REPORT OF THE GREATER MANCHESTER/LANCASHIRE/PHLS LIAISON GROUP SURVEY ON THE MICROBIOLOGICAL EXAMINATION OF MEAT/SALAD SANDWICHES FROM SMALL RETAIL PREMISES K Williamson, G Allen, F J Bolton, PHLS North West FESL – Preston PHL Date of report 6/3/00 Survey Code No. 904009 A wide range of retail outlets serve sandwiches in a `takeaway’ form. In order to achieve a satisfactory level of microbiological quality, there are certain basics that must be controlled in the production and retail of sandwiches. The food ingredients must be of good quality and stored correctly, and storage temperatures and hygiene practices must be satisfactory from production to retail. Environmental health officers from the Greater Manchester and Lancashire Food Liaison Groups considered sandwiches produced and/or retailed in supermarkets to be generally of a satisfactory quality. This assumption was derived from the results of routine samples submitted for examination, and inspection of larger retail premises. However, sandwiches were not often routinely sampled from small corner shops, kiosks and garage forecourt shops, etc. The risk for a basic hygiene breakdown was thought to be more likely in such premises especially when the sandwich ingredients included salad, and ambient temperatures were high during summer months. Hence the purpose of this survey was to establish the microbiological quality of meat/salad sandwiches from the point of sale in small retail shops and to assess in particular the storage conditions and type of retail packaging. Additionally, the survey aimed to determine the extent of sandwich container labelling with a health mark for approved premises. Materials and Methods Sample collection This survey was carried out as part of the Greater Manchester FLG/Lancashire FOG/Preston PHL sampling programme during July – December 1999. Samples consisted of white or brown sliced bread, baps or barmcake, prepacked sandwiches containing a cooked meat filling and salad, including lettuce, tomato, cucumber, onion, etc. The samples were collected from retail shops by local authority sampling officers according to a standard protocol (Appendix 1). Information relating to the premises and product including a between pack temperature was obtained and recorded on a standard questionnaire (Appendix 1). Microbiological examination A total of 383 sandwich samples were submitted and examined from 25/26 authorities in Greater Manchester and Lancashire as detailed in Appendix 1. KW/KLM (182000) 1 Samples were examined for aerobic colony count (ACC), Enterobacteriaceae, E. coli, Staphylococcus aureus, Listeria spp and Salmonella spp using UKAS accredited PHLS-NW FESL food methods. Results Microbiological results Table 1 Microbiological results of meat/salad sandwich samples (n = 383). Detected Not detected <10,<20 10-<102 102-<103 103-<104 104-<105 105-<106 106-<107 107 52 358 370 376 1 37 15 11 6 11 78 7 2 1 41 101 2 0 0 73 65 1 0 0 89 31 0 0 0 80 12 0 0 0 88 7 0 0 0 o ACC/g 30 C 48h Enterobacteriaceae/g E.coli/g S.aureus/g Listeria spp/g Salmonella/25g 0 383 The results were assessed using category 4 of the PHLS microbiological guidelines for some ready to eat foods (1) and the Preston PHL proposed guidelines for Enterobacteriaceae (2). This combination of guidelines are referred to as RTEFG in this study. Table 2 Relevant parameters in category 4 of the RTEFG1+2 Microbiological quality (cfu/g) unless stated Satisfactory Borderline limit of acceptability Unsatisfactory Unacceptable potentially hazardous <106 106 - <107 107 - Enterobacteriaceae <500 500 – 104 104 - E. coli <20 20 - <100 100 - <104 104 Staphylococcus aureus <20 20 - <100 100 - <104 104 Not detected in 25g Present in 25g - <200/g 200 - <104 104 Not detected in 25g - - Present in 25g Aerobic colony (ACC) (30°C/48h) Listeria spp Salmonella spp KW/KLM (182000) count 2 Table 3 Category 4 Microbiological quality of meat/salad sandwiches using Category 4 of the RTEFG1+2 Satisfactory (%) Borderline (%) Unsatisfactory (%) Unacceptability (%) 75 (20) 153 (40) 154 (40) 1(<1) Table 3 demonstrates that based on category 4 of the PHLS RTEFG (1) and (2) 40% of samples were of unsatisfactory microbiological quality. The Enterobacteriaceae (30%) and aerobic colony count (ACC) (23%) parameters were most often associated with unsatisfactory results. E. coli was detected at >100/g in 10 (2.7%) of the samples and only 2 (0.5%) produced Staphylococcus aureus counts of >100/g. Listeria spp were not detected at an unsatisfactory level, and Salmonella spp were not detected in any of the samples. Discussion `Ready to use’ vegetable salads retain much of their indigenous microflora after minimal processing. Minimally processed salads include lettuce simply stripped of its outer leaves or trimmed, peeled, sliced/shredded and washed and/or disinfected salads. This type of ready to use salad is often incorporated into sandwiches, and has been reported to harbour large and diverse populations of microorganisms with counts of 105-107 cfu/g. (3). Minimal processing damages salad tissues resulting in leakage of cellular fluids containing nutrients and intracellular enzymes (4) creating a favourable environment for microbial growth. However, minimally processed salads have a good track record in terms of food safety due to good hygiene, harvesting and production practices. Enterobacteriaceae such as Enterobacter and Erwinia spp are major components of the microflora of some salad materials. Some salad materials in particular carry a high microbial load often due to the problems in washing, because of the physical nature of the salad and difficulty in penetrating the salad structure. Therefore, high levels of Enterobacteriaceae are probable in unprepared and minimally processed vegetable salads, and some microbiologists recommend that Enterobacteriaceae and aerobic colony counts should not be used as an indication of microbiological quality on the examination of salad materials (5). Levels of E. coli are considered to be a better food safety indicator for salads, which have been linked to the presence of pathogens such as Salmonella (6). Hence it may be recommended to interpret sandwiches incorporating salad using category 5 of the PHLS RTEFG (1) which omits the ACC and Enterobacteriaceae parameters. If category 5 is applied to the results of the 383 samples examined in this study, 371 (97%) would be interpreted as acceptable (89% satisfactory and 8% borderline) and only 12 (3%) as unsatisfactory. KW/KLM (182000) 3 However the use of ACC and Enterobacteriaceae as hygiene indicators in this study demonstrated that temperature either during preparation, transport or storage had a significant effect on their counts. The percentage of unsatisfactory samples using the ACC parameter (>107/g), Enterobacteriaceae (>104/g) and the RTEFG was recorded for each month (July – December 1999). Figure 1 demonstrates the seasonality trend with increased unsatisfactory results in the warmer months of July, August and September. Figure 1 Seasonality related to unsatisfactory microbiological quality of meat/salad sandwiches 70.0 60.0 % UNSATISFACTORY 50.0 40.0 ACC only (>1.0x10+E7cfu/g) Enterobacteriaceae only (>1.0x10+E4cfu/g) RTEFG WITH Enterobacteriaceae 30.0 20.0 10.0 0.0 Jul-99 Aug-99 Sep-99 Oct-99 Nov-99 Dec-99 MONTH SAMPLED The ACC and Enterobacteriaceae levels may therefore be of use for hygiene quality assessment, but of limited or of no food safety value related to likely presence of pathogens. Questionnaire results Questionnaire results were analysed in relation to microbiological quality using category 4 of the PHLS RTEFG unless otherwise stated. A copy of the questionnaire is available in Appendix 1. KW/KLM (182000) 4 Q.1 Premise details (n = 379) Local branded grocer 149 (39%) Garage shop Kiosk Newsagent 140 (37%) 9 (2%) 81 (21%) Sandwiches purchased from newsagent shops produced the greatest percentage of unsatisfactory results (52%), whereas 63/149 grocers (44%), 46/140 garage shops (33%) and 4/9 kiosks (44%) sold unsatisfactory quality sandwiches. The ten unsatisfactory results due to E. coli counts of >100/g were not predominantly obtained from any type of premises. Q2. Was the sandwich made on the premises? (n=380) Yes 48 (13%) No 332 (87%) Of the 48 sandwiches made on the premises 17 (37%) produced unsatisfactory results. Of the 332 sandwiches purchased from premises using an outside supplier, 138 (41%) produced unsatisfactory results. Q3. Where was the purchased sandwich displayed/stored? (n=380) Refrigerated source 353 (93%) Ambient display 27 (7%) The majority (353 (93%)) of sandwiches were displayed/stored refrigerated and 143 (41%) produced unsatisfactory results. A similar percentage (41%) of unsatisfactory results was obtained from the 27 sandwiches stored at room temperature. However 60 (18%) of the refrigerated sources (n=340) produced in between sandwich pack temperatures of >8°C. Thirty-two sandwiches (53%) from these 60 unsatisfactory refrigerated sources produced unsatisfactory results, whereas 106 of the 280 (38%) refrigerated sources at 8°C gave unsatisfactory results. The percentage of refrigerated sources producing in between sandwich pack temperatures of >8°C each month from July – December 1999 is demonstrated in Figure 2. The seasonality trend demonstrates cooling problems associated with refrigerated displays during summer months. KW/KLM (182000) 5 Figure 2 Seasonality related to refrigerator temperatures greater than 8°C 30 % REFRIGERATOR TEMPERATURES >8C 25 20 15 10 5 0 Jul-99 Aug-99 Sep-99 Oct-99 Nov-99 Dec-99 MONTH Q4. What was the in-between pack temperature of sandwiches in the display? (n=367) 0 - 5oC 129 (35%) 5oC – 8oC 156 (43%) >8oC 82 (22%) N.B. These results include both refrigerated and ambient displays/storage. The duration of storage prior to recording in between pack temperatures is not known. Unsatisfactory results were obtained from 107/285 (38%) sandwiches with in between pack temperatures of 8°C compared to 44/82 (54%) at >8°C. Similarly, unsatisfactory results due to E. coli counts of >100/g were more prevalent (5%) when sandwiches were >8°C as opposed to 2.1% at 8°C. Q5. Is there a display/storage temperature monitoring system? (n=381) Yes 298 (78%) No 83 (22%) Process information only, results not related to microbiological quality. KW/KLM (182000) 6 Q6. Are the display/storage temperature monitoring records available for inspection? (n=298) Yes 204 (68%) No 87 (29%) Not stated 7 Process information only, results not related to microbiological quality. Q7. How long has the purchased sandwich been stored/displayed at the premises? (n=383) 1st day 228 (60%) 2nd day 124 (32%) 3rd day 7 (2%) >3 days 2 (1%) Not known 22 (5%) Unsatisfactory results were obtained from 88/228 (39%) of the first day storage/display sandwiches and 43% of second day storage. There were insufficient numbers of third and >3 days storage sandwiches for analysis. Q8. Is the purchased sandwich beyond its use by date? (n=368) Yes 7 (2%) No 361 (98%) There were an insufficient number of sandwiches purchased beyond its use by date for analysis. Q9. Is the sandwich container labelled with a health mark for approved premises? (n=371) Yes 134 (36%) No 237 (64%) The majority of sandwich containers were not labelled with a health mark for approved premises and 113/237 (48%) of sandwiches in these containers produced unsatisfactory results, as opposed to 38/134 (28%) when labelled. Further analysis demonstrates the usage of labelled containers in the four types of premises. Grocers shop Garage shop Kiosk Newsagent Number of premises 149 140 9 81 Number of sandwich containers labelled 66 53 4 11 44% 38% 44% 14% % labelled KW/KLM (182000) 7 Q10. Type of retail packaging (n=373) Plastic mould with snap on lid 101 (27%) Plastic mould with heat sealed lid 180 (48%) ‘Cling’ film Cellophane bag 12 (3%) 80 (22%) The plastic mould with heat sealed lid was the most common type of container used for sandwiches purchased in this survey (48%); they also produced the least number of unsatisfactory results 57/180 (32%). The other three types of containers produced higher and similar levels of unsatisfactory results (50%). Conclusions (1) Based on category 4 of the PHLS microbiological guidelines for some ready to eat foods (1) and the Preston PHL proposed guidelines for Enterobacteriaceae, 40% of samples examined in this survey are unsatisfactory. However Salmonella spp were not detected in any of the samples. Only 2.7% of samples contained E. coli, 0.5% Staphylococcus aureus and no samples contained Listeria spp at unsatisfactory levels. (2) The majority of sandwich containers were not labelled with a health mark for approved premises. Sandwiches in these containers produced significantly more unsatisfactory results (48%) than those in labelled containers (28%). (3) Newsagent shops as well as producing the majority of unsatisfactory results (50%) were also the premises most often not retailing sandwiches in containers labelled with a health mark for approved premises. (4) The plastic mould container with a heat sealed lid prevents physical and microbiological contamination and is tamper-evident in comparison with the other containers. Sandwiches examined from this type of container produced the least number of unsatisfactory results. (5) The aerobic colony count and Enterobacteriaceae acted as good hygiene quality indicators in this study. However the interpretation levels may need revision due to naturally high counts in some salad materials. A seasonality trend was demonstrated in relation to these indicator organism counts, the greater counts occurring in the summer months when display refrigeration temperatures were proven to be more frequently sub optimum (<8°C). (6) It is proposed that the use of the aerobic colony count and Enterobacteriaceae counts in the interpretation of sandwiches containing salads is reviewed by the members of the PHLS Food and Environmental Co-ordinators Forum. (7) If category 5 of the guidelines are used for interpretation, only 3% of the total samples examined are unsatisfactory. KW/KLM (182000) 8 (8) It is proposed that meat/salad sandwiches should be examined for: E. coli, Staphylococcus aureus, Listeria monocytogenes and Salmonella spp. Interpretation of the results of these microbiological parameters would give a good indication of the potential hazards in the salad sandwich manufacturing operation. (9) Although the majority of sandwiches (93%) were stored/displayed refrigerated, 18% produced in between pack temperatures of >8°C. Overall 38% of sandwiches with in between pack temperatures of <8°C produced unsatisfactory results compared with 54% when >8°C. Hence it is strongly recommended that refrigerated conditions are used from production to retail, and in particular refrigerated sources should be capable of maintaining <8°C during the summer months. KW/KLM (182000) 9 References (1) 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. (2) Suggested Guidelines for Enterobactericeae Counts in Food Samples. G. Allen, F J Bolton, K Williamson, Preston PHL. PHLS Annual Scientific Meeting, September 1998, Poster presentation. (3) Francis, G A, Thomas, C, Obeirne D, 1999. The microbiological Safety of Minimally Processed Vegetables. Int J of Food Science and Technology 34: 1-22. (4) G Heard, 2000. Microbial Safety of Ready-to-Eat Salads and Minimally Processed Vegetables and Fruits. Food Science and Technology Today 14, 15-21. (5) Nguyen-the et al. 1994. The Microbiology of Minimally Processed Fresh Fruits and Vegetables. Crit. Rev. Food Sci. Nutr. 34: 371-401. Acknowledgements The authors would like to thank Anne McEvoy (Wigan MBC) and Elaine Buckley, (Wyre EHD) for their assistance in producing the questionnaire and protocol and for their support and advice. KW/KLM (182000) 10 APPENDIX 1 KW/KLM (182000) (A) Survey participants (B) Survey protocol (C) Survey questionnaire 11 APPENDIX A Tested July 1999 to January 2000. A total of 383 samples were tested from 25 authorities. Authority Barrow Blackpool Burnley Chorley Fylde Hyndburn Lancaster Pendle Preston Ribble Valley Rossendale South Lakes South Ribble West Lancs Wyre Bolton Bury Manchester Oldham Rochdale Salford Stockport Tameside Trafford Wigan TOTAL KW/KLM (182000) Number of samples 14 13 20 13 18 11 18 14 19 17 11 19 15 19 20 21 11 17 13 18 18 13 14 6 11 383 12 APPENDIX B KW/KLM (182000) 13 KW/KLM (182000) 14 KW/KLM (182000) 15 APPENDIX C KW/KLM (182000) 16