Assessment of Food Hygiene Non-Compliance and Control Measures: A Three-Year Inspection Analysis in a Local Health Authority in Southern Italy

Background and Aim: Food hygiene is fundamental to public health, ensuring safe and nutritious food free from contaminants, and is vital for economic development and sustainability. The Hazard Analysis and Critical Control Points (HACCP) system is a crucial tool for managing risks in food production. Despite global recognition of food safety's importance, significant disparities exist, especially in Southern Italy, where diverse food production, tourism, and economic factors pose challenges to enforcing hygiene standards. This study evaluates non-compliance with food hygiene regulations within a Local Health Authority (LHA) in Calabria, Southern Italy, to inform effective public health strategies. Materials and Methods Authorized by the Food Hygiene and Nutrition Service (FHNS) of the LHA, the study covers January 2022 to December 2024, analyzing 579 enterprises with 1469 production activities. Inspections followed EC Regulation No. 852/2004, verifying the correct application of procedures based on the Hazard Analysis and Critical Control Points (HACCP) principles, including the operator's monitoring of Critical Control Points (CCPs), and adherence to Good Hygiene Practices (GHPs). Non-compliances were classified by severity, and corrective and punitive actions were applied. Data were analyzed annually and across the full period using descriptive statistics and chi-squared tests to assess trends. Results: Inspection coverage increased markedly from 29.8% of production activities in 2022 to 62.5% in 2023, sustaining 62.0% in early 2024, exceeding the growth of new activities. Inspections were mainly triggered by RASFF alerts (22.4%), routine controls (20.0%), and verification of previous prescriptions (14.3%). The most frequent corrective measures were long-term prescriptions (28.6%), violation reports (22.9%), and short-term prescriptions (20.0%). Enterprises averaged 4.61 production activities, highlighting operational complexity. Conclusions: This study provides a granular analysis of food hygiene non-compliance within a Local Health Authority (LHA) in Southern Italy, to inform effective public health strategies. While official control data may be publicly available in some contexts, our research offers a unique, in-depth view of inspection triggers, non-compliance patterns, and corrective measures, which is crucial for understanding specific regional challenges. The analysis reveals that the prevalence of long-term prescriptions and reliance on RASFF alerts indicate systemic challenges requiring sustained interventions.