Source: PURDUE UNIVERSITY submitted to NRP
PREVALENCE, PERSISTENCE AND CONTROL STRATEGIES OF LISTERIA SSP. AND SALMONELLA IN RETAIL GROCERY PRODUCE STORAGE AND SALES ENVIRONMENTS
Sponsoring Institution
National Institute of Food and Agriculture
Project Status
COMPLETE
Funding Source
Reporting Frequency
Annual
Accession No.
1007749
Grant No.
2016-67017-24459
Cumulative Award Amt.
$308,570.00
Proposal No.
2015-05673
Multistate No.
(N/A)
Project Start Date
Jan 1, 2016
Project End Date
Dec 31, 2018
Grant Year
2016
Program Code
[A1331]- Improving Food Safety
Recipient Organization
PURDUE UNIVERSITY
(N/A)
WEST LAFAYETTE,IN 47907
Performing Department
Food Science
Non Technical Summary
Salmonella and Listeria monocytogenes are among the leading causes of foodborne disease-related deaths in the United States. Salmonellosis and listeriosis outbreaks have not yet been attributed to produce contaminated at grocery retail likely due to the fact that risk of contamination at retail is essentially unknown and would likely result in sporadic cases. We hypothesize that retail produce storage, processing, and sales environments are potential niches for Salmonella, L. monocytogenes and L. spp and transmission to produce at retail is a significant public health risk, which could be reduced by targeted control strategies. We propose to (i) elucidate Salmonella, L. monocytogenes, and other L. spp. contamination patterns and persistence in retail grocery, (ii) identify practices and store characteristics that differentiate high and low prevalence, and (iii) develop and test practical, feasible control strategies to reduce contamination and cross-contamination in retail produce environments. The outcomes from our study will provide critical information on prevalence and persistence of Salmonella, L. monocytogenes and other L. spp in retail produce environments and data necessary inform risk assessments for more reliable ranking of produce and retail food systems. This study addresses three program priorities in AFRI Foundational Program Improving Food Safety--A1331: dissemination of multiple foodborne hazards on fresh produce food contact surfaces associated with produce production or processing, characterization of under-researched foodborne hazards (i.e. retail produce environments), and development of control strategies for known foodborne hazards on previously unrecognized food vehicles or on foods that are not currently associated with a particular foodborne pathogen.
Animal Health Component
70%
Research Effort Categories
Basic
30%
Applied
70%
Developmental
(N/A)
Classification

Knowledge Area (KA)Subject of Investigation (SOI)Field of Science (FOS)Percent
7114010110050%
7124010110050%
Goals / Objectives
No studies have evaluated Salmonella or Listeria prevalence in retail produce storage, handling, and sales environments. Contamination can theoretically occur at any point in the farm-to-fork pipeline; however, the relative risk of contamination at each stage has not been determined. A study of fresh produce collected prior to retail found that just 0.58% of domestic fresh produce samples were positive for Salmonella (FDA, 2003), while 3.5% of imported fresh produce tested positive for Salmonella (FDA, 2001). While no studies on produce contamination levels at retail have been conducted in the U.S., a study of produce purchased from grocery stores in Spain found no Salmonella on uncut produce, but 0.8-10% of cut produce samples contained Salmonella and 0.8-3.4% of samples tested positive for L. monocytogenes (Abadias et al., 2008), suggesting that produce may have become contaminated during processing. A study of sprouts, pre-cut fruit, and unpasteurized juices from retail in the U.K. found no Salmonella present, but 5.2% of samples contained L. monocytogenes (Little et al., 2004). This study, however, did not compare to uncut produce, so it is impossible to determine how much contamination was present prior to processing at retail. Since even less is known about Salmonella and Listeria prevalence on U.S.-based produce and retail surfaces, this constitutes a major knowledge gap, which hinders the development of appropriate safety practices and standards. As leading experts in retail food safety research, we are positioned to conduct studies that enable regulatory agencies and the food industry to advance food safety practices, reduce the cost of foodborne illness, and improve public health. Therefore our specific objectives are to:Objective I. Elucidate Salmonella, L. monocytogenes, and other L. spp. contamination patterns and persistence in retail grocery produce storage and sales environments.Objective II. Identify practices and store characteristics that distinguish produce storage and sales environments with low Salmonella, L. monocytogenes, and other L. spp. prevalence from stores with high prevalence and evidence of persistence.Objective III. Develop, implement, and test practical and feasible control strategies in select establishments to (i) reduce Salmonella and L. monocytogenes in retail produce environments and (ii) reduce cross-contamination.Our long-term goal is to foundational data that will (i) assist in the identification of food safety hazards in produce at retail, (ii) elucidate effective and practice mitigation strategies to control L. monocytogenes and Salmonella in retail produce environments, and (iii) provide evidence needed to conduct further root-cause-analysis. Such analysis would identify factors and practices that contribute to increased foodborne pathogens in food handling environments beyond sanitation standard operating procedures (SSOPs) (e.g., investigate impact of food safety culture, training, and business practices).
Project Methods
Methods:Isolation of Salmonella, L. monocytogenes, and other L. spp. from environmental samples. A modified version of the U.S. Food and Drug Association Bacterial Analytical Manual method will be used to detect and isolate Salmonella, L. monocytogenes, and L. spp. from environmental sponge samples (www.cfsan.fda.gov/~ebam/bam-10.html). Designated sites will be swabbed with pre-moistened sterile sponges. Samples then will be held on ice and shipped overnight to Purdue University. Within 24 ± 6h, 20 ml of buffered peptone water (BPW) will be added to each sample before stomaching at 230 rpm for 60 seconds. Samples will be divided by combining 10 ml of sample homogenate with 90 ml of lactose broth (LB; Becton Dickinson) or MOPS-buffered Listeria Enrichment Broth (BLEB; Becton Dickinson) for the enrichment of Salmonella and L. monocytogenes, respectively. To detect L. monocytogenes and other L. spp., samples will first be pre-enriched in BLEB without selective agents at 30oC for 4 h. Selective-enrichment will continue at 30oC after addition of selective agents. After 24 and 48 h of enrichment, 0.1 ml of each sample will be streaked onto modified Oxford plates (MOX; Oxoid) and Listeria monocytogenes plating medium (LMPM; R&F Labs).Up to four presumptive L. monocytogenes colonies from each sample will be genetically confirmed using a L. monocytogenes σB PCR assay (Nightingale et al., 2007). To detect Salmonella, each sample homogenate combined with 90 ml LB will be incubated for 24h at 35°C. One ml will be transferred into tetrathionate (TT) broth and 0.1 ml will be transferred in to Rappaport-Vassiliadis (RV) broth. Both will be incubated at 42°C for 24h. Broth cultures will be streaked onto xylose lysine tergitol 4 agar (XLT4) and brilliant green sulfa agar (BGS). Plates will be incubated at 35°C for 24h.Negative plates will be re-incubated and examined after an additional 24h. Three typical, well-isolated colonies will be picked from each plate for biochemical confirmations. Triple sugar iron (TSI) agar and Lysine Iron agar (LIA) slants will be inoculated and those showing typical and/or suggestive Salmonella reactions will be confirmed by a Salmonella PCR assay (Kim et al., 2007).Molecular subtyping. Confirmed isolates will be stored in 15% glycerol at -80oC. Pulsed-field Gel Electrophoresis (PFGE) typing will be performed using the standardized CDC PulseNet protocols for L. monocytogenes and Salmonella (http://www.pulsenetinternational.org/protocols/); isolates will be digested separately with two restriction enzymes (L. monocytogenes and L. spp. with AscI and ApaI and Salmonella with XbaI and BlnI). PFGE patterns will be analyzed and compared using Bionumerics software (Applied Maths). Similarity clustering analyses will be performed with Bionumerics software using the unweighted pair group-matching algorithm and the Dice correlation coefficient as described previously (Hunter et al., 2005).Our group developed an exhaustive questionnaire (Hoelzer et al., 2011) to solicit expert opinions on practices, physical characteristics, and L. monocytogenes cross-contamination patterns in retails delis which may lead to high prevalence and persistence (Wang et al., 2014). We will use a similar design to develop a survey intended to capture the physical characteristics and management practices which may contribute to the prevalence and persistence of Salmonella, L. monocytogenes, and L. spp. in retail produce storage, handling, and sales environments. We anticipate the length of the survey will be approximately 80 structured response and contingency questions aimed to capture the multitude of differences, which exist in retail grocery produce departments, including those that occur within a single retail chain. We will also collect data on the physical characteristics of produce storage, handling, and sales environments, including information such as the presence or absence of overhead spray bars, manufacturer and age of produce cases, proximity of deli and raw meat department(s) to the produce storage area, age of the building, type of flooring material, condition of grout if tiled, etc. Furthermore, we will capture differences in management practices among retail chains and among individual stores. These will include differences such as sanitizers and sanitizer concentrations used to clean food contact surfaces, differences in cleaning and sanitization frequency of case(s), floors, and cold storage rooms, and differences in produce management practices (method and frequency of cleaning and sanitizing). Together, these differences may provide insight into factors that affect Salmonella, L. monocytogenes and other L. spp. presence or persistence in the retail produce environment.We have strong history of working with corporate sanitarians and food safety managers from small, medium, and large retail grocery chains to develop intervention strategies (Simmons et al., 2014; Hammons et al., 2015; Hammons et al., 2013; Hammons et al., 2014b; Hammons, 2014c). Developed recommendations for control strategies for the produce environment may consist of, but will not be limited to (i) existing SSOPs currently in place in some retail establishments, (ii) adapting SSOPs for similar target areas (e.g. SSOP for produce storage area floor may be modified to encompass cold storage room floor), or (iii) drafting novel SSOPs for target areas which may not currently have SSOPs as standard practices (e.g. use of sanitizers on floor surface). Finalized control strategies will be tested for their ability to reduce Salmonella and L. monocytogenes prevalence and persistence. These stores will be given a 2-month "wash-in" period for implementation and execution of control. At the end of the 2 month period, monthly environmental sampling of food and non-food contact surfaces will resume for 9 months in up to 10 stores with increased risk for Salmonella and L. monocytogenes prevalence and persistence. Specifically, we will repeat monthly sampling as conducted in Obj. 1 in up to 30 sites throughout the produce storage and sales environments (food and non-food contact surfaces). Salmonella, L. monocytogenes, and L. spp. isolation, molecular subtyping characterization by PFGE, and storage will be completed as detailed in Obj. 1 monthly for 9 months. Prevalence and persistence data collected after the implementation of control strategies will be compared to prevalence and persistence data collected in Obj. 1.

Progress 01/01/16 to 12/31/18

Outputs
Target Audience:Outcomes and products of this research project will inform industry food safety experts, academics in related fields, and policy makers intending to improve food safety at retail. Changes/Problems: Nothing Reported What opportunities for training and professional development has the project provided?Two graduate students and 2 undergraduates were trained over the life-time of the grant. How have the results been disseminated to communities of interest?All results will be publically available as peer-reviewed publications. What do you plan to do during the next reporting period to accomplish the goals? Nothing Reported

Impacts
What was accomplished under these goals? We have successfully met each of the proposed goals and objectives of the project. Each Objective has resulted in a peer-reviewed publication that will acknowledge USDA funding.

Publications


    Progress 01/01/17 to 12/31/17

    Outputs
    Target Audience:The data from this study will be useful to retail grocery food safety experts, state and federal food safety experts, and future risk assessments. Changes/Problems:The initial sampling of >10,000 environmental samples cost more than was previously expected- mostly due to the enormous amount of enrichment media necessary for pathogen detection. As a result, I have sacrificed my salary line for the second year of the project in order to continue towards our goal of WGS based subtyping. What opportunities for training and professional development has the project provided?Two graduate students have joined my lab to assist on this project; one who is focusing more on the logistics, sampling and subtyping portions and another who is focusing more on the survey and statistical correlation aspect. Though they are assigned separate focuses, this initial data gathering period is a joint effort and has allowed overlap in discussion and strategy which is beneficial for both of the graduate students. Both graduate students have submitted an abstract based on the data currently available to the 2017 IAFP Annual Meeting- this will develop their skills in scientific communication. One of the students was able to attend the annual 2016 IAFP meeting as a graduate mentor for an undergraduate trip. This experience not only allowed the student networking and professional interfacing, but allowed him to attend several presentations. Most of talks he attended were in relation to Whole Genome Sequencing analysis and applications in the food industry, which provided invaluable insight and opinions regarding the eventual sequencing and sequence analysis of the obtained isolates. Additionally, four undergraduate students have obtained lab experience by helping on this project. One of these students was a paid summer employee, while the other three have been working in the lab for credit. Their duties and knowledge gained has depended largely on their own motivation. All students have learned the basics of working in a lab, and some have spent extra hours and learned additional skills. One student has begun his senior thesis based on the APC of several of the collected samples. This undergraduate was also able to submit and abstract for the IAFP 2017 Annual Meeting based on data collected from this study. How have the results been disseminated to communities of interest?Two papers will besubmitted a; SNP-based whole genome subtyping of L. monocytogenessamples is currently taking place which will allow re-submission of the publications. Three poster presentations were used to disseminate the information at the IAFP 2017 Conference. What do you plan to do during the next reporting period to accomplish the goals?We will complete the subtyping ofL. monocytogenesisolates. Data from Objective III has just begun to be analyzed. Further analysis will take place which will allow us to draw conclusions with a statistical backing.

    Impacts
    What was accomplished under these goals? The accomplishments surrounding Objectives I and II have been reported in previous reporting periods and have not changed significantly since. For the purpose of brevity, we will present our new accomplishments. This is true with one exception. A second comprehensive survey was sent out to the stores participating in the interventions described below. This would fall under Objective II; the data is currently being collected. OBJECTIVE III Based on the results of the sampling in Objective I, nine stores which presented the largest challenge for control of L. monocytogenes were enrolled in the intervention phase of this study. These stores made up nine of the ten stores with the high prevalence of L. monocytogenes. Additionally, a store which had only 2/159 positive samples for L. monocytogenes was chosen to continue sampling without any interventions to serve as a control. The nine stores can be divided based on either retailer or independent regional management within a retailer; four groups in four different states. We partnered with the chemical supply company for three of those groups to reduce costs and increase intervention and monitoring feasibility. Regardless of group, the goal was for each individual store to undergo a deep clean performed by the department's employees with supervision and support from their managers and the researchers. The deep cleans were performed in concert with an explanation of the study's data to the employees which included an introduction to L. monocytogenes and the importance of ensuring that the pathogen can't re-establish itself. Predetermined SSOP changes were also explained. Employee participation varied largely by store and group. Foam squeegees were discarded and replaced with rubber squeegees. Following the deep cleans a two-month wash-in period for SSOP changes was allowed prior to sampling. Each store was audited bi-weekly by either corporate food safety or regional representatives of our partner chemical supplier. Many sites which were sampled during the initial sampling were eliminated from follow-up sampling. Due to the very high amount of L. monocytogenes positive samples relating to the floor, an additional five sampling sites were added to tease out potential harborage sites; cart wheels, underside of stability mats, interior of dustpan, surface of produce storage pallets, and the nozzle of the spray hose. Finally, after each month, reactionary steps were taken to address any positive samples. Samples were collected by regional food safety employees under direction from our research group and shipped overnight, on ice, for processing at Purdue University. The Roka Bioscience Atlas platform's LmG2 assay was used to detect positive samples, which were subsequently confirmed by secondary enrichment and plating. Up to four colonies from each site were stored in 20% glycerol at-80O Celsius for future analysis. The sites with the most positive samples were similar to those in the initial sampling period. Standing water, once again, had the highest prevalence of L. monocytogenes with 41.7% (10/24) samples positive. This was followed by the drain (38.1%; 8/21) and floor (37.5%; 3/8) of the cold room. The drain of the produce preparation area had 34.5% (10/29) of its samples positive. Interestingly, one of the added sites, interior of the dustpans, had 32.1% (9/28) positive; larger than the squeegee which had 27.6% (8/29) positives. When looking at individual store improvement we compared only the sites which were sampled in both the initial and follow up sampling. Group 1, which contains only store 14, showed the most promising results. The prevalence of L. monocytogenes decreased from 53.3% (16/30) to 5.6% (1/18). The results of Group 2 were also encouraging. Store 27 decreased from 63.3% (19/30) to 26.7% (4/15); store 5 decreased from 60.0% (18/30) to 33.3% (5/15); and store 22 from 20.0% (6/30) to 13.3% (2/15). The stores in Group 3 both had a moderate increase in prevalence on these sites; store 8 increased from 20.0% (6/30) to 33.3% (5/15) and store 21 from 16.7% (5/30) to 40.0% (6/15). It should be noted that there appeared to be decrease in positive samples each month with both Group 2 and Group 3. That will be analyzed for statistical significance. Group 4 contained store 28, the store with the highest overall prevalence in the initial sampling, and store 17. Neither store performed well; store 28 decreased insignificantly from 93.3% (28/30) to 86.7% (13/15). Store 17 experience no change staying flat at 40.0% (12/30; 6/15).

    Publications

    • Type: Journal Articles Status: Awaiting Publication Year Published: 2018 Citation: John Burnett, Deklin Veenhuizen, Tongyu Wu, Susan R. Hammons, Manpreet Singha, and Haley F. Oliver. Submitted. Listeria monocytogenes is Prevalent in Retail Produce Environments but Salmonella enterica is Rare. Appl. Environ. Micrbiol.
    • Type: Journal Articles Status: Awaiting Publication Year Published: 2018 Citation: Tongyu Wu, John Burnett, Jingjin Wang, Susan R. Hammons, Deklin R. Veenhuizen, and Haley F. Oliver. Submitted. Infrastructure, sanitation, and management practices impact Listeria monocytogenes prevalence in retail grocery produce environments. J Food Prot.


    Progress 01/01/16 to 12/31/16

    Outputs
    Target Audience:Retail food safety experts, USDA risk assessment, academics, and others interested in produce food safety. Changes/Problems:Primarily, we were not able to bring in a student to focus solely on this project until the beginning of June, which pushed back the start date for sampling to June. We have found that retail produce envronemnts are likely not a significant source of produce contamination by S. enterica because the organism does not seem to establish niches in the environment. For that reason, we will not be testing for its presence in the second longitudinal sampling phase and will focus our resources on sequencing isolates. What opportunities for training and professional development has the project provided?Two graduate students have joined my lab to assist on this project; one who is focusing more on the logistics, sampling and subtyping portions and another who is focusing more on the survey and statistical correlation aspect. Though they are assigned separate focuses, this initial data gathering period is a joint effort and has allowed overlap in discussion and strategy which is beneficial for both of the graduate students. Both graduate students have submitted an abstract based on the data currently available to the 2017 IAFP Annual Meeting- this will develop their skills in scientific communication. One of the students was able to attend the annual 2016 IAFP meeting as a graduate mentor for an undergraduate trip. This experience not only allowed the student networking and professional interfacing, but allowed him to attend several presentations. Most of talks he attended were in relation to Whole Genome Sequencing analysis and applications in the food industry, which provided invaluable insight and opinions regarding the eventual sequencing and sequence analysis of the obtained isolates. Additionally, four undergraduate students have obtained lab experience by helping on this project. One of these students was a paid summer employee, while the other three have been working in the lab for credit. Their duties and knowledge gained has depended largely on their own motivation. All students have learned the basics of working in a lab, and some have spent extra hours and learned additional skills. One student has begun his senior thesis based on the APC of several of the collected samples. This undergraduate was also able to submit and abstract for the IAFP 2017 Annual Meeting based on data collected from this study. How have the results been disseminated to communities of interest?Publications have been sumbitted for publication. What do you plan to do during the next reporting period to accomplish the goals?Complete Objective 3 and sequenceL. monocytogenesisolates

    Impacts
    What was accomplished under these goals? Thirty environmental samples were collected monthly for six months in duplicate in 30 retail produce departments in seven states during daily operation. Samples included 17 food contact surfaces and 13 non-food contact surfaces. Each sample was tested for L. monocytogenes and S. enterica using ROKA Atlas LmG2 and SEN assays, respectively. Positive L. monocytogenes enrichments were confirmed by secondary enrichment in Fraser broth and plating; positive S. enterica enrichments were confirmed using the standard FDA BAM protocol. A total of 4.4% (226/5112) of environmental samples tested positive for L. monocytogenes; L. monocytogenes was present on 8.1% (178/2205) non-food contact surfaces (NFCS) and 1.6% (48/2907) of food contact surfaces (FCS) tested. S. enterica was found during one sampling event in a single store; <0.1% (4/5112) of samples were positive overall. Defining high prevalence as >10%, low prevalence as <1% and moderate prevalence as between 10% and 1% (Simmons et al., 2014), 7 of 30 stores showed low overall L. monocytogenes prevalence across all sites, including five stores with no positive samples. Four of 30 stores had high overall prevalence at levels of 24.4% (43/176), 14.5% (25/172), 13.4% (23/172) and 10.5% (17/162). Of the remaining 19 stores only six showed a prevalence of >5%, ranging from 5.6% to 9.6%. Nine of 20 stores showed high L. monocytogenes prevalence on NFCS, ranging from 41.9% (31/74) to 10% (7/70). Seven stores had low prevalence on NFCS, all of which didn't have any positive samples. Of the 14 stores with moderate prevalence on NFCS only three had a prevalence of >5%. Conversely, only one store displayed high prevalence on FCS with 11.8% (12/102) samples positive. This store, number 28, also displayed the highest NFCS prevalence and overall prevalence. For low prevalence, 14 stores tested positive for less than 1% of samples, including 11 with no positive samples. Of the remaining 15 stores, only one displayed a prevalence of >3.4% with 7.4% (7/94) of its samples positive. Seven stores exhibit possible evidence of L. monocytogenes environmental persistence, with at least three consecutive months positive on the sample sampling site. Susceptible sites for L. monocytogenes harborage include the cold room drain, with 36.0% (27/75) samples testing positive. The cold room floor, which was sampled in the absence of a drain had 13.2% (14/106) positives. Standing water exhibited the second highest prevalence at 27.7% (46/166), 12 of which were located in corners of a room, in damaged or recessed floor areas, or on utility covers. 13 were in the cold room, and only three were under/near sinks. The drain of the general produce area had 20.2% (33/163) of samples positive while the floor, in the absence of a drain, returned no positives with 17 samples taken. The squeegee or other floor cleaners revealed themselves as a high prevalence site with 18.3% (33/180) samples positive. In the absence of a squeegee, other sites were sampled. Three of the 33 positives were samples taken from brooms, the remaining 30 were all taken from foam squeegees. All in all, 21.7% (30/138) of squeegees tested positive for L. monocytogenes and 16.2% of brooms (3/22). Finally, a temporal analysis of this longitudinal study showed that in the sampling events in August and early September had a statistically significant increase in the number of positive samples. However, it can be fairly argued that this uptick was the result of a spike in only a few stores, with the other stores continuing their previous patterns. The above data indicates that L. monocytogenes is a critical pathogen associated with retail produce environments, largely present and able to establish persistence in NFCS such as drains, floor, standing water and squeegee. To achieve Objective II, we have proposed and distributed a survey on facility designs, management strategies, and cleaning and sanitizing practices in retail produce environment. The intended participants are produce managers. A pilot study was performed in mid-September in 5 stores that are not sampled. The revised survey consists of 110 multiple choice and short answer questions, which takes thirty minutes to one hour to complete. The survey was then distributed among the 30 stores that are currently being sampled via Qualtrics. All surveys have been completed and linear regression analysis was being performed to see the statistical significance of: 1) facility designs, 2) management strategies, 3) cleaning and sanitation practices, correlating with L. monocytogenes prevalence pattern obtained from Object I. Specifically, Pearson correlation was used for analyzing continuous and ordinal variables; one-way ANOVA and Tukey pair-wise comparison for categorical variables (α=0.05). To further visualize the correlation between L. monocytogenes prevalence and statistically significant categorical variables, cross tabulation was performed, with prevalence level categorized into "low" (<1%), "moderate" (1-10%) and "high" (>10%) (Simmons et al., 2014; Wang, 2014; Burnett et al., unpublished). Proc Power procedure was performed to assess the adequacy of sample size of this study (α=0.05). Nine factors were significantly associated with L. monocytogenes prevalence. Linear model fit statistics yielded r2=0.5816 and MSE=19.043 with untransformed prevalence data. Linear regression showed that these 9 variables, in synergy, correlating significantly with prevalence (p=0.0171). Yet, no individual factor was consequential. Power analysis showed an over 0.999 power (α=0.05), indicating high confidence in our finding. The survey study has yielded insights and approaches to derive strategies in L. monocytogenes control in retail produce environments. By tackling upon aspects of management strategy, personal hygiene, preventing cross-contamination, cleaning and sanitation frequencies, our study yields feasible suggestions to retail produce managers to prevent L. monocytogenes transmission in retail system. Specifically, disposing gloves (alternatively, handwashing) after handling each type of produce and after touching NFCS is strongly recommended; selecting lateral role model colleagues among employees can potentially positively cultivating food safety behaviors among the team; accessible and comprehensible SSOPs and their implementation are key to prevent adverse L. monocytogenes spread during cleaning; minimizing inter-departmental traffic; making sure the clean-ability of the produce environment and eliminating pooled and standing water. The intervention is now under implementation in the 30 participating stores. We have the preliminary commitment of the nine stores with the highest prevalence of L. monocytogenes to participate in a second longitudinal sampling to determine the efficacy of any changes to facilities or protocols in controlling L. monocytogenes. We also intend to enroll a tenth store which was absent of any pathogens in our initial sampling period. This store will make no protocol changes and serve as a control.

    Publications

    • Type: Journal Articles Status: Submitted Year Published: 2017 Citation: John Burnett, Deklin Veenhuizen, Tongyu Wu, Susan R. Hammons, Manpreet Singha, and Haley F. Oliver. Submitted. Listeria monocytogenes is Prevalent in Retail Produce Environments but Salmonella enterica is Rare. Appl. Environ. Micrbiol.
    • Type: Journal Articles Status: Submitted Year Published: 2017 Citation: Tongyu Wu, John Burnett, Jingjin Wang, Susan R. Hammons, Deklin R. Veenhuizen, and Haley F. Oliver. Submitted. Infrastructure, sanitation, and management practices impact Listeria monocytogenes prevalence in retail grocery produce environments. J Food Prot.