Restaurant Investigations, 2014–2016

At a glance

Learn about the outbreaks and gaps we found in retail food safety practices and outbreak investigations.

Wide shot of a restaurant with several people at different tables.

Key takeaways

We found gaps in retail food safety practices and outbreak investigations. Protecting food from contamination by sick workers can help reduce outbreaks.

We found gaps in written restaurant policies around working while sick and using gloves. Improving investigation practices can help investigators identify what is making people sick and how to stop the outbreak.

Why this is important

Most foodborne outbreaks occur in retail food establishments like restaurants. We need to know more about how retail establishment characteristics and food safety policies and practices relate to foodborne outbreaks. This information will help food safety programs develop effective approaches to prevent outbreaks.

What we learned

We studied 404 of these kinds of outbreaks reported to CDC's National Environmental Assessment Reporting System (NEARS) in 2014–2016. Our data showed:

  • Contamination of food by sick food workers contributed to more than half of outbreaks with contributing factor data.
  • Most establishments with outbreaks lacked written policies for practices to keep food from being contaminated by workers.
    • About a third did not have written policies on glove use.
    • About half did not have written policies about food workers working while sick.
  • Investigations that start within 24-48 hours are more likely to uncover important information about outbreak causes. However, about 1 in 10 investigations began more than 2 days after an outbreak was identified.

More information

Journal article this plain language summary is based on

Study data for 2014-2016 outbreaks and outbreak establishments

What restaurant managers need to know about talking with sick workers

More practice summaries and investigation summaries

About this study‎

This study assessed outbreak data reported to the National Environmental Assessment Reporting System (NEARS). Local, state, tribal, and territorial programs use NEARS to report environmental assessment data. These data come from foodborne illness outbreak investigations in restaurants, banquet facilities, schools, and other institutions.