Although only 9 percent of reported foodborne illness outbreaks occur in the home, scientists estimate the actual number of incidents is much higher. Research shows a leading cause of cross contamination within the home is actually an object associated with cleaning, the kitchen towel.
A study recently published in the journal Food Protection Trends highlights the work of several Kansas State University faculty and students.
Lead researcher and K-State food safety specialist Jeannie Sneed said the study showed some unique observations and areas of weakness when it comes to consumers' kitchen behavior.
"First, participants were observed frequently handling towels, including paper towels, even when not using them for drying," Sneed said. "Towels were determined to be the most contaminated of all the contact surfaces tested."
Video observation showed many participants would touch the towel before washing their hands or used the towel after washing their hands inadequately. Even after properly washing their hands, they reused the towel and contaminated themselves all over again.
Researchers believe this could be one of the most critical findings of the study, because cloth towels can quickly and easily become contaminated at significant levels, including microorganisms that potentially can lead to foodborne illnesses.
Other researchers found that salmonella, bacteria commonly found in raw meat and poultry products, grows on cloths stored overnight, even after they were washed and rinsed in the sink. This is why Sneed recommends washing cloth towels after using them while preparing a meal, or using paper towels and discarding them after each use.
Another observation from the study was cell phone handling during food preparation and the lack of proper sanitation afterward. While electronic devices are useful tools for communication, entertainment and a method of gathering recipes, they add another potential source of contamination.
"We often take our cell phones and tablets into the kitchen," Sneed said, "but what about all the other places we take them? Think of how many times you see someone talking on their cell phone in places like the bathroom, where microorganisms such as norovirus and E. coli are commonly found."
If such devices will be used in the kitchen, Sneed recommends treating them as potential hazards and wiping the surfaces with a disinfectant solution frequently.
The U.S. Department of Agriculture (USDA) hopes to conduct further research on the use of cell phones and tablets in the kitchen.
Under the microscope
The USDA Food Safety and Inspection Service funded the K-State study "Consumer Food Handling Practices Lead to Cross Contamination"(http://www.foodprotection.org/files/food-protection-trends/JAN-FEB-15-sneed.pdf ) to better understand the behavior of consumers with young children and observe the effects of food safety messages.
The 123 participants of the study were randomly assigned to three separate groups. The first group was given an education program on the four national Food Safe Families (http://foodsafety.adcouncil.org/) campaign messages of clean, separate, cook and chill. The second group viewed and discussed the Ad Council public service announcements that focused on the same Food Safe Families messages, and the third group did not receive any food safety education before preparing the meal.
The researchers set up a condominium on the K-State campus to reflect a home kitchen environment and videotaped the participants preparing a recipe using either raw ground beef or chicken and a ready-to-eat fruit salad. The raw meat was inoculated with Lactobacillus casei, a nonpathogenic organism commonly found in yogurt but not naturally present in meat.
The L. casei served as a tracer organism that allowed Randall Phebus, K-State food microbiologist and co-author of the study, to track the levels of meat-associated contamination spread throughout the kitchen while preparing these meals.
Phebus and his team of students found that more than 90 percent of the fruit salads prepared alongside the meat dish were contaminated with the tracer organism, suggesting that if the tracer represented a pathogen such as Salmonella, a high risk of foodborne illness was generated during the meal preparation.
The study found that all participants, regardless of food safety message group prior to the meal preparation, made mistakes in the kitchen that could lead to foodborne illness.
In addition to high levels of contamination in their cloth towels, about 82 percent of participants also left meat-originating contamination on the sink faucet, refrigerator, oven and trash container.
While the study paints a picture of the objects consumers often leave contaminated, it is important to note common mistakes that occur in the kitchen, which are often difficult to change.
"I think these days a lot of people learn on their own how to cook, so they may not know how to be conscious of cross contamination," Sneed said. "People are becoming more aware of the hazards in raw meat products, but they may not know how to prevent those hazards through things like separation or raw and ready-to-eat foods and sanitation. I think it's fairly easy to avoid cross contamination, but it's also easy to cause it."
Additional Information: Tips and Tricks for a Safe Kitchen
Kansas State University food safety specialists Jeannie Sneed and Randall Phebus will both admit that even with extensive education and experience in food safety, neither is perfect in the kitchen. With families of their own, they understand how hard it can be to prevent cross contamination in the home and have provided tips they use in their own kitchens.
1. Wash your hands; don't just splash and dash.
Sneed believes the most important habit consumers should add to their routine is proper and frequent hand washing (http://www.cdc.gov/handwashing/), which is often not up to par.
"You should wash them as soon as you get into the kitchen," she said, "and you must do so with soap and water, not just splash and dash. You also have to think about where the potential for contamination lies and also wash them when handling fresh produce or raw foods such as meat or eggs."
The Academy of Nutrition and Dietetics (http://www.homefoodsafety.org ) estimates proper hand washing may eliminate nearly half of all cases of foodborne illness and significantly reduce the spread of the common cold and flu.
Follow these recommended steps for proper hand washing: use warm water to wet hands, scrub with soap and water for 20 seconds, rinse well with warm water, and air dry or use single-use towels to dry hands.
2. Wash your cloth towels.
A K-State study identified cloth towels as the most common contaminated surface, and a major reason was simply how often they were handled.
Sneed recommends refraining from using the same cloth towel for every task in the kitchen. Instead, use a paper towel for drying hands or to wipe something off the counter.
Cloth towels also should be washed frequently; Sneed prefers consumers change out their towels every day or even after every meal prepared with raw meat and poultry.
3. Don't use sponges, but if you must, use proper sanitizing methods.
The USDA does not recommend using sponges in the kitchen, but Phebus knows that most consumers use them despite that recommendation.
"Sponges give me the creeps, because I know what grows in them," Phebus said. "But, my wife insists on having a dish sponge to wipe down counters and cabinets so I'm constantly sanitizing it."
Consumers who can't part with their dish sponge should frequently sanitize it to kill and prevent the spread of pathogens that use a sponge's humid environment to thrive.
Sanitation can be done in multiple ways, such as putting the sponge in the dishwasher or soaking it in a weak bleach solution. Phebus prefers placing the damp sponge in his microwave and zapping it for 30 seconds.
4. Use a food thermometer.
Most foodborne pathogens die when a food is cooked properly, which is why some ready-to-eat foods such as salads pose such a high risk for making people sick. The only way to know food has been cooked well enough to destroy any potential microorganisms is to go by temperature. Cook ground beef to 160 degrees F and poultry to 165 degrees F.
"As part of the study we also asked participants if they have a thermometer and if they use that thermometer," Sneed said. "The consistent finding was that many people don't have one, and even if they do, they don't frequently use it."
5. Separate duties of commonly used items.
The spread of foodborne pathogens centers on contact with contaminated sources. As food is stored and prepared, separate ready-to-eat foods, such as fresh fruits and vegetables, from raw meat and poultry. This includes separating tools or surfaces used in preparation, including items such as dish towels, cutting boards and other contact surfaces.
Sneed likes to separate her cutting boards by color by assigning a different color to those used with raw meats and those used with fresh fruits and vegetables. She also separates her cloth towels by usage, one for hand washing and the other for drying dishes.
"Even though it is typically better for dishes to drain dry, I still keep a dish towel around, but it is only dedicated to dishes," she said. "I do not use the same one for drying my hands. I know sometimes that is a challenge to keep them separate, especially when you have other family members or guests that come into your kitchen."
6. Think like a microbiologist; sanitization is your new best friend.
"Anytime you're handling food, especially if it's a raw meat product, you have to slow down and think about where contamination exists," Phebus said. "Don't feel like you and your family are invincible, because these diseases can have drastic and deadly effects. Cross contamination is not an elementary thing. You need to put thought into it and try to improve."
Sanitation is the best defense for stopping the spread of contamination, but with busy lives it can be difficult to find time to properly sanitize a kitchen. Phebus recommends building sanitation into the daily kitchen routine.
"I promote using a little bit of bleach in a bottle of water and to change it regularly," he said. "While you're in the kitchen, wipe down frequently used surfaces like the door knobs and handles of the refrigerator. And then after every major meal do a final wipe down of the whole kitchen, which is something most people don't do."
Research found that regardless of the message or communication style, it all comes down to consumer behavior and the willingness to change old habits or take a little extra time to sanitize another surface.
"People often know the risks," Phebus said, "but they are willing to overlook them to continue things the old way and the easy way. In many instances, however, consumers don't have enough understanding of basic microbiology to make good food safety decisions. We are always trying to get understandable information out to consumers and food service workers."
The report can be found online at: http://www.foodprotection.org/files/food-protection-trends/JAN-FEB-15-sneed.pdf
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