Observation of Food Handlers’ Hand Hygiene Behavior During Production at a Sandwich-making Factory

Effective hand hygiene is essential during food production to reduce the risk of microbiological contamination. Improper hand hygiene by food handlers can be a major contributing factor in the spread of foodborne illnesses. Self-reported behavior does not equate to actual behavior as it has the limi...

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Main Authors: Abuzar I.A. Mohamed, Ellen W. Evans
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:Journal of Food Protection
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0362028X24001704
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author Abuzar I.A. Mohamed
Ellen W. Evans
author_facet Abuzar I.A. Mohamed
Ellen W. Evans
author_sort Abuzar I.A. Mohamed
collection DOAJ
description Effective hand hygiene is essential during food production to reduce the risk of microbiological contamination. Improper hand hygiene by food handlers can be a major contributing factor in the spread of foodborne illnesses. Self-reported behavior does not equate to actual behavior as it has the limitation of biases. Therefore, observational data are more effective at assessing the actual behavior of food handlers. Covert observation utilizing closed-circuit television (CCTV) cameras can yield reliable data. This study utilized covert observation to assess hand hygiene compliance from CCTV footage of food handlers in a sandwich-making facility. An electronic observation checklist, based upon the company’s hand-hygiene protocol, was used to capture observed hand hygiene practices. A total of 588 occasions that required hand hygiene practices by food handlers (n = 12) were observed during the production of ready-to-eat (RTE) sandwiches over 16 h during two shifts. Food handlers did not wash their hands on 32% of occasions which required food hygiene practices. Of those occasions where there was an attempt to implement hand hygiene practices (n = 401), only 1% of behaviors were compliant with the company hand hygiene protocol. Observations indicated that 95% of attempts did not adhere to the recommended handwashing duration (≥20 s). Soap was not used in 4% of attempts, and hands were not wetted prior to applying soap in 16% of attempts. Additionally, 62% of attempts did not use hand sanitizer after handwashing and drying. Food handlers were observed attempting hand hygiene practices significantly more frequently (p < 0.001) when entering (89% of occasions) than exiting (8% of occasions) the production area. Findings indicate that appropriate interventions are needed to improve hand hygiene compliance of food handlers to ensure food is produced safely within the food manufacturing sector.
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spelling doaj-art-f4f10f81d51049b2b11a7c4ed9aa7a7f2024-12-04T05:12:10ZengElsevierJournal of Food Protection0362-028X2024-12-018712100386Observation of Food Handlers’ Hand Hygiene Behavior During Production at a Sandwich-making FactoryAbuzar I.A. Mohamed0Ellen W. Evans1Cardiff School of Sport and Health Sciences, Cardiff Metropolitan University, 200 Western Avenue, Llandaff, Cardiff, Wales CF5 2YB, United KingdomZERO2FIVE Food Industry Centre, Food and Drink Research Unit, Cardiff Metropolitan University, 200 Western Avenue, Llandaff, Cardiff, Wales CF5 2YB, United Kingdom; Corresponding author.Effective hand hygiene is essential during food production to reduce the risk of microbiological contamination. Improper hand hygiene by food handlers can be a major contributing factor in the spread of foodborne illnesses. Self-reported behavior does not equate to actual behavior as it has the limitation of biases. Therefore, observational data are more effective at assessing the actual behavior of food handlers. Covert observation utilizing closed-circuit television (CCTV) cameras can yield reliable data. This study utilized covert observation to assess hand hygiene compliance from CCTV footage of food handlers in a sandwich-making facility. An electronic observation checklist, based upon the company’s hand-hygiene protocol, was used to capture observed hand hygiene practices. A total of 588 occasions that required hand hygiene practices by food handlers (n = 12) were observed during the production of ready-to-eat (RTE) sandwiches over 16 h during two shifts. Food handlers did not wash their hands on 32% of occasions which required food hygiene practices. Of those occasions where there was an attempt to implement hand hygiene practices (n = 401), only 1% of behaviors were compliant with the company hand hygiene protocol. Observations indicated that 95% of attempts did not adhere to the recommended handwashing duration (≥20 s). Soap was not used in 4% of attempts, and hands were not wetted prior to applying soap in 16% of attempts. Additionally, 62% of attempts did not use hand sanitizer after handwashing and drying. Food handlers were observed attempting hand hygiene practices significantly more frequently (p < 0.001) when entering (89% of occasions) than exiting (8% of occasions) the production area. Findings indicate that appropriate interventions are needed to improve hand hygiene compliance of food handlers to ensure food is produced safely within the food manufacturing sector.http://www.sciencedirect.com/science/article/pii/S0362028X24001704Food handlerFood safetyHand hygieneObservationRTE sandwich
spellingShingle Abuzar I.A. Mohamed
Ellen W. Evans
Observation of Food Handlers’ Hand Hygiene Behavior During Production at a Sandwich-making Factory
Journal of Food Protection
Food handler
Food safety
Hand hygiene
Observation
RTE sandwich
title Observation of Food Handlers’ Hand Hygiene Behavior During Production at a Sandwich-making Factory
title_full Observation of Food Handlers’ Hand Hygiene Behavior During Production at a Sandwich-making Factory
title_fullStr Observation of Food Handlers’ Hand Hygiene Behavior During Production at a Sandwich-making Factory
title_full_unstemmed Observation of Food Handlers’ Hand Hygiene Behavior During Production at a Sandwich-making Factory
title_short Observation of Food Handlers’ Hand Hygiene Behavior During Production at a Sandwich-making Factory
title_sort observation of food handlers hand hygiene behavior during production at a sandwich making factory
topic Food handler
Food safety
Hand hygiene
Observation
RTE sandwich
url http://www.sciencedirect.com/science/article/pii/S0362028X24001704
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AT ellenwevans observationoffoodhandlershandhygienebehaviorduringproductionatasandwichmakingfactory