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In-flight transmission of foodborne disease: How can airlines improve?

Grout, Andrea; Speakman, Elizabeth M.

Authors

Andrea Grout

Elizabeth M. Speakman



Abstract

Food contamination during air travel presents unique risks to those affected. Foodborne pathogens can cause serious illness among all on board, and potentially jeopardize flight safety. These risks are likely to increase with current trends of “densification” and a predicted massive expansion of air travel. While aircraft are being equipped with ever newer designs with a focus on efficiency and comfort, regulations remained largely unmodified in terms of basic hygiene requirements. Strict guidelines for food hygiene exist for on-ground food settings and catering kitchens. There is uncertainty about hygiene standards on board commercial aircraft, and little regulatory oversight of what happens to food in-flight. In two hypothetical scenarios we indicate the potential risks associated with poor food handling practice onboard aircraft, with the ultimate aim of bringing aviation food safety in line with on-ground regulations. Changes in cabin design alongside adequate training in safe food handling have the potential to increase public health protection. We urge a review of existing in-flight hygiene protocols to better direct the development of regulation, prevention, and intervention measures for aviation food safety.

Citation

Grout, A., & Speakman, E. M. (2020). In-flight transmission of foodborne disease: How can airlines improve?. Travel Medicine and Infectious Disease, 33, Article 101558. https://doi.org/10.1016/j.tmaid.2020.101558

Journal Article Type Article
Acceptance Date Jan 16, 2020
Online Publication Date Jan 21, 2020
Publication Date 2020-01
Deposit Date Mar 30, 2020
Publicly Available Date Jan 22, 2021
Journal Travel Medicine and Infectious Disease
Print ISSN 1477-8939
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 33
Article Number 101558
DOI https://doi.org/10.1016/j.tmaid.2020.101558
Keywords Epidemiology, Aircraft, Contamination, Food hygiene, Aviation food safety, Densification
Public URL http://researchrepository.napier.ac.uk/Output/2649009

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