Transcript 2006 Virginia State Food Regulations

Risk Factors—Challenges &
Opportunities
What is VDH’s mission?
– Objective—reduce environmental
and communicable disease hazards
at food establishments
– Measure—conduct 65% of all
restaurant inspections in accordance
with PIM 95-03 Risk-based Inspections
within 30 days of due date
VDH OEHS
• 44004.02.01:
Inspection demographics
27000
26000
25000
# Restaurants
24000
23000
22000
21000
2003 2004 2005 2006 2007
VDH OEHS
28000
Violation Summary
14000
10000
8000
6000
4000
2000
20
03
20
04
20
05
20
06
20
07
0
VDH OEHS
12000
Holding
Cup w/o lid
Unclean ice
bins/can openers
Uncovered food
Date marking
Virginia Foodborne Outbreaks
3%
3%
Bacteria
50%
44%
Virus
Chemical
Unknown
Virginia N= 37
VDH OEHS
Distribution of Outbreaks
by Pathogen Type (2003-2006)
Virginia Foodborne Illness
15%
0%
51%
34%
Virginia N= 1441
Virus
Bacteria
Chemical
Unknown
VDH OEHS
Distribution of Illness by Pathogen
Type (2003-2006)
Historic Virginia Foodborne Illness
7
6
5
4
Virus
Bacteria
3
2
1
20
06
20
04
20
02
20
00
19
98
19
96
19
94
19
92
19
90
0
VDH OEHS
Distribution of Foodborne Outbreaks by
Pathogen Type (1990-2006)
Outbreak Risk Factor Patterns
Risk Factors
n
ow
nk
n
U
yg
ie
ne
H
en
t
Eq
ui
pm
ol
di
ng
H
in
g
oo
k
C
So
ur
ce
2003
2004
2005
2006
VDH OEHS
8
7
6
5
4
3
2
1
0
Shifting the burden
EHS: I need to keep my
caseload up to date so I don’t
get in trouble
Pressure to meet
inspection frequency
State publishes
annual list of
uninspected
facilities
B
Perception that current
inspection focus helps prevent
foodborne outbreaks
B
Change inspection
focus to risk factor
diagnosis
Increased public
interest in website
of inspection data
since 2003
Side Effects:
It’s faster to make ‘snapshot’ inspections
Less time to understand
establishment operation
R
Increased
training on
identification of
risk factors
Contributing risk factors
for foodborne illness
outbreaks are not evaluated
VDH OEHS
State and local
performance
measures tied to #
of inspections
VDH OEHS
Are we
protecting
the public’s
health?
Virginia’s Opportunity
VDH OEHS
• Educate & energize
stakeholders
• Create State Food Committee
task-group to develop
framework for aligning Ten
Essential Services & FDA
Program Standards
• Develop ‘Training Roadmap’
for EHS KSA’s
Virginia’s Opportunity
VDH OEHS
• Replace existing performance
measure with program
measures that support
outcome-based outputs
• Deploy new training
curriculum to EHS & focus on
risk-factors
• Make Standardization a
requirement for EHS in EWP’s