Original Research

Metagenomic evaluation of food hygiene practices in the National School Nutrition Programme in KwaZulu Natal, South Africa

Sithembile S. Madlala, Nokuthula Mchunu, Monica Dalasile, Rian Pierneef, Poovendhree Reddy
Health SA Gesondheid | Vol 30 | a2814 | DOI: https://doi.org/10.4102/hsag.v30i0.2814 | © 2025 Sithembile S. Madlala, Nokuthula Mchunu, Monica Dalasile, Rian Pierneef, Poovendhree Reddy | This work is licensed under CC Attribution 4.0
Submitted: 11 August 2024 | Published: 11 June 2025

About the author(s)

Sithembile S. Madlala, Department of Community Health Studies, Faculty of Health Sciences, Durban University of Technology, Durban, South Africa
Nokuthula Mchunu, National Research Foundation, Pretoria School of Life Science, University of KwaZulu-Natal, Durban, South Africa
Monica Dalasile, Department of Community Health Studies, Faculty of Health Sciences, Durban University of Technology, Durban, South Africa
Rian Pierneef, Department of Biochemistry, Genetics and Microbiology, University of Pretoria, Pretoria Centre for Bioinformatics and Computational Biology, University of Pretoria, Pretoria, South Africa
Poovendhree Reddy, Department of Community Health Studies, Faculty of Health Sciences, Durban University of Technology, Durban, South Africa

Abstract

Background: The National School Nutrition Programme (NSNP) provides meals to schools in low-income areas in South Africa, implemented by the Department of Basic Education (DBE) with food safety monitored by Municipal Health Services.

Aim: To assess compliance of school kitchens with general hygiene requirements (R638 of 2018) and detect food pathogens on food contact surfaces using amplified metagenomics.

Setting: The study was conducted in quintile 1 and 2 primary schools in Vryheid, KwaZulu-Natal.

Methods: A quantitative cross-sectional study assessed the safety compliance of food preparation and storage areas in 33 primary schools against national legislation standards. Fifteen samples of food contact surfaces were collected from four schools and analysed using Illumina sequencing to identify prevalent bacterial genera.

Results: None of the schools possessed a Certificate of Acceptability. Significant structural issues include poor pest control, inadequate sanitary facilities, a lack of food safety training and inadequate waste management. Taxonomic analysis revealed several dominant bacterial genera, including Pseudomonas, Stenotrophomonas, Acinetobacter and Pantoea, indicating potential routes for food contamination and subsequent risks for foodborne illnesses.

Conclusion: The study highlighted critical inadequacies in food preparation and storage areas requiring urgent intervention to ensure safe meal preparation. It emphasised the need for improved food safety monitoring and compliance in schools in low-income areas. Next-generation sequencing (NGS) techniques identified a broad spectrum of pathogens, offering a robust method for assessing environmental hygiene.

Contribution: This study provides insights into food safety risks in the NSNP, informing policies and interventions to improve food safety and reduce foodborne illnesses in schools.


Keywords

amplified metagenomics; food contact surfaces; food contamination; food handlers; food hygiene; National School Nutrition Programme

Sustainable Development Goal

Goal 3: Good health and well-being

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