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Asian-Aus. J. Anim. Sci. 13 Supplement July 2000 C: 376-385 Ensuring Food Safety Throughout the Food Supply Chain Convenor: S. K. Crerar Australia New Zealand Food Authority Monitoring and Surveillance Program, PO Box 7186 Canberra MC ACT 2610 ABSTRACT: New food production and distribution methods provide the potential for large and widespread foodborne disease outbreaks. Such factors, together with the changing epidemiology of foodborne disease, present enormous challenges to ensuring food safety. As human health hazards have the potential to be introduced and/or magnified at any phase along the food supply chain, food safety must be a major focus of all sectors throughout this entire continuum including primary production, processing, retail service and the consumer. While Hazard Analysis and Critical Control Point is acknowledged to be the best system currently available for the control of hazards in foods, it may not be appropriate for some sectors, for example that of the pre-harvest stage. For this reason, practical and effective food safety risk management strategies need to be developed and catered for within each food sector. Such programs should emphasise preventative approaches and utilise scientific risk assessment principles. Risk assessment methodologies are rapidly developing with quantitative modelling techniques now being employed for estimating the public health risk from microbiological foodborne hazards. However, the application of quantitative risk models is often limited by a lack of epidemiological and ecological data on foodborne hazards. Efforts to improve surveillance by collecting human illness and epidemiological data by undertaking further research on the ecology of foodborne hazards, and by investigating novel ways of controlling potential pathogens along the food supply continuum, need to be further encouraged. Key Words: Food safety, Food Supply Chain, Food-borne Hazards, Safety Strategies INTRODUCTION Food safety has taken on increased importance in recent years. The impetus to address food safety has consequently grown throughout the food supply chain. Arguably the major focus throughout the 1990s has been on microbiological food hazards and their control. The now famous 1993 ‘Jack in the Box’ hamburger E. coli O157:H7 outbreak in the United States (Bell et al., 1994) signalled the need to rethink our approach, particularly to microbial food safety. Globally, a number of countries have responded to this heightened food safety awareness and activity by developing major strategies encompassing the whole food supply continuum. Notable amongst these have been the United Kingdom, Canada and New Zealand each having proposed and/or established nationally integrated food safety agencies. The United States Government has committed many millions of dollars across a number of agencies to integrate and enhance food safety regulation, surveillance and research. Until recently, Australia has lacked an integrated national Government approach to food safety. Industry efforts have forged ahead in this area, driven by strong market and export forces. The development of the Australia New Zealand Food Authority’s (ANZFA) Food Safety Standards (ANZFA, 1996) together with the commissioning of the Blair Review of Food Regulation (Food Regulation Review Committee, 1998) are initiatives that advocate a more integrated and coordinated national food regulatory system, starting at the farm and extending through to the consumer. THE NEED FOR A MORE PREVENTATIVE AND INTEGRATED APPROACH TO FOOD SAFETY S. K. Crerar ANZFA, Monitoring and Surveillance Program, PO Box 7186 Canberra Mail Centre, ACT 2610 Whilst improved hygiene and public health have contributed enormously to the global decline of several communicable diseases such as poliomyelitis and typhoid fever, foodborne diseases appear to have defied these advances and continue to have significant health, economic and social impact worldwide (Council for Agricultural Science and Technology, 1994; Desmarchelier, 1996; ANZFA, 1999a). Moreover, industrialised countries have witnessed steady increases in the number of cases of foodborne diseases over the last two decades including changes to the epidemiology of foodborne disease (Hedberg et al, 1994; Crerar et al, 1996). These phenomena have been attributed to factors including the following: Greater tendency to consume minimally processed, undercooked, raw and ready-to-eat foods, combined with a higher proportion of meals eaten outside the home (Alterkruse and Swerdlow, 1996). New production and distribution of food and food products providing the potential for larger and more widespread foodborne disease outbreaks (Henessey et al, 1996). Increased at risk population including those with weakened immune states and a greater proportion of elderly people (Alterkruse and Swerdlow, 1996). Emerging pathogens such as enterohaemorrhagic E. coli, Salmonella Enteritidis and S. Typhimurium DT104 capable of causing disease at very low infectious doses (Hedberg et al, 1993; Bell et al 1994; Cameron et al, 1995; Cowden et al., 1995; Bean et al., 1996; Besser et al, 1997); and a greater diversity of contaminated food products such as fresh fruit juice Asian-Aus. J. Anim. Sci. 13 Supplement July 2000 C: 376-385 and produce demonstrated as vehicles of infection (Hedberg et al, 1994; CDC 1997a; CDC 1997b). Challenges to ensuring food safety The aforementioned epidemiological factors further strengthen the need to redirect the approach to food safety away from traditional regulatory approaches such as visual appraisal and end product testing towards that of preventative programs based on hazard analysis and critical control point (HACCP) principles. Internationally, there is now widespread recognition that a more preventative approach, such as that advocated by the HACCP concept, is the best way to control contemporary microbiological and chemical hazards along the food supply chain (World Health Organisation, 1997; Codex Alimentarius Commission, 1998). In addition, international trade agreements now demand that regulation of food product trade be subject to science-based standards (for example the Sanitary and Phytosanitary Agreement), so that increasingly, interventions need to be designed using the best possible risk assessment analysis (Codex Alimentarius Commission, 1998). Overall there are major new challenges confronting the broader food industry. The complex interactions between foodborne disease pathogens, the host and the food vehicle mean that no single intervention is likely to prevent foodborne illness. Ensuring food safety, therefore, must be an essential part in every step in food production and preparation, from paddock to plate. An inter-disciplinary and co-ordinated approach across the food supply chain with shared responsibility and utilisation of preventative risk based approaches needs to be encouraged. A new food regulatory environment The Food Safety Standards (FSS) as proposed by ANZFA, comprise an important component of a broader national food safety regulatory system. The pivotal philosophy behind the FSS is the requirement that all food businesses, from farm to plate, establish and implement preventative food safety management programs. Such programs will need to consider and assess all potential food safety hazards within an enterprise and subsequently demonstrate how they will manage those hazards based on their attendant risk. Consideration of hazards and the assessment of their risk are required to be based on sound science and riskbased principles as proposed by the Codex Alimentarius Commission (Codex Alimentarius Commission, 1998). Written documentation of programs that specify the food safety control points for particular food safety hazards within a business’ operation is also required. The business must comply with its food safety program and ensure that an accredited audit is carried out regularly. Such requirements promote a shared responsibility to food safety. All stages of the food supply chain must therefore play their part, with over-reliance on any one sector resulting in a false sense of security. Benefits of preventative food safety programs and risk assessment There are benefits to enhancing an enterprise or sector’s approach to food safety. As mentioned, new and emerging pathogens combined with apparently novel products capable of transmitting disease mean that the food industry has to be better prepared to ensure that preventative strategies are in place and they have the capacity to respond to emerging issues. By comprehensively examining the potential hazards within a product and/or enterprise through a formal risk assessment process, industries will be better informed of potential food hazards and risks, and able to prioritise risk management strategies and allocate resources more effectively (Lammerding, 1997). Risk assessment can also identify knowledge gaps and the data required to address these deficiencies. Programs on research in human and veterinary public health, food safety and microbiology may be guided by risk assessment results (Cassin et al, 1998). Underpinning strategies with science will become increasingly important to demonstrate to trading partners that food safety policies and regulations are soundly based. A natural consequence of a greater science- or data-based environment is that agencies will place a greater emphasis on pathogen and disease surveillance data to establish and evaluate food safety polices and programs (Angulo et al, 1998). The role of surveillance and research data: monitoring and surveillance data All parts of the food supply chain must contribute to and support the need for better information on food hazards. Comprehensive national foodborne disease surveillance information is another key component of an effective national food safety agenda (Crerar, 1999). It should have the capacity to determine the incidence of known and newly emerging foodborne diseases in Australia and provide knowledge on the following: • The temporal and spatial distribution of disease. • Specific risk factors for infection. • The public health impact of specific pathogens. • The social and economic burden attributed to pathogen. • Points in the food supply chain that may be amenable to prevention. A National Foodborne Disease Surveillance System should incorporate appropriate links to other data on food and animal pathogens including that of industry, other food/animal and human disease databases, surveys and research (Crerar, 1999). The system needs to be continuously updated, analysed and the information disseminated in a timely fashion and in a manner appropriate to those who will be using the data (see Figure 1). Research Food safety research is a vital tool that assists in assessing the effectiveness of food safety programs and policy. To effectively address the safety of various food commodities we need to know more about the hazards in these products and their relation to adverse health outcomes. Asian-Aus. J. Anim. Sci. 13 Supplement July 2000 C: 376-385 Research into foodborne pathogens must be broad to address information needs at all points along the farmto-table continuum. The research agenda should be guided by public health concerns, the requirement to underpin HACCP and preventative food safety programs and regulations with science, and the international recognition that food safety policy be based on risk assessment (United States Department of Agriculture, 1997; Crerar, 1999). Figure 1: Integrating surveillance data sources and disseminating information (modified from Crerar, 1999) Data dissemination and feedback •Standards/legislation •Cost/benefit analysis •Emerging hazards Environment water, wildlife •monitoring •Risk assessment •Program development •Program modification Primary food production farm, sea •surveillance •surveys •investigations Processing •HACCP/surveys Retail and service •food surveys •HACCP Human illness surveillance •laboratory •sentinel •investigations •consumer complaints Database on foodborne hazards pathogens, vehicles and contributing factors Consolidation, analysis and interpretation of data Risk assessment has also become the means of ensuring that countries establish food safety requirements that are scientifically sound and a means for determining equivalent levels of food safety between countries in international trade (Lammerding, 1997). It must be recognised that the science of risk assessment, particularly quantitative methods for microbial pathogens, is in a developmental stage and further work is necessary. Furthermore, it is crucial that federal and State agencies work closely with each other to improve the scientific basis for establishing food safety programs, standards and policies for microbial pathogens. A nationally coordinated research program on food safety is urgently needed for Australia. Areas of research that should be considered include the following. The need for population-based studies to obtain valid measures of the incidence of human disease due to the major foodborne pathogens and their association with specific food vehicles. More rapid and sensitive laboratory methods for the diagnosis of foodborne pathogens such as Salmonella, Campylobacter and enterohaemorrhagic E. coli. Collection of pre-harvest (on the farm and preslaughter) pathogen data to encourage the development of preventative controls at the animal production level. Conduct of microbiological baseline studies for various animal species and the relationships between various husbandry practices and the levels of these microorganisms. The relationship between bacterial numbers on raw product and foodborne illness. Consideration of world best practice models for microbial risk assessment and the development of a consistent framework for Australian industries. Comprehensive surveillance and research on foodborne disease, including studies that determine the incidence and impact of disease and improve our understanding of the epidemiology of disease, is the cornerstone on which preventative programs and policies must be based and evaluated throughout the food supply chain. CONTROL OF FOOD-BORNE HAZARDS DURING THE PRE-HARVEST PERIOD – OPPORTUNITIES AND CONSTRAINTS D. Jordan New South Wales Agriculture, Wollongbar Agricultural Institute, Wollongbar, NSW 2477 Consumers, food-manufacturers and regulators are demanding that livestock managers pay greater attention to product safety. However, outside the agricultural sector there is often a poor appreciation of the technical and practical problems faced by livestock managers in achieving the food-safety goals set by the larger community. Unlike some food-processing establishments or the kitchen, farm animals and their environments are not easily manipulated to minimise the occurrence of hazards. Yet in some cases where the farm is the point of entry of hazard into the food chain there may be an opportunity during animal production to exert a powerful influence on public health outcomes. This paper discusses opportunities for preharvest control of the most important hazards found in meat and milk products and by necessity focuses on microbial pathogens because of their profound impact on health outcomes and the economics of food production. Food Hazards in animal populations Several classes of human-health hazards can be introduced into animals and animal products during the agricultural phase of food production. Physical contaminants such as needle tips lodged in muscle tissue, although rare, are capable of injuring consumers. Such incidents may also induce a large financial loss for a food producer through legal proceedings. Chemical toxins can occur in raw-foods as a result of inappropriate use or accidental misuse of antibiotics, pesticides, anthelmintics and herbicides (Waltner-Toews and McEwen, 1994) but there is little evidence that routine use of agricultural chemicals in developed countries contaminates food to the extent required to cause ill-effects in humans (Nicholls, 2000). A possible exception to the latter is when a contaminant induces an allergic reaction in a sensitised individual although most such incidents appear attributable to manufacturing and packing faults. Natural toxins such as alkaloids derived from plants do occur in animal products but their importance to public health is not well understood. The hazards having by far the greatest impact on human health, and which are responsible for the largest economic loss are the Asian-Aus. J. Anim. Sci. 13 Supplement July 2000 C: 376-385 microbial pathogens (Council for Agricultural Science and Technology, 1994). Amongst these the gut-borne bacteria such as Salmonella, Campylobacter and Listeria spp and enterohaemorrhagic Escherichia coli (EHEC) are of special importance because minute numbers may induce illness or death when consumed by people and because they are sufficiently common in animal products to necessitate the imposition of expensive control measures. In addition, there is enormous global concern amongst governments and consumers about those bacteria found in animalderived foods that carry genes coding for resistance to antibiotics (U.S. Congress Office of Technology Assessment, 1995; MAFF, 1998; JETACAR, 1999). Some of these bacteria may be commensals in animals but pathogenic in humans (e.g. E. coli O157), or pathogenic for both animals and humans (e.g. Salmonella Typhimurium DT104) while others are commensals in all hosts but may offer their resistance genes for uptake by human pathogens. Behaviour of microbial hazards Although microbial hazards do have the greatest public health impact, opportunities for their control within livestock systems are restricted by uncertainty about their ecology. Most problematic are those organisms having the ability to survive or multiply away from animal hosts and these include the gut born pathogens that are of major public health significance (Salmonella, Campylobacter, Listeria and EHEC). These organisms are also faecal-borne and so they inevitably contaminate products as a result of imperfect hygiene during slaughter and milking. Study of the ecology of these organisms has proved troublesome because of the complex interactions amongst bacteria in the gut of animals and because of the difficulty in detecting and enumerating the very small number of organisms capable of causing human illness (Jordan and McEwen, 1998). For example, although the behaviour of E. coli O157:H7 in cattle has been extensively researched since the early 1990’s a convincing and comprehensive account of its behaviour in the cattle population is yet to be published. In contrast to the gut-borne microbial hazards those pathogens that are substantively parasitic such as Mycobacterium bovis and Brucella spp have been more effectively dealt with by the veterinary profession. Their parasitic behaviour has made them much more amenable to study and has allowed tests to be developed for the detection of carriers, which has in turn provided the means of eliminating infection through culling. Thus brucellosis and bovine tuberculosis are of minor importance as food-safety risks in developed countries largely because there has been progress in eradication of these infections from farm animals. However, eradication has not been successful where wildlife reservoirs of infection (such as badgers in Ireland and possums in New Zealand) have thwarted the test and cull strategy that has succeeded in eradicating bovine tuberculosis elsewhere (Tweedle and Livingstone, 1994; Griffin et al., 1996). Pre-harvest control of microbial hazards Pre-harvest management may be used to regulate the entry of microbial hazards into the food chain. General mechanisms for this purpose have been classified with respect to the contamination of meat carcases (Jordan et al., 1999a) and are discussed under the following headings. 1. Prevalence reduction Livestock managers can reduce the quantity of microbial hazards entering the food chain by treating or eliminating infected animals and by manipulating husbandry to prevent infections (Huis in't Veld et al., 1994). To meet this aim research is increasingly being directed at novel technological solutions such as probiotics (Zhao et al., 1998) and vaccines (Wray, 1987) that can prevent animals from being colonised with food-borne pathogens or eliminate existing infections. Concurrently, epidemiologists are actively searching for those risk factors that can be manipulated to reduce animal prevalence of shedding for specific pathogens (Dargatz et al., 1997; Hancock et al., 1997). More general progress may be achieved by identifying the ‘community of risk factors’ common to groups of important food-borne pathogens in each livestock production system (Noordhuizen and Frankena, 1999). It is common for disease-causing agents to be strongly clustered within particular herds (Donald et al., 1994). Consequently, it may be attractive for an industry to target those ‘problem herds’ which account for a disproportionate volume of microbial hazard in product. The objective would be to reduce the prevalence of herds infected with the hazard (this is the basis of bovine tuberculosis eradication mentioned previously). The economic and public health rewards from this approach are in part determined by the ability of livestock managers and veterinary authorities to maintain herds free of infection. 2. Reduced severity of shedding If the shedding of pathogens by animals cannot be totally eliminated then it may be possible to suppress the concentration of pathogen in faeces to a level that delivers a more acceptable public health risk. Manipulation of livestock rations to induce gut conditions unfavourable for the growth of pathogens is one aspect that has been studied with respect to EHEC infection in ruminants (Rasmussen et al., 1993; Kudva et al., 1995). Similarly, vaccines and probiotics may not succeed in total elimination of infection but may suppress the shedding of pathogen. These solutions are appealing because they appear to offer a convenient remedy, but there are few (if any) examples of where vaccines, probiotics, or diet changes have been successfully applied in a broad industry setting to suppress the number of gut borne pathogens in faeces. 3. Reduced cross contamination Cross contamination of product consignments and product items at all stages of production are a vexing and pervasive issue. Cross contamination is most critical during manufacturing and food preparation but may also be important in the pre-harvest period. For Asian-Aus. J. Anim. Sci. 13 Supplement July 2000 C: 376-385 example, livestock may depart the farm in a clean state but arrive for slaughter shedding Salmonella in their faeces because of exposure to other animals en-route to the abattoir (Grau et al., 1967; Grau and Smith, 1974). In the dairy industry, hazards can be introduced into previously wholesome consignments of milk through the bulk collection process although, for microbial pathogens, pasteurisation has done much to alleviate the public health consequences of this practice. Thus the way animals and animal products are marketed has a role in the introduction and dissemination of hazards in the food-chain. Where the hazards are microbial the contamination may initially be trivial but there is the potential for multiplication to harmful levels during later stages of production. Consequently, pre-harvest measures against cross-contamination are often expected to be effective beyond the farm gate and this is being addressed by the trend for more direct-toslaughter marketing systems, control of the slaughter sequence of cattle (Ridell and Korkeala, 1993) and generally stricter supervision of ante-mortem hygiene. 4. Reduced transfer of pathogens from live animal to carcase When pathogens are present in gut contents the quantity of faeces transferred to carcases becomes a determinant of the likelihood of human illness (Cassin et al., 1998). Thus, a cornerstone of modern meat hygiene has been the minimisation of faecal contamination of carcases. Despite many recent advances in biotechnology and the availability of carcase decontamination equipment, the prevention of faecal contamination remains a necessary ingredient of the control of important pathogens (Pennington Group, 1997). Regardless of whether or not pathogens are present in the animal being slaughtered less faecal contamination improves the shelf life of meat products. Moreover, the minimisation of faecal contamination provides a non-specific benefit by exerting simultaneous control over more than one pathogen (if present) and spoilage organisms. Further, a reduction in carcase contamination alleviates the need for removal of faecal material by trimming affected areas of the carcase – a procedure which carries with it the potential for cross-contamination by contact with unclean equipment and abattoir workers (Peel and Simmons, 1978). The investigation of outbreaks of meat-related illness and new research increasingly points to the advantages of better management of hide and fleece contamination in animals prior to slaughter as an effective method of minimising the transfer of pathogens onto carcases (Biss and Hathaway, 1995, 1996; Pennington Group, 1997). However, in some intensive husbandry systems capital improvements to housing and manure disposal systems may be required to ensure that all animals are presented for slaughter in a clean state. In some circumstances there may also be scope to reduce the exposure of slaughter animals to manure during transportation and marketing prior to slaughter. The costs of such actions dictate that a stronger financial incentive may be needed to encourage livestock managers to implement the required changes. At the heart of this issue is the need for a reliable method of describing the extent of soiling of animal hides (Jordan et al., 1999b). Coordination of pre and post-harvest controls The safety of animal products at the moment of consumption is often heavily influenced by an array of post-harvest factors. Thus the extent to which primary producers have been obliged to contribute to product safety has not always been clear. Nevertheless, consumers, governments, processors and regulators now demand that each section of the food chain contributes to improved product safety. This means that in the future livestock managers should aim to produce commodities that meet the expectations of consumers rather than merely satisfying the safety requirements of the dairy factory or abattoir (Noordhuizen and Frankena, 1999). In response to this need producers are increasingly adopting quality assurance programs such as the HACCP approach that can dovetail with similar control systems being implemented in the post-harvest phase of food production. The challenge facing livestock producers is to meet community expectations for standards of food safety without suffering a loss of flexibility in management or a decline in farm profit. The adoption of quality assurance programs will inevitably increase farm costs and so there is a need to compensate producers by rewarding those who market low-risk commodities. Moreover, it is important to ensure that quality assurance measures in the pre-harvest period are based on objective evidence of their efficacy so that the efforts of livestock producers do not go to waste but form part a coordinated strategy that reduces the risk of foodborne illness in consumers. FOOD SAFETY STRATEGIES THROUGHOUT THE FOOD SUPPLY CHAIN P. B. Vanderlinde Food Science Australia, PO Box 3312 Tingalpa DC, QLD 4170 The majority of foodborne outbreaks are a result of bacterial infections. In Australia it is estimated that 53% of all foodborne disease outbreaks between 1980 and 1995 were a result of bacterial agents present in the food (Crerar et al, 1996). This compares with the estimated 66% of cases in the US (Bean et al, 1990). Clearly, while other foodborne hazards exist, bacterial hazards are responsible for the vast majority of outbreaks. In those outbreaks where a specific food vehicle could be identified 33% could be attributed to meat and meat products. Bacterial hazards present in meat and meat products will be discussed in this paper, although the same principles can be applied to other hazard/food combinations. In Australia, the incidence of a number of foodborne diseases has increased in recent years (Figure 2). While some of this increase can be attributed to better surveillance, it is likely that there has been a real increase. There are a number of possible reasons for this; changing demographics and consumption patterns, Asian-Aus. J. Anim. Sci. 13 Supplement July 2000 C: 376-385 Managing food safety There are a number of steps to follow for managing food safety hazards. The first is to conduct a risk assessment. Risk assessments can be either qualitative or quantitative. The choice of risk assessment depends on the seriousness of the problem and the resources, time and information available. The outcome of a risk assessment is a statement of the probability of exposure to a hazard and the severity of the consequences of exposure. A number of risk management options are available. These include the establishment of food safety objectives, the setting of microbiological criteria and the use of acceptance procedures. Figure 2: Salmonellosis and campylobacteriosis in Australia, 1952-1998 (updated from Crerar et al, 1996) 120 Rate per 100,000 population more meals being prepared or consumed out of the home environment, changes in the susceptibility of the population. The cost of these foodborne illnesses is high. It has been estimated that in Australia there are 11,500 cases of foodborne disease every day costing the community over 2.6 billion dollars per year (ANZFA, 1999a). The cost to industry can also be quite high. The recent foodborne outbreak linked to peanut paste was estimated to have cost the company $55 million. The long-term effects of some foodborne illness can exacerbate the cost of foodborne disease to the community. For example, Salmonella infections have been linked to the onset of aseptic reactive arthritis and Reiter’s syndrome; while Campylobacter infections may lead to long term effect such as Guillain-Barré syndrome (Doyle et al, 1997). These sequelae are only just being considered when estimating the cost of foodborne disease. In order to ensure the food we eat is safe, the major focus at all levels of food production, processing, preparation and service should be food safety. Every stage in the process including harvesting, storage and transportation of raw material; processing, packaging, storage and transportation of the processed product; receiving of the processed product at the point of sale; subsequent storage of the product; preparation of the product for consumption and the storage of leftovers must be carefully controlled to ensure a safe product. For a bacterial foodborne outbreak to occur it is usually necessary for several events to happen in sequence. Initially there must be a source of the pathogen in the environment or in the raw material. Opportunities must then be created for the pathogen to contaminate the food. It may be necessary for the pathogen to grow to reach an infective dose or for toxin to be expressed. Clearly these events are not contained within a single link in the food supply chain. Therefore, food safety becomes the responsibility of all sections within this continuum. Campylobacteriosis 100 80 Salmonellosis 60 40 20 0 1950 1960 1970 1980 Year 1990 2000 Food Safety Objectives (FSO’s) FSO’s are usually established through the risk assessment and risk management process. Risk assessment is a systematic process by which elements in a process can be assessed for their importance in determining the overall risk, in most cases as measured by the likelihood of disease from the consumption of a specific food. A FSO is a statement of the maximum level of hazard considered to be acceptable for consumer protection. A FSO can be a simple statement such as the frequency or maximum concentration of a hazard allowed in a certain product. It can also be a description of the desired outcome of a process ie. a specified reduction in the concentration of the hazard. Performance Criteria A performance criterion is the required outcome necessary to achieve a FSO. For example, in order to meet a FSO of less than 100 Listeria monocytogenes per gram of ice cream might require the manufacturer to ensure a) pasteurisation of the ice cream mix to achieve a 6-log reduction in L. monocytogenes (performance criterion), b) control of re-contamination (good hygienic practices). Other examples include cooking and cooling requirements for meat products. When establishing a performance criterion consideration must be given to the initial level of contamination and changes that might occur during production, processing, distribution, storage, preparation and use. A performance criterion can be defined by the equation: ∑ R + ∑ G = FSO − H O Where: ΣR = total reduction effect during processing (negative by definition) ΣG = total growth (increase) during processing HO = initial level of hazard Process Criteria In contrast to performance criteria, process criteria specify parameters in the process that need to be controlled in order to achieve the desired outcome. For example, the process criterion for cooking meat in Australia is 650C for 10 s. Process criteria by definition usually appear as critical limits for critical control points in HACCP plans. Asian-Aus. J. Anim. Sci. 13 Supplement July 2000 C: 376-385 Acceptance procedures In the absence of an FSO it may be appropriate to set acceptance procedures based on expert opinion. This serves as a fail-safe control but has the disadvantage of being less flexible, as they assume ‘worst-case’ situations. An example of an acceptance procedure or default performance criterion would be the ANZFA 3-log reduction in E. coli required for comminuted fermented meat products. Acceptance procedures also provide a safe harbour for processors that lack either the resources or the desire to develop their own performance criteria adapted to their specific operations. Control Measures Control measures are the actions or activities undertaken in order to eliminate a hazard or reduce the hazard to acceptable limits. Generally control measures fall into two main programs, good hygiene practices (GHP) and HACCP. GHP and HACCP can be applied at all levels of the food chain. Although application of HACCP on-farm and in the home has not progressed as well as in other areas. GHP The major components of GHP are: • design of facilities • control of process operations • maintenance and cleaning • personal hygiene • transportation • product information and consumer awareness • training GHP are not usually product and process specific, providing guidelines for the whole operation. The effective application of GHP provides a good foundation for HACCP. Indeed selected aspects of a GHP component that are significant in determining the risk should be incorporated into the HACCP plan. HACCP The HACCP system is more focused than GHP and recognises the uniqueness of different food operations and their associated hazards. The HACCP system has been applied to a large variety of products and processes. The Australian meat industry has adopted the principles of HACCP in its Meat Safety Quality Assurance (MSQA) program. HACCP is a systematic process. Hazards need to be identified and critical control points determined. As well as this critical limits need to be set and corrective actions put in place. HACCP is the best system currently available for the control of hazards in foods from farm to table. A more detailed discussion on the principles of HACCP (ICMSF, 1988). Control measures from farm-to-plate In the past organoleptic inspection and microbiological testing of end products was the only available control measure for ensuring food safety. Today it is generally agreed that such an approach offers little in the way of protection for the consumer. Generally the level of bacteria present in the food at the time of manufacture is low; this coupled with the low frequency of contamination often makes testing impractical. In addition it has been demonstrated that there is not always a direct correlation between organoleptic status and product safety. A far better approach is to ensure that all stages in a process are under control. Control options that can be instigated on-farm have been put forward by other researchers. Garber et al (1999) identified on-farm factors that correlated strongly with the prevalence of enterohaemorrhagic E. coli O157:H7 in cattle. Factors included the season, geographical location, herd size and the use of water for removing manure. The authors concluded that cattle sampled in summer months had a higher incidence of shedding of this pathogen than animals sampled in spring. Similarly, animals from small herds had a lower prevalence, as did animals from farms not utilising water for removal of manure. How these factors apply to Australian cattle is not known. Feed has also been identified as an important factor in determining the degree of shedding of pathogens in cattle (Herriott et al, 1998), as has feeding practices prior to slaughter (Grau et al, 1968). It is possible that by taking these options into consideration the prevalence and concentration of pathogens in the food chain can be reduced. Control measures applied during processing should be focused on those areas that have been identified as critical control points in the HACCP program. For beef abattoirs these may include initial carcass contamination, cross-contamination and growth during chilling. For carcass meat, control measures have traditionally focused on decreasing the numbers of bacteria present on the carcass after slaughter. However, effective strategies can also include operations that prevent or minimise the initial contamination. For example, the cleanliness of the animals presented for slaughter, hygienic hide removal and correct knife sanitation. Even the way in which the carcass is presented to the worker has been shown to have an effect on the numbers of bacteria. Bell and Hathaway (1996) found that sheep dressed in an inverted position had lower total counts than sheep processed conventionally. Chilling can be effective in reducing the numbers of bacteria present on animal carcasses after slaughter if performed correctly. Although not usually regarded as a decontamination procedure chilling has been shown to reduce the numbers of bacteria such as Campylobacter spp. (Grau, 1988) and Escherichia coli (Gill and Jones, 1997) on carcasses. While control measures can be applied at any stage during processing, in the meat industry the focus has been on the application of decontamination strategies. A number of techniques have been evaluated for the decontamination of food animal carcasses. The most common approaches can be divided into four main types, physical, thermal, chemical and radiation. All have been shown to be effective to varying degrees, Asian-Aus. J. Anim. Sci. 13 Supplement July 2000 C: 376-385 although some do not have general support in the scientific community. The physical removal of bacteria for example by high-pressure water washes is generally not regarded as a decontamination strategy and has little effect on the numbers of bacteria present on the carcass surface. Similarly, trimming of animal carcasses has been shown to result in large reductions in the numbers of inoculated bacteria (Sofos and Smith, 1998), however, its effectiveness in removing naturally contaminating bacteria has been questioned (Prasai et al, 1998). The most favoured intervention in the meat processing industry is chemical or thermal carcass decontamination. Decontamination strategies have been reviewed extensively in the literature with varying claims being made as to their efficacy (see Dorsa, 1997 and Farkas, 1998). While radiation has been shown to be effective it still does not have wide support in the community although this is changing. Chemical treatments such as organic acid washes have varying effects on the numbers of bacteria, presumably as a result of varying acid resistance in the contaminating flora. The most acceptable forms of carcass decontamination use thermal energy to inactivate bacteria. Of these the most common of the commercially available systems use hot water or steam. Other factors that need to be considered when looking at controlling the risk of disease include host susceptibility, storage time and temperature and the cooking temperature. It is unlikely that much can be done about the susceptibility of the consumer, although education programs can ensure that susceptible individuals are aware of the risk posed by certain foods. An example of this is the education program initiated by ANZFA (1999b), aimed at informing pregnant women of the risk of Listeria monocytogenes in certain foods. Similar education programs aimed at introducing food safety concepts in the service industry and in the home could also help reduce the incidence of foodborne disease (Beard, 1991). Improper storage or holding temperature was the factor most often reported in foodborne disease outbreaks in the US (Kanabel, 1995). A number of control options are available to the risk manager in the home and include: • the proper handling and transport of food from the time of purchase to the home • storing food properly • preparing food correctly • storing prepared food correctly • practicing good hygiene While the HACCP system is perhaps beyond most households, consumers should be made more aware of the potential hazards of handling foods in their households and of the control measures available to them. If they can be encouraged to use a basic HACCP approach there should be a flow-on to improved food safety. Governments can also apply the principles of HACCP when developing educational material for consumers. Studies in the US would suggest that the current level of knowledge in the community with regards to food safety is low (Woodburn and Raab, 1997). This is supported by more limited data from Australia (Jay et al, 1999). Deciding where in the food chain to apply control measures is a difficult task. In the past there was no objective method available to help the risk manager to make decisions on where to allocate resources to achieve the greatest level of risk reduction. Risk assessment provides the tool that can allow risk managers to make these decisions. As part of the risk assessment process a sensitivity analysis is often performed. This is particularly the case for quantitative risk assessments. A sensitivity analysis identifies the stages in the process that impact most on the final risk. The degree of confidence in the final estimation depends on the variability, uncertainty and assumptions associated with the parameters in the model. There are a number of examples of sensitivity analysis in the literature. Cassin et al. (1998) described a process risk model looking at enterohaemorrhagic E. coli in ground beef in the US. Their study provides a good example of the construction of a process risk model and the usefulness of a sensitivity analysis. Cassin et al. (1998) reported the correlation of various model inputs to the estimated probability of illness from the consumption of a hamburger meal in the US (Figure 3). They found the risk to be most sensitive to the concentration of E. coli O157:H7 in the faeces of the animals prior to slaughter and to the susceptibility of the consumer. By using such results regulators and industry can focus resources on those factors that have the most influence on the risk. Figure 3: Correlation between the estimated probability of illness and the most important predictive factors of the model (adapted from Cassin et al, 1998) Conc. In faeces Host susceptability Carcass contamination Cooking preference Retail temperature Decontamination Growth during processing Retail storage time Prevalence in faeces Cross contamination -0.4 -0.2 0.0 0.2 0.4 0.6 0.8 When determining the risk consideration needs to be given to the variability and uncertainty associated with the model inputs. Variability is a measure of the spread of possible values a factor may have and is a general indication of the lack of control we have over that factor. Factors identified to be important in the overall risk and that are highly variable should be highlighted and efforts made to reduce their variability. An example of this may be the quality of the raw material Asian-Aus. J. Anim. Sci. 13 Supplement July 2000 C: 376-385 used in a process. Unlike variability, uncertainty is a measure of how well we understand the behaviour of a factor. Factors that have a large amount of uncertainty associated with them require additional research to increase our understanding of their behaviour. CONCLUSIONS There are many causes of foodborne disease, many points at which foods may become contaminated, and numerous factors that make certain individuals and groups of people more susceptible. No single preventive measure is likely to ensure the safety of our food supply. Initiatives to protect the food supply need to focus on the hazards and foods that present the greatest risks to public health, and emphasise development and implementation of preventive controls of those risks. They should seek, where possible, opportunities for such controls through collaborations with various government and industry sectors and other stakeholders. REFERENCES Alterkruse, S. F. and D. L. Swerdlow, 1996. The changing epidemiology of foodborne diseases. 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