Tampa Tribune

State Sticks Fork In Once Effective Food Service Program

Marc J. Yacht

Published: Sep 9, 2007

In 1992, one of the Florida Legislature's more unfortunate decisions was to eliminate much of the food service inspection responsibility by the state Department of Health (DOH) and delegate it to the departments of Business and Professional Regulation (BPR) and Agriculture and Consumer Services (ACS).

Since this legislation passed, Florida continues to face a compromised restaurant inspection program. Over the years, many questions have been raised as to whether the new criteria that BPR follows provide adequate oversight to protect Floridians and visitors dining in Florida restaurants.

BPR became responsible for public lodging and food service establishments (restaurants). ACS accepted the responsibility of convenience stores and food markets.

Many facilities went without previous Health Department-required inspections for as long as two years while ACS instituted its new program responsibilities. Lack of adequate trained staff and funding were the cause.

Both BPR and ACS suggested the programs would be uncompromised and necessary communication would occur due to DOH's infectious outbreak responsibilities. Neither would prove true initially and may still be seriously compromised.

Let's look at some facts. Florida currently has three food protection agencies: ACS, whose responsibilities include grocery stores, convenience stores and food processors; BPR, whose responsibilities include lodging, restaurants and caterers; and DOH, which continues to regulate institutional food facilities and churches.

Florida is the only state in the nation that has three food safety agencies for retail food sales. DOH also performs all epidemiological investigations for all three agencies, necessitating efficient communication.

Protecting Diners

It is important to understand the importance of well-funded food service inspections in the state.

Although most chain restaurants have good policy related to food safety, the majority of restaurants that serve Florida residents and visitors are family-run. Many are marginal businesses. Often, expenditures to protect a patron's health are delayed or not instituted. Required is a comprehensive inspection effort.

Serious violations may go unnoticed or undiscovered due to a weakened inspection program. Finding violations in a comprehensive program is only the first step toward resolving a problem.

It also is important to hold the owner/manager responsible for correcting the violation quickly. Such follow-up inspections by the local health department might occur that day or within 24 hours if the compliance issue required it. Since the transfer of these responsibilities, I'm concerned that discovered violations with potential health risks may not be adequately pursued.

When DOH had responsibility for the food inspection program, they were required to make four inspections a year. The programs operated county by county and were, indeed, local. Local health departments were only paid fees when the inspections were accomplished.

There were specific parameters for follow-up inspections when violations occurred. Many restaurants would voluntarily close as serious violations were corrected. Pasco County was proud to have the "ABC" program that scored restaurants and issued letter grades.

Successful lobbying efforts ultimately denied the "ABC" program to any other county. Ultimately, additional lobbying efforts led to the transfer of much of the food service program to the department of Business and Professional Regulation and Agriculture and Consumer Services.

When BPR accepted the responsibility, lawmakers reduced the number of inspections required. The new statute requires two inspections per year.

BPR is paid regardless of whether those inspections are accomplished. With so few inspections, one has to ask how many violations slipped under the radar. And what was the quality of follow-up when problems were discovered?

Program Diluted

Prior to the change in statute, DOH oversaw most of these responsibilities, singly. DOH still has the responsibility to investigate food outbreaks. But the fragmentation of the programs often causes delays in instituting adequate investigations. Time is of the essence for a successful determination of causes and protecting those exposed to food-related illness.

It is interesting to note that in 2005, 188 food-borne illness outbreaks were reported statewide. Of those, 77 percent were associated with a BPR-regulated facility, and 9 percent were associated with DOH-regulated facilities.

Arguments to move food service inspections away from the state Health Department suggested there were inconsistencies from county to county regarding how inspections were accomplished. Also, BPR inspected lodgings with dining facilities. Owner/mangers faced two inspection fees with DOH also inspecting the restaurant facilities.

The Florida Restaurant Association lobbied hard and successfully. State statute changes removed more than 90 percent of food service responsibilities from DOH. This action fostered a great disservice to the inspection program and the people of Florida.

Compromising the quality of the food service program through fragmentations among three agencies, along with a reduction in the number of required inspections, threatens food safety and undermines hygienic standards required to protect diners.

Ideally, the program should be the responsibility of one agency. It is appropriate that the agency which provides epidemiologic investigations in the event of outbreaks should have that responsibility. That agency is the state Department of Health. It defied logic to move that program from the department.

The food service program should be adequately funded, efficient and allow necessary follow-up in response to violations to protect the health and safety of Florida diners. Food-related outbreaks should be quickly addressed and contained.

Perhaps Gov. Charlie Crist could establish a committee that includes the Florida Restaurant Association, state departments of Health, Agriculture and Consumer Services and Business and Professional Regulation, as well as other appropriate members, to work through an orderly transition to bring the responsibility of the Food Service program back to local health departments.

That's where it belongs. That's where it has always belonged.

The writer, a Hudson resident who retired as director of the Pasco County Health Department earlier this year, is editor in chief of the Florida Medical Association Quarterly magazine. This is an edited version of a column from the magazine.