Assessment of sanitary status of food and drinks catering establishments: A descriptive observational study in south East Asmara, Eritrea, 2019
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Abstract
Objective: Lack of basic infrastructure, poor practices of hygiene in food service establishments can contribute to outbreaks of foodborne illnesses. The aims of this study was to explore the sanitary conditions of food and drink catering establishment services in South East Asmara, Eritrea.
Methods: A descriptive observational study was conducted among 139 food and drinks catering establishments in South East Asmara from June to September 2019. Data were collected using semi-structured questionnaire for obtaining socio-demographic information of the manager or owner and observation checklist was used to assess the overall physical sanitary status of the establishment. Factors influencing vermin infestation, kitchen and latrine cleanliness were further investigated. Data analysis was done using SPSS version 22. The descriptive results were summarized using frequencies and percentages in tables and graphs. Dining premises, kitchens and stores were categorized as clean, if the floor, wall, and ceiling of the premises were found clean. Moreover, bivariate and multivariate logistic regression analysis were done to find out the main factors influencing vermin infestation, kitchen and latrine cleanliness.
Results: Out of the total 139 food and drink catering establishments assessed, about one-tenth (8.6%) of the establishments’ dining room, a third (33.3%) of the stores and 31.5% of the kitchens were in a poor and unclean sanitary conditions. Good premise floor status (AOR=18.03; 95%CI (2.09-155.1), P<0.05), availability of adequate light (AOR=5.02; 95%CI (1.01, 24.99), P<0.05), running water (AOR=0.26; 95%CI (0.09, 0.72), P<0.05) and dustbin availability (AOR=4.32; 95%CI (1.06, 21.6), P<0.05) were found having significant association with overall cleanliness of the kitchen. Two-third (65%) of the establishments’ latrines were clean. Availability of separate latrine for male and female (AOR=2.34; 95%CI (1.06, 5.18), P<0.05), and separate latrine for clients and workers (AOR=3.41; 95%CI (1.10, 10.57) were the main factors potentiating latrine cleanliness. More than a third (37.4%) of the establishments were found to be infested by vermin. Nearer kitchen distance from latrine (AOR=3.65; 95%CI (1.60, 8.35), p<0.05), presence of pets (AOR=4.1; 95%CI (1.17, 14.40), and breeding of insects in the liquid waste disposal (AOR=4.08; 95%CI (3.37, 12.17), p<0.01) had significantly increased the presence of vermin infestation.
Conclusion: The sanitary condition of the food and drinks catering establishments in the study area was found to be poor. There is a need to impose regulations and guidelines governing the basic sanitary requirement of the food and drinks catering establishments.
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Havelaar AH, Cawthorne A, Angulo F, Bellinger D, Corrigan T, et al. (2013) on behalf of the Foodborne Disease Burden Epidemiology Reference Group (FERG): WHO initiative to estimate the global burden of foodborne diseases. Lancet 381: S59. Link: https://bit.ly/3j7j0cg
Tessema AG, Gelaye KA, Chercos DH (2014) Factors affecting food handling Practices among food handlers of Dangila town food and drink establishments, North West Ethiopia. BMC Public Health 14: 571. Link: https://bit.ly/2FzwfF0
Meleko A, Henok A, Tefera W, Lamaro T (2015) Assessment of the sanitary conditions of catering establishments and food safety knowledge and practices of food handlers in Addis Ababa University Students’ Cafeteria. Science 3: 733-743. Link: https://bit.ly/2T3cBV2
Abdul-Mutalib NA, Abdul Rashid MF, Mustafa S, Amin-Nordin S, AwangHamat R, et al. (2012) “Knowl- edge, Attitude and Practices Regarding Food Hygiene and Sanitation of Food Handlers in Kuala Pilah, Malaysia. Food Control 27: 289-293. Link: https://bit.ly/37b67ff
Bas M, Ersun AS, Kıvanç G (2006) The Evaluation of Food Hygiene Knowledge, Attitudes, and Practices of Food Handlers in Food Businesses in Turkey. Food Control 17: 317-322. Link: https://bit.ly/3lVNy2Q
FAO (2012) Fisheries and Aquaculture Topics. Hygiene and Fish Safety. Topics Fact Sheets. Link: https://bit.ly/31fErSJ
WHO (2002) Global Strategy for Food Safety. Geneva. Link: https://bit.ly/2FzwGiC
Olson SL, MacKinon L, Goulding J, Bean N, Slutsker L (2000) Surveillance for foodborne diseases outbreaks – United States. 1993-1997. Morb Mortal Wkly Rep 49: 1-62. Link: https://bit.ly/3dyLD12
FAO (1997) Food and nutrition paper M 80: Street foods. Report of an FAO Technical Meeting on Street Foods Expert Consultation, Calcutta, India, 6-9 November 1995 Food and Agriculture Organization of the United Nations. Rome.
Fielding JE, Aguirre A, Palaiologos E (2001) Electiveness of altered incentives in a food safety inspection program. Prev Med 32: 239–244. Link: https://bit.ly/2HhD2DG
Gent RN, Telford DR, Syed Q (1999) An outbreak of Camphylobacter food poisoning at a university campus. Commun Dis Public Health 2: 39-42. Link: https://bit.ly/31iGFRg
Wilson M, Murray AE, Black MA, McDowell DA (1997) The implementation of hazard Analysis and critical control points in hospital catering. Managing Service Qual 1: 150-156. Link: https://bit.ly/3kaeds3
Abera B, Biadegelgen F, Bezabih B (2010) Prevalence of Salmonella typhi and intestinal parasites among food handlers in Bahir Dar Town, Northwest Ethiopia. Ethiop J Health Dev 24: 46-50. Link: https://bit.ly/2HgAu9e
Howes M, McEwen S, Griffiths M, Harris L (1996) Food handler cortication by home study: Measuring changes in knowledge and behavior. Dairy, Food Environ Sanitation 16: 737-744. Link: https://bit.ly/35avqvn
WHO (2000) Foodborne disease: Focus on Health Education. Geneva. Link: https://bit.ly/37dWexf
Azanaw J, Gebrehiwot M, Dagne H (2019) Factors associated with food safety practices among food handlers: facility-based cross-sectional study. BMC Res Notes 683. Link: https://bit.ly/2IAXbW5
Ministry of tourism, Eritrea: Management record system, 2018
Djekic I, Smigic N, Kalogianni E, Rocha A, Zamioudi L, et al. (2014) Food hygiene practices in different food establishments, Food Control 39: 34-40. Link: https://bit.ly/353JfeZ
Klontz KC, Timbo B, Feins S, Vevy A (1995) Prevalence of selected food consumption and preparation behaviors associated with increased risks of foodborne diseases. J Food Prot 58: 927-930. Link: https://bit.ly/346kzmB
Okugn A, Woldeyohannes D (2018) Food hygiene practices and its associated factors among model and non-model households in Abobo district, southwestern Ethiopia: Comparative cross-sectional study. PloS One 13: e0194-391. Link: https://bit.ly/2Tfgzu5
Legesse D, Tilahun M, Agedew E, Haftu D (2017) Food handling practices and associated factors among food handlers in arba minch town public food establishments in Gamo Gofa Zone, Southern Ethiopia. Epidemiology (Sunnyvale) 7: 2161-2165. Link: https://bit.ly/37rRiFl
Donkor ES, Kayang BB, Quaye J, Akyeh ML (2009) Application of the WHO keys of safer food to improve food handling practices of food vendors in a poor resource community in Ghana. Int J Environ Res Public Health 6: 2833-2842. Link: https://bit.ly/37kIf97
Milazzo A, Giles L, Zhang Y, Koehler A, Hiller J, et al. (2016) Factors Influencing Knowledge, Food Safety Practices and Food Preferences during Warm Weather of Salmonella and Campylobacter Cases in South Australia. Foodborne Pathog Dis 14: 125-131. Link: https://bit.ly/357p4MZ
Nigusse D, Kumie A (2012) Food hygiene practices and prevalence of intestinal parasites among food handlers working in Mekelle university student’s cafeteria, Mekelle. Global Adv Res J Soc Sci (GARJSS) 1: 065-071. Link:
Kibret M, Abera B (2012) The sanitary conditions of food service establishments and food safety knowledge and practices of food handlers in Bahir Dar town. Ethiopian J Health Sci 22: 27-35. Link: https://bit.ly/2Haamww
Zain M, Naing N (2002) Sociodemographic characteristics of food handlers and their knowledge, attitude and practice towards food sanitation: a preliminary report. Southeast Asian J Trop Med Public Health 33: 410-417. Link: https://bit.ly/2Hal86a
Mudey D, Goyal R, Dawale A, Wagh V (2010) Health status and personal hygiene among food handlers working at food establishment around a rural teaching hospital in Wardha district of Maharashtra, India. Global J Health Sci 2: 198-206. Link: https://bit.ly/3jayexk
Rabbi SE, Dey NC (2013) Exploring the gap between hand washing knowledge and practices in Bangladesh: a cross-sectional comparative study. BMC Public Health 13: 89-10. Link: https://bit.ly/3kah0BI
Gibson LL, Rose JB, Haas CN, Gerba CP, Rusin PA (2002) Quantitative assessment of risk reduction from hand washing with antibacterial soaps. J Appl Microbiol 92: 136S-e143S. Link: https://bit.ly/3dzrp7f