REPORT OF THE GREATER MANCHESTER/LANCASHIRE/PHLS LIAISON GROUP SURVEY ON THE MICROBIOLOGICAL EXAMINATION OF BOILED AND EGG FRIED RICE FROM CHINESE TAKEAWAY PREMISES K Williamson, G Allen, F J Bolton, PHLS North West FESL – Preston PHL. Date of Report 24/01/00 Survey Code No. 904004 Introduction Incidents of rice associated food poisoning have been linked to the practice of preparing rice in bulk in advance, in anticipation of subsequent need. The traditional practice in Chinese takeaway premises of boiling a large quantity of rice that is then kept at room temperature before reheating was incriminated as the cause of several food poisoning incidents in Lancashire and Greater Manchester. Hence the purpose of this survey was to establish the microbiological quality of precooked rice awaiting reheating and rice sampled at the point of sale from Chinese takeaway premises. In addition, the survey aimed to determine whether preparation procedures produced a risk to health. In particular the practice of cooking rice and storing it prior to final heating, and the use of shell eggs for egg fried rice was investigated by enumeration and detection of Bacillus cereus and Salmonella respectively. Materials and Methods Sample collection This survey was carried out as part of the Greater Manchester FLG/Lancashire FOG/Preston PHL sampling programme during April – August 1999. Samples consisted of pre-cooked rice (stock rice) awaiting reheating or frying that were collected from the food preparation area, and reheated (ready to eat) boiled or egg fried rice from the point of sale, as if being purchased by the customer. Samples were collected by local authority sampling officers between 6.00 pm and midnight in accordance with the Food Safety Act of 1990 (Code of Practice No. 7 (1)). No advance warning of the visit was given. In order to prevent bias, resulting from samples being heated more thoroughly than usual prior to service, the point of sale samples were purchased before the sampling officer disclosed their identity and collected the precooked sample. Samples were placed in a coolbox within 15 minutes and transferred to a monitored refrigerator for overnight storage before submission to Preston PHL the following day. Before leaving the premises, information relating to the preparation procedures and processes was obtained by observation and completion of a standard questionnaire (Appendix 1). (KWKM004.doc) Page 1 of 14 Microbiological examination A total of 647 samples of rice including 208 stock rice, 218 boiled rice and 221 egg fried rice samples were submitted and examined from 24/26 authorities in Greater Manchester and Lancashire as detailed in Appendix 1. Samples were examined for aerobic colony count/g (ACC), Enterobacteriaceae/g, E. coli/g, Staphylococcus aureus/g and Bacillus cereus and other Bacillus spp/g. The stock and egg fried rice were also examined for Salmonella spp. All tests were carried out according to UKAS approved PHLS-NW FESL methods. Results Microbiological results Table 1. Microbiological results of boiled rice (n = 218) <10,<20, <102,<103 o ACC/g 30 C 72h Enterobacteriaceae/g E.coli/g S.aureus/g B.cereus/g B.subtilis group/g Table 2. 142 210 218 217 213 217 10-<102 102-<103 103-<104 104-<105 105-<106 106-<107 107 8 - 49 1 3 19 1 1 5 - 1 - 2 1 - - Microbiological results of egg fried rice (n = 221) Detected Not detected o ACC/g 30 C 72h Enterobacteriaceae/g E.coli/g S.aureus/g B.cereus/g B.subtilis group/g Salmonella/25g Table 3. 121 217 221 221 213 209 - 10-<102 102-<103 103-<104 104-<105 105-<106 106-<107 107 2 - 42 1 3 26 1 1 6 22 2 5 3 1 4 1 - 3 1 - 221 Microbiological results of stock rice (n = 208) Detected ACC/g 30oC 72h Enterobacteriaceae/g E.coli/g S.aureus/g B.cereus/g B.subtilis group/g Salmonella/25g (KWKM004.doc) <10,<20, <102,<103 Not detected <10,<20, <102,<103 71 130 181 207 200 197 - 10-<102 102-<103 103-<104 104-<105 105-<106 106-<107 107 16 8 - 27 11 9 1 4 34 12 7 2 8 21 12 1 2 13 14 1 1 20 8 1 2 - 22 5 - 208 Page 2 of 14 Table 4. Relevant parameters2 in Category 3 of the PHLS microbiological guidelines Microbiological quality (cfu/g) unless stated Satisfactory Borderline limit of acceptability Unsatisfactory Unacceptable potentially hazardous <105 105-<106 106 Not applicable Enterobacteriaceae* <100 102-104 104 Not applicable E. coli <20 20-<100 100-104 104 Staphylococcus aureus <20 20-<100 100-104 104 <103 103-<104 104-<105 105 Not detected in 25g - - Detected in 25g Aerobic colony (30C/48h) count Bacillus cereus and Bacillus subtilis group Salmonella * = proposed guideline Table 5. Microbiological quality of point of sale rice samples using PHLS microbiological guidelines2 Type of rice Satisfactory (%) Borderline (%) Unsatisfactory (%) Unacceptable (%) Boiled 212 (97) 3 (1.5) 2 (1) 1 (0.5) Egg Fried 199 (90) 8 (3.6) 11 (5) 3 (1.4) Point of sale rice The ACC exceeded 106/g in only 1.4% of point of sale samples. Bacillus subtilis group and B. cereus were detected 104/g in 1.4% and 1.1% samples respectively. Only 1 sample (0.2%) produced a Staphylococcus aureus count of >102/g. E. coli was not detected in any of the 439 point of sale samples, and Enterobacteriaceae were not detected in 97% of samples and none produced counts >104/g. Bacillus subtilis group and B. cereus exceeded 104/g in 4.5% of egg fried rice samples and in only 0.4% of boiled rice samples. Salmonella spp was not detected in any of the egg fried rice samples. (KWKM004.doc) Page 3 of 14 Based on category 3 of the PHLS microbiological guidelines for ready to eat foods sampled at the point of sale (Table 4) (2), 98.6% of boiled rice and 93.6% of egg fried rice were of acceptable microbiological quality (Table 5). Overall 4% of point of sale rice samples were of unsatisfactory quality, with 0.9% being of unacceptable quality. The unacceptable quality results were due to either B. cereus or Bacillus subtilis group at 105/g. Egg fried rice produced three unacceptable results (1.4%) and boiled rice one unacceptable result (0.4%). Stock rice Significantly more samples of precooked stock rice had a higher level of contamination with E. coli (102) and Enterobacteriaceae (>104) compared with point of sale cooked rice (Tables 1-3). E. coli 102 were present in 9% stock rice samples compared to none detected in point of sale samples. Enterobacteriaceae (>104/g) were present in 19% stock rice compared to none in point of sale samples. Bacillus subtilis group and B. cereus exceeded 104/g in 1.4%and 1.0% of stock rice, respectively compared to 2.7% and 1.8% in egg fried rice. B. subtilis group was not detected at >104/g in boiled rice and B. cereus only detected in 0.4% of boiled rice at this level. Salmonella spp was not detected in any of the stock rice samples. Questionnaire results A copy of the questionnaire is available in Appendix 1. Q1 The majority of stock rice (71%) did not contain egg product. Of the 23 stock rice samples producing E. coli counts >100/g and/or Bacillus cereus/subtilis >104/g 16(70%) contained egg product. Q2 The majority of stock rice (85%) was sampled within 0-6 hours of initial cooking. Q3 The stock rice was stored: (n = 204) Ambient 76 (37%) Refrigerated 31 (15%) Rice steamer 97 (48%) Of the 23 stock rice samples producing E.coli counts >100/g and/or Bacillus cereus/subtilis gp the majority 17(74%) were stored at ambient temperature, 4(17%) were refrigerated and 2(9%) were stored in the steamer. (KWKM004.doc) Page 4 of 14 Q4 The temperature of the stock rice at the time of sampling was: Stock rice storage Ambient n = 76 Refrigerated n = 31 Rice steamer n = 97 <5C <8C 10C – 45C 30C – 40C >63C 0 1 50 12 9 7 11 7 0 7 0 1 4 1 75 The above temperature bands in particular were selected for analysis on the basis that, most species of bacteria do not grow at ideal refrigeration temperatures (0-5oC). The legal standard for perishable food storage is < 8oC. Most food poisoning bacteria grow in the range 10-45oC with the fastest growth rates being between 30 – 40oC. Warm holding temperatures of >63oC are recommended. The majority of rice stored within the growth range and optimum range occurred when stored at ambient. Of the 23 stock rice samples producing E.coli counts >100/g and/or Bacillus cereus/subtilis gp >104g the following storage method and temperatures were observed:Stock rice storage Ambient (n = 17) Refrigerated (n = 4) Rice steamer (n = 2) <5C <8C 10C – 45C 30C – 40C >63C 0 0 11 0 1 1 2 1 0 0 0 0 0 0 2 Of the 17 ambient stored rice samples producing results of concern, 11 (65%) were derived from a mesophilic growth range temperature (10oC – 450C) Q5 The usual time for cooling stock rice after boiling, prior to refrigeration: (n = 30) <1½h 15 <1½h – 4h 15 4 – 12h 0 >12h 0 Process information only, results not related to microbiological quality. Q6 Is a new batch of boiled stock rice ever mixed with the remains of a previous batch? (n=215) No 190 (88%) Yes 25 (11%) Process information only, results not related to microbiological quality. (KWKM004.doc) Page 5 of 14 Q7 How was the boiled rice served? (n=216) Reheated 11(5%) Freshly boiled 205(95%) The majority of boiled rice samples (98%) were of acceptable microbiological quality, hence results have not been related to method of serving. Q8 What type of egg product is used in the egg fried rice process? (n=218) Pasteurised egg - Dried powdered - Shell egg 191 (88%) Pre-prepared Shell egg mix 27 (12%) Process information only, results not related to microbiological quality. Q9 If shell eggs were used, where stored? (n=186) Ambient 137 (74%) Refrigerated 46 (26%) Process information only, results not related to microbiological quality. Q10 Where is the pre-prepared shell egg mix stored? (n=26) Ambient 17 (65%) Refrigerated 9 (35%) Process information only, results not related to microbiological quality. The following hygiene questions were not related to microbiological quality. Q11 Are the refrigerator temperatures checked? (n=217) Yes 183 (84%) No 34 (16%) Q12 Were the refrigerator temperature records available? (n=183) Yes 52 (28%) No 131 (72%) Q13 Were the process temperatures of the rice checked? Process Boiling n=8 Cooling n=7 Storage n=186 (KWKM004.doc) Yes 21(10%) No 197(90%) 4(2%) 183(98%) 30(16%) 156(84%) Page 6 of 14 Q14 Were the process temperature records available? Process Boiling (N=20 Cooling N=4 Storage N=26 Yes 2(10%) No 180%) 0 4(100%) 7(27%) 19(73%) Q15 Have any staff undergone food hygiene training within the last 3 years? (n=207) Yes 94 (45%) No 113 (55%) Q16 Sampling officers opinion – were the staff aware of food safety risks associated with the rocessing of egg fried rice/boiled rice? (n=207) Yes 123(59%) No 84(41%) Conclusions (1) This survey indicated that most of the stock rice sampled from the preparation area of chinese and takeaway establishments was of acceptable microbiological quality. (2) This survey has shown that the overall microbiological quality of point of sale rice samples in particular boiled rice was of good microbiological quality. (3) Overall only 4% of point of sale rice samples were classified as unsatisfactory. This suggests that preparation and storage practices of premises associated with these samples could be improved. (4) The storage of stock rice at ambient temperature (37%) is of particular concern, because there is a potential for significant growth of B.cereus and production of heat stable emetic toxin. The majority of results of concern were from stock rice stored at ambient temperature although the number of B. cereus high counts (>104/g) was low in this study (<1%). (5) Refrigeration or storage of stock rice in a steamer was effective in reducing the number of samples observed in the 10C-45C growth range at the time of sampling. (KWKM004.doc) Page 7 of 14 (6) The use of shell eggs in the preparation of egg fried rice (88%) and ambient storage of eggs (74%) may be considered as potential risks for Salmonella cross contamination. Pasteurised egg was not used at any of the premises visited. However no Salmonella was isolated from the egg fried rice or stock rice samples examined during this study. (7) The processing of point of sale rice subsequent to removal from the stock indicated good practices as demonstrated by the reduction in aerobic colony counts, Enterobacteriaceae and E.coli counts and absence of Salmonella spp in egg fried rice. (8) There is a need to improve record keeping to support the temperature monitoring of refrigerators. Process temperatures were not monitored in the majority of cases and when carried out were infrequently recorded. (9) Formal food hygiene training is not a legislative requirement and so the 55% having undergone no training within the last 3 years is a typical expectation for this type of retail establishment. However the sampling officers opinion that 41% of the Chinese takeaway staff were not aware of the relevant food safety risks is of major concern. This indicates the need for further education and review. References (1) Ministry of Agriculture, Fisheries and Food. Department of Health, Food Safety Act 1990, Code of practice No 7: Sampling for Analysis and Examination. 1990. London H.M.S.O. (2) PHLS 1996. Microbiological Guidelines for Some ready to Eat Foods sampled at the Point of Sale – an Expert opinion from the PHLS. PHLS Microbiological Digest 13: 41-43 Acknowledgements The authors would like to thank Andrea Lund (Tameside) and Richard Short (West Lancashire) for their assistance in producing the questionnaire and protocol and for their support and advice. (KWKM004.doc) Page 8 of 14 APPENDIX 1 (KWKM004.doc) (a) Survey participants (b) Survey protocol (c) Survey questionnaire Page 9 of 14 APPENDIX A Survey – Participants (A) Authority Number of boiled rice Number of egg fried rice Number of stock rice Total number of samples Barrow Blackpool Burnley Chorley Fylde Hyndburn Lancaster Preston RibbleValley Rossendale South Lakes South Ribble West Lancs Wyre Bolton Bury Manchester Oldham Rochdale Salford Stockport Tameside Trafford Wigan 5 12 12 8 10 10 13 10 8 8 9 6 12 10 8 8 9 10 10 10 10 6 4 10 5 12 12 8 10 10 13 10 8 8 9 6 12 10 8 8 10 10 12 10 10 6 4 10 5 12 12 7 10 10 10 9 8 8 8 3 12 10 8 8 9 10 10 10 10 5 4 10 15 36 36 23 30 30 36 29 24 24 26 15 36 30 24 24 28 30 32 30 30 17 12 30 TOTAL 218 221 208 747 (B) Survey Protocol Available from FOG/FLG/PHL (C) Questionnaire Available from FOG/FLG/PHL (KWKM004.doc) Page 10 of 14 APPENDIX B (KWKM004.doc) Page 11 of 14 APPENDIX C (KWKM004.doc) Page 12 of 14 (KWKM004.doc) Page 13 of 14 (KWKM004.doc) Page 14 of 14