Food safety inspections found to be similar across countries

A study has identified approaches to food safety inspections across five countries are similar however personal preferences could be responsible for some of the differences.

Research identified how environmental health practitioners from Australia, New Zealand, the United Kingdom, the United States, and Ireland perform food safety inspections. Data was collected via an online survey disseminated by environmental health professional bodies.

A total of 267 respondents were asked questions relating to common components, important aspects, influential factors and methods employed when doing food safety inspections. Over a third of participants reported having more than 20 years of experience undertaking such inspections. 

The Flinders University and La Trobe University study, published in the journal Food Control, found food safety inspections are performed similarly across different countries but the personal preferences of inspectors may be responsible for some variations in approach.

Jason Barnes, a public health lecturer at La Trobe University, said: “While there were differences in the laws, cultural and individual approach of inspectors between jurisdictions there was a high level of uniformity which can form the baseline for future standardization or regulation changes to conduct even better food inspections.”

While legislation provides broad expectations of how a food safety inspection program is to be delivered, there is less information on the different methods and processes.

The lack of guidance and standardization around the process of food safety inspections results in inspectors implementing checks based on their own interpretation and perspective on what is best practice. This could lead to a disparity in how inspections are performed between jurisdictions and between inspectors.

Respondents were asked how regularly they take various steps and use various sources of information when performing a food safety inspection. 

Prior to conducting an inspection, it was usual to review previous inspection records, menus and details of foods produced by the business, and prepare notes and reminders. The main methods for recording information included the use of checklists and photographs. Less common methods involved materials that facilitate note taking and video and audio recording.

Inspection reports include a list of non-compliances observed during the visit. These are regularly accompanied by an explanation of why items have been deemed non-compliant, a timeframe for resolution, specification of a state that must be met to achieve compliance and instructions on how non-compliances may be rectified. Results were often communicated to the business both via a written inspection report and verbally at the end of a visit.

There are some areas of divergence from the common inspection approach. While many of these emerged between countries, others were attributed to individual differences between inspectors.

Factors such as cognition, emotion and habits, in addition to training and experience, may contribute to variances between inspectors and how they perform inspections, found the study.

Co-author Professor Kirstin Ross, from Flinders University’s environmental health research group, said there are limits to the formal guidelines on the best way to perform inspections.

“Although food safety inspections can be the bane of business owners’ lives, we know that regular and thorough inspections are necessary. Foodborne illnesses not only cause several days of discomfort but can prove very debilitating or even fatal for more vulnerable members of the community,” she said.

“Our research will now investigate what best-practice food safety inspections might look like and provide guidelines for EHPs and support health authorities to implement these changes.”

Suggested areas for future research included examining whether data gathered and analyzed by inspectors during inspections is adequate to identify the risk of foodborne illness presented by a business and to give rise to effective intervention measures as well as analyzing impacts from variances between individual inspectors in their approaches to performing inspections.

Littercam: Could Artificial Intelligence help councils solve littering?

A new technology called Littercam turns normal CCTV cameras into ones capable of identifying littering.

It’s one of the most common crimes in the UK and although it’s a nationwide problem and the vast majority of offenders go unidentified.

Now, local authorities are turning to AI to help with the crisis. A new technology called Littercam, which is being trialled by eight councils across the UK, turns ordinary CCTV cameras into ones capable of identifying littering.

The software is designed to spot pieces of rubbish being thrown from a car, picking up even the small bits of waste.

It analyses CCTV footage, registers the car’s number plate in the case of a littering offence, and councils can then contact the DVLA to help with the potential issuing of fines.

Andrew Kemp, co-founder and CEO of Littercam, says: “There’s a large section of society who don’t believe there’s any deterrent, that they’re not going to be caught. 

“They can simply get away with it. But this technology will hopefully give local authorities the powers to do that.”

Littercam technology has specifically been designed with common litter types in mind. 

An estimated two million pieces of litter a day are dropped in the UK and among them the most commonly littered items are cigarette butts, which make up 66% of all the littered items dropped, but by volume drinks cans and bottles are the biggest issue, accounting for more than 70% of litter by volume.

Scotland ‘Worst in Europe’ for Risky Cosmetic Fillers

Healthcare professionals, including members of the British Association of Cosmetic Nurses (BACN), have raised concerns about the lack of regulation in the aesthetics industry, particularly in Scotland.

BACN Honorary Members, Jackie Partridge and Francis Turner Traill, spoke to BBC Journalist Georgina Hayes to warn that unqualified individuals are administering cosmetic treatments like dermal fillers, leading to potential harm for consumers.

Unlike other countries, the UK lacks stringent regulations limiting such procedures to trained healthcare professionals. Furthermore, Scotland has yet to implement a ban on under-18s receiving these treatments, unlike England where such a ban is in place since 2021.

The absence of regulations has led to an influx of unqualified practitioners advertising on social media platforms, with nearly 90% of patients finding their practitioners through these channels. This situation has contributed to a rise in complications associated with cosmetic procedures, including infections, necrosis, and blindness. Additionally, the prevalence of unlicensed and counterfeit products, such as Botox, poses further risks to patient safety.

Despite calls for action to the Scottish government to ensure that cosmetic treatments are performed by trained professionals, no concrete steps have been taken. This lack of regulation has prompted concerns about patient safety and the need for stricter oversight in the industry.

In response to these concerns, Healthcare Improvement Scotland (HIS) has emphasized the importance of treatments being provided by regulated providers and trained healthcare professionals. The Scottish government acknowledges the need for future regulation but has not provided specific timelines or details on potential measures. Public Health Minister Jenni Minto has stated that all options are being considered, including age restrictions and training requirements, to ensure the safety of individuals seeking cosmetic treatments in Scotland.

Read the full BBC article here 

Transforming our food environment: a spotlight on promotions

Public Health Scotland and Food Standards Scotland have produced briefing paper that explores the promotion of foods high in fat, sugar or salt and describes the impact of these promotions on our health.

The briefing highlights that Scotland is far from meeting its healthy eating goals and the direct impact this has on the health of the population, particularly on children living in less affluent areas who are more likely to be exposed to unhealthy food on their high streets and where childhood obesity rates are highest.

It notes that improvements to the food environment, including increasing the number of healthy foods on promotion, will make it easier for people to access healthier options and ultimately improve the health of people in Scotland.

The briefing paper has been produced in support of the Scottish Government’s consultation on the proposed regulations to restrict the promotion of foods high in fat, sugar, or salt.

Paul Johnston, Chief Executive of Public Health Scotland, said:

“Nutritious food is essential for our health but our chances of accessing healthy food depend strongly on where we live. In Scotland, people living in communities associated with poverty, are less likely to have access to affordable, healthy food and are more likely to experience poor health as a result.

“Cost-of-living pressures have put healthier options out of reach for many. Very often, the food that is most accessible and heavily promoted are those most damaging to our health.

“We must ensure that eating well is the easiest thing to do – not the hardest. It’s only through direct action, like addressing marketing behaviours on unhealthy food, that we can improve Scotland’s health and reduce the widening health inequalities we are experiencing.

“We welcome the Scottish Government’s consultation as an important opportunity to drive change, a turning point to creating a food system for the people of Scotland that puts health as the number one priority.”

Geoff Ogle, Chief Executive of Food Standards Scotland, said:

“The Scottish Government’s consultation is a welcome move to target the heavy promotion of unhealthy food and is needed to rebalance our food environment and help address this critical public health issue.

“Promotions and marketing of unhealthy foods are a major part of our food environment and now more than ever what surrounds us, shapes us. We know that promotions are skewed towards these unhealthy options and can encourage us to buy more than we intended to. If now is not the time to take action, when is? When levels of over-weight and obesity reach 85% from the current two thirds of the adult population? “Not now” cannot be an argument any longer.

“We can’t rely on personal responsibility alone to change our eating habits any longer: that approach has not worked for at least forty years and won’t work now. And we have had significant increases in preventable diseases and higher costs to the NHS. Personal responsibility is a component, but it’s not the solution. We need to rebalance our food environment to support healthier options.”

View the ‘Transforming our food environment’ briefing paper

View the Scottish Government consultation on restricting promotions of food and drink high in fat, sugar or salt

Chicken sandwiches linked to listeria hospital deaths, inquest concludes

Two women died after eating chicken mayonnaise sandwiches suspected of containing listeria at Manchester Royal Infirmary, an inquest heard.

The findings follow a five-day joint inquest at Manchester Coroner’s Court.

Retired Jamaican nurse Beverley Sowah, 57, and mother-of-five Enid Heap, 84, were given them on successive days while patients at Manchester Royal Infirmary in 2019.

The women died a few days later and the “primary hypothesis” suggests that they suffered listeria infections from the sandwiches the hospital provided – they also had underlying health issues, a joint inquest heard at Manchester Court Coroner’s Court.

Their deaths were among seven fatalities, part of a nationwide alert over the listeria outbreak which affected nine people in all in other hospitals, including in Liverpool, Leicester and Derby.

Tina Potter, head of incident at the Food Standards Agency regulator, told the inquest the outbreak was escalated to a high-priority incident.

The jury concluded the bacteria entered the food chain at cooked meat processing firm North Country Quality Foods (NCQF) in Salford, Greater Manchester.

They supplied the contaminated chicken to sandwich-making firm the Good Food Chain (GFC), based in Stone, Staffordshire, which used it to produce chicken mayonnaise sandwiches.

These were then supplied to Sodexo, who were contracted to supply the NHS trust running the hospital, and the sandwiches were fed to Mrs Sowah and Mrs Heap.

Ms Potter said the investigations suggested the source of the listeria originated in the cooked chicken supplied to the GFC by NCQF, located in Salford.

Safe levels of listeria exist and it is a widespread common bacteria with various strains. The maximum legal limit is 100 colony-forming units per gram (cfu/g), the inquest heard. 

A sealed bag of chicken products was tested a month after the women’s death by public health officials, with the sample showing an “unprecedented high level” of a listeria strain, Ms Potter said. 

The level found in the diced chicken bag was 1,000 cfu/g – 10 times the legal limit.

The two MRI deaths were immediately linked as both patients ate the same sandwiches at the same hospital. They worked backwards to trace the sandwich supplier and which firm had supplied the meat.

Zak Golombeck, Manchester city coroner, said: “You were able to conclude that the source of the listeria contamination was the cooked chicken?”

Ms Potter said: “That’s correct. We drew that conclusion because that was the product that patients had consumed.”

Another customer had a supply of bacon from NQCF which was found to have the strain of listeria involved in the hospital deaths.

Ms Potter added: “So having a pathogen genetically related in two food products within the same business would lead us to a likely hypothesis that there’s an environmental contamination that’s persisted.

“It’s really difficult once it takes a foothold in a business to get rid of it.”

Both women acquired listeria from the contaminated food which more than minimally contributed to their deaths, jurors found.

Both meat supplier and sandwich maker firms have since gone into liquidation.

Consultation on proposed regulation for Restricting promotions of food and drink high in fat, sugar or salt

The Scottish Government have launched a consultation on proposals to restrict the promotion of food and drink high in fat, sugar and salt.

The consultation, which will run for 12 weeks, closing on 21 May, will outline the detail of proposed regulations aimed at creating a food environment which better supports healthier choices.

Proposals include restricting multi-buys, unlimited refills or selling at locations such as at checkouts and front of store.

Feedback on the proposals will help to inform regulations to be laid before the Scottish Parliament, subject to the outcome of the consultation.

Public Health Minister Jenni Minto said:

“Improving health and supporting people to eat well and have a healthy weight is a public health priority.  We need to address the high levels of excess weight, obesity and poor diet we know are contributing to worsening trends in Scotland’s health. The association between these issues and health outcomes such as heart disease, type 2 diabetes and certain cancers has been established for some time. 

“We want to ensure Scotland is a place where we eat well and have a healthy weight. The Scottish Government is committed to restricting promotions of foods high in fat, sugar or salt at the point of purchase as research shows this is when people make decisions about what and how much to buy, for themselves and their families.

“This consultation, together with our Diet and Healthy Weight Delivery Plan, demonstrates the ambitious and wide-ranging action we believe is needed to address this challenge, and support improvements in diet and health and wellbeing  in Scotland.

“The consultation will run in parallel with an extensive programme of inclusive stakeholder engagement, to improve the process of developing, implementing and reviewing regulations to meet our long-term public health and economic aims.”

Consultation on draft regulations to implement a ban on single-use vapes

The Scottish Government have launched a consultation on the proposed legislation for the ban on the sale and supply of single-use vapes in Scotland which is due to come into effect on 1 April 2025.

The ban on single-use vapes is being taken forward using powers under the Environmental Protection Act 1990. This approach has been used in the past to ban other items such as microbeads, cotton buds and single use plastics. Regulations will be introduced to the Scottish Parliament before the summer.

The move takes forward the recommendation to ban single use vapes from a consultation on ‘Creating a Smokefree Generation and Tackling Youth Vaping’, which ran across Scotland, England, Wales and Northern Ireland last year.

The draft legislation, which is open for consultation until 8 March and while separate legislation on banning the sale and supply of single use vapes will need to be introduced by each nation, the governments have worked together to agree on a date for when the ban will come into force, to provide certainty for businesses and consumers.

Circular Economy Minister, Lorna Slater said: “Legislating to ban the sale and supply of single-use vapes fulfils a Programme for Government commitment to reduce vaping among non-smokers and young people and take action to tackle their environmental impact.

“The public consultation demonstrated that there is strong support for tougher action on vaping. From causing fires in waste facilities to more than 26 million disposable vapes being consumed and thrown away in Scotland in the past year, single-use vapes are a threat to our environment as well as to our public health.

“These proposed changes to the law demonstrate our absolute commitment to further improve the wellbeing of communities and protecting our beautiful natural environment.”

The Scottish Government will continue to work with the UK Government and other nations in relation to the ban on disposable vapes, including addressing the need for any exclusion from the UK Internal Market Act through the Resources and Waste Common Framework.

Legislation raising the tobacco age of sale, will initially be taken forward via UK-wide legislation and requires a Legislative Consent Motion (LCM).

No Smoking Day

Today (Wednesday 13 March 2024) marks No Smoking Day.

This year’s focus is encouraging people to quit smoking and win in four major aspects of life:

  • Quit and win with your health
  • Quit and win with your family
  • Quit and win with your finances
  • Quit and win with your fitness

ASH Scotland also want to raise awareness about the free NHS service available to everyone in Scotland to help with quit.

Quit Your Way can provide emotional support, recommend aids to help overcome cravings and formulate an individual plan to help someone to stop smoking.

Smoking in Scotland

15% of the population in Scotland still smoke. 15%

That’s 685,25 6 people we want to encourage to quit. 685,000

Inequalities

Smoking rates in Scotland are exacerbated by social inequalities. 25% of adults in the most deprived quintile (SIMD1) smoke, compared to 7% in the least deprived quintile (SIMD5).

31% of people with a long-term mental health problem smoke, compared to 16% without.

Health

Smoking is responsible for 8,260 deaths each year, accounting for 20% of annual deaths in Scotland.

52% of all cancers diagnosed in Scotland are linked to smoking.

66% of people in Scotland who smoke report they would like to stop smoking.

These statistics are based on the most up to date figures from the Scottish Health Survey 2022, and data from the Scottish Public Health Observatory 2021.

Cost of smoking

Below is a table of savings that could be made when giving up smoking*

Number of cigarettes smoked dailyAmount saved afer 1 weekAmount saved after 4 weeksAmount saved after 3 monthsAmount saved after 6 months
5£19.60£78.40£254.80£509.60
10£39.20£156.80£509.60£1,019.20
15£58.80£235.20£764.40£1,528.80

University of West of Scotland – BSc Hons in Environmental Health with Professional Practice

The Royal Environmental Health Institute of Scotland (REHIS) became aware very recently of the University of West of Scotland’s (UWS) decision not to accept first year entrants (2024/25) to the BSc Hons in Environmental Health with Professional Practice course.

In light of this concerning news, the Institute requested an urgent meeting with the University which was held on Tuesday 5 March where unfortunately the University confirmed their decision.  The Institute is extremely disappointed with this and understand that the University are reviewing the current structure of the course.  The University will continue to accept entrants to second year and are committed to supporting all students who are enrolled on the course. 

The Institute has given a commitment to work with UWS and other partners on this critical issue. We will endeavour to keep all members updated with progress on this.

11 March 2024

Guidance on the management of outbreaks of foodborne illness in Scotland published

The Scottish Health Protection Network (SHPN) have published new Guidance on the management of outbreaks of foodborne illness in Scotland  version 1 and is available on the Food Standards Scotland (FSS) website.  

This document is for everyone involved in investigating and controlling foodborne outbreaks in Scotland. It serves as a reference when creating plans to manage such incidents.

As part of the Scottish Health Protection Network, Food Standards Scotland and Public Health Scotland teamed up with a multidisciplinary group including Environmental Health Officers from local authorities and experts from Health Boards, Clinical Reference Laboratories, and Public Analyst Scientific Services to develop detailed guidance on how to manage outbreaks of foodborne illnesses in Scotland. 

This document should be referred to alongside the main guidance document on the management of public health incidents in Scotland, produced by Public Health Scotland and the Scottish Health Protection Network on behalf of the Scottish Government.

Any feedback on the guidance should be directed to phs.shpn-admin@phs.scot

REHIS News – February 2024

Annual Forum 

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We are delighted to advise that this year’s Annual Environmental Health Forum will be held as a hybrid event at Queen Margaret University, Edinburgh on Wednesday 24 April 2024.   

We have an exciting programme planned under the theme “Resilience: Professional, Local and National Perspectives” which provides an ideal opportunity for the Environmental Health community in Scotland to connect with one another, and to enhance their knowledge, skills, and competences in all environmental health activities. 

The full programme and booking details will be published on the REHIS website very soon.  

Professional Update Events 

Plans are well underway for an exciting programme of centre events and professional updates for the year ahead.  As always, these are featured on our website in the events section. https:/event-type/rehis-events 

Southern Centre Event 

The Southern Centre is holding an online event on 22 March 2024, 0930-1230 on Swimming Pool Safety: Expert Advice for EHOs and Industry.  For more information REHIS Southern Centre Event – Swimming Pool Safety: Expert Advice for EHOs and Industry – REHIS 

Winter Journal 

The Winter edition of Environmental Health Scotland is now available in the members section of the website. 

ASH Scotland Events – self quitting research

5 March – self quitting research both events now online

ASH Scotland are hosting two online upcoming dissemination events for a research project by the University of Dundee in partnership with ASH Scotland.

Effie Marathia will present findings from her PhD research on exploring the strategies for self-quitting smoking in Scotland.

These are: 

  • Exploring the strategies for self-quitting smoking in Scotland research discussion

Time: 10am to 11am

Join Zoom Meeting: https://us02web.zoom.us/j/82082819335pwd=QXk1OVdKK1c4WVh4TitOTTJ4Q1hYdz09

Meeting ID: 820 8281 9335

Passcode: 690846

  • Exploring the strategies for self-quitting smoking in Scotland research presentation

Time: 1pm to 2pm

Join Zoom Meeting: https://us02web.zoom.us/j/89478376514pwd=dG1oY0lpK0VYU3Naa0hUMVNSK3laZz09

Meeting ID: 894 7837 6514

Passcode: 664067

Please let ASH Scotland know if you plan to attend by responding to the CEO@ashscotland.org.uk no later than 29th February. Under ASH Scotland’s policy, those participating will be asked to confirm they have no conflicts of interest.