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An evaluation of the use of menu risk assessment as a tool in food service protection programs

Despite the increase in information on the causes of foodborne disease, outbreaks
continue to be a major preventable public health problem. Current food service
establishment inspection programs, however, are not designed to assess the potential
of risk for foodborne disease and do not focus prevention efforts where food service
problems are more severe. The purpose of this study was, therefore, to first, compare
mean inspection scores, mean number of critical violations, and mean risk index
values for high risk, moderate risk and low risk food service establishments in Marion
County, Oregon. Second, the study determined if menu risk assessment can be used
to identify facilities that are considered to be "high risk" facilities. The data included
most recent routine inspection results that had been previously collected by local
sanitarians and data collected from a Menu Risk Assessment Survey which was
developed by the Virginia Department of Health. The Menu Risk Assessment Survey
was administered using a stratified random design, to 400 food service
managers/owners between October 1993 and December 1993 The results showed
that high risk establishments had lower mean inspection scores, higher mean number
of critical violations, and a smaller mean risk index value than moderate or low risk
establishments. The differences were attributed to lack of manager food safety education, menu items served, and operational practices observed in the establishment. The results also showed that there were statistically significant differences (p<.05) in the mean inspection score and the mean number of critical violations of "high risk" establishments and "low risk" establishments when responses to the Menu Risk Assessment Survey were compared. For example: 1) Establishments whose managers do not have food handler's training demonstrate more critical violations than establishments with trained managers, 2) Critical violations and lower inspection scores were more likely to occur in establishments that prepared and served potentially hazardous foods, 3) Food service establishments that handle extensive amounts of potentially hazardous food and serve larger populations were more likely to have lower inspection scores and increased numbers of critical violations. Based on the results found in this research, local health departments may find the Menu Risk Assessment Survey to be a useful tool in determining high, moderate, and low risk food service establishments to focus prevention efforts where the problems are more severe and are of greater public health risk. / Graduation date: 1997

Identiferoai:union.ndltd.org:ORGSU/oai:ir.library.oregonstate.edu:1957/34289
Date08 May 1997
CreatorsGray, Lori A.
ContributorsHarding, Anna
Source SetsOregon State University
Languageen_US
Detected LanguageEnglish
TypeThesis/Dissertation

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