Food Defense Plans
Total Page:16
File Type:pdf, Size:1020Kb
Food Safety and Inspection Service Ensuring that the Nation's Commercial Supply of Meat, Poultry, and Egg Products are Safe Domestically and Internationally Melanie Abley, MS, PhD Senior Staff Officer Office of Policy and Program Development Food Safety and Inspection Service, USDA Regional Occupational Health Conference: It’s a Small World: from Global to Local Threats John Hopkins University October 22, 2016 2 Food Safety and Inspection Service Overview • Background on FSIS • Foodborne pathogens – threats domestically and internationally • Tips to avoid travelers diarrhea • FSIS international equivalency process • Food borne outbreak investigations • Food defense plans 3 Food Safety and Inspection Service: Mission in Action We are the public health agency in the USDA responsible for ensuring that meat, poultry, and processed egg products are safe, wholesome, and accurately labeled. Our Authority • Federal Meat Inspection Act (FMIA), 1906 •Agricultural Marketing Act (AMA), 1946 Through a series of Acts, Congress empowers FSIS to inspect all meat, •Poultry Products Inspection Act (PPIA), 1957 poultry, and processed egg products •Humane Methods of Slaughter Act (HMSA), 1958 in interstate commerce. •Egg Products Inspection Act (EPIA), 1970 4 Food Safety and Inspection Service: One Team, One Purpose We work together More than to accomplish our mission of 9,600 employees protecting strong public health. 5 Food Safety and Inspection Service: The Threat of Foodborne Illness Each year, foodborne illness. Sickens Results in Causes Costs consumers 1 in 6 128k 3,000 $6.9 Americans Hospitalizations deaths billion Shiga toxin-producing E. coli pathogens Listeria monocytogenes most frequently affect Salmonella our regulated products. Campylobacter 6 Food Safety and Inspection Service Foodborne Pathogens ‐ Bacteria Multipliers Laboratory‐ Under‐ Under‐ Total, mean Travel‐ related, Pathogen confirmed reporng† diagnosis‡ (90% CrI) % Bacteria Bacillus cereus, 85# 25.5 29.3 63,623 (15,770– <1 foodborne¶ 147,827) Brucella spp. 120** 1.1 15.2 2,003 (1,302– 16 2,964) Campylobacter 43,696†† 1.0 30.3 1,322,137 20 spp. (530,126– 2,521,026) Clostridium 25** 1.1 2.0 56 (34–92) <1 botulinum, foodborne¶ Clostridium 1,295# 25.5 29.3 969,342 <1 perfringens, (192,977– foodborne¶ 2,492,003) 7 Food Safety and Inspection Service Foodborne Pathogens ‐ Bacteria Multipliers Laboratory‐ Total, mean (90% Pathogen confirmed Under‐reporng† Under‐diagnosis‡ CrI) Travel‐ related, % Bacteria STEC O157 3,704†† 1.0 26.1 96,534 (26,982– 4 227,891) STEC non–O157 1,579†† 1.0 106.8 168,698 18 (17,163– 428,522) ETEC, 53# 25.5 29.3 39,781 (53– 55 foodborne¶ 102,250) Diarrheagenic E. 53 25.5 29.3 39,871 (53– <1 coli other than 102,378) STEC and ETEC Listeria 808†† 1.0 2.1 1,662 (582– 3 monocytogenes 3,302) 8 Food Safety and Inspection Service Foodborne Pathogens ‐ Bacteria Multipliers Laboratory‐ Total, mean (90% Pathogen confirmed Under‐reporng† Under‐diagnosis‡ CrI) Travel‐ related, % Bacteria Mycobacterium 195†† 1.0 1.1 208 (177–241) 70 bovis Salmonella spp., 41,930†† 1.0 29.3 1,229,007 11 nontyphoidal‡‡ (772,129– 2,008,076) S. enterica 433†† 1.0 13.3 5,752 (299– 67 serotype Typhi 17,357) Shigella spp. 14,864†† 1.0 33.3 494,908 15 (93,877– 1,420,877) Staphylococcus 323‡# 25.5 29.3 241,994 <1 aureus, (72,584– 9 foodborne¶ 531,398) Food Safety and Inspection Service Foodborne Pathogens ‐ Bacteria Multipliers Laboratory‐ Total, mean (90% Pathogen confirmed Under‐reporng† Under‐diagnosis‡ CrI) Travel‐ related, % Bacteria Streptococcus 15# 25.5 29.3 11,257 (15– <1 spp. group A, 78,104) foodborne¶ Vibrio cholerae, 8** 1.1 33.1 277 (94–630) 70 toxigenic V. vulnificus 111** 1.1 1.7 207 (138–287) 2 V. 287** 1.1 142.4 44,950 (23,706– 10 parahaemolytic 74,984) us Vibrio spp., 220** 1.1 142.7 34,585 (21,756– 11 other 51,535) Yersinia 950†† 1.0 122.8 116,716 7 enterocolitica (36,363– 10 204,898) Food Safety and Inspection Service Foodborne Pathogens ‐ Parasites Multipliers Laboratory‐ Total, mean (90% Pathogen confirmed Under‐reporng† Under‐diagnosis‡ CrI) Travel‐ related, % Parasites Cryptosporidium 7,594†† 1.0 98.6 748,123 9 spp. (162,961– 2,135,110) Cyclospora 239†† 1.0 83.1 19,808 (239– 42 cayetanensis 65,135) Giardia 20,305** 1.3 46.3 1,221,564 8 intestinalis (892,393– 1,633,965) Toxoplasma 1.0 0 173,995 <1 gondii (134,593– 218,866) Trichinella spp. 13** 1.3 9.8 162 (44–355) 4 11 Food Safety and Inspection Service Foodborne Pathogens ‐ Viruses Multipliers Laboratory‐ Total, mean (90% Pathogen confirmed Under‐reporng† Under‐diagnosis‡ CrI) Travel‐ related, % Viruses Astrovirus NA NA NA 3,090,384 0 (2,350,589– 3,833,232) Hepatitis A virus 3,576** 1.1 9.1 35,769 (21,505– 41 60,715) Norovirus NA NA NA 20,865,958 <1 (12,842,072– 30,743,963) Rotavirus NA NA NA 3,090,384 0 (2,350,589– 3,833,232) Sapovirus NA NA NA 3,090,384 0 (2,350,589– 3,833,232) 12 Food Safety and Inspection Service: FSIS ensuring safe meat, poultry and egg products internationally - What is Equivalence? Equivalence is the process of determining whether a country’s food safety inspection system achieves an appropriate level of protection for public health as applied domestically in the US 14 Food Safety and Inspection Service: Why is This Important? Importance Of Equivalence • World Trade Organization (WTO)/Sanitary and Phytosanitary (SPS) Measures • Protects public Agreement health • Ensures • Equivalence determinations of international an exporting country’s compliance with regulatory food safety food safety policies inspection system for meat, poultry, or egg products is a • Facilitates trade prerequisite for trade with the US 15 Food Safety and Inspection Service: Initial Equivalence Initial equivalence is undertaken when a country wants to export meat, poultry, or egg products to the US for the first time Initial Equivalence Process: 1. Country Submits Written Request to FSIS 2. Document Submission through Self‐Reporting Tool 3. Document Review 4. On‐Site Verification Audit 5. Public Notification‐Proposed Rule in Federal Register 6. Final Determination of Equivalence‐ Final Rule in Federal Register; FSIS sends the country a letter • Requesting a sample health certificate and list of eligible certified establishments approved by the CCA to export to the US; and • Instructions about exporting meat, poultry, or egg products to the US 16 Food Safety and Inspection Service: Ongoing Equivalence Ongoing equivalence applies to countries currently eligible to export meat, poultry or egg products to the US FSIS Verification of Ongoing Equivalence: • Routine audits of the country’s inspection system • Information to provide FSIS annually no later than May 18 • Updated SRT responses OR communicate to FSIS that the country has verified its SRT responses and the responses are accurate and complete • Up‐to‐date list of all certified establishments eligible to export to US • Updated government residue control program, including previous year’s test results and reactions to residue findings • Updated microbiological sampling and testing program, including previous year’s test results and reactions to findings • Reinspection of product at point‐of‐entry • Country’s response to US Point‐Of‐Entry (POE) violations 17 Food Safety and Inspection Service: An Example of an Equivalent Food Safety Procedure Different from FSIS Using a Sanitary Dressing Program to Ensure Raw Beef Products Are Free of Shiga Toxin‐Producing Escherichia coli (STEC) • FSIS has a food safety objective‐based criterion that the CCA ensures that raw beef products are free of STEC at the end of the production process. • In the US, beef slaughter and processing establishments use a combination of antimicrobial treatments and sanitary dressing procedures to control STEC. o Controls implemented focus on carcasses and other conditions (i.e. High Event Periods) and classes of raw beef products with increased likelihood of detecting STEC. 18 Food Safety and Inspection Service: An Example of an Individual Sanitary Measure Equivalence Determination Using a Sanitary Dressing Program to Ensure Raw Beef Products Are Free of Shiga Toxin‐Producing Escherichia coli (STEC) • Other countries prohibit the use of antimicrobial treatments and have submitted requirements that raw beef establishments are to implement robust sanitary dressing procedures to prevent STEC . o The CCA has verification procedures (including rigorous microbial sampling) that demonstrate sanitary dressing procedures ensure that raw beef products are free of STEC at the end of the process. o The CCA’s controls include a focus on carcasses as well as other conditions (high event periods) and classes of raw products that collectively increase the likelihood of detecting STEC if present. o Based upon the evaluation of the CCA’s verification procedures, controls, and receipt and evaluation of ongoing microbial results from the CCA, FSIS has determined this approach to be equivalent because the CCA demonstrates that it meets the food safety criterion. 19 Food Safety and Inspection Service: Food Borne Outbreak Investigation Essentials • In collaboration with public health partners, FSIS collects and evaluates epidemiological, Environmental microbiological, and traceback Health evidence • Epidemiology: Who, what, when, where, and how Laboratory • Laboratory: Food, environmental, and clinical Epidemiology samples • Environmental Health: Traceback in addition to assessments and inspection Source: http://www.cdc.gov/vitalsigns/foodsafety‐2015/infographic.html#infographic Food Safety and Inspection Service: Federal Effort