What are we measuring?
The Environmental Health Division of the Fulton County Department of Health & Wellness is responsible for the permitting and periodic inspection of all food service establishments in the county. Food service establishments are defined as establishments used in the preparation, manufacturing or processing, and service of meals, lunches, short orders, sandwiches, frozen desserts, or other edible products.  Establishments are rated using an inspection report with 18 categories, each focused on a specific area food safety. Each inspection results in a numeric score and a corresponding grade of A, B, C or U. This measure tracks the annual percentage of inspections that result in a grade of A.
Why are we measuring it?
The CDC estimates that that each year roughly 48 million people gets sick from a food-borne illness, 128,000 are hospitalized, and 3,000 die.  Studies have shown restaurants to be an important contributor to food-borne disease transmission in the U.S. A high percentage of A grades on inspections indicates a reduced risk of residents becoming ill while eating out. 
How are we doing?
Although the percentage was down slightly in 2016 from 81.9 percent compared to 85 percent in 2015, there has been a general upward trend in the proportion of establishments scoring an A in the last several years.  As illustrated in the charts below, the percentage of A's has increased from 67 percent in 2010 to over 81.3 percent in 2018. Over the same period, the percentage of U's declined from 8 percent to 1 percent.
Inspection Grade Distribution, 2010
Inspection Grade Distribution, 2018