1. Foodborne Illness Risks in Iowa Agritourism 2014-2018
Brianna Gabel, CP-FS
IFPTI Fellow
Linn County Public Health, Iowa

2. The Beginning
Figure 1: Headlines (Marler, 2008)

3. The Beginning
Figure 2: Bryant Case (Benedict, 2008)

4. The Beginning
“I was hospitalized for about 13 days…got put on kidney dialysis and had a lot more procedures. They basically told me I had a chance of living or dying…”
“I was 13 at the time. I would say it just made me very aware of the food I put into my body. I clean my fruits and veggies EXTRA carefully now.”
Makenah E.

5. Background
Figure 3: Top 10 States in Crop and Livestock Sales (Agriculture, Census of Agriculture, 2012)

6. What is Agritourism? Background
Figure 4: Harvestville Farms (Hohl, 2018)

7. Iowa Agritourism and Recreation Income
Background
Iowa Agritourism and Recreation Income
2002
$800,000
2007
$3.1 million
2012
$4.3 million
2017
$5 million
Figure 5: Iowa Agritourism and Recreation Income
(Agriculture, Census of Agriculture, 2012)
(Agriculture, Census of Agriculture, 2017)

8. What’s the Problem?
The frequency and distribution of foodborne illness risk factors in the regulated retail agritourism establishments has been unknown as Iowa lacks a methodology for evaluating those risks.

9. The Study’s Framework Methodology #1 AML Construction
#2 Analyze Risk Factors Using Routine Inspection Data
#3 Focus Group of Iowa Regulators
#4 Interviews with Food Safety Experts
Methodology

10. Agritourism Master List (AML) Contents
Results
Agritourism Master List (AML) Contents

11. Results % out of compliance Risk Factor Agritourism All Retail
% out of compliance
Risk Factor
Agritourism
All Retail
Difference
Time as a Public Health Control
20%
11% 9%
Approved Source 7% 2% 5%
Food Additives 0%
Certified Food Protection Manager 8% 1%
Exclusions and Restrictions
Cooling Time and Temperatures
-8%
Cold Holding Temperatures 3%
12%
-9%
Datemarking and Disposition 6%
16%
Consumer Advisory
-12%
Food Contact Surfaces Cleaned and Sanitized
-14%
Includes five highest and five lowest based on percentage difference. Does not include not observed responses.

12. Highlights Not Observed Responses Approved Sourcing Concerns
Results
Highlights
Not Observed Responses
Major unforeseen issue
Unable to draw conclusions due to sample size
Approved Sourcing Concerns
Link to cottage food industry
Farm Politics and Historical Exemptions
Yikes

13. ??? Recipe for Success? Results Not Observed Responses
Farm Politics and Historical Exemptions
Not Observed Responses
& Challenges
Approved Sourcing Concerns
???

14. Change the Formula Repeat Study Recommendations Not Observed Responses
Farm Politics and Historical Exemptions
Not Observed Responses
& Challenges
Approved Sourcing Concerns
Education and Outreach
Reduce N/O Responses
Repeat Study

15. What is the Moral of the Story?
Conclusions
What is the Moral of the Story?
Don’t drink apple cider Educate and monitor this growing industry!

16. IFPTI Fellowship Other One year program
3 weeks of training and networking in Michigan
Conduct a research project and have your work published
Present your work at the Association of Food and Drug Officials Conference

17. Acknowledgements
Linn County Public Health
Food and Consumer Safety Bureau of Iowa Department of Inspections and Appeals
Mark Speltz, Bureau Chief and Julie Kraling, Retail Food Program Lead
Kendra Meyer and the Iowa State University’s Visit Iowa Farms program
Joe Corby, Doug Saunders, and focus group participants
Dan Gump, Dr. Paul Dezendorf, and all of IFPTI’s mentors and staff for the feedback, guidance, and mentorship as well as all of the IFPTI Cohort 7 Fellows for the support and professional encouragement.
Harvestville Farms in Donnellson, IA

18. References
Agriculture, U. S. (2012). Census of Agriculture. United States Department of Agriculture National Agricultural Statistics Service. Agriculture, U. S. (2017). Census of Agriculture. United States Department of Agriculture National Agricultural Statistics Service. Benedict, J. (2008, October 30). 7-year old still hospitalized with E. coli infection. Retrieved from Mississippi Valley Publishing: Hohl, A. (2018). Harvestville Farms. Donnellson, Iowa. Marler, B. (2008, October 30). Apple Cider Suspected in Tri State E coli Outbreak. Retrieved from Marler Clark :

19. Questions?