we had data from the same processors in 1997 and 2002 were used. Cider processors improved upon their apple inspection and storage practices from 1997 to 2002 (Table 4). A higher percentage (35% vs. 50%) of processors purchasing apples kept records to document the source of apples (hand-picked versus dropped). More processors reported storing apples in cold storage and inspecting apples for cleanliness in 2002 when compared to 1997. Apple inspection and cold storage were practices MDA personnel emphasized at the inspections. Processors were encouraged to reduce the likelihood of bacterial hazards by only using wholesome and clean apples and to protect apple integrity with cold storage (Wojtala, 2003). Research with cider processors in other states found bacterial counts to be lower when apples were held in cold storage and washed before processing (Cummins et al., 2002; Dingman, 1999). Several questions were asked in 1997 and 2002 regarding use of dropped, damaged, bruised and wonny apples. These questions could not be directly compared because of 46 inconsistencies. In 2002, only four processors (all of whom used thermal pasteurization) stated they used apples with possible damage (unfirm, windfall, grounders or drops) and this is legal per the juice HACCP regulation. Improvements to reduce bacterial contamination in processing facilities in 2002 included more facilities that were adequately screened/sealed to prevent rodent/insect, entry and fewer facilities allowing domestic animals in the processing area (Table 5). In 2002, more cider mills tested their water supply annually and had hot and cold running water in all processing areas. Processors also increased the use of thermal pasteurization and microbial testing in 2002 (Table 5). In the 2002 survey, in which processors self- reported their improvements, they also noted upgrades to processing equipment such as use of a wet brusher and more use of food grade plastic instead of wood in the processing area. Those using press racks and cloths did more thorough cleaning and had dedicated a washing machine to be used only for press cloths. These improvements in CGMPS occurred in cider mills regardless of size and indicate that processors followed through on recommendations made by MDA personnel. When investigating differences in mill size and effective compliance with CGMPS, the larger processors demonstrated the most rapid improvement in compliance with CGMPS (Figure 2). This may be due to larger processors having more financial resources to upgrade their facility and equipment than smaller processors (Wojtala, 2003; Wright et al., 2000). Overall, the compliance with CGMPS in Michigan improved (Table 5) from 1997 to 2002, and these improvements are consistent with surveys from Iowa (Cummins et al., 2002), Virginia (Wright et al., 2000), and Wisconsin (U ljas and Ingham 47 2000) in which cider processors also took measures to improve CGMPS during this timefrarne. Cider mill size influenced the type of intervention technology used at the mill (Table 6). Thermal pasteurization was the first technology to be used to reduce the risk of pathogens, and by 2002 50% of the large mills and 23% of the medium-sized mills were using pasteurization. UV light irradiation was first adopted in 1999 by a smaller number of mills. By 2002, 8% of small mills (<4,000 gallons of cider per year) were using UV light irradiation and none used thermal pasteurization (Table 6). The purchase and installation of thermal pasteurization or UV light irradiation equipment represents large capital investment. Due to their low production volumes, smaller processors generally cannot afford to incorporate these technologies (Kozempel et al., 1998; Wojtala, 2003). Large mills often use thermal pasteurization, rather than UV light irradiation, due to the ability to process larger volumes of cider in a shorter amount of time, even though the equipment is expensive and requires substantial expertise to operate. Cider samples were collected between September and November of each year, with 67% of the samples collected in mid- to late-October. Of the 582 samples collected and analyzed between 1997 and 2002, none of the samples were confirmed as positive for the presence of E. coli 0157:H7. Over the six years, five samples from mills producing untreated cider initially screened as positive for E. coli 0157:H7, but E. coli 0157:H7 was not confirmed by enrichment culture in any of the samples. The pH ranged between 3.6 and 4.4 over the six years and no correlations were found with bacterial populations and no difference were found between year, cider mill size or intervention technology. 48 Bacterial counts observed in this study were similar to those reported by Cummins et al. (2002). Averaged across all years, generic E. coli, an indicator of fecal contamination, was found in 34 (5.8%) samples with an average count of 93 CFU/ml and least-square mean of 45 CFU/ml (Table 7). As previously reported in other cider mill studies (Duffy et al., 2000; Cummins etal., 2002), generic E. coli counts were positively correlated with total coliforms counts (Table 8). Total coliforms, an indicator of general sanitary conditions, were found in 409 (70.3%) samples from 1997 to 2002 with an average count of 359 CFU/ml and a SEM of 22 CFU/ml (Table 7). The counts for total coliforms were positively correlated with total aerobic plate counts (Table 8). Total aerobic plate counts were detected in all samples with an average count of 112,501 CFU/ml and a SEM of 46,809 CFU/ml for all years (Table 7). Cider production year had only minor effects on bacterial populations (Table 9). Total aerobic plate counts were significantly higher in 2002 than 1997 and 2001 with the other years being intermediate. A potential reason for the higher counts in 2002 was because of weather conditions resulting in apples taking longer to mature and delaying harvest (Michigan Agricultural Statistics, 2003), both of which have been reported to increase bacterial populations on apples (Riordan et al. 2001). Annual production volume was associated significantly with bacterial counts (Table 10). The association between production volume and bacterial counts has not been previously reported. Mills that produce over 20,000 gallons per year had lower incidences of generic E. coli than small and medium-size mills and lower total aerobic plate counts than medium-size mills (Table 10; Figure 3). This effect was independent 49 from the fact that a higher proportion of larger processors used thermal pasteurization or UV light irradiation, as the statistical methods used to compare bacterial counts based on mill size controlled for the use of these technologies. These results are partially explained because larger facilities were more likely to adopt CGMPS, at an earlier time (Figure 2). Thermal pasteurization and UV light irradiation significantly influenced bacterial counts (Table 11). The use of thermal pasteurization or UV light irradiation was associated with lower incidence rates for generic E. coli and total coliforms and lower total aerobic plate counts (Table 11). Cummins et al. (2002) and Senkel et al. (1999) reported similar results for thermal pasteurization. The presence of generic E. coli in one thermally pasteurized sample and the decrease in total aerobic plate counts by only 90% suggested that some cider samples might not be using pasteurization or UV light irradiation equipment properly, or that the cider was contaminated after processing. Several thermally pasteurized and UV light irradiated cider samples, had total aerobic plate counts above 4 log CF U/ml, which is unexpectedly high for cider that has been processed using these control measures (Figure 4). Reasons for these high total aerobic plate counts, may be improperly installed or operated equipment or post-processing contamination. E. CONCLUSIONOur results demonstrate that using GAPS, CGMPS and thermal pasteurization or UV light irradiation is associated with lower bacterial counts in apple cider. However, overall bacterial populations in Michigan apple cider did not significantly decrease between 1997 and 2002. This may be due to processors not consistently following GAPS, CGMPS or using intervention technology to effectively 50 reduce bacterial populations. Michigan cider processors may need further education and guidance on their cider processing practices. In addition, to fully understand where bacterial contamination may be occurring in cider processing, in-line sampling during processing should be used to identify specific areas for improvement. Additional investigation of cider practices and in-line sampling can help both educators and processors learn how to improve cider processing and ensure safe cider in Michigan. 51 Mills (n) 80- 60- 40- 20- Cl Small (<4,000 gal/yr) Medium (4,000-20,000 gal/yr) I Large (>20,000 gal/yr) 2002 1997 1998 1999 2000 2001 Year Figure 1. Number of active cider mills in Michigan stratified by production volume of mill (1997-2002) TABLE 4. Apple inspection and storage practices of Michigan cider processors in 1997 and 2002 Year Apple stomie and handling n=* 1997 2002 % answering “yes” If apples purchased, are records kept to document the 40 35 50 source of supply of apples (e.g., hand-picked versus dropped) Apples stored in cold storage 52 63a 90° Apples inspected for cleanliness 54 3 58 100° Apples inspected for wholesomeness 53 92 100 Apples washed before processing 54 91 98 a,b Numbers with a different superscript within a row differ at P S 0.05 *Mills with data in 1997 and 2002 totaled 54, however the number of responses varies between questions because answers were not provided for each mill for both years. 53 TABLE 5. Processing facilities and manufacturing practices in Michigan cider mills in 1997 and 2002 Year Processlfl facilities and manufacturipg practices n=* 1997 2002 % answering “yes” Processing operations in a separate enclosed room or 54 91 94 facility Processing facility adequately screened/sealed to 52 67° 93° prevent rodent/insect entry Domestic animals allowed in your processing facility 54 9a 0° Processing water tested annually 54 313' 100° Hot and cold water under pressure provided in all 54 3 3° 96° processing areas Toilet facility completely enclosed and conveniently 50 92 98 located Toilet facility equipped with hot and cold running water 51 718 92° Employees wear gloves 53 60 75 Employees wear clean outer garments 53 96 100 Chemicals, equipment, supplies, and utensils not used 54 96 94 for cider processing stored in an area separate from processing area Wet brusher used 53 79 87 Rice hulls or other pressing aids used in processing 54 13 13 Press racks, cloths, and food contact equipment stored 42 93 100 off the floor in well-ventilated area when not in use Press racks and cloths sanitized daily after operations 42 100 100 Dedicated washing machine for press cloths 41 73‘1 95° Pressed apple pomace removed nightly from processing 54 100 96 Area Preservatives used 54 19 15 Thermal pasteurization used 54 2° 9° Ultraviolet light (UV) irradiation used 54 0 4 Only new containers and caps used to package cider 54 98 100 Conduct microbial testing on end-product 53 3° 2 5° a,b Numbers with a different superscript within a row differ at P S 0.05 ‘Mills with data in 1997 and 2002 totaled 54, however the number of responses varies between questions because answers were not provided for each mill for both years. 54 100 - 90 - 80 - 70 - 60 - 50 - 40 - 30 ~ 20 r Mills (%) ‘31 [J Small (< 4,000 gal/yr) Medium (4,000-20,000 gal/yr) I Large (> 20,000 gal/yr) 1997 1998 1999 2000 2001 2002 Year Figure 2. Percentage of cider mills having adequate compliance with Current Good Manufacturing Practices stratified by production volume of mill 55 TABLE 6. Proportion of Michigan cider mills that used thermal pasteurization or UV light irradiation between 1997 and 2002 Untreated Thermal pasteurization UV light irradiation Year Small“ Medium Large Small Medium Large Small Medium Large 1997 100% 100% 92% 0 0 8% 0 0 0 (n=72) (n=59) (n=26) (n=26) 1998 100% 100% 85% 0 0 15% 0 0 0 (n=52) (n=48) (n=26) (n=26) 1999 98% 82% 52% 2% 11% 48% 0 7% 0 (nfi6) (n=45) (n=2 1) (n=46) (n=45) (n=2 1) (n=45) 2000 97% 78% 19% 3% 20% 69% 0 2% 12% (n=34) (n=40) (n=16) (n=34) (n=40) (n=16) (n=40) (n=16) 2001 97% 72% 39% 0 19% 44% 3% 8% 17% (n=3 7) (n=47) (n= 1 8) (n=47) (n=1 8) (n=3 7) (n=47) (n= 1 8) 2002 92% 67% 31% 0 23% 50% 8% 10% 19% (n=3 8) (n=39) (n=16) (n=39) (n=16) (n=3 8) E39) (n=16) ‘Small, medium, and large mills produced <4,000, 4,000-20,000, and >20,000 gal/yr, respectively 56 TABLE 7. Bacterial counts in Michigan cider samples Bacterial test Overall Generic E. coli: (n = 582) Test positive (%) 5.8 i 1.0 Average count (log CFU/ml) 1.19 i 0.12 Range (log CFU/ml) 0-3.0 Total coliforms: (n = 582) Test positive (%) 70.3 i 1.9 Average count (log CFU/ml) 1.94 i 0.04 Range (log CFU/ml) 0-3.0 Total aerobic plate count: (n = 546) Average count (log CFU/ml) 3.84 i 0.05 Range (loflU/ml) 1-7.4 n = the total number of samples from 1997-2002. Some mills were sampled each year and other mills were sampled less frequently 57 TABLE 8. Correlations between bacterial concentrations in Michigan cider 1997-2002 Generic Total coliforms Total aerobic plate pH E. Coli count Generic E. coli 0.20 (<.0001)* 0.06 (0.19) -0.04 (0.31) n=582 n=545 n=520 Total coliforms 0.53 (<.0001) 0.16 (.0003) n = 545 n = 520 Total aerobic plate 0.07 (0.13) count n = 519 pH ‘Probabilities in parenthesis n = number of observations 58 TABLE 9. Bacterial populations in Michigan cider samples by year between 1997 and 2002 Year Bacterial 1997 1993 1999 2000 2001 2002 analysis (‘1 = 147) (n = 126) (n = 111) (n = 62) (n = 66) (n = 69) Generic E. coli: Test positive (%) 7.53:2.2 5.63:2.0 0.93:0.9 9.7:h3.8 9.1:h3.6 4.33:2.5 Average count 1.73io.45° 1.081050” 1.10i0.83ab 1.44:1:051ab 0.70m44" 1.12:0.60” (10g CFU/ml) Range o-3.o 0-1.6 0-1.o 0-2.4 0-0.6 0-1.2 (log CFU/ml) Total coliforms: Test positive (%) 72.1i3.7 77.8:t3.7 66.1:t4.5 66.1161 71.2i5.6 62315.9 Average count 1.64:1:0.l7 l.76:t0. 17 1.76i0. 17 1.62ztO.19 1.72:1:0. 17 1.66i0.18 (log CPU/ml) Range 0-3.0 0-3.0 0-3.0 0-3.0 0-3.0 0-3.0 (log CFU/ml) Total aerobic plate count: Averagecount 32310.13b 3.38t0.13ab 3330.133" 3.32io.19°° 31610.14” 3.56i0.l3a (log CFU/ml) Range 1.0-6.2 1.0-7.4 1.0-5.9 1.7-5.8 1.0-5.8 1.5-6.6 (log CPU/ml) a,b Numbers with different superscripts within a row differ at P S 0.05 59 TABLE 10. Bacterial counts in Michigan cider from mills with different production volumes Production volumflggl/year) Bacterial test Small Medium Large (< 4,000) (4,000-20,000) (> 20,000) Generic E. coli: (11 = 237) (n = 237) (n = 108) Test positive (%) 7.2 a 1.71’ 6.8 :1: 1.6a 0.9 :1: 0.9 Average count (log CFU/ml) 1.10 i 0.45 1.05 :1: 0.38 1.43i0.79 Range (log CFU/ml) 03.0 0-3 .0 02.0 Total coliforms: (n = 237) (n = 237) (n = 108) Test positive (%) 76.4 a 2.8 70.9 a 3.0 55.6 a. 4.8 Average count (log CFU/ml) 1.68 d: 0.16 1.71 i 0.16 1.70 d: 0.18 Range (10g CFU/ml) 0-3.0 0-3.0 03.0 Total aerobic plate count: (n = 222) (n = 222) (n = 102) Average count (log CPU/ml) 3.36 a 0.13 3.54 3 0.12“I 3.08 a: 0.14b Range (log CFU/ml) 1-6.2 1-7.4 1-5.8 a,b Numbers with different superscripts within a row differ at P S 0.05 n = the total number of samples from mill size from 1997-2002. Some mills were sampled each year and other mills were sampled less frequently. 60 Cl Small (<4,000 gal/yr) I Medium (4,000-20,000 gal/yr) 4 _ . I Large (>20,000 gal/yr) Total aerobic plate count (log CFU/ml) l" UII—IUINUI P G 1997 1998 1999 2000 2001 2002 Year Figure 3. Total aerobic plate counts of Michigan cider between 1997 and 2002 stratified by production volume of mill *No significant difference found within or between years 61 TABLE 11. Bacterial populations in Michigan apple cider from mills using thermal pasteurization or UV light irradiation compared with mills using no intervention technology Intervention technolgy Bacterial test Untreated Thermal pasteurization UV light irradiation Generic E. coli: (11 = 504) (n = 59) (n = 19) Test positive (%) 6.5 a 1.1’l 1.7 :1: 1.7" ob Average count (log CPU/ml) 1.20 :1: 0.27 mesons - Range (log CF U/ml) 03.0 00.56 0 Total coliforms: (n = 504) (11 = 59) (n = 19) Test positive (%) 75.8 :1: 1.9a 35.6 :1: 6.3" 31.6 a 11.0" Average count (log CPU/ml) 1.92 a 0.07 1.69 a: 0.21 1.47 a: 0.37 Range (log CPU/ml) 0-3.0 0-3.0 0-3.0 Total aerobic plate count: (11 = 476) (n = 52) (n = 18) Test positive (%) 100% 100% 100% Average count (log CPU/ml) 3.94 a 0.07a 2.97 i 0.16" 3.08 :1: 0.25b Range 098 CFU/ml) 1-7.4 l-5.8 1-4.6 a,b Numbers with different superscripts within a row differ at P S 0.05 n = the total number of samples from 1997-2002. Some mills were sampled each year and other mills were sampled less frequently. 62 30 - D Untreated § 25 - IThermal pasteurization E I UV-light irradiation g 20 e in \ .— E 15 . § F _ a s E 10 . S e 8 V \ § a s \ 9. E s - s S \ a \ S S m § § § 0 y t R E § 1.0-1.5 1.5-2.0 2.0-2.5 2.5-3.0 3.0-3.5 3.5-4.0 4.0-4.5 4.5-5.0 5.0-5.5 5.5-6.0 >6 Total aerobic plate count (log CFU/mL) Figure 4. Total aerobic plate counts in Michigan apple cider from mills using thermal pasteurization or UV light irradiation compared with mills using no intervention technology 63 CHAPTER IV. MICHIGAN CIDER PROCESSORS’ PERCEPTIONS AND DECISIONS IN RESPONSE TO JUICE HACCP REGULATION A. ABSTRACT The juice industry has experienced a number of foodbome illness outbreaks because juice contained microbial pathogens such as E. coli 0157:H7, Salmonella spp. and Cryptosporidium parvum. To reduce consumer risk, the US. Food and Drug Administration (FDA) issued a Hazard Analysis and Critical Control Point (HACCP) regulation for the juice industry in 2001. Compliance with the regulation began in 2002 and required many juice manufacturers to change processing methods and spend additional time and money to bring their equipment and employees up-to-date. It has been predicted that small juice processors will be the ones most impacted by the juice HACCP regulation. The apple cider industry offers an interesting case to test this prediction because this industry is comprised of many small processors who manufacture cider only seasonally. To gain insight into processors’ perceptions of the juice HACCP regulation, two mail surveys were sent to Michigan cider processors in August and September 2002 to evaluate their perceptions about the juice HACCP regulation, and their expectations concerning its effectiveness. Processors also were asked if the HACCP regulation would result in unnecessary expense and regulatory oversight, and if it would improve consumer confidence in cider safety. Cider processors were divided in their perceptions of the juice HACCP regulation. Processors who did not perceive the need for the juice HACCP regulation (48%) indicated that the regulation would be ineffective in decreasing foodbome illness linked to juice consumption, result in unnecessary expense and governmental oversight, and not 64 improve consumer confidence in cider. Processors in favor of HACCP implementation (31%) had taken measures to improve the safety of their cider, but only a few (10%) had a HACCP plan in place at the time of the survey. Many processors were not motivated to comply with the juice HACCP regulation, because processors selling directly to consumers are not required to implement HACCP as long as they include a warning statement about pathogens on their juice container. Adoption of HACCP by juice processors may be slow, as has been the case in other food industries also subject to HACCP regulations. B. INTRODUCTION The FDA has estimated that 16,000-48,000 foodbome illnesses occur annually in the US. from consumption of juice containing pathogens (FDA, 2001). Since 1996, several juice-associated foodbome illness outbreaks have occurred that have been linked to the presence of the pathogens E. coli 0157:H7 and Cryptosporidium parvum in unpasteurized apple juice. One of these outbreaks was linked to consumption of unpasteurized apple juice produced by a large juice manufacturer, Odwalla, who distributed the juice to several western US. states and British Columbia in Canada (CDC, 1996; FDA, 2001). This outbreak received extensive media coverage because over 100 people became seriously ill and the death of a child in the US. In 1998, the FDA promulgated a regulation in which a warning label would be required on juice packages when the juice was not treated with a lethality step to achieve a 5-log reduction of pathogens (E. coli 0157:H7, Salmonella spp., and Cryptosporidium parvum). The required statement reads: “WARNING: This product has not been pasteurized and, therefore, may contain harmful bacteria which can cause serious illness in children, the 65 elderly, and persons with weakened immune systems.” In 2001 the FDA issued the final juice HACCP regulation, requiring large, small, and very small juice manufacturers, as defined by the regulation, to implement HACCP beginning in January of 2002, 2003, and 2004, respectively. An exemption to the final juice HACCP regulation was made for juice manufacturers selling their juice only in their own retail outlet and directly to consumers. However, retail juice not treated to achieve a 5-log reduction of pathogens must continue to include the warning label on juice packaging (FDA, 2001). HACCP is required in other sectors of the US. food industry and is accepted as a food safety standard throughout the world by the Codex Alimentarius Commission (Stevenson and Bernard, 1999). In the US, HACCP requirements were first mandatory for seafood plants no later than December 1997. This was followed by the imposition of HACCP requirements for meat and poultry processing plants no later than December 2000. An investigation by the US. General Accounting Office (U SGAO) into HACCP implementation in the seafood industry, two years after the HACCP regulation was in effect, found only 44% of processors were using HACCP. This poor compliance was believed to stem from a lack of processor knowledge, disagreement by industry with the seafood HACCP regulation, and limited enforcement by FDA inspectors (U SGAO, 2001). Successful adoption of HACCP depends upon processors’ consensus that it is beneficial to improving food safety of their products, and regulatory agencies ensuring that HACCP systems are in place and effective (Gilling et al., 2001). Approximately 98% of apple juice sold in the US. is pasteurized (Apple Products Research and Education Council, 2004) and is primarily manufactured by large juice processing facilities that already use a lethality step to reduce the risk of pathogens. 66 These large processors can more readily adopt a HACCP plan because their available resources and presence of controls for pathogens in juice. The remaining 2% of apple juice is unpasteurized and unfiltered, and more commonly referred to as apple cider. Apple cider is primarily made by small cider processors who have a cider mill located on their farm or orchard. Generally, these cider processors only make small amounts of cider for a few months each year. This cider is then sold through the processors’ own retail operations or, until recently, wholesale to other retail establishments. Small processors may not be able to afford the cost and time associated with HACCP implementation. Previous research has indicated that cider processors in New York, Iowa, Wisconsin and Virginia were concerned about implementing HACCP, especially because of additional equipment costs and the adverse effect pasteurization may have on the sensory attributes of cider (Cummins, 2002; Uljas and Ingham, 2000; Worobo, 2001; Wright et al., 2000). Therefore, small cider processors who have sold cider wholesale may choose to sell their cider directly to consumers and continue to use the FDA- mandated warning statement on their juice containers to avoid HACCP implementation (Cummins, 2002; Wojtala, 2003; Worobo, 2001). When surveying cider processors in Virginia, Wright et al. (2000) reported that small cider processors would seriously consider ceasing operation rather than incurring the cost to implement HACCP. Another trend found with processors in several states was that there has been a decline since 1996 in the number of cider mills (Cummins, et al., 2002; Dingrnan, 1999; Uljas and Ingham, 2000; Wright et al., 2000) and we found this to be true in Michigan as well (Figure 1; Chapter III). This decline could be because of a number of reasons, including increased regulations with few perceived benefits by cider processors. 67 The objective of this study was to determine perceptions of Michigan cider processors towards the juice HACCP regulation and steps they have taken to comply with the regulation. Michigan is one of the top four apple producing states and apples have the highest production among fruit in Michigan (Michigan Agricultural Statistics, 2003). Michigan also ranks as one of the top three states in cider production, with approximately 30 percent of Michigan apples processed into cider each year (Michigan Apple Association, 2004; Michigan Agricultural Statistics, 2003). Apples and cider are important commodities to Michigan agriculture. The implementation of a new regulatory system is likely to have consequences within this domain, bringing both benefits and costs to processors, regulators, and consumers. We were interested in the attitudes and perceptions of one of these groups — processors — to gauge the likelihood that HACCP would be implemented across the state, and what lingering concerns, if any, would continue to plague the industry. C. MATERIALS AND METHODS Two surveys with letters were mailed in August and September 2002 to assess Michigan apple cider processors’ practices and perceptions about the juice HACCP regulation (Appendices H, I, J and K) informing participants that the mail survey was voluntary, confidential, and conducted for Michigan State University. The study protocol was approved by Michigan State University Committee on Research Involving Human Subjects (Appendix A). The questionnaires were pilot tested with cider processors (n=5) for clarity. Processors’ names and addresses were provided by the Michigan Department of Agriculture (MDA) from their list of cider mills having a current food processing license (11 = 118). 68 A multiple mailing procedure was used to enhance return rates (Dillman, 2000). Participants who returned completed surveys were sent a thank you note (Appendix M). To enhance return rates, non-respondents were mailed both surveys again in late September (Appendix L). Of the remaining 118 processors, 52 completed and returned both surveys. Survey responses were analyzed using SAS Version 8 (SAS Institute Inc., Cary, NC. USA. 2001) and descriptive statistics were generated. Processors were categorized based upon the question “HACCP implementation is necessary to ensure the safety of cider.” Three groups were defined: 1) processors agreeing with the need for HACCP (31%), 2) processors neutral to the need for HACCP (21%) and 3) processors disagreeing with the need for HACCP (48%) and responses of groups were compared using a t-test. D. RESULTS AND DISCUSSION There is considerable research regarding food risk assessment by consumers and how it influences their purchasing decisions (Schafer et al., 1993; Sparks and Shepherd, 1994; Hansen et al., 2003; Zepeda et al., 2003). In comparison, there has been relatively little research of food risk assessment by food processors and how it influences their processing decisions. Of the research that has been conducted on food processors, the smaller food processing businesses tend to be somewhat adversarial to HACCP and slow to comply with HACCP regulations (Gilling et al., 2001; USGAO, 2001). Based on this background, we were interested in how the Michigan cider industry perceived and responded to the juice HACCP regulation. Similar to other US. states, most Michigan cider mills have few employees, often are family-owned and operated, are open only during the fall season and are very small juice manufacturers as defined by FDA (Tables 69 12 and 13). These cider mills are representative of small cider processors throughout the US. based on demographic information provided in other studies (Cummins, et al., 2002; Dingman, 1999; Uljas and Ingham 2000; Wright et al., 2000). Need for and effectiveness of HA CCP Michigan cider processors are divided in their perceptions about whether or not there is a need for and the effectiveness of the juice HACCP regulation. Of the processors completing the survey, 31% indicated they either strongly agreed or agreed with the need for HACCP, 21% were neutral and 48% either strongly disagreed or disagreed with HACCP (Table 14). The processors perceiving a need for HACCP pointed out that HACCP is effective in ensuring cider safety and public health (Table 15). Comments from these processors included; “Pasteurization is the only way to go,” “Pasteurization is essential for safety” and “Our mill takes extraordinary safety precautions to make sure our cider is healthy.” Processors opposing HACCP perceived no need for this program nor did they consider it to be effective in reducing foodbome illness in juice (Table 15) because they related their perceptions to the fact that Michigan cider has not been implicated in a foodbome illness outbreak. They pointed out that the risk of becoming ill from untreated cider is small in Michigan because their mills were inspected annually by state inspectors, they followed current good manufacturing practices (CGMPS), and only used wholesome apples to make cider. These processors supported their perceptions with comments such as “Michigan juice has been a safe product from the beginning”, “Our cider was processed under the most sanitary conditions”, and “We have passed every one of our state inspections.” Processors opposed to HACCP requirements also tended to make 70 defensive statements and place blame for juice outbreaks on processors who they considered less conscientious than themselves with comments such as; “the biggest problem was not small producers, it was caused by a completely unsafe practice and a large processor,” and “most of the cider is made by small producers producing a safe product.” These processors also were more likely to market their cider as “unpasteurized,” “no preservatives,” and “made with Michigan apples.” Several processors commented that the selling point for their cider was its great taste because their cider was not treated to alter the natural characteristics of the juice. Processors opposed to HACCP were also skeptical of processors who favored HACCP and the effectiveness of the programs these supportive processors had in place with comments such as “There are processors with written plans, but some do not operate within the guidelines.” “The regulations do not eliminate the unsanitary processor.” Processors not seeing the need for or effectiveness of HACCP appear to base their beliefs and decisions on personal experience and local situations. Previous research has found this viewpoint to be somewhat common because people often do not see the relevance or need to take precautions towards a food safety issue until it personally affects them (Sparks and Shepard, 1994; Zepeda et al, 2003). Expense and oversight of HA CCP When Michigan processors were asked if the juice HACCP regulation would result in unnecessary expense, 70% of all processors agreed (Table 14). The overall concern about the expense to implement HACCP may be justified with estimated implementation costs ranging between $24,700-36,700 in the first year and estimates of up to $10,600 for subsequent years for small seasonal cider processors (FDA, 2001). The 71 costs for the first year of implementation equaled the annual sales of 75% of all cider processors (Table 12). Sixty-percent of all processors agreed that HACCP would result in unnecessary oversight (Table 14). Concerns about unnecessary oversight were primarily directed toward the government with statements such as; “The state government interferes in our business,” “I tell my the customers some oversight is good but too much just kills the little operations and they have fewer options,” “Isn’t it too bad government has to stick its nose in everywhere?” “This may be our last year because we will not jump through all the hoops,” and “The regulations are killing me for a product I make little money On.” These statements suggest that processors may feel victimized by the government’s juice regulations because they perceive themselves as already using good judgment in their juice-making, they have been inspected annually by state food inspectors, and there have been no foodbome illness outbreaks linked to Michigan cider at this time. Fifty percent of processors agreeing with HACCP stated they believed HACCP would not affect profits and 17% thought it could even increase profits. These processors had already taken the most initiative towards complying with the juice HACCP regulation, with 80% of them stating they had spent over $5,000 in the last five years to upgrade their equipment and facility (Table 16). Of the processors opposing HACCP, 65% felt the program would decrease their profits and most (60%) had spent less than $2,500 in the last five years to upgrade or purchase equipment to prepare for the juice HACCP regulation (Table 16). Many of these processors feared that the juice HACCP regulation would run them out of business. Comments like “my customers feel bad that so many of us are being forced out of the 72 cider business” and “we are losing our industry to foreign juice concentrate used by big processors” illustrate their pessimistic views towards HACCP. Some processors appear to already have the mind-set that it is just a matter of time before they lose their cider business so it is unnecessary to spend time and money to implement HACCP. Training, Inspectors and the Media Of the processors surveyed, 43 percent agreed that HACCP training was easily accessible and convenient and 35 percent indicated that it was not easily accessible or convenient (Table 15). When asked if they had an adversarial relationship with their inspector, over half of the processors disagreed with this statement and considered inspectors to be knowledgeable about HACCP (Table 15). This positive view of inspectors may be surprising, because the food inspector is a government employee and their role is to enforce the juice HACCP regulation. In personal interviews with processors many viewed inspectors as a source of guidance rather than as a policing official and were proud that they had passed annual inspections, though the feeling of a mutually beneficial relationship was not shared by all. It is puzzling that so many processors, who take pride in their juice, view the HACCP regulation as unnecessary government oversight when a primary goal of HACCP is for the processor to take ownership of food safety and to reduce the risk of hazards, rather than depending on annual government inspections to identify potential problems. Processors also made accusations about the media with statements such as “the media is to blame for making it look like all cider has a problem” or “the media usually gets the story wrong and blows small things into large ones” and “small processors always take the heat.” Such statements indicate that processors may feel the government 73 has been influenced by the media becausee legislation for the juice industry has begun only after the widely publicized 1996 outbreaks. Processors may not be accepting of HACCP because they believe that the government should be more concerned with larger producers because the 1996 Odwalla juice outbreak was from a large juice manufacturer that distributed to many states and Canada (CDC, 1996). If this is their belief, it is unsubstantiated because juice outbreaks have been reported as early as 1923, and several outbreaks have occurred since the 1996 outbreaks. Previous to the Odwalla outbreak in 1996, outbreaks tended to be localized and juice was made by relatively small juice processors. The media featured the Odwalla outbreak and the government investigated it further because it was so widespread and a child died from consuming contaminated juice (Parrish, 1997; Parrish, 2000; FDA, 2001). Processors’ views about unnecessary expense and oversight, the government, and the media are again supported by research regarding how relevant and personal a food safety situation is perceived. Cider processors perceive themselves as already producing a safe product, as trustworthy, and that a foodbome illness outbreak is unlikely to happen to them. Therefore, they view the additional expense and oversight of the juice regulation as unnecessary. This belief is common when people are not willing to accept that they are just as vulnerable as anyone else to food safety and health risks and have not the will power to prevent an unfortunate Situation (Schafer et al., 1993). Consumer confidence and HACCP Because the majority of the cider processors sell directly to consumers, we wanted to learn how they perceived their customers and HACCP. Processors overall perceived that their consumers ranged from adults with children under five years of age 74 to adults over 65 years of age. Significant differences were found among processor groups for adults without children and adults over 65 years of age (Table 17). Processors agreeing with HACCP differed significantly from other processors regarding their perceptions of their consumers and were more likely to believe that HACCP would increase consumer confidence (Table 18). Half of all processors, however, did not perceive HACCP as making consumers more confident in buying cider from their mill (Table 18). This view is most likely because only 4% of the processors believe consumers have a good understanding of HACCP, 48% indicate consumers were aware of HACCP but not certain what it meant, and the remaining 48% perceive consumers as not at all aware of HACCP and did not care (Table 18). This finding is consistent with focus groups regarding HACCP awareness in the meat industry in which only a small percentage of consumers had heard about HACCP and understood it even less (Ford et aL,1998) When processors were asked why consumers purchased their cider, they listed trust, taste, and a fun fall activity that supports tradition as most important (Table 19). “Trust cider mill” was the most common reason processors perceived that consumers purchased their cider (88%; Table 19). Although the majority of mills (77%) do not use pasteurization or other means to destroy microbial pathogens, processors were convinced that consumers trusted their mill because of the stringent sanitary conditions applied from apple harvesting to cider bottling. This consumer trust may be based on years of buying cider at their mill as indicated by the following comments about the FDA warning label “Consmners did not understand, why now! They have been drinking cider all their life” and “Most older folks say they’ve been drinking unpasteurized cider their whole life and 75 it hasn’t killed them yet.” Consumers’ trust is not considered to be the same as healthy or safe, which only 65% and 52% of processors, respectively, mentioned as reasons that consumers purchased cider (Table 19). Taste was the second reason processors felt consumers purchased their cider. Processors opposing HACCP believed that their customers are concerned about the effect pasteurization has on the flavor and taste of cider. Processors supported this belief by writing comments in the survey about 'what they had heard from their customers, “Pasteurized cider doesn’t taste as good,” “I’m not concerned with safety, I want the good untreated stuff,” and “If it is pasteurized, I don’t want it.” These processors further supported their views by writing additional notes on the survey that included “Most of our customers want unpasteurized cider,” “they want natural cider — not pasteurization,” “not concerned as long as it is not pasteurized,” and “I have far greater number of customers who comment that they buy our cider because it is unpasteurized.” This demonstrates why 80% of processors opposing HACCP use the attribute “unpasteurized” to promote their cider (Table 20). Consumer research indicates that the majority of consumers are not able to distinguish pasteurized and unpasteurized cider by taste and even if they can distinguish by taste, consmners will adjust over time to the taste of treated cider (Yulianti, 2003). Processors opposing HACCP are not oblivious to the fact that they have lost customers because of concerns about the health risk of unpasteurized cider. Processors reported that because of consumers’ personal situations, such as families with young children, the elderly and people with poor health, they have heard comments such as 76 “Unpasteurized cider can possibly have a negative effect on young children and very old adults.” Processors selling unpasteurized cider are required to include a warning statement on their product containers so we wanted to learn what processors had heard from consumers about the warning. In the opinion of processors, only a minority of consumers (21%) noticed the warning label for untreated apple cider (Table 18). Processors commented that they were asked “Is there a problem, why the label?” and “Does this mean your cider is the same as it always has been?” Processors also indicated that they often had to explain why the warning was on the juice container and then reported hearing comments such as; “It is necessary?” “That’s a bunch of nonsense,” “It is ridiculous,” and “Another idiotic government idea.” One processor commented, “After they get done laughing at the government’s reasoning the inevitable comparison to cigarettes follows.” The cider processors’ comments about the FDA warning statement suggests that some Michigan cider processors believe the warning label is not necessary and further justifies their decision to disagree with the need for HACCP. Another top reason consumers buy cider is likely because they want to support small cider processors so they can purchase locally grown fruits and fruit products and enjoy a fun fall activity (69%) that supports tradition (67%; Table 19). The cider qualities promoted by our surveyed processors included no preservatives, fresh, unpasteurized, delicious or great tasting, and 100% juice (Table 20) indicating they are promoting some of the attributes of interest to consumers. Survey research regarding produce and organic foods has found that many consumers also believe locally grown 77 and processed food is fresher, safer and more nutritious (Bruhn and Schutz, 1999; Torjunsen et al., 2001). E. CONCLUSION Cider processors participating in this study were divided in their perceptions of the juice HACCP regulation and in particular how they perceive the need for and effectiveness of HACCP to decrease foodbome illnesses. Processors who agreed with HACCP thought this program would not affect their profit and that consumers were more concerned about the safety of cider. Although a higher percentage of these processors had taken measures to comply with the juice HACCP regulation by installing equipment that would reduce the risk of pathogens, few had followed through to develop a HACCP plan by September 2002. Processors that disagree with HACCP thought the program would decrease their profits and that consumers were more concerned about the taste of cider and rejected pasteurized cider because of the perceived detrimental effect on taste. A major reason for disagreement with HACCP was wariness of the government and the decision to mandate HACCP. The regulation was viewed as the government’s way of interfering with and not being realistic about the juice industry, especially small cider processors. However, a majority of the processors were positive about food inspectors, considered them knowledgeable, and took pride in passing annual inspections conducted by the regulatory agencies. Differences in perceptions of consumer purchase decisions were aligned with the processors’ views toward HACCP. This has led to differences in marketing strategies (safety versus taste) because processors viewed consumers as either wanting treated and safe cider or untreated, tasty and natural cider. 78 When processors were asked what motivates consumers to purchase their cider, “trust the cider mill” was at the top of the list for all processors. However, many Michigan cider processors do not perceive the need to take additional measures to further ensure this trust by implementing HACCP. Cider processors may not be realistic about food safety risks and losing the trust of consruners. Studies have shown that small processors tend to be the most affected by consumer concerns in the time of a crisis because consumers can easily find another food source (Stevenson, 1998; Torj unsen et al., 2001). Based on the findings of this study, it appears that the juice industry may be heading in the same direction as other food industries, such as the seafood industry, in which processors were slow to adopt HACCP. This may be because cider processors that are resistant to change believe they cannot afford HACCP and are uncertain about how to implement this food safety program. These reasons have overshadowed processors’ perception that trust is why consumers purchase their cider. 79 Table 12. Characteristics of cider mills and processors’ agreement with HACCP implementation is necessary for cider safety in = 52) HACCP implementation necessary for cider safety+ Characteristics Overall Strongly Neutral Strongly agree or (n=11) disagree or agree disagree (n=16) (n=25) Response (%) Number responding (n) FDA classification of business: Very small 92 14 10 24 Small 4 1 1 0 Large 4 1 0 1 Annual production (gallons): <2,000 27 5 2 7 2,000-3,999 31 3 2 10 4,000-19,999 21 3 3 5 20,000-99,999 13 2 3 2 >100,000 8 2 1 1 Total annual sales of mill (S): <5,000 33 5 4 8 5,000-9,999 15 1 0 6 10,000-49,999 27 5 3 6 50,000-99,999 12 1 1 4 >100,000 13 3 3 1 Type of elder sales: Retail only 83 10 9 17 Wholesale only 8 2 2 2 Wholesale and retail 9 3 0 6 Employees working at mill: <5 79 10 8 23 5-10 6 3 0 0 11-20 2 0 0 1 21-50 7 2 1 1 >50 6 1 2 0 Years mill in operation: < 1 2 l 0 0 1-5 4 0 1 1 6-10 19 2 2 7 11-20 19 2 2 5 >20 56 8 6 12 80 Table 12 (cont’d). HACCP implementation necessary for cider safety+ Characteristics Overall Strongly Neutral Strongly agree or (n=11) disagree or agree disagree (n=25) (n=16) Response (%) Number responding (11) Years worked at mill: < l 2 1 0 0 1-5 8 0 l 3 6-10 23 2 2 8 11-20 17 3 2 4 >20 50 7 6 10 * FDA classification of businesses (juice manufacturers/cider mills) based on size: Very small businesses (as defined in 21 CF R 120) are those operations that have either total annual sales of less than $500,000, or have total annual sales greater than $500,000 but their total food sales are less than $50,000, or are operations that employ fewer than an average of 100 full-time equivalent employees and sell fewer than 100,000 units of juice in the United States. Small businesses (as defined in 21 CFR 120) are those operations employing fewer than 500 persons. Large businesses (as defined in 21 CFR 120) are all businesses not defined as “small businesses” or “very small businesses” (FDA, 2001). +Processors were divided into three groups based on their agreement with the question “HACCP implementation is necessary to ensure the safety of cider.” The number of processors listed were those that either strongly agree or agree with HACCP (n=16), processors neutral to HACCP (n=1 1) and processors either strongly disagree or disagree with HACCP (n=25). 81 Table 13. Comparison of juice manufacture size definitions according to the U.S. Food and Drug Administration (FDA) and according to the Michigan Department of Agriculture (MDA) (n = 52) U.S. Food and Drug Administration* Michigan Department Very Small Small Large of Agriculture+ Small 26 0 0 Medium 15 0 0 nge 7 2 2 “ FDA classification of businesses (juice manufacturers/cider mills) based on size: Very small businesses (as defined in 21 CF R 120) are those operations that have either total annual sales of less than $500,000, or have total annual sales greater than $500,000 but their total food sales are less than $50,000, or are operations that employ fewer than an average of 100 full-time equivalent employees and sell fewer than 100,000 units of juice in the United States. Small businesses (as defined in 21 CFR 120) are those operations employing fewer than 500 persons. Large businesses (as defined in 21 CF R 120) are all businesses not defined as “small businesses” or “very small businesses” (FDA, 2001). +Small, medium, and large mills produced <4,000, 4,000-20,000, and >20,000 gal/yr, respectively 82 Table 14. Processors’ perceptions of the need and effectiveness of the juice HACCP regulation and rationalizations for these perceptions Responses (%) Perception Strongly Agree Neither Disagree Strongly agree disafl HACCP implementation necessary to ensure cider 8 23 21 33 15 safety HACCP reduces incidence of foodbome illness’ 10 25 33 20 12 linked to juice consumption HACCP regulation results in unnecessary expense 27 43 14 16 0 Juice HACCP regulation results in unnecessary 23 37 21 17 2 oversight HACCP training is easily accessible and convenient 2 41 22 27 8 Inspectors who visit my plant have adversarial 8 18 23 35 16 relationship towards me Inspectors who visit my plant are knowledgeable 11 45 31 9 4 about HACCP 83 Table 15. Processors’ perceptions of the juice HACCP regulation I HACCP implementation necessary for cider safety‘” Perception % Agree Neutral Disagree Overall (n=16) (n=] 1) (n=25) Regponses (%) HACCP reduces incidence of foodbome illness’ linked to juice consumption c b a Strongly agree and agree 35 88 9 12 Neutral 33 12 91 21 ‘ Strongly disagee and disagree 32 0 0 67 HACCP regulation results in unnecessary expense 3 a b ‘ Strongly agree and agree 70 44 64 92 Neutral 14 12 27 8 Strongly disagee and disagree 16 44 9 0 Juice HACCP regulation results in unnecessary oversight d de e Strongly agree and agree 60 44 40 82 Neutral 21 12 60 9 Strongly disaglee and disagree 19 44 0 9 HACCP training is easily accessible and convenient a ab b ‘ Strongly agree and agree 43 64 46 29 Neutral 22 14 27 25 Strongly disagee and disagree 35 22 27 46 Inspectors who visit my plant have adversarial relationship towards me Strongly agree and age 26 27 30 25 Neutral 23 7 4O 25 Strongly disaggee and disagge 51 66 30 50 Inspectors who visit my plant are knowledgeable about HACCP b a b ‘ Strongly agree and agree 56 60 20 70 Neutral 31 27 50 25 Strongly disggree and disagree 13 13 30 5 a,b,c numbers with different superscripts within a row differ at P S 0.05. d,e numbers with different superscripts within a row differ at P S 0.10. "‘ Processors were divided into three groups based on their agreement with the question “HACCP implementation is necessary to ensure the safety of cider.” The number of processors listed were those that either strongly agree or agree with HACCP (n=16), processors neutral to HACCP (n=] 1) and processors either strongly disagree or disagree with HACCP (n=25). 84 Table 16. Responses of processors to the juice HACCP regulation HACCP implementation necessary for cider safety* Responses % Agree Neutral Disagree Overall (n=16) (n=] 1) (n=25) Decisions: Responses (%) Equipment costs in anticipation of HACCP in the last 5 years (in S): a b b <1000 35 13 45 LOGO-2,500 12 7 9 l6 2,501-5,000 14 0 46 40 >5,000 39 80 0 0 Changes made in how cider is sold due to HACCP: No change 39 33 50 39 Sell more retail 19 22 0 23 Sell only retail 42 45 50 38 Anticipated changes in profits due to HACCP? c d d Decrease 57 33 64 65 No change 37 50 36 31 Increase 6 17 0 4 Yes responses (tt/g Steps toward HACCP implementation: Intend to process cider according to Juice 62 75° 32° 44° HACCP regulation Attended cider school or HACCP training 62 33° 7o°° 43° Implemented SSOPS 44 69° 40°° 32° Implemented 5-log reduction step 23 44° 13°15 12° Implemented HACCP plan 10 15° 10° 3° Perceptions: What motivates you to make cider? Believe cider is a safe product 75 75 82 72 Supplement income 67 56 73 72 Family tradition and business 62 69 73 52 Enjoy customers who purchase cider 52 63 55 44 Enjoy process'mg cider 40 44 36 40 Another way to use extra apples 38 31 55 36 Fun to make 17 19 18 16 a,b numbers with different superscripts within a row differ at P S 0.05. c,d numbers with different superscripts within a row differ at P S 0.10. ° Processors were divided into three groups based on their agreement with the question “HACCP implementation is necessary to ensure the safety of cider.” The number of processors listed were those that either strongly agree or agree with HACCP (n=16), processors neutral to HACCP (n=11) and processors either strongly disagree or disagree with HACCP (n=25). 85 Table 17. Processors’ perceptions of visiting frequency of consumers to their cider mill HACCP implementation necessary for cider safety“r Perceptions % Agree Neutral Disagree Overall (n=16) (n=] 1) (n=25) Responses (%) Adults with children < gyears Very often 45 50 60 38 Often 48 43 40 52 Not often 7 7 0 10 Not at all 0 0 0 0 Adults with school-age children 5-9 years Very often 61 64 67 57 Often 34 25 33 38 Not often 5 7 0 5 Not at all 0 0 0 0 Adults with schoolgge children >9 years Very often 55 50 67 54 Often 38 36 33 41 Not often 7 l4 0 5 Not at all 0 0 0 0 Adults without children a b c Very often 74 57 100 74 Often 22 29 0 26 Not often 2 7 0 0 Not at all 2 7 0 0 Adults >65 years c a b Very often 66 39 100 70 Often 27 38 0 30 Not often 7 23 0 0 Not at all 0 0 0 0 a,b,c numbers with different superscripts within an age category differ at P S 0.05. ° Processors were divided into three groups based on their agreement with the question “HACCP implementation is necessary to ensure the safety of cider.” The number of processors listed were those that either strongly agree or agree with HACCP (n=16), processors neutral to HACCP (n=11) and processors either strongly disagree or disagree with HACCP (n=25). 86 Table 18. Processors’ perceptions of consumers’ response to the juice HACCP regulation and rationalizations for these perceptions , HACCP implementation necessary for cider safety“ Perceptions % I Agree Neutral Disagree Overall (n=16) (n=1 1) (n=25) Responses (%) HACCP will make consumers more confident in buying cider from mill a b b Aggee strongly or agree 16 43 0 8 Neutral 33 29 70 21 Disagree strongly or disagree 51 28 30 71 Consumers awareness of Juice HACCP figulation Yes, and have good understanding 4 0 10 4 Yes, but not sure what it means 48 57 40 46 Not aware at all 25 36 40 12 No, and don’t care 23 7 10 38 How often consumer notice FDA warning label (if needed) Never 12 0 12 14 Seldom 67 100 50 67 Often 12 0 13 14 Very often 9 0 25 5 How often do your feel your customers purchase cider? Only for special occasions 2 0 0 4 Throughout the year 22 25 20 21 2-3 times a month in the fall 35 58 30 25 Once a week in the fall 41 17 50 50 a,b,c numbers with different superscripts within a row differ at P S 0.05. " Processors were divided into three groups based on their agreement with the question “HACCP implementation is necessary to ensure the safety of cider.” The number of processors listed were those that either strongly agree or agree with HACCP (n=16), processors neutral to HACCP (n=11) and processors either strongly disagree or disagree with HACCP (n=25). 87 Table 19. Processors’ perceptions of consumers’ motivations to purchase cider I HACCP implementation necessary for cider safety* Perceptions % Agree Neutral Disagree Overall 7 (n=16) (n=11) (n=25) Yes res nses (%) What motivates consumers to purchase cider? Trust your cider mill 88 88 82 92 Great taste 85 8 l 91 84 Fun fall actm 69 75 55 72 Tradition 67 31° 45° 6851’ Healthy moduct 65 75 64 60 100% juice 54 44 55 60 Feel it is safe 52 69 36 48 a,b numbers with different superscripts within a row differ at P S 0.10. “ Processors were divided into three groups based on their agreement with the question “HACCP implementation is necessary to ensure the safety of cider.” The number of processors listed were those that either strongly agree or agree with HACCP (n=16), processors neutral to HACCP (n=1 1) and processors either strongly disagree or disagree with HACCP (n=25). 88 Table 20. Cider qualities promoted by processors HACCP implementation necessary for cider safety* Perceptions % Agree Neutral Disagree Overall (n=16) (n=1 1) (n=25) Responses (% Do you promote your cider as having these qualities? No preservatives 79 69 82 84 Fresh 75 69 82 76 Unpasteurized 63 33° 54°° 30° Delicious or great tasting 63 75 55 60 100% juice 54 45 60 45 Healthy 42 69° 27° 32° Made with Michigan apples 38 27 36 62 Safe 31 56° 27°° 16° Passed food safety inspections 25 44° 0° 24° Pasteurized 23 44° 1 3°° 12° Contains preservatives to maintain freshness 13 13 27 8 Organic or natural 6 13 9 0 a,b,c numbers with different superscripts within a row differ at P S 0.05. d,e numbers with different superscripts within a row differ at P S 0.10. " Processors were divided into three groups based on their agreement with the question “HACCP implementation is necessary to ensure the safety of cider.” The number of processors listed were those that either strongly agree or agree with HACCP (n=16), processors neutral to HACCP (n=1 1) and processors either strongly disagree or disagree with HACCP (n=25). 89 CHAPTER V. APPLE CIDER AND JUICE FOOD SAFETY: A CONSUMER PERCEPTION SURVEY A. ABSTRACT In the 1990’s a series of foodbome-illness outbreaks raised public health concerns about unpasteurized juice containing pathogens. In response, the U.S. Food and Drug Administration (FDA) implemented the juice Hazard Analysis and Critical Control Point (HACCP) regulation, in which juice manufacturers must process juice in a way that includes a lethality step, such as pasteurization, to reduce the presence of pathogens and subsequent health risks. An exception to the juice HACCP regulation was made for processors selling juice directly to consumers, such as from a farm or orchard, in which they do not need to process juice using HACCP. If a processor wishes to sell juice directly to the public without using a lethality step, s/he must include a warning statement on the juice container to inform consumers about health risks associated with drinking the juice. Several juice related foodbome illness outbreaks have been caused by microbial pathogens present in unpasteurized apple juice. Consumers may have become aware of apple juice-associated outbreaks through the media or noticed the warning label on juice containers. However, there has been little research conducted on how consumers perceive the safety of juice and in particular the safety of apple cider or juice. This chapter focuses on the food safety perceptions of Michigan consumers who drink apple cider and juice. An e-mail survey was sent in October 2002 to 497 Michigan consumers who drink apple cider and juice. Our objective was to learn their food safety concerns about apple cider and juice, food safety information sources, knowledge about 90 juice safety and factors that influence their apple cider and juice purchase decisions. Surveyed consumers expressed concern about the possible presence of bacterial, chemical, and physical hazards in apple cider and juice. However, they were not able to distinguish statements required on the juice label and had limited knowledge about HACCP. Only 20% of consumers understood that HACCP is a food safety program. Apple cider and juice purchase decisions by consumers were influenced first by taste, then safety. Consumers vary in where they purchase apple cider and juice and considered grocery stores as having the safest juice and farms as having the freshest but not necessarily the safest juice. B. INTRODUCTION The FDA estimates that annually in the U.S. 16,000-48,000 people become ill from drinking juice that contains microbial pathogens (FDA, 2001). To decrease the incidence of foodbome illnesses associated with juice products in 1998, the FDA promulgated a regulation that required the statement “WARNING: This product has not been pasteurized and, therefore, may contain harmful bacteria which can cause serious illness in children, the elderly, and persons with weakened immune systems” be placed on the labels of juice products that had not been treated with a processing technology, such as pasteurization or UV light irradiation, that ensures a 5-log reduction of pertinent pathogens of concern (Salmonella spp., E. coli 0157:H7, and Cryptosporidium parvum). In 2001, the final juice HACCP regulation was promulgated. This juice HACCP regulation required juice manufacturers to implement a HACCP plan which includes a lethality step that results in a 5-log reduction of the pertinent pathogens. The regulation was phased in based on juice manufacturer size starting in January 2002 with full 91 compliance no later than January 2004 (FDA, 2001). An exemption to the juice HACCP regulation was made for manufacturers that sell juice directly to consumers in that they were not required to implement HACCP or the lethality step. However, if they choose this option, the warning statement must be on juice packages (FDA, 2001). During the 1990’s, consumers’ food safety concerns increased in regards to the presence of harmful bacteria, chemicals, and foreign material in food. Although consumers express concern about food safety, many tend to have limited knowledge about food safety and do not follow food safety recommendations (Bruhn, 1997; Bruhn and Schutz, 1999; Herrmann et al., 2000; Roper, 2001). Consumers often base food purchase decisions on their personal traditions and beliefs about the food (Davidson et al., 2003; Robinson and Smith, 2003; Spinks and Bose, 2002). Generally, the food attributes that continue to be of importance to consumers are taste, food safety and health benefits of the food (Ford et al., 1998; Goldman and Clancy, 1992; Jolly etal., 1989; McEachem and McClean, 2002). Because foodbome illness outbreaks associated with apple juice have been a concern, we wanted to learn about the food safety perceptions of Michigan consumers in regards to apple cider and juice. Apples, apple cider and juice are important commodities to Michigan agriculture and food safety concerns about these products could have a negative impact on this industry. Michigan ranks as one of top four apple producing states and one of the top three states in cider production with approximately 30 percent of Michigan apples processed into apple cider or juice (Michigan Apple Association, 2004; Michigan Agricultural Statistics, 2003). The objective of this study was to evaluate Michigan consumers’ concerns about the safety of refrigerated apple cider and juice, their 92 knowledge about food safety terminology and juice labeling requirements, and whether or not food safety concerns influence their apple cider and juice purchase decisions. C. MATERIALS AND METHODS In October 2002, an email survey was sent to 1,000 Michigan primary household shoppers over 18 years of age. Participants were informed that the e-mail survey was voluntary, confidential, and conducted for Michigan State University. The study protocol was approved by Michigan State University Committee on Research Involving Human Subjects (Appendix A). The survey was pilot tested (n=125). A market research company, (Market Facts Inc., Chicago, IL) provided the consumer e-mail list and sent the survey to Michigan consumers. The survey followed Dillman’s (2000) survey methods for mail and e-mail surveys (Appendix N). More than 85% of the surveyed consumers returned the e-mail questionnaires (n=851). Market Facts Inc., also provided additional demographic data they had on file for the consumers participating in the survey. Data were analyzed using SAS and descriptive statistics were generated. For statistical analyses, surveys from consumers that purchased and/or drank apple cider, juice or both within the last year (n=497) were used. D. RESULTS AND DISCUSSION Because food safety continues to be a primary concern of consumers (International Food Information Council, 1999; Roper, 2003), we were interested in how Michigan apple cider and juice consumers perceive the risk of foodbome illnesses from refrigerated juices. To assess consumer concerns, we used an e-mail survey, which has the advantage of a very high return rate (85% in this study). A disadvantage of e—mail surveys is that they tend to represent consumers who are Caucasian and have higher 93 education and income levels when compared to U.S. census data (Bauman and Airey, 2001). We found this to be true when demographics of our survey respondents were compared to U.S. census data for adults over the age of 18 years (Table 21). Food safety concerns Food safety concerns have been investigated in a number of food safety surveys and consumers continue to be concerned with bacteria, pesticides, mold, foreign material, processing chemicals, insects and allergens in their food (Bruhn, 1997; Bruhn and Schutz, 1999; Meer and Misner; 2000; Li-Cohen and Bruhn, 2002; Roper, 2001, 2003). Our Michigan apple cider and juice consumers had the same food safety concerns as consumers in these other food safety studies (Table 22). Consumers may not put food safety concerns into perspective relative to other safety risks. The International Food Information Council (1999) reported that food safety concerns often exceed concerns about other health and safety issues such as cigarette smoking or wearing a seat belt. Consumer surveys on food safety also have found that although consumers indicate they are concerned about food safety, their knowledge about these concerns is often limited and they do not necessarily follow through with actions to prevent food safety risks (Sparks and Shepard, 1994; Meer and Misner; 2000; Li-Cohen and Bruhn, 2002). Consumers’ food safety concerns need serious consideration by educators and manufacturers in order to help consumers make more informed food choices and be confident about our food supply. Information sources and knowledge Consumers become aware and knowledgeable about food safety concerns through a variety of resources. The primary sources of food safety information for over 50% of 94 our respondents were national and local television programs and local newspaper reports (Table 23). Bruhn and Schutz (1999) reported that even though consumers use the media as their main food safety resource they do not necessarily perceive this as the most reliable. Physicians and health professionals are considered to be the most reliable source but are not used very often (Bruhn and Schutz, 1999). Our respondents referred to physicians 22% and other health professionals 10% of the time (Table 23). Family members were sources of food safety information for 37% of our respondents (Table 23). Relatives are often perceived as the most believable and trustworthy information source for food safety, but the advice is often based on personal experience (Herrmann et al., 2000) A Significant proportion of respondents are using the intemet as a source of food safety information. For food safety information, 28% of those surveyed indicated using national websites and 14% use local Sites (Table 23). Public opinion polls find the intemet is being used by more consumers and is considered by consumers to be a reliable and important communication tool (Roper, 2004). Of the food safety resources, the media is still the most accessible information source and increases consumers’ awareness of health and food safety risks. However, the media also can contribute to creating consumer confirsion about these risks. The confusion leads consumers to believe that no matter what they decide about food there is more than likely a health or food safety risk (Hansen etal., 2003; Roe et al., 2001). A possible reason for confusion is the approach many media reports take to over-emphasize one aspect of a food safety concern and not necessarily provide objective views or information from all the groups involved (Hansen et al., 2003; Sandman, 1987; Ten Eyck, 2002). 95 Consumers perceive themselves as knowledgeable about food issues, regulations and safety, but they cannot differentiate between food label requirements and marketing information on packaging (N ayga et al., 1998). Food purchases are often based on familiarity with the product, convenience, packaging and sales information that interests the shopper rather than on nutrition or food safety (Herrmann, 2000; Kristal et al., 1998). Our respondents support this finding since their answers about juice labeling requirements (Table 24) implied that they chose statements based on familiarity or what they wanted on a label versus what is required. Consumers cannot be expected to be food labeling experts, but this finding and other research indicates that food labeling may not be serving its intended purpose to educate consumers and provide information to make healthy food purchases (Herrmann, 2000; Kristal et al., 1998). Lack of knowledge about industry food safety programs was evident as only 20% of our respondents were aware that HACCP was a food safety program (Table 25), which was similar to results reported previously by Ford et al. (1998). Similarly, Bruhn and Schutz (1999) and Herrmann et al. (2000) reported that consumers have only a limited knowledge of food safety terms. Potential reasons for consumers’ limited knowledge about HACCP could be that HACCP is an abbreviation and an extensive media campaign by food safety experts has not taken place since the primary focus of HACCP education has been for food manufacturers about this program rather than consumers. Ford et al. (1998) demonstrated that once consumers were educated about HACCP they believed that having a statement about HACCP would improve confidence in the product and manufacturer. 96 Michigan apple cider and juice consumers were familiar with the food safety term pasteurization (70%) and that this process decreases the risk of pathogens (Table 25). Knowledge about pasteurization may be due to the food industry having used this term for many years. With regards to apple cider and juice, pasteurized and not pasteurized were perceived not only as an indicator of food safety but also for taste. Pasteurized was perceived by 13% of surveyed consumers as having more of a cooked taste and not pasteurized was perceived by 20% of consumers as having more of a fresh taste (Table 25). A reason for the differences in taste perception may be that in some instances pasteurization involves the use of high temperatures for relatively long time periods and causes changes in the taste of juice products. Pasteurization regimes necessary for pathogen control in refrigerated juice products can use moderate heat for relatively short time periods (e.g., 71.1°C (160°F) for 6 seconds) with little or no adverse affect on taste. Today many consumers do not notice taste differences between pasteurized and non- pasteurized cider (Boylston et al., 2003). Our respondents’ food safety information sources and knowledge are consistent with consumers participating in other food safety surveys (Bruhn and Schutz, 1999; Ford et al., 1998; Li-Cohen and Bruhn, 2002; Meet and Misner; 2000). An opportunity exists to improve communications about the safety of apple cider and juice through the media and labeling. Purchase decisions When asked what would most likely influence their decision to purchase apple cider or juice, respondents were most interested in the apple cider or juice taste attributes followed by safety attributes (Table 26). Surveyed consumers were provided with 97 several statements that may appear on the juice container. Among these statements “100% juice” (94%) and “flesh” (87%; Table 26) were rated the highest. Research continues to find that taste prevails when consumers make purchase decisions regardless of their concerns about food (Ford et al., 1998; Goldman and Clancy, 1992; Jolly et al., 1989; McEachem and McClean, 2002). The terms “100% juice” and “flesh” also have implications in how consumers perceive the ingredients and processing. Jolly et al. (1989) and Goldman and Clancy (1992) reported that when “flesh” is used to describe a food, purchase decisions are influenced since the food is perceived as being recently made, consists of whole or natural ingredients, is less likely to contain bacteria or contaminants and has a better flavor. When our respondents were asked where they would purchase “flesh” or “100% juice” the most likely locations were farms, orchards and farmer’s markets (Table 27). After taste, 79% of surveyed consumers chose “passed food inspection” as influencing purchases (Table 26). The strong confidence in food safety inspections may be due to consumers being more familiar with food inspections because they have been conducted since the turn of the century (Juska etal., 2003). Ford et al. (1998) also reported that passing food safety inspection is a strong incentive for consumers to buy meat products. Caswell and Mojduszka (1996) and Roe et al. (2001) reported that consumers react more to food safety information on food labels if the information is positive. Our respondents supported this finding in that 45% were less likely to purchase juice bearing the FDA warning statement about the risk of pathogens (Table 26). When our consumers were asked where they prefer to buy “safe” juice almost half (48%) selected grocery stores (Table 27). Our surveyed consumers may be choosing the 98 grocery store as a safe place to purchase juice due to faith that retailers have strong food safety standards, convenience and a wider selection of products including shelf-stable juice. Our respondents were familiar with pasteurization and 60% of those surveyed indicated this term would influence their apple cider and juice purchase (Table 26) since they know it deceases one of their food safety concemS-the presence of pathogens (Table 25). Apple cider and juice perceived as “organic or natural’” would be a purchase incentive for over 50% of our respondents (Table 26), and this may be due to consumers’ impression that “organic” implies less chemical use and processing. This also points out that there is potentially a growing market for organically produced apple cider and juice in Michigan. Organic and natural food is considered to be more environmental fliendly and associated with the absence of pesticides and other chemicals (McEachem and McClean, 2002). Research over the last 15 years indicates there is an increasing demand for organic and natural foods because consumers perceive the food to be healthier, safer and less processed. This same research also notes that consumers are seeking and purchasing organic and natural food from local food c00peratives and community- supported agriculture groups (CSA). The cooperatives and CSAs are supplied with flesh produce and products flom local farms and orchards (Goldman and Clancy, 1992; Jolly et al., 1989; Jussaume and Higgins, 1998; Torjunsen et al., 2001). More consumers are seeking out locally grown and processed food due to familiarity, tradition and trust in the food as well as wanting to support local farmers (Booker and Hanf 2000; Guptill and Wilkins, 2002). When we asked our respondents what retailers they perceived as 99 offering organic and natural juice, 34% chose health food stores versus 21% identifying local farms or orchards, while 21% stated there was no difference in retailers (Table 27). Almost half (48%) of Michigan cider consumers associated the local farm or orchard with “not pasteurized” juice (Table 27). Unpasteurized juice is required to have the warning label about pathogens and 45% of surveyed consumers indicated this statement would negatively impact their juice purchase (Table 26). Based on consumer research (Roper, 2003), a market exists for organic and natural foods flom local farms but our respondents did not necessarily view Michigan farm or orchards as the safest place to purchase apple cider or juice. When making a purchase decision about apple cider and juice, our respondents first consider taste then safety. Including familiar terms such as “passed food inspections” on juice containers may improve consumer confidence. Our respondents also considered pasteurized juice to be safer since they know this processing method reduces the risk of pathogens. An interesting finding flom this survey is how Michigan apple cider and juice consumers are viewing Michigan farms and orchards as a place to purchase apple cider and juice. Consumers view local farms as having the fleshest juice, a top reason for purchase, and as a source of organic and natural food, but do not perceive Michigan cider processors as offering the safest product. Michigan apple cider processors need to take into consideration what Michigan apple cider and juice drinkers are looking for on the label and communicate that their product is 100% juice, has a great taste, is processed locally and is safe. Processors using HACCP need to emphasize these characteristics 100 since the juice HACCP regulation does not allow for the term “flesh” to be used on pasteurized or UV light treated juice (FDA, 2001). E. CONCLUSION Our respondents had similar food safety concerns, resources and knowledge as consumers surveyed in other food safety studies (Bruhn and Schutz, 1999; Li-Cohen and Bruhn, 2002; Meer and Misner; 2000). Taste was the priority of all of our respondents when making an apple cider and juice purchase and the attributes “flesh” and “100% juice” on the label were most likely to influence their purchase decision. Safety also influenced purchase decisions. The majority of respondents were familiar with pasteurization but only 20% of our respondents were aware that HACCP is a food safety program. Two groups of consumers emerged flom this study, consumers who want safe pasteurized apple cider and juice and selected the grocery store as most likely to have safe product, and consumers who want organic and less processed apple cider and juice but indicated the health food store as the retailer most likely to offer product with these attributes. An opportunity exists for Michigan apple cider processors implementing HACCP to reach both consumer groups. They need to communicate to apple cider and juice consumers that they make great tasting cider that is 100% juice flom locally grown apples and it is safe because of the food safety program (HACCP) used to process their cider. 101 Table 21. Demographic characteristics of Michigan e-mail respondents and the U.S. population Demographic % of respondents % of U.S. population characteristics (n=497) @000 census) Gender Female 56 51 Male 35 49 Prefer not to answer 9 - Ethnicity Aflican American 3 12 Asian American 1 2 Caucasian 92 72 Hispanic/Latino l 13 Other 3 1 Age Group (years) 0-18 - 27 18-25 6 7 26-35 18 14 36-45 22 16 46-55 26 14 56-65 18 9 > 66 10 13 Education level Someflgh school 2 20 High school graduate 20 29 Some college or technical 40 27 school College graduate 26 16 ‘ Postcollege graduate 12 8 Household income level in 2002 <$15,000 9 16 $15,000-$24,999 10 13 $25,000-$39,999 17 18 $40,000-$59,999 21 19 > $60,000 43 33 Population (in millions) where live <05 19 21 05-2 18 11 >2 45 68 Marital status Married 65 52 Siflle 35 48 102 Table 21 (cont’d). Demographic % of respondents % of U.S. Population characteristics (n=497) (2000 census) Members in household One 19 26 Two 38 33 Three 17 15 Four 17 14 > Five 9 11 Age in years of child(ren) in household <6 12 21 6-17 27 37 None under 18 69 52 103 Table 22. Michigan apple cider and juice consumers’ concerns about tential hazards in refligerated juice (n = 497) Level of concern (1 -5) Condition Very (2) (3) (4) Not at all (1) (5) (%) Pesticides 67 17 10 3 3 Bacteria 67 15 1 1 4 3 Mold 68 12 10 5 5 Foreign material 69 10 6 7 8 (glass, wood, metal) Processing 56 23 14 4 3 chemicals Insects 64 14 9 7 6 Allergens 50 19 16 7 8 Artificial 37 27 27 4 5 Egredients Preservatives 3 l 26 3 1 7 5 104 Table 23. Michigan apple cider and juice consumers’ sources of food safety information (11 = 497) Source % of respondents National television programs or news broadcast 67 Local television programs or news broadcast 60 Local newspaper articles 52 National newspaper or magazine articles 45 Family or fliends 37 Intemet-national websites 28 Local radio broadcasts 23 Physician 22 National radio broadcasts 20 Intemet-local websites 14 Other health professional 10 Other (not specified) 7 105 Table 24. Michigan apple cider and juice consumers’ knowledge of juice labeling requirements (11 = 497) Label statement % of respondents Keep refligerated 95 Contains preservatives to maintain fleshness 91 Pasteurized 89 Contains 100% juice 86 Not pasteurized 79 No preservatives 79 Has passed a food inspection test 73 Eganic or Natural 68 Has not been treated to reduce pathogens 61 Fresh 52 Safe 50 Delicious or ggeat tasting 18 106 Table 25. Michigan apple cider and juice consumers’ knowledge of food safety terms (11 = 497) Term % of respondents HACCP: (could select only one) Manufacturer has a food safety program in place 20 Manufacturer uses certified Grade A fluit to make juice 6 Manufacturer is a member of an independent organization 2 Manufacturer won an award <0.5 Don’t know 72 Pasteurized: (could select only one) Juice is organic and natural 2 Juice will have more of a cooked taste 13 Juice will have more of a flesh taste 6 Juice has less risk of pathogens 70 Juice may have more risk of pathogens 2 Don’t know 10 Not Pasteurized: (could select only one) Juice is organic and natural 21 Juice will have more of a cooked taste 1 Juice will have more of a flesh taste 20 Juice has less risk of pathogens 2 Juice may have more risk of pathogens 63 Don’t lmow l 1 107 Table 26. Labeling statements likely to influence Michigan apple cider and juice consumers’ purchase decisions (n = 497) Level of purchase likelihood (1-5) Statement Much more More Neither Less Much less (1) (2) (3) (4) (5) (%) 100% Juice 69 25 6 <05 0 Fresh 55 32 23 <05 0 Passed food inspection 46 33 19 l 1 Ngreservatives 36 33 28 2 1 Safe 37 29 31 2 1 Delicious ogreat tasfig 37 26 35 1 1 Keep refrigerated 36 22 41 1 <0.5 Pasteurized 3 1 29 36 2 2 _Ogganic or natural 28 28 39 3 2 Contains preservatives to 7 15 48 22 8 maintain freshness Not pasteurized 6 10 45 22 17 Warning statement that 5 8 42 24 21 juice not treated to reduce pathogens 108 Table 27. Michigan apple cider and juice consumers preferred retailer to purchase refrigerated apple cider or juice with the following characteristics (11 = 497) Characteristic Local Farmer’s Health Grocery Mass No Farm or market food store merchandiser difference Orchard store % of respondents Fresh 47 11 2 21 2 17 No preservatives 33 8 19 17 2 21 Safe 4 2 10 48 4 32 Delicious or 29 9 3 27 3 29 _great taste ' Organic or 21 6 34 17 1 21 natural Not pasteurized 45 13 7 12 2 21 109 CHAPTER VI. SUMMARY, CONCLUSIONS AND FUTURE RESEARCH Summary: In the late 1990’s the public became concerned about the safety of juice after a series of foodbome illnesses attributed to consumption of unpasteurized juice contaminated with pathogens. The pertinent pathogens most successful at surviving and growing in juice and likely to result in a foodbome illness include Salmonella spp., E. coli 0157:H7 and Cryptosporidium parvum. Apple juice and cider were the sources of the pathogen, E. coli 0157:H7, in several of the juice-associated foodbome illnesses (FDA, 2001). In 1997, the FDA published a notice of intent announcing a comprehensive program to address foodbome illness related to juice and ultimately improve the safety of juice. The notice of intent proposed three areas, 1) a juice HACCP regulation, 2) a warning label on juice products not treated to achieve a 5-log reduction of pertinent pathogens and 3) juice safety and HACCP education programs for processors (FDA, 1997). In 1998, the FDA published the final regulation for labeling of juice and extended the comment period for the juice HACCP regulation. After a review of juice research and comments flom both processors and the NACMCF, the FDA published the juice HACCP final regulation in January 2001, and required HACCP implementation in January 2002, 2003, and 2004 for large, small, and very small juice manufacturers, respectively. Juice processors selling juice directly to consumers were allowed a “retail exemption” in which they are not required to implement HACCP but must include a warning label about the risk of pathogens on the juice containers (FDA, 2001). 110 The safety of cider is of special interest to the State of Michigan since it is one of top four apple producing states and one of the top three states in cider production with approximately 30 percent of Michigan apples processed into cider each year (Michigan Apple Association, 2004; Michigan Agricultural Statistics, 2003). From 1997 through 2002, the MDA conducted annual cider mill inspections and collected samples of retail cider for bacterial analyses. The inspections took place during the traditional cider season, September through November. Important elements of the inspections included evaluation of agricultural and manufacturing practices, whether cider was sold wholesale or retail and the annual cider production volume at the mill. The MDA state laboratory conducted bacterial analyses of the cider which included tests for the presence of E. coli 0157:H7, generic E. coli, total coliforms, total aerobic plate counts and pH. To investigate changes processors had made in agricultural and manufacturing practices and their perceptions about the juice HACCP regulation two mail surveys were sent to processors in September 2002. In October 2002, an e-mail questionnaire was sent to Michigan juice consumers to evaluate their concerns regarding the safety of refrigerated apple juice and cider, knowledge about food safety and food safety concerns that might influence purchase decisions. Improvements were found in both agricultural and manufacturing practices at cider mills between 1997 and 2002. The improvements included better record keeping of purchased apples and more processors inspecting apples for cleanliness and wholesomeness and storing apples in cold storage. Facilities improvements included adequately screening the facility to prevent entry of animals, improved water systems, 111 use of intervention technology to destroy microbial pathogens and more mills conducting microbial analyses of finished product. Cider mills producing more than 20,000 gallons of cider per year were the first to use CGMPS and had lower bacterial counts in their cider. Two-thirds of cider mills producing more than 20,000 gallons of cider per year implemented thermal pasteruization or UV light irradiation to achieve a 5-log reduction in microbial pathogens. Generally, mills using either thermal pasteurization or UV light irradiation had lower bacterial counts in final products. However, some cider samples labeled as either pasteurized or UV light treated had higher bacterial levels than would be expected for cider treated with these processes. This indicates that some processors were not properly using thermal pasteurization or UV light irradiation equipment, or that the cider was contaminated after processing. E. coli 0157:H7 was not detected in any of the cider samples tested during 1997 to 2002. However, 5.8% of all samples contained generic E. coli, indicating potential fecal contamination. The presence of generic E. coli is a concern since it indicates that processors need to be more diligent in preventing bacterial contamination during apple harvesting, storage, handling and processing. The processor perception survey revealed that 48% of processors did not perceive the juice HACCP regulation as necessary for cider safety and indicated it would result in unnecessary expense and governmental oversight. These processors also believed the juice regulation would not decrease the risk of foodbome illness in juice or improve consumer confidence. Reasons not to implement HACCP included additional expense to upgrade the manufacturing facility and equipment, and the time needed to develop a 112 HACCP plan for a seasonal business. These processors also stated that customers trusted their cider mill and preferred untreated cider due to the taste. Processors who believed that HACCP was necessary for cider safety had taken measures to improve their processing facilities and practices. Processors, regardless of their view on the need for HACCP, had favorable attitudes towards regulatory personnel inspecting their facilities. Michigan consumers who purchase apple cider or juice had similar food safety resources, knowledge and concerns as consruners in other food safety studies. Among factors influencing their decisions to purchase cider or juice, taste was considered most important, followed by safety. Although consumers expressed food safety concerns they were not necessarily knowledgeable about juice labeling requirements or food safety programs such as HACCP. Most consumers could not distinguish between marketing terms and juice labeling requirements and only 20% of the consumers were aware that HACCP is a food safety program. When asked about factors influencing where they would purchase apple cider and juice, respondents selected the grocery store as having the safest juice, health food stores as most likely to offer organic and natural juice, and the farm or orchard as having fleshest or 100% juice. Conclusions: This study has provided insights into the manufacturing practices at Michigan cider mills and the perceptions of both cider processors and consumers. From this study it is concluded that: 0 Further education about food safety and HACCP is needed for cider processors not perceiving the need for HACCP and electing the “retail exemption” of the juice HACCP regulation. Processors who do not use intervention technology or 113 implement HACCP are putting themselves at risk for a juice-associated foodbome illness outbreak. A single outbreak of foodbome illness associated with Michigan apple cider would have a negative impact on the entire Michigan cider industry. 9 Cider mills using thermal pasteurization and UV light equipment may still be at risk of producing unsafe cider due to equipment not operating properly as we found higher than expected bacterial counts in end-product samples flom some cider mills using these intervention technologies. 0 Michigan cider processors implementing HACCP and selling cider directly to consumers have a marketing opportunity to promote their cider as locally made, great tasting and safe. These attributes influenced our surveyed consumers’ purchase decisions about apple cider and juice, but they currently view the grocery store and health food stores as more likely to have product with these attributes rather than a local farm or orchard. Future Research: Many opportunities exist for future research and include: 0 Investigation into the operating procedures of thermal pasteurization and UV light irradiation equipment in Michigan cider mills to determine if equipment is operating properly to achieve a 5-log reduction of microbial pathogens. Several pasteurized and UV light irradiated end-product cider samples had higher than expected bacterial counts in this study. However, these observations were based on single samples collected each year and additional sampling is needed to substantiate this finding. 114 Experimental research onsite at cider mills to investigate processing steps flom harvesting to bottling that may introduce microbial hazards into cider. Although improvements were made in CGMPS flom 1997 to 2002, the data was collected by state personnel in 1997 and self-reported by processors in 2002. Inspectors and processors may have different interpretations of processing practices. Researchers who actually visit cider mills, assess manufacturing processes and conduct in-line sampling for microbial analyses may detect risks not found in this study and suggest areas for improvement. Investigation into the real and perceived constraints of HACCP implementation through focus groups and interviews with cider processors may determine how HACCP implementation can be successful in the juice industry. The processor perception survey in this study provided several insights into the views of cider processors. Research using focus groups and interviews allows for probing into processors’ decision-making and provides a better opportunity to determine ways to assist processors in overcoming negative perceptions about HACCP. Additional consumer research including sensory testing, focus groups and interviews is needed. Sensory research comparing pasteurized, UV light treated and untreated cider produced in Michigan will determine if consumers notice a difference in taste. Consumer research using focus groups or interviews can further investigate the concerns and needs of 115 Michigan apple cider and juice consumers and provide insight into their purchase decisions and views about Michigan cider mills. This study has provided important insights into the Michigan cider industry that can be used to construct both experimental and observational research to help ensure the safety of Michigan cider and improve consumer confidence. 116 APPENDICES 117 APPENDIX A UCRIHS FORM 118 MICHIGAN STATE UNIVERSITY July 30. 2004 TO: Toby TEN EYCK 316 Berkey Hall MSU RE: IRBff 01-589 CATEGORY: 2-G EXPEDITED RENEWAL APPROVAL DATE: August 18, 2003 EXPIRATION DATE: July 18, 2004 TITLE' APPLE JUICE AND HACCP: HAZARD SURVEILLANCE. TRAINING. AND ' PERCEPTIONS The University Committee on Research Involving Human Subjects' (UCRIHS) review of this project is complete and I am pleased to advise that the rights and welfare of the human subjects appear to be adequately protected and methods to obtain informed consent are appropriate. Therefore, the UCRIHS APPROVED THIS PROJECTS RENEWAL. Letter reprinted to reflect the addition of the secondary investigator (Donna Thede). RENEWALS: UCRIHS approval is valid until the expiration date listed above. Projects continuing beyond this date must be renewed with the renewal form. A maximum of four such expedited renewals are possible. Investigators wishing to continue a project beyond that time need to submit a 5-year renewal application for complete review. REVISIONS: UCRIHS must review any changes in procedures involving human subjects, prior to initiation of the change. If this is done at the time of renewal, please include a revision form with the renewal. To revise an approved protocol at any other time during the year, send your written request with an attached revision cover sheet to the UCRIHS Chair, requesting revised approval and referencing the project's IRB# and title. Include in your request a description of the change and any revised instruments, consent forms or advertisements that are applicable. PROBLEMS/CHANGES: Should either of the following arise during the course of the work, notify UCRIHS promptly: 1) problems (unexpected side effects, complaints, etc.) involving human subjects or 2) changes in the research environment or new information indicating greater risk to the human omcg or subjects than existed when the protocol was previously reviewed and approved. RESEARCH , , , ETHICS AND If we can be of further assrstance, please contact us at 517 355-2180 or v1a email: UCRIHS@msu.edu. STANDARDS Jniverslty Committee on Sincerely, Research Involvlno Human Subjects , Michigan State University W 202 OIdS Hall East Lansing, MI , 48824 Peter Vasrlenko, Ph.D. 517/355_2180 UCRIHS Chair FAX: 517/432-4503 l1: www.msu.edu/user/ucrihs E-Mail: ucrihs@msu.edu PV: jm cc: Donna Thede 9750 Huntington Rd. Battle Creek, MI 49017 MSU is an affirmative-action, l I. 9 pmannnnrtnnitv instill Itinn APPENDIX B 1997 MICHIGAN DEPARTMENT OF AGRICULTURE CIDER PROCESSOR SURVEY 120 “_239 (6.797) MICHIGAN DEPARTMENT OF AGRICULTURE LANSING. MI 48909 581210 No. . SPECIAL REPORT Date Time stablrshmcnt T) pc Person or Frnn Name Inspector Street Address City Zip Code County APPLE CIDER INSPECTION 1997 Date of Operation: Starting: Ending: Years in Operation: Gallons Produced Per Week A. FACILITY REQUIREMENTS YES NO Are processing operations in a separate enclosed room or building? Are processing area walls and ceilings impervious and floors made of concrete or an impervious surface that is easily cleaned? Is the processing facility adequately screened/sealed to prevent insect/rodent entry? Are toilet facilities completely enclosed and conveniently located? Are toilet facilities equipped with hot and cold running water, soap, single use disposable paper toweling with an “employee hand wash” notice? ls lighting adequate, and are lights properly shielded in processing and exposed food areas? ls ground free of improperly stored equipment, spray materials, litter, waste, uncut weeds, grasses and other pest harborage? ls wash/waste water properly disposed of? Municipal sewage?_ Septic tanks? Describe other: Are equipment, utensils, chemicals, and supplies not used for cider processing stored in an area separate from the processing area? Are food contact surfaces constructed of food grade materials which are safe, durable, corrosion-resistant, non-absorbent, and easily cleaned and sanitized? List detergents used: List sanitizers used: Are racks, cloths, and food equipment stored properly off the floor and in a well-ventilated area when not is use? Is hot/cold running water under pressure provided in all processing areas and in a sufficient volume? Capacity of hot water heater: Has well water been recently tested and found acceptable? Date of test: Date that processing began: Are lines/tubing properly installed, made of food grade materials. and protected from abrasion or breakage? Are lines composed of material other than copper or copper alloy? Indicate material: 121 16. Are lines/tubing, clamps, couplings, and fittings dismantled, cleaned and sanitized after each production day, prior to start up, and after an extended interruption? 17. Are all raw ingredients and packaging materials protected when pesticides are applied? List pesticides used in processing area: 18. Are food contact surfaces cleaned and sanitized after insecticide/rodenticide application, and before commencement of any food- processing gperation? Comments: - . B. EMPLOYEES 19. ' Is dire person. assrgnedthe responsrbrhty for the sanrtatron of the facility? Name: I Title: 20. Are employees in processing areas wearing clean outer garments and maintaining personal hygiene? 21. Are employees washing hands before starting work, after every absence, and when they become soiled? 22. Are employees wearing effective hair restraints? 23. Are gloves used, are they designed for food handling operations? 24. Are tobacco products prohibited flom use in food processing, storage or packaging areas? 25. Are gloves replaced or hands washed when employees move flom a non-food contact area or cleaning operation to a food contact area? Comments: 3 c. RECEIVING R1. If apples are purchased, are records maintained to tracevarious lots? Purchased flom (source): R2. Are apples adequately stored and flee flom insect and rodent activity? 26. Are incoming apple containers inspected and found flee of filth? R3. Are apples kept in cold storage prior to use? 27. Is receiving area flee of animals? 28. Is there verification that the apples used did not come flom orchards fertilized with human or animal waste? Comments: P: INSPEQTIQN , .. .. n-qwu-nu.‘ , .,,1. .‘_. ,, .rqr‘ (u.l§b..|x| ¢ “'\‘AIL 'V 29. ' nan4.61....angaaecadbananangaa‘baaagé' 3' 30. Are worrny, decayed, damaged or rotten apples discarded? 122 . E.- ,WA$H_IN9.&.BRUSHING . - 4 . . , ......¢..v My” 31. Are apples effectively washed by a wet brusher prior to crushing? What type of brusher is used? Make: Model: Length of brush bristle: Length of brushing segment: When was the brusher installed? New or used: How is brusher cleaned/sanitized? Method: Frequency: 32. Are apples flee of visible filth and debris after cleaning? R4. ls used are detergents and sanitizers applied to apples according to manufacturer’s or label directions? What detergents are used: What sanitizer is used: What concentration is used? Test strip reading today: Comments: F. CRUSHING & PRESSING 33. Are crushing and pressing equipment cleaned and sanitized at the end of production and prior to start-up? 34. Is equipment dismantled on a regifir basis, cleaned and sanitized? 35. Are press cloths designed for food processipgand replaced when necessary? 36. Are press cloths stored off the floor or in a clean container between runs? 37. Are all cloths washed, rinsed, sanitized and dried after each production day? 38. If a washirg machine is used, is it solely dedicated for washingpress cloths? 39. Are press racks made of food-grade plastic or hardwood, smooth and easy to clean and flee of excessive cracks and crevices? 40. Is all pressed pomace properly removed, and not left overnight in processing area? R5. Is a method in place to ensure proper and safe addition of additives? Yes: No: R6. Is a pressing aid used? List: Comments: 123 Vnr‘fi. _ .GaAFTERPRBSSTNG "L: Rf . '41. Is cider bottle in new, clean containers? R7. Are unused containers and caps stored in original packaging, inverted and ofi‘ the floor? 42. Are the containers labeled with the following information? Product Identity? Ingredients (if additives are used?) Sell by date? If no, describe methods of sale in comment section below. Name and address of manufacturer, packer or distributor? Net Quantity? Keep refrigerated statement? R8. Is microbiological testing performed on processed cider? Yes: No: Frequency of testing: Method: Organisms: R9. What other types of activities are done on the premise? Hayrides, pony rides, petting zoo, other food/non-food processing etc? How close are the live stock and penned animals to the processing building/apple sttflge areas? R10. Is custom pressing done? Yes: No: Is equipment broken down, cleaned, and sanitized between each customer? How are custom pressed apples inspected? By whom? Rll. Are any containers refilled? Indicate circumstances: R12. Does operator check the strength of the sanitizer used? Method: Comments: Copy Received By (signature) Division Inspector (signature) 124 APPENDIX C 1998 MICHIGAN DEPARTMENT OF AGRICULTURE CIDER PROCESSOR SURVEY 125 1998 APPLE CIDER INSPECTION SURVEY Establishment ID Number: Date: Firm Name: Inspector: County#: Street Address: City: Zip code: > Please indicate whether the following items are in compliance with GMP’s for Michigan Apple Cider. - o If NOT in compliance, please describe in the COMMENTS section. A. FACILITY REQUIREMENTS ITEM MEETS DOES NOT ITEM MEETS DOES NOT GMP MEET GMP MEET GMP GMP Separate Food contact processirg area surfaces Processing area Cider equipment screened/sealed materials (tubing etc.) Floors Clean-up water Walls Cider equipment storage Ceilings Packaging material storage Restroom location Well water testing Handwash station Lights Equipment storage Surrounding (non-cider) outside area B. EMPLOYEES C. RECEIVING ITEM MEETS DOES NOT ITEM MEETS DOES NOT GMP MEET GMP MEET GMP GMP Garments/hygiene Apple containers Handwashing Apple storage Hair restraints Receiving area Personal items/smolgL 126 D. PROCESSING E. LABELING equipment and tubing cleaning/sanitizing Use of preservative ITEM MEETS DOES NOT ITEM MEETS DOES NOT GMP MEET GMP MEET GMP GMP Apples inspected Standard label requirements Apples cleaned Pressing F. ADDITIONAL QUESTIONS ITEM YES NO processing? Are dropped apples used in Does processing include a 5- log reduction step? ls FDA warning label/placard present? done on-site? Is there custom pressing G. MISCELLANEOUS Cost mill incurred for meeting the GMPs for 1998 season: $ List major items: Estimate number of months operating this year: Estimate number of gallons produced per week: H. COMMENTS-Please describe any non-compliance areas. 127 APPENDIX D 1999 MICHIGAN DEPARTMENT OF AGRICULTURE CIDER PROCESSOR SURVEY 128 MICHIGAN DEPARTMENT OF AGRICULTURE AG-O3l LANSING, MI 48909 Estab. No. SPECI A I REPORT Date Time (in accordance with PA. 380, Public Acts 1995 as amended) Person or Firm Name Inspector Street Address City Zip Code County 1999 Apple Cider Survey 1. Expected 1999 production: gallons Is the mill operating or planning to operate this season? 2. Yes No If no, why? What are the short term and long term plans for this mill? 3. Is the mill in substantial compliance with GMPs? Yes No 4. Describe any changes made to facility/process/equipment this season: What processing interventions are used: 5. |:] HTST pasteurizer B UV light unit [:3 Other (describe) List the manufacturer, brand, model specifications, etc.: Percentage of total cider production treated by these interventions: 6. Percentage of product sold: Wholesale Retail 7. Does the mill custom press cider? Yes No 8. Is the FDA warning label present on containers? Yes No Elsewhere? 129 APPENDIX E 2000 MICHIGAN DEPARTMENT OF AGRICULTURE CIDER PROCESSOR SURVEY 130 MICHIGAN DEPARTMENT OF AGRICULTURE -0 /99 LANSING, MI 48909 Estab. No. SPEC] AI REPORT Date Time (In accordance with PA. 380, Public Acts 1995 as amended) Person or Firm Name Inspector Street Address City Zip Code County Subject 2000 Apple Cider Survey Expected 2000 production: I. Is the mill operating or planning to operate this season? 2. Yes No ",0, why? :1 I: What are the short term and long term plans for this mill? 3. ls the mill in substantial compliance with GMPs? D Yes [:| No I: Marginal 4. Describe any changes made to facility/process/equipment this season: What processing interventions are used: 5. E] HTST pasteurizer D UV light unit [:3 Other (describe) D None List the manufacturer, brand, model specifications, etc.: 6. Percentage of product sold: Wholesale Retail 7. Does the mill custom press cider? Yes No 8. Is the FDA warning label present on containers? Yes No Elsewhere? Yes No 9. Additional remarks on accompanying Special Report? Yes No Copy Received By (signature) Division Inspector (signature) Phone 131 APPENDIX F 2001 MICHIGAN DEPARTMENT OF AGRICULTURE CIDER PROCESSOR SURVEY 132 MICHIGAN DEPARTMENT OF AGRICULTURE AG-03l LANSING, MI 48909 5.... N°~ SPECIAL REPORT Date Time (In accordance with PA. 380, Public Acts 1995 as amended) Person or F inn Name Inspector Street Address City Zip Code County Subject 2001 Apple Cider Survey Expected 2001 production: I. Is the mill operating or planning to operate this season? 2. I: Yes D No If no, why? What are the short term and long term plans for this mill? 3. Is the mill in substantial compliance with GMPs? [:I Yes D No [:1 Marginal 4. Check one. Is this firm: E] A wholesale processor (disregard custom pressing for a moment)? E A Retail Establishment (all cider pressed is sold by owner on site or at farmers market)? 5. Does the mill custom press cider? Yes No What processing interventions are used: 6. [:l HTST pasteurizer D UV light unit [3 Other (describe) [3 None List the manufacturer, brand, model specifications, etc.: 7. Percentage of product sold: Wholesale Retail 8. Does the mill custom press cider? Yes No 9. Is the FDA warning label present on containers? Yes No Elsewhere? Yes No 10. Additional remarks on accompanying Special Report? Yes No Copy Received By (signature) Division Inspector (signature) Phone 133 APPENDIX G 2002 MICHIGAN DEPARTMENT OF AGRICULTURE CIDER PROCESSOR SURVEY 134 AG-03l (Rang/99) MICHIGAN DEPARTMENT OF AGRICULTURE LANSING, MI 48909 Estab. No- SPECIAL REPORT Date Time (In accordance with PA. 380, Public Acts 1995 as amended) Person or Firm Name Inspector Street Address City Zip Code County Subject 2002 Apple Cider Survey 1. Expected 2002 production: gallons. Is the mill operating or planning to operate this season? 2. D Yes D No If no, why? What are the short term and long term plans for this mill? 3. Is the mill in substantial compliance with GMPs? I: Yes D No C] Marginal 4. Check one. Is this firm: D A wholesale processor (disregard custom pressing for a moment)? D A Retail Establishment (all cider pressed is sold by owner on site or at farmers market)? 5. Does the mill custom press cider? Yes No What processing interventions are used on the juice? 6. I: HTST pasteurizer [3 UV light unit C] Other (describe) Percentage of total cider production treated by these interventions: 7. Percentage of product sold: Wholesale Retail 8. Does the firm have C] written SSOPs [:l written HACCP plan B started to work on them S no action taken on them Does the operator plan to move toward a HACCP system in the near future? 9. 1:] Yes 1:] No If no, what are the main obstacles (time, cost, don’t see a need, lack of knowledge, etc.) 10. Is the FDA warning label present on containers? Yes No Copy Received By (signature) Division Inspector (signature) Phone 135 APPENDIX H LETTER FOR PROCESSORS’ PRACTICES SURVEY 136 August 19, 2002 Dear Cider Processor: Enclosed is part one of a two-part survey being conducted as part of a research project in the Food Science and Sociology Departments at Michigan State University. We would like for you to participate in both surveys. The first survey asks about your processing practices and changes you have made due to the new juice regulations and HACCP. The second survey asks about your perceptions of the new juice regulations, HACCP and your retail customers. The second survey will be mailed to you within the next few days. Please be assured that your participation in this research will be kept confidential. At the end of each survey we ask for personal information only for the purposes to send you a copy of the results if you would like to receive them. The intention of this research is to learn flom you how the new juice rule will affect your business and customers. The results will be shared with the Michigan Department of Agriculture and other interested groups in the hopes that they might be able to use the information to determine ways to help cider processors overcome any concerns due to the new juice rule. Again, your personal information will be kept confidential. Once you complete both surveys, they will be analyzed and you will receive a report comparing your responses to those of other cider processors completing both surveys. Please use the enclosed stamped envelope to return your survey no later than September 9, 2002. If you have any questions about this study, please contact one of the following individuals. Thank you for participating in this study. Dr. Leslie D. Bourquin Dr. Toby A. Ten Eyck Dept. of Food Science and Human Nutrition Department of Sociology & National Food Safety and Toxicology Center 316 Berkey Hall and Michigan State University National Food Safety and Toxicology Center 139A G. M. Trout Bldg. Michigan State University East Lansing, MI 48824-1224 East Lansing, MI 48824-1111 Phone: 517-355-8474 Ext. 112 Phone: 517-353-0874 Fax: 517-353-8963 Fax: 517-432-2856 bourquil@msu.edu toby.teneyck@ssc.msu.edu Donna Thede 9750 Huntington Road Battle Creek, MI 49017 Phone: 269-961-2827 Fax: 269-961-2827 thededon@msu.edu If you have questions about your rights or role as a subject of research, you may contact Dr. Ashmir Kumar, Chair for Research Involving Human Subjects at 517-255-2180. If you have any questions about this survey please contact the researcher, Donna Thede, at 269-961-2827. 137 APPENDIX I CIDER PROCESSORS’ PRACTICES SURVEY 138 Whether or not you are operating this season, please complete the questionnaire based on your previous experience and to the best of your knowledge. Please check the appropriate column with your response and comment whenever you would like to include additional information. Question Yes No Not Comments: applicable Is your mill operating or planning to operate this season? (If no or not sure, please state why) Do you grow apples for your cider? Do you buy apples for your cider? Is manure used as a fertilizer in your orchard (including composted manure)? Do domestic or wild animals graze in the orchard? Does pesticide use conform with regulations, including licensed applicator? If irrigation is used, is the water source: -Untested well water? If irrigation is used, is the water source: -Tested well water? If yes, what is tested for and flequency? If irrigation is used, is the water source: -Surface water (pond, stream)? If irrigation is used, is the water source: -Other (describg)? Are apples inspected for cleanliness? Are apples inspected for wholesomeness? Are unfu'm, windfall, grounders or unwholesome apples discarded? Are drop apples used to make unpasteurized cider? Are drop apples used to make pasteurized cider? 139 Are badly bruised apples discarded? Are rotten apples discarded? Are apples with worm damaggliscarded? Are apples stored in cold storage? For how [013? Are apples stored at room temperature? For how loniy? Are written contract specifications used for suppliers (eg., use of drops, sorting and washing, pesticide application)? Are records kept to document the source of supply of apples (eg., hand picked vs. drops) Are records kept documenting the varieties of apples used? If yes, please state the relative proportions of apple varieties used in our cider. Is well water used in the processing facility? Is municipal water used in the processing facility? Is processing water tested at least annually? Is there hot and cold water under pressure provided in all processing areas? Are processing operations in a separate enclosed room or buildgg? 140 Is the processing facility adequately screened/sealed to prevent insects/rodent entry? Are domestic animals allowed in your processing facility? (dogs, cats) Are press cloths used? Is there a washing machine in which only press cloths are washed? Are press racks made of foodflde plastic? Are press racks made of hardwood? Are press racks and cloths washed daily after operations? Are press racks and cloths sanitized daily after operations? Are racks, cloths and food contact equipment stored properly off the floor in a well-ventilated area when not in use? Are equipment, utensils, chemicals and supplies not used for cider processing stored in an area separate flom the processirgarea? Are apples washed before processing? Is a wet brusher used? Are detergents used? If yes, what detergents? Are apples sanitized prior to processing? If yes, what sanitizer? Are preservatives used? If yes, list them and concentrations used. Are rice hulls or other pressing aids used in processing? If yes, specify press aids used. Is pressed pomace removed and not left overnight in processing area? 141 Are only new containers and caps used to @ckage cider? If refilling is allowed, are consumer containers checked for cleanliness before filling container? Do you custom press cider for other people? Do you include FDA warning statements on containers of cider? Is microbiological testing other than the MDA sampling conducted on cider? Are toilet facilities completely enclosed and conveniently located? Are toilet facilities equipped with hot and cold running water with soap and disposable paper towels with an “employee hand wash” notice? Do employees wear _gloves? Do employees wear hairnets? Do employees wear clean outer garments? Does your mill have written SSOPS? Does your mill have written GMPs? Does your mill have a written HACCP plan in place? Does your mill pasteurize or use other technologies to achieve a 5-log reduction of pathogens in cider? If yes, state type of pasteurizer or other technology (cg. UV). Have any equipment upgrades been made in the last five years in anticipation of the new FDA Juice Rule and HACCP. If yes, specify 41129316- 142 Please circle your response to the following questions: During the last five years, approximately how much has been spent in preparation to have HACCP implemented into your cider mill? A. $0-$ l ,000 B. $1,001-$2,500 C. $2,501-$5,000 D. Over $5,000 How do you typically sell your cider? (circle all that apply) A. Retail sales at your mill and direct to the consumer B. At a farmer’s market with your mill’s name on label C. To a retail store with your mill’s name on the label D. Through custom pressing to a wholesale customer E. To a distributor/wholesaler who sells the product under another name. Due to the new Juice Rule and HACCP have you made any of the following changes in how cider is sold? Sell more retail product Sell less retail product Sell only retail product Sell only wholesale product Sell less wholesale product Sell more wholesale product Made no changes in how cider is sold greener How do you feel the new Juice Rule will affect your cider mill’s profit? A. Increase profit B. Decrease profit C. No change Are any of the following included on your cider container label? (circle all that apply) Ingredients Nutrition Facts Brand name Keep refligerated Size or weight of container and cider Product descriptions Date code or fleshness date Pasteurized Unpasteurized with FDA warning statement Fresh Organic 100% juice Made in Michigan Other Zgrfircmpwmpow? Do you have any of the following activities at your mill? (circle all that apply) Hayrides Pony rides Sell food, donuts, baked goods Petting zoo Other 91.0.05”? What is your role at the cider mill: A. Owner B. Employed by owner, please specify your title How many employees are working at the cider mill? 143 Less than five 5-10 1 1-20 21-50 51-100 Greater than 100 WWPQW? What is the total annual sales of cider at the mill? $500,000 or greater $499,999 to $200,000 $199,999 to $100,000 $99,999 to $50,000 $49,999-$10,000 $9,999-$5,000 Less than $5,000 emmpOEP Approximately how many gallons of cider are produced annually at the cider mill? 1,000,000 or more 999,999 to 500,000 499,999 to 100,000 99,999-20,000 19,999-4,000 3,999-2,000 1,999-1 ,000 Less than 1,000 zermpowr How long has the cider mill been in operation? Less than 1 year 1 — 5 years 6 — 10 years 1 l — 20 years More than 20 years meow? How long have you owned or worked at the cider mill? A. Less than 1 year B. l—Syears C. 6- 10 years D. 11 —20 years B. More than 20 years According to the definitions outlined in the Juice HACCP Final Rule (21 CFR Part 120), what is the size of your firm? The size of the business is determined by the magnitude of the corporate operation, not of the business unit (i.e. the overall size of the company, not the juice processing portion of the company). A. Large B. Small (Small businesses employ fewer than 500 persons) C. Very Small (Very small businesses must meet one of the following three criteria: annual sales of less than $500,000, total annual sales greater than $500,000 but total food sales less than $50,000, or operations that employ fewer than an average of 100 full-time equivalent employees and sell fewer than 100,000 gallons of juice in the United States) D. Don’t know We would like to send you a copy of the results. If you would like to receive the results please provide the following information. Again, your individual information will be kept confidential. Name: 1M Cider mill name: Street Address: City, State and Zip Code: County: Thank you for completing this survey. Please mail the survey in the enclosed stamped envelope. 145 APPENDIX J LETTER FOR PROCESSORS’ PERCEPTIONS SURVEY 146 August 20, 2002 Dear Cider Processor: Enclosed is part two of the two-part survey being conducted as part of a research project in the Food Science and Sociology Departments at Michigan State University. This second survey asks about your perceptions of the new juice regulations, HACCP and your retail customers. This survey will help us understand your thoughts and there are no right or wrong answers. Please be assured that your participation in this research will be kept confidential. At the end of the survey we ask for personal information only for the purposes to send you a copy of the results if you would like to receive them. As explained in the first letter, the intention of this research is to learn flom you how the new juice rule will affect your business and customers. The results will be shared with the Michigan Department of Agriculture and other interested groups in the hopes that they might be able to use the information to determine ways to help cider processors overcome any concerns due to the new juice rule. Again, your personal information will be kept confidential. Once you complete both surveys, they will be analyzed and you will receive a report comparing your responses to those of other cider processors completing both surveys. Please use the enclosed stamped envelope to return your survey no later than September 10, 2002. If you have any questions about this study, please contact one of the following individuals. Thank you for participating in this study. Dr. Leslie D. Bourquin Dr. Toby A. Ten Eyck Dept. of Food Science and Human Nutrition Department of Sociology & National Food Safety and Toxicology Center 316 Berkey Hall and Michigan State University National Food Safety and Toxicology Center 139A G. M. Trout Bldg. Michigan State University East Lansing, MI 48824-1224 East Lansing, MI 48824-1111 Phone: 517-355-8474 Ext. 112 Phone: 517-353-0874 Fax: 517-353-8963 Fax: 517-432-2856 bourquil@msu.edu toby.teneyck@ssc.msu.edu Donna Thede 9750 Huntington Road Battle Creek, MI 49017 Phone: 269-961-2827 Fax: 269-961-2827 thededon@msu.edu If you have questions about your rights or role as a subject of research, you may contact Dr. Ashmir Kumar, Chair for Research Involving Human Subjects at 517-255-2180. If you have any questions about this survey please contact the researcher, Donna Thede, at 269-961-2827. 147 APPENDIX K CIDER PROCESSORS’ PERCEPTIONS SURVEY 148 This set of questions is about the new Food and Drug Administration (FDA) Juice Rule and implementation of Hazard Analysis and Critical Control Point (HACCP) system. Specify the extent that you agree or disagree with the following statements. Please check the appropriate column with your response. Agree strongly Agree Neither agree Nor disagree Disagree Disagree strongly Don’t Know HACCP implementation is necessary to ensure the safety of cider. HACCP implementation will reduce the incidence of foodbome illness linked to consumption of juice products. The juice HACCP regulation will result in unnecessary oversiglito the juice industry. The juice HACCP regulation will result in unnecessary expense to the price industry. Regulatory personnel / inspectors who visit my plant are knowledgeable about HACCP. Regulatory personnel / inspectors who visit my plant have an adversarial relationship with myself or emplqyees. HACCP training has been easily accessible and at convenient times for myself or employees. HACCP will make consumers more confident in buying cider flom my mill. Please circle your response or write comments to the following questions: How often do you hear flom consumers who have concerns about your product? At least once a week Several times a year Once in awhile Never Don’t know meOW? Couple of times a month When you do hear flom consumers, what are the top three things they are concerned with? Do you think consumers are aware of regulatory processes within the juice processing industry? A. Yes, and they have a good understanding of what is going on. B. They know about it, but are not sure what it means. C. They don’t know anything about it. 149 D. They don’t know, and they don’t care. E. Don’t know Would you use a safe food manufacturing system such as HACCP as a marketing tool? A. Yes. B. No. C. Maybe. D. Don’t know How much marketing research do you conduct? The company has a regular marketing research program (do marketing research at least once a Year) The company does marketing research when we change our product. The company does marketing research when a new product is being developed. Marketing research is done on an irregular basis. No marketing research is done. Don’t know. never > What do you think motivates consumers to purchase cider? (circle all that apply) rzpnwpowr Fun to drink Fun fall activity Tradition Feel it is safe Great taste Trust your cider mill 100% juice Healthy product Other What motivates you as the elder mill processor to make cider? (circle all that apply) FF’WP‘POF’? Fun to make Family tradition and business Believe cider is a safe product Another way to use extra apples Enjoy consumers who purchase cider Supplement income Enjoy processing cider Other Do you promote or advertise your cider as having any of the following qualities? (circle all that apply) A. No preservatives B. Contains preservatives to maintain fleshness C. Pasteurized D. Unpasteurized E. Passed food safety inspections F. Safe G. Healthy H. Fresh 1. Delicious or great tasting J. Organic or Natural K. 100% juice L. Made with Michigan apples M. Other 150 If you could educate consumers on three things that have to do with the juice processing industry, what would they be? The following questions will help us understand who purchases cider. Please check the appropriate column with your response. How often is cider Very Often Often Not Often Not at all Not sure purchased by: Families with children under five years of age? Families with school-age children five to nine years of ag? Families with school-age children over nine years of’pge? Adults without children? Adults 65 years or older? How often do you feel your retail customers purchase your product? Once a week in the fall Two to three times a month in the fall Throughout the year Only for special occasions Not sure 91.0.05”? If you have a FDA warning label on your apple cider containers how ofien do customers notice this label? Very often Often Not very often Not at all Not applicable 91.5.05”? If you have a FDA warning label on your apple cider containers, what have customers said about the warning? Do you intent to process your cider according to the FDA HACCP regulation? Yes No Don’t Know 151 Please explain: We would like to send you a copy of the results. If you would like to receive the results please provide the following information. Again, your individual information will be kept confidential. Name: Cider mill name: Street Address: City, State and Zip Code: County: Thank you for completing this survey. Please mail the survey in the enclosed stamped envelope. 152 APPENDIX L FOLLOW-UP LETTER TO NON-RESPONDING CIDER PROCESSORS 153 September 27, 2002 Dear Cider Processor: Enclosed are two surveys for a research project in the Food Science and Sociology Departments at Michigan State University. Our records show that we sent these surveys to you in late August but we have not received a response flom you. We apologize if you are receiving this letter in error and if this is the case please disregard this reminder. If you have not had the opportunity to respond to these surveys, we hope that you will find a few moments to complete the surveys for us. Your opinions and comments are important to us so we can gain a full understanding of the practices and perceptions of Michigan cider processors. Please be assured that your participation in this research will be kept confidential. At the end of the survey we ask for personal information only for the purposes to send you a copy of the results if you would like to receive them. The intention of this research is to learn flom you how the new juice rule will affect your business and customers. The results will be shared with the Michigan Department of Agriculture and other interested groups in the hopes that they might be able to use the information to determine ways to help cider processors overcome any concerns due to the new juice rule. Again, your personal information will be kept confidential. Once you complete both surveys, they will be analyzed and you will receive a report comparing your responses to those of other cider processors completing both surveys. Please use the enclosed stamped envelope to return the surveys no later than October 11, 2002. If you have any questions about this study, please contact one of the following individuals. Thank you for participating in this study. Dr. Leslie D. Bourquin Dr. Toby A. Ten Eyck Dept. of Food Science and Human Nutrition Department of Sociology & National Food Safety and Toxicology Center 316 Berkey Hall and Michigan State University National Food Safety and Toxicology Center 139A G. M. Trout Bldg. Michigan State University East Lansing, MI 48824-1224 East Lansing, MI 48824-1111 Phone: 517-355-8474 Ext. 112 Phone: 517-353-0874 Fax: 517-353-8963 Fax: 517-432-2856 bourquil@msu.edu toby.teneyck@ssc.msu.edu Donna Thede 9750 Huntington Road Battle Creek, MI 49017 Phone: 269-96 1 -2 827 Fax: 269-961-9033 thededon@msu.edu If you have questions about your rights or role as a subject of research, you may contact Dr. Ashmir Kumar, Chair for Research Involving Human Subjects at 517-255-2180. If you have any questions about this survey please contact the researcher, Donna Thede, at 269-961-2827. 154 APPENDIX M THANK YOU LETTER TO PARTCIPAN TS 155 September 17, 2002 Dear Processors: Thank you for completing the surveys we recently sent to you. We greatly appreciate the time you took to complete and mail the survey back to us. We are still waiting for additional surveys to be returned so we can compute the results and share them with you. The results promised to you will arrive closer to the beginning of 2003. Once again, thank you for helping us with this research. Dr. Leslie D. Bourquin Dr. Toby A. Ten Eyck Dept. of Food Science and Human Nutrition Department of Sociology & National Food Safety and Toxicology Center 316 Berkey Hall and Michigan State University National Food Safety and Toxicology Center 139A G. M. Trout Bldg. Michigan State University East Lansing, MI 48824-1224 East Lansing, MI 48824-1111 Phone: 517-355-8474 Ext. 112 Phone: 517-353-0874 Fax: 517-353-8963 Fax: 517-432-2856 bourqui l @msu.edu toby.teneyck@ssc.msu.edu Donna Thede 9750 Huntington Road Battle Creek, MI 49017 Phone: 269-961-2827 Fax: 269-961-2827 thededon@msu.edu If you have questions about your rights or role as a subject of research, you may contact Dr. Ashmir Kumar, Chair for Research Involving Human Subjects at 517-255-2180. If you have any questions about this survey please contact the researcher, Donna Thede, at 269-961-2827. 156 APPENDIX N CONSUMER E-MAIL SURVEY 157 Introduction: This Internet survey is part of a Michigan State University Food Science Department research project on refligerated apple juice and cider. You have been sent this survey since you are an adult 18 years or older and living in the state of Michigan. This is a voluntary research project and you are not obligated to participate. If you would like to have your email address removed flom future mailings please reply to this message. If you have questions about your rights or role as a subject of research, you may contact Dr. Ashmir Kumar, Chair for Research Involving Human Subjects at 517-255-2180. If you have any questions about this survey please contact the researcher, Donna Thede, at thededon@msu.edu If you would like to participate in this survey, please fill out the questions to the best of your knowledge. We appreciate your time in helping us with this research project. For the following questions, please answer only for refligerated ready to drink fluit juices - those kept in the refligerated section of your grocer or other retailer. Do not include fluit juices or fluit juice concentrate that requires mixing with water that are kept in the un-refligerated or flozen sections of your grocer or other retailer. 1. What is your age? (Select one) Under 18 years [TERMINATE] 18-25 years 26-35 years 36-45 years 46-55 years 56-65 years 66 or older Prefer not to answer 2. Please indicate which of the following refligerated ready to drink fluit juices you or members of your household drank and/or purchased in the past 12 months. (Select all that apply) Member of household drank Member of household in past 12 months purchased in Est 12 months Refligerated apple juice Cl Cl Refligrated apple cider Cl Cl Refligerated cranberry juice or juice cocktail D D Refligerated grape juice Cl Cl Refrigerated grapefluit juice Cl Cl Refrigerated orange juice Cl C] Refrigerated mixed berryjuice Cl Cl Refligerated fruit juice blends Cl C] Other refigerated fluit juice Cl 0 None — nobody in household drank any refligerated fluit juice in past 12 months TERMINATE D None — nobody in household purchased any refligerated fluit juice in past 12 months [SKIP TO Q. 6] D 158 3. Who in the household is primarily responsible for which brand of refrigerated fluit juice is purchased? I am Cl Other female, age 18 or older Cl Other male, age 18 or older Cl 4. In the past 12 months, have you or a household member purchased refligerated fluit juice or cider that was made by a local farm or orchard? (Select one) Yes No Don’t know 5. If a refligerated fluit juice label contained any of the following wording on the package, how would this influence your likelihood of purchasing the juice? statement.) (Please select the appropriate answer for each Much more likely to purchase Somewhat more likely ttmurchase Neither more nor less likely to purchase Somewhat less likely to purchase Much less likely to purchase Organic or natural No preservatives Contains preservatives to maintain fleshness Safe Pasteurized Not pasteurized Keep pasteurized Delicious or great tasting Fresh 100% juice Warning statement that juice not treated to reduce pathogens Passed food safety inspections 6. Please select the type of retailer that you feel sells the best refligerated fluit juice with the following characteristics: (Select one for each statement) Mass No Merchandiser Community difference (Wal-Mart, K or Local between Grocery Mart, Target, Health Farmer’s Local Farm stores or store etc.) Food Store Market or Orchard locations Safest juice Organic or natural juice Juice with no preservatives Juice that is not pasteurized Best tast'm juice Freshest juice 159 7. Which of the following do you think the government requires manufacturers of refligerated fluit juice to put on labels? (Select one for each statement.) Thggovemment requires manufacturers to tell if a refrigerated fluit juice. .. Mee Disagree ls organic or natural Has no preservatives Contains preservatives to maintain fleshness Is safe Is pasteurized Is not pasteurized Should be kept refligerated Is delicious or great tasting Is flesh Contains 100% juice Has not been treated to reduce pathogens Has passed a food safety inspection 8. How concerned are you about the following in refligerated fluit juice? Please rate each statement on how concerned you are where a “5” represents the “Very Concerned” and a “1” represents “Not at all concerned”. You may choose any number flom l to 5 to rate your level of concern. (Please select one for each statement.) Very Concerned Neither Not Not at all concerned (4) (3) concerned concerned (52 (2) (1) Allergens Artificial ingredients Bacteria Foreign material (glass, wood, metal) Insects Mold Pesticides Preservatives Processing chemicals 9. Suppose a juice manufacturer promotes their refligerated fluit juice as processed using HACCP. Which one of the following statements best describes what this would mean to you? (Select one.) Manufacturer uses certified Grade A fluit to make juice Manufacturer has a food safety program in place Manufacturer is a member of an independent organization Manufacturer won an award Don’t know 160 10. If a refligerated fluit juice label included the statement “pasteurized”, what would this mean to you? (Select all that apply.) Juice is organic and natural Juice will have more of a cooked taste Juice will have more of a flesh taste Juice has less risk of pathogens Juice may have more risk of pathogens Don’t know 11. If a refligerated fluit juice label included the statement “not pasteurized”, what would this mean to you? (Select all that apply.) Juice is organic and natural Juice will have more of a cooked taste Juice will have more of a flesh taste Juice has less risk of pathogens Juice may have more risk of pathogens Don’t know 12. Where do you get your information about food safety? (Select all that apply) National television programs or news broadcasts (CNN, 60 Minutes, Food Channel, etc.) National radio broadcast (National Public Radio, etc.) National newspaper or magazine articles (USA Today, Prevention, etc.) lntemet — national websites Internet — local websites Local television programs or news broadcasts Local radio broadcasts Local newspaper articles Family or fliends Physician Other health professional The last few questions are for statistical purposes only. We need this information to compare your opinions with the other households. 13. What is your gender? (Select one) Female Male Prefer not to answer 14. Which of the following best describes your racial or ethnic group: (Select one) Asian American Indian or Alaskan native Black or Aflican American Hispanic or Latino Native Hawaiian or Other Pacific Islander White or Caucasian Other Prefer not to answer 161 15. What is highest level of education you have attained? (Select one) Less than high school graduate High school graduate Some college or technical school College graduate Post graduate Prefer not to answer This concludes the survey. Thank you for helping us with this research. 162 APPENDIX 0 APPLE CIDER PROCESSING STEPS 163 Apple Cider Processing Steps Procure I Storage I Wash I Inspection I I Grind Hydraulic Press I Filter I , Holding Tank J \n S-log Reduction Step I Bottling I I Refligerated Storage I 164 REFERENCES Ahluwalia, R., R.E. Burnkrant and H. Rao Unnava. 2000. Consumer response to negative publicity: the moderating role of commitment. J. Mark Res. 37: 203-214. Altekruse, S.F., D.A. Street, S.B. Fein and AS. Levy. 1995. Consumer knowledge of foodbome microbial hazards and food-handling practices. J. Food Prot 59:287- 294. Annous, B.A., G.M. Sapers, A.M. Mattrazzo and DE. Riordan. 2001. Efficacy of washing with a commercial flatbed brush washer, using conventional and experimental washing agents in reducing populations of Escherichia coli on artificially inoculated apples. J. Food Prot. 64:159-163. Apple Products Research and Education Council. 2004. www.appleproducts.org. Association of Official Analytical Chemists. 1984. Official Methods of Analysis, 14‘h ed. Arlington, VA; AOAC International. Auld, G.W., P.A. Kendall and H. Chipman. 1994. Consumer and producer perceptions and concerns regarding pesticide use. Food Technol. 1:100-109. Balasubramaniam, V. M. 2000. High pressure processing of foods. Food Saf. Watch. Autumn. 2-3. Bauman, S. and J. Airey. 2001. Effective use of the internet for survey research. Wirthlin Worldwide. 4: 1-3. Besser, R.E., S.M. Lett, J. Todd and MP. Doyle. 1993. An outbreak of diarrhea and hemolytic uremic syndrome flom Escherichia coli 0157:H7 in flesh-pressed apple cider. JAMA 269:2217-2220. Bocker, A., and CH. Hanf. 2000. Confidence lost and-partially-regained: consumer response to food scares. J. Econ. Behav. Organ. 43:471-485. Boylston, T.D., H. Wang, C.A. Reitrneier, and BA. Glatz. 2003. Effects of processing treatment and sorbate addition on the flavor characteristics of apple cider. J. Agric. Food Chem. 51: 1924-1931. Brewer, M.S., G.K. Sprouls, and C. Russon. 1994. Consumer attitudes toward food safety issues. J. Food Saf. 14:63-76. Bruhn, C.M., 1997. Consumer concerns: motivating to action. Emer. Infect. Diseases. 3:511-515. Bruhn, CM. and HG. Schutz. 1999. Consumer food safety knowledge and 165 practices. J. Food Saf. 19:73-78. Bruhn, C.M., J .C. Bruhn, A. Cotter, C. Garrett, M. Klenk, C. Powell, G. Stanford, Y. Steinbring, and E. West. 2002. Consumer attitudes toward use of probiotic cultures. J. Food Sci. 67: 1969-1972. Buchanan, R.L., S.D. Edelson, K. Snipes, and G. Boyd. 1998. Inactivation of Eschericha coli 0157:H7 in apple juice by irradiation. Appl. Environ. Microbiol. 64:4533- 4535. Buchanan, R.L., S.G. Edelson, R.L. Miller and G.L. Sapers. 1999. Contamination of Intact Apples After Immersion in an Aqueous Environment containing - Escherichia coli 0157:H7. J. Food Prot. 62:444-450. Castelnuovo, R., and S. Ingham. 2001. Reducing food safety risks in apples. Board of Regents of the University of Wisconsin System. Caswell, J .A., and EM. Mojduszka.l996. Using information labeling to influence the market for quality in food products. Am. J. Agric. Econ. 78:1248-1253. Centers for Disease Control. 1975. Epidemiologic notes and reports: Salmonella typhimurium outbreak traced to a commercial apple cider. Morb. Mortal. Wkly. Rep. 24:87-88. Centers for Disease Control. 1996. Outbreak of Escherichia coli 0157:H7 infections associated with drinking unpasteurized commercial apple juice-British Columbia, California, Colorado and Washington. October 1996. Morb. Mortal. Wkly. Rep. 45:975. Centers for Disease Control. 1996. Outbreaks of Escherichia coli 0157:H7 Infection and Cryptosporidiosis associated with drinking unpasteurized apple cider-Connecticut and New York. October 1996. Morb. Mortal. Wkly. Rep. 45:4-8. Codex. 1997. Hazard Analysis and Critical Control Point (HAACP) System and Guidelines for Its Application. Alinorrn 97/ 13A. Codex Alimentarius Committee on Food Hygiene, Rome. Cook, K.A., T.E. Dobbs, W.G. Hlady, and J.G.Wells. 1998. Outbreak of Salmonella sertotype Hartford infections associated with unpasteurized orange juice. J AMA 280:1504-1509. Cummins, A., C. Reitmeier, L. Wilson, and B. Glatz. 2002. A survey of apple cider production practices and microbial loads in cider in the state of Iowa. Dairy Food Environ. Sanit 22:745-751. Davison, A., M.J.A. Schroder, and J .A. Bower. 2003. The importance of origin as a 166 quality attribute for beef: results flom a Scottish consumer survey. Int. J. Consumer. Studies 27:91-98. Deng, M.Q., and DO. Cliver. 2001. In activation of Cryptosporidium parvum oocysts in cider by flash pasteurization. J. Food Prot. 64:523-527. Dillman, DA. 2000. Mail and Internet Surveys: Total Design Method. New York, New York, John Wiley and Sons Inc. Dingrnan, D.W. 1999. Prevalence of Eschericha coli in apple cider manufactured in Connecticut. J. Food Prot 62:567-573. Doores, S. 1993. The microbiology of apples and apple products. Crit. Rev. Food Sci. Nutr. 19:133-149. Doyle, MP. 1991. Escherichia coli 0157:H7 and its significance in foods. Int. J. Food Microbiol. 12:289-302. Duffy, 8., J. Churey, R.W. Worobo, and D.W. Schaffner. 2000. Analysis and modeling of the variability associated with UV inactivation of Escherichia coli in apple cider. J. Food Prot. 11:1587-1590. Duffy, 8., and D.W. Schafflrer. 2001. Modeling the survival of Escherichia coli 0157:H7 in apple cider using probability distribution functions for quantitative risk assessment. J. Food Prot. 64:599-605. Evrendilek, G.A., and Q.H. Zhang. 2003. Effects of pH, temperature and pre-pulsed electric field treatment on pulsed electric field and heat inactivation of Escherichia coli 0157:H7. J. Food Prot 66:755-759. Fife-Schaw, C., and G. Rowe. 1996. Public perceptions of everyday food hazards: a psychometric study. Risk Anal. 16:487-499. Fisher, T.L., and DA. Golden. 1998. Fate of Escherichia coli 0157:H7 in ground apples used in cider production. J. Food Prot 61 : 1372-1374. Ford, L.T., K.P. Penner, and O. Grunewald. 1998. Consumer perceptions of HACCP and the price of meat. Dairy Food Environ. Sanit. 18:73 5-741. Gilling, S.J., E.A. Taylor, K. Kane, and J .Z. Taylor. 2001. Successful hazard analysis critical control point implementation in the United Kingdom: understanding the barriers through the use of a behavioral adherence model. J. Food Prot. 64:710- 715. Goldman, B.J. and KL. Clancy. 1992. A survey of organic produce purchases and related attitudes of food cooperative shoppers. Am. J. of Altem. Agric. 6:89-96. 167 Goverd, K.A., F.W. Beech, R.P. Hobbs and R. Shannon. 1979. The occurrence and survival of coliforms and salmonellas in apple juice and cider. J. Appl. Bacteriol. 46:521-530. Grose, D. 1988. Public Perceptions of Food Safety. J. R. Soc. Health 4:138-141. Guptill, A., and J. Wilkens. 2002. Buying into the food system: trends in food retailing in the US and implications for local foods. Agric. Human Values. 19:38-51. Hanes, D.E., R.W. Worobo, P.A. Orlandi, D.H. Burr, M.D. Miliotis, M.G. ROI, J .W. Bier, J .W. Arrowood, M.J. Churey, J .J . Jackson, and G. J. Washington. 2002. Appl. Environ. Microbiol. 68:4168-4172. Hansen, J ., L. Holm, L. Frewer, P. Robinson, and P. Sandoe. 2003. Beyond the knowledge deficit: recent research into lay and expert attitudes to food risks. Appetite 41:111-121. Harp, J .A., R. Fayer, B.A. Pesch, and G. J. Jackson. 1996. Effect of pasteurization on infectivity of Cryptosporidium parvum oocysts in water and milk. Appl. Environ. Microbiol. 62:2866-2868. Haynes, S. 2000. Health scares: unfair on the public and on health professionals. Prof. Care Mother Child. 10:30-31. Herrmann, R.O., R.H. Warland, and A. Stemgold. 1997. Who reacts to food safety scares?: examining the alar crisis. Agribus. 13:511-520. Hemnann, R.O., R.H. Warland and A. Stemgold. 2000. Nutrition Concerns and food- safety concerns occur independently among adults. J. Am. Diet. Assoc. 100:947- 950. Ingham, S. C. Personal e-mail communication, June 2, 2003. International Food Information Council. 1998. Sensible talk about food safety. Food Insights. Jul/Aug: 1-4. International Food Information Council. 1999. Worth the risk-putting activities in perspective. Food Insights. Nov/Dec: 1-5. In, J., S.M. Gauri, and M.W. Griffiths. 2001. Reduction in levels of Escherichia coli 0157:H7 in apple cider by pulsed electric fields. J. Food Prot 64:964-969. Jay, IL. 1996. Modern Food Microbiology. Fifth Edition, Chapman & Hall, New York, NY. Johnson, J .C., and DC. Griffith. 1996. Pollution, food safety, and the distribution of 168 knowledge. Human Ecology 24:87-108. Jolly, D.A., H.G. Schutz, K.V. Diaz-Knauf, and J. Johal. 1989. Organic foods: consumer attitudes and use. Food Technol. 11:60-66. Juska, A., L. Gouveia, J. Gabriel, and KP. Stanley. 2003. Manufacturing bacteriological contamination outbreaks in industrialized meat production systems: The case of E.coli 0157:H7. Agric. Human Values 20:3-19. Jussaume, R.A., and L. Higgins. 1998. Attitudes towards food safety and the environment: a comparison of consumers in Japan and the U.S. Rural Sociol. 63:394-411. Kaspar, LG, and CW. Miller. 1994. Escherichia coli 0157:H7 acid tolerance and survival in apple cider. J. Food Prot. 57:460-464. Kenney, S.J., S.L. Burnett, and LR. Beuchat. 2001. Location of Escherichia coli 0157:H7 on and in apples as affected by bruising, washing and rubbing. J. Food Prot. 64:1328-1333. Kristal, A.R., L. Levy, R.E., Patterson, S.S. Li, and E. White. 1998. Trends in food label use associated with new nutrition labeling. J. Public Health 8: 1212-121 5. Krosnick J .A., and LC. Chang. 2001. A comparison of the random digit dialing telephone survey methodology with internet survey methodology as implemented by Knowledge Networks and Harris Interactive. Ohio State University. Kozempel, M., A. Mcaloon, and W. Yee. 1998. The cost of pasteurizing apple cider. Food Technol 52:50-52. Lang, M.M., S.C. Ingham, and B.H. Ingham. 1999. Verifying apple cider plant sanitation and hazard analysis critical control point programs: choice of indicator bacteria and testing methods. J. Food Prot 62:887-893. Li-Cohen, A.E., and CM. Bruhn. 2002. Safety of consumer handling of flesh produce from the time of purchase to the plate: a comprehensive consumer survey. J. Food Prot. 65:1287-1296. Mak, P.P., B.H. Ingham, and SC. Ingham. 2001. Validation of apple cider pasteurization treatments against Escherichia coli 0157:H7, Salmonella and Listeria monocytogenes. J. Food Prot. 64: 1679-1689. Mazzota, AS. 2001. Thermal Inactivation of Stationary-Phase and Acid-Adapted Escherichia coli 0157:H7 Salmonella and Listeria monocytogenes in fluit juices. J. Food Prot. 64:315-320. McCandless, L. 1997. New York cider industry learns to make safe cider. Great Lakes Fruit Growers News 521-3. 169 McEachem, M.G., and P. McClean. 2002. Organic purchasing motivations and attitudes: are they ethical? Int. J. Consum. Stud. 26:85-92. McLellan, M.R., and DP. Splittstoesser. 1996. Reducing risk of E. coli in apple cider. Food Technol. 59:174. Meer, R. and S. Misner. 2000. Food safety knowledge and behavior of expanded food and nutrition education program participants in Arizona. J. Food Prot. 63: 1725- 1731. Mermelstein, NH. 1999. High-pressure pasteurization of juice. Food Technol. 53:86-90. Michigan Agricultural Statistics. 2001-2002. Michigan Department of Agriculture 2003 Annual Report. Michigan Apple Association website 2004. http://www.michiganapples.com Michigan Apple Cider Advisory Committee. 1998. Good manufacturing practices for Michigan apple cider. Michigan Rotational Survey, Fruit Inventory 2001-2002. 2003. Michigan Department of Agriculture and Michigan Agricultural Statistics Service. Millard, P.S., K.F. Gensheimer, and DC. Addiss. 1994. An outbreak of Cryptosporidiosis flom flesh-pressed apple cider. JAMA. 272: 1593-1596. Miller, LG, and CW. Kaspar. 1994. Escherichia coli 0157:H7 acid tolerance and survival in apple cider. J. Food Prot. 57:460-464. National Advisory Committee on Microbiological Criteria for Foods. 1992. Hazard analysis and critical control point system. Int. J. Food Microbiol. 16:1-23. National Advisory Committee on Microbiological Criteria for Foods. 1997. The principles of risk assessment for illness caused by foodbome biological agents. Adopted. April 4, 1997. National Academy of Sciences. 1985. An evaluation of the role of microbiological criteria for foods and food ingredients. National Academy Press, Washington DC. National Advisory Committee on Microbiological Criteria for Foods. 1994. The role of regulatory agencies and industry in HACCP. Int. J. Food Microbiol. 21:187-195. National Research Council. 1998. Ensuring safe food from production to consumption. Washington D. C., National Academy Press. 170 Nayga, R.M., D. Lipinski, Jr., and S. Nitin. 1998. Consumers' use of nutritional labels while food shopping and at home. J. Consum. Aff. 32:106-120. Nguyen, C., and F. Carlin. 1994. The microbiology of minimally processed flesh fluits and vegetables. Crit. Rev. Food Sci. and Nutr. 34:371-404. Ohio Department of Health. 2003. Sunny Slope cider recalled due to possible contamination with Cryptosporidium parvum. News Release October 29, 2003. Ortega-Rivas, E., E. Zarate-Rodriguez, and G. Barbosa-Canovas. 1998. Apple juice pasteurization using ultrafiltration and pulsed electric fields. Trans. Int. Chem Eng. 76:193-198. Parish, ME, 1997. Public health and nonpasteurized fluit juices. Crit. Rev. Microbiol. 23: 1 09-1 1 9. Parish, ME, 1998. Coliforms, Escherichia coli and Salmonella serovars associated with a citrus-processing facility implicated in a salmonellosis outbreak. J. Food Prot. 61 :280-284. Parish ME, 2000. Relevancy of Salmonella and pathogenic E. coli to fluit juices. Flussiges Obst International Fruit Juice Union Workshop. Cologne, Germany. www.1al.ufl.edu. Ranagarajan, A., R.A. Bihn, R.B. Gravani, D.L. Scott, and MP. Pritts. 1999. Food Safety Begins On The Farm. A Grower’s Guide. Cornell Good Agricultural Practices and United States Food and Drug Administration. Rimal, A., S.M. Fletcher, K.H. McWatters, S.K., Misra, and D. Deodhar. 2001. Perception of food safety and changes in food consumption habits: a consumer analysis. Int. J. Consum. Stud. 25:43-52. Riordan, D.C., G.M. Sapers, T.R. Hankinson, M. MaGee, A.M. Mattrazzo, and BA. Annous. 2001. A study of U.S. orchards to identify potential sources of Escherichia coli 0157:H7. J. Food Prot. 64:1320-1327. Robinson, R., and C. Smith. 2003. Associations between self-reported health conscious consumerism, body-mass index, and attitudes about sustainably produced foods. Agric. Human Values 20: 177-187. Roering, A.M., J .B. Luchansky, A.M., Ihnot, S.E. Ansay, C.W., Kaspar, and SC. Ingham. 1999. Comparative survival of Salmonella typhimurium DT 104, Listeria monocytogenes, and Escherichia coli 0157:H7 in preservative-flee apple cider and simulated gastric fluid. Int. J. Food Microbiol. 46:263-269. Roe, B., M.F. Teisl, A.S. Levy, K. Boyle, M.L. Messonnier, T.L. Riggs, M.J. Herrmann, 171 and FM. Newman. 2001. Consumers’ assessment of the food safety problem for meals prepare at home and reactions to food safety labeling. J. Food Prod. Mark. 6:9-27. Rogers, S.L. and E. T. Ryser. 2004. Reduction of microbial pathogens during apple cider production using sodium hypochlorite, copper ion and sonication. Food Prot 67:767-771. Roper Starch Worldwide 2001. Roper Reports 01-1:50-57. Roper Starch Worldwide 2003. Roper Reports 03-52257-263. Roper Starch Worldwide 2004. Roper Reports 04-1 :31-38. Rowan, N.J., S.J. MacGregor and J .G. Anderson. 1999. Pulsed-light inactivation of food- related microorganisms. Appl. Environ. Microbiol. 65: 13 12-13 14. Sage, J .R., and SC. Ingham. 1998. Evaluating Survival of Escherichia coli 0157:H7 in flozen and thawed apple cider: potential use of a hydrophobic grid membrane filter-sd-39 agar method. J. Food Prot 61 :490-494. Sandman, P. 1987. Risk communication: facing public outrage. EPA J. 11:21-22. Sapers, G.M., R.L., Miller, and A.M. Mattrazzo. Effectiveness of sanitizing agents in inactivating Escherichia coli in golden delicious apples. Food Technol. 64:734- 737. SAS Release 8. SAS Institute Inc., Cary, NC. USA. 2001. Schafer, R.B., E. Schafer, G.L. Bultena, and ED. Hoiberg. 1993. Food safety: an application of the health belief model. J. Nutr. Educ. 25:17-24. Semanchek, J .J ., and D.A. Golden. 1998. Influence of grth temperature on inactivation and injury of Escherichia coli 0157:H7 by heat, acid and fleezing. J. Food Prot. 61 :395-401. Semanchek, J .J ., and D.A. Golden. 1996. Survival of Escherichia coli 0157:H7 during fermentation of apple cider. J. Food Prot. 12: 1256-1259. Senkel, I.A., R.A. Henderson, B. Jolbitado, and J. Meng. 1999. Use of Hazard Analysis Critical Control Point and Alternative Treatments in the Production of Apple Cider. J. Food Prot. 67:778-785. Sliflto, T.R., E. Rraghubeer and J .B. Rose. 2000. Effect of high hydrostatic pressure on Cryptosporidium parvum infectivity. J. Food Prot. 63:1262-1267. 172 Shiferaw, B., S. Yang, P. Cieslak, D. Vugia, R. Marcus, J. Koehler, V. Deneen, F. Angulo, and The Food-Net Working Group. 2000. Prevalence of high-risk food consumption and food-handling practices among adults: a multistate survey, 1996-1997. J. Food Prot. 63:1538-1543. Silk, T.M., E.T. Ryser, and CW. Donnelly. 1997. Comparison of methods for determining coliforrn and Escherichia coli levels in apple cider. J. Food Prot. 60:1302-1305. Sloan, EA. 1998. Organics: grown by the book. Food Technol. 52: 32. Sparks P., and R. Shepherd. 1994. Public perceptions of the potential hazards associated with food production and food consumption: an empirical study. Risk Anal. 1 5 :799-806. Spinks, A., and S. Bose. 2002. Factors affecting households’ seafood purchasing decisions in Auckland, New Zealand: an empirical analysis. Int. J. Consumer Studies 26:62-70. Splittstoesser, D.F., M.R. McClellan, and J .J . Churey. 1995. Heat resistance of Escherichia coli 0157:H7 in apple juice. J. Food Prot. 59:226-229. Steele, B.T., N. Murphy, G.S. Arbus, and GP. Rance. 1982. An outbreak of hemolytic uremic syndrome associated with ingestion of flesh apple juice. J. Pediatr. 101:963-965. Stevenson, G.W. 1998. Agrifood systems for competent, ordinary people. Agric. Human Values 15:199-207. Stevenson, KB, and D.T. Bernard. 1999. HACCP A systematic approach to food safety. Third Edition. Washington, DC, The Food Processors Institute. Swanson, K.M.J., S.B. Leasor, and L. Downing. 1985. Aciduric and heat resistant microorganisms in apple juice and cider processing operations. J. Food Sci. 50:336-339. Tauxe, R., H. Kruse, C. Hedberg, M. Potter, J. Madden and K. Wachsmuth. 1997. Microbial hazards and emerging issues associated with produce a preliminary report to the national advisory committee on microbiological criteria of foods. J. Food Prot. 60: 1400-1408. Ten Eyck, TA. 2000. Foodborne outbreaks in ethnic foods: exit, voice and loyalty. J. Stud. Food Soc. 4:3-8. Ten Eyck, TA. 2000. The marginalization of food safety issues: an interpretative approach to mass media coverage. J. Appl. Commun. 84:29-47. 173 Ten Eyck, T. A. 2002. Food irradiation in the news: the cultural clash of a post harvest technology. Agric. Human Values 19:53-61. Torjusen, H., G. Lieblein, M. Wandal, and C. Francis. 2001. Food system orientation and quality perception among consumers and producers of organic food in Hedmark County, Norway. Food Qual. Pref. 12:207-216. Ulijas, HE, and SC. Ingham. 1999. Combinations of intervention treatments resulting in 5-log10 unit reductions in numbers of Echerichia coli 0157:H7 and Salmonella typhimurium DT104 organisms in apple cider. Appl. Environ. Microbiol. 65:1924-1929. Ulijas, HE, and SC. Ingham. 2000. Survey of apple growing, harvesting, and cider manufacturing practices in Wisconsin: implications for safety. J. Food Saf. 20:85- 100. Ulijas, H.E., D.W. Schaff'ner, S. Duffy, L. Zhao, and SC. Ingham. 2001. Modeling of combined processing steps for reducing Escherichia coli 0157:H7 populations in apple cider. Appl. Environ. Microbiol. 67:133-141. United States Apple Association. 2004. Consumer Information-Core Facts. http://www.usapple.org. United States Census Bureau. 2004. U.S. Census 2000. http://www.census.gov. United States Department of Agriculture and Food Safety and Inspection Services. 1996. Pathogen reduction: Hazard analysis and critical control point (HACCP) systems; final rule. 9 CFR Parts 416 and 417. Fed. Regist. 61 :3 8868-38989. United States Department of Health and Human Services. 1998. FDA proposes new rules to increase safety of fluit and vegetable juices. HHS News Release. April 21, 1998. United States Department of General Accounting Office. 2001. Food safety. Federal oversight of seafood does not sufficiently protect consumers. GAO-01-204. United States Food and Drug Administration. 1993. Food safety survey. U.S. Food and Drug Administration, Center for Food Safety and Applied Nutrition, Washington, DC. United States Food and Drug Administration. 1995. 21 CFR Parts 123 and 124. Procedures for the Safe and Sanitary Procedures and Importing of Fish and Fishery Products. Fed. Regist. 60:65095-65202. United States Food and Drug Administration. 1997. Fruit and Vegetable Juice Beverages: Notice of Intent to Develop a HACCP program, Interim Warning Statement and 174 Educational Program. Fed. Regist. 62:45593-45596. United States Food and Drug Administration. 1998. Food safety survey. U.S. Food and Drug Administration, Center for Food Safety and Applied Nutrition, Washington, DC. United States Food and Drug Administration. 1998. Guidance to the industry: guide to minimize microbial food safety hazards for flesh fluits and vegetables. U.S. Food and Drug Administration, Center for Food Safety and Applied Nutrition, Washington, DC. United States Food and Drug Administration. 1998. 21 CFR Parts 101, 110 and 120. Food Labeling: warning and notice statement: labeling of juice products; final rule. Hazard analysis and critical control point (HACCP); procedures for the safe and sanitary processing and importing of juice; extension of comment period; proposed rule. Fed. Regist. 63:37030-37056. United States Food and Drug Administration. 1999. 21 CFR Parts 110. Good Manufacturing Practices Fed. Regist. 63:206-215. United States Food and Drug Administration. 1999. Report of 1997 inspections of fresh, unpasteurized apple cider manufacturers; summary of results. January 1999. http://vm.cfsan.fda.gov/~dms/ciderrpt.html. United States Food and Drug Administration. 1999. Apple cider food safety control workshop. July 1 5-16, 1999. http://vm.cfsan.fda.gov/~comm/cidw-toc.htrnl. United States Food and Drug Administration. 2000. Patulin in apple juice, apple juice concentrates and apple juice products. June 2000. http:vm.cfsan.fda.gov/~dms/ciderrpt.html. United States Food and Drug Administration. 2001. 21 CFR Part 120. Hazard analysis and critical control point (HACCP); procedures for the safe and sanitary processing and importing of juice; final rule. Fed. Regist. 66:6138-6202. United States Food and Drug Administration. 2002. Grade “A” pasteurized milk ordinance 2001 revision. May 2002. United States Food and Drug Administration. 2002. Tropicana products, inc. recalls 128oz. pure premium calcium orange juice sold to Sam’s clubs. February 2002. U.S. Food and Drug Administration, Center for Food Safety and Applied Nutrition, Washington, DC. United States Food and Drug Administration, 2004. Guidance for industry; juice HACCP hazards and controls guidance. First edition. March 2004. http://www.cfsan.fda. gov/~dms/ j uicgul 0.html. 175 University of Illinois Cooperative Extension Service. 2004. urbanaext.uiuc.edu/apples. Unklesbay, N.J. Sneed, and T. Ramses. 1998. College students’ attitudes, practices and knowledge of food safety. J. Food Prot. 61:1175-1180. Wilkins, J .L., and V.N. Hillers. 1994. Influences on pesticide residue and environmental concerns on organic food preference among food cooperative members and non- members in Washington state. J. Nutr. Educ. 26: 26-33. Williams, KC. 2001. Effect of ozone treatment temperature, and antimicrobials on inactivation of Escherichia Coli 0157:H7 and Salmonella spp. in apple cider and orange juice. Dissertation. Wong, 8., D. Street, S. Delgado, and K. Klontz. 2000. Recalls of foods and cosmetics due to microbial contamination reported to the U.S. Food and Drug Administration. J. Food Prot. 63: 1113-1116. Wojtala, G. 2003. Personal communication. Michigan Department of Agriculture, Lansing, MI. Worobo, R.W. Making cider the safest it can be and new technologies to make cider safer presentations, Great Lakes Expo, Dec. 5, 2001 Grand Rapids, MI. Worobo, R.W. Personal communication at Great Lakes Expo, Dec. 5, 2001. Grand Rapids, MI. Worobo, R. W. Personal e-mail communication, June 2, 2003. Worobo, R.W., J .J . Churey, and O. Padilla-Zakour. 1998. Apple cider: treatment options to comply with new regulations. J. Food Drug Off. 62:19-26. Wright, J .R., 8.8. Sumner, C.R. Hackney, M.D. Pierson, and B.W. Zoecklein. 2000. Reduction of Escherichia coli 0157:H7 on apples using wash and chemical sanitizer treatments. Dairy Food Environ. Sanit. 20:120-126. Wright, J. R., S. S. Sumner, C. R. Hackney, M. D. Pierson, and B. W. Zoecklein. 2000. A Survey of Virginia Apple Cider Producers' Practices. Dairy Food Environ. Sanit. 20: 190-195. Yamamoto, S.A., and L.J. Harris. 2001. The effects of fleezing and thawing on the survival of Eschericha coli 0157:H7 in apple juice. Int. J. Food Microbiol. 67:89- 96. Yeung, R. M., and J. Morris. 2001. Food safety risk consumers’ perception and purchase behaviour. Br. Food J. 103:170-186. 176 Yulianti, F. Flavor characteristics of irradiated apple cider. M.S. thesis; Iowa State University, Ames, IA. Zepeda, L., R. Douthitt, and S.Y. You. 2003. Consumer risk perception toward agricultural biotechnology, self-protection, and food demand: the case of milk in the United States. Risk Anal. 23: 973-984. Zhang, Q., Q. Bin-Lin, B. Gustavo, V. Barbosa-Canovas, and B. Swanson. 1995. Inactivation of E. coli for food pasteurization by high-strength pulsed electric fields. J. Food Process Preserv. 19:103-118. Zhao, T., M.P. Doyle and R. E. Besser. 1993. Fate of Enterohemorrhagic Escherichia coli 0157:H7 in apple cider with and without preservatives. Appl. Environ. Microbiol. 59:2526-2530. Zufall, C. and K. Wackerbauer. 1999. The biological impact of flash pasteurization over a wide temperature interval. J. Inst. Brew. 106:163-168. 177 lll‘llllllIll" . _ y.