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Food safety

Is there any food with complete


freedom from risks ?

Endang S. Rahayu
Fak Teknologi Pertanian UGM
FAO/Who Expert Consultations
Related to Food Safety Matter

1995 – Risk analysis (Risk assessment)


The difference between hazard and risk
1997 – Risk Management
1999 – Risk assessment on microbiological
hazard

Outcomes – standards, guidelines,


recommendations

Endang S. Rahayu
Fak Teknologi Pertanian UGM
Structure of Risk Analysis

Risk Assessment Risk Management


• Hazard Identification • Risk evaluation
• Hazard Characterization • Option Assessment
• Exposure Assessment • Option Implementation
• Risk Characterization • Monitoring and Review

Risk Communication

Endang S. Rahayu
Fak Teknologi Pertanian UGM
Hazard – a biological, chemical or
physical agent in, or condition of, food with
the potential to cause harm

Risk – is an estimate of the probability


and severity of the adverse health effects in
exposed population, consequential to hazard
in food

Endang S. Rahayu
Fak Teknologi Pertanian UGM
Chemical hazard

Contaminants
Food additives
Pesticides and veterinary drug residues

Endang S. Rahayu
Fak Teknologi Pertanian UGM
Biological hazard - Enteric pathogens

• Infectious - agent
• Toxico-infectious - agents
• Toxic - agent

Endang S. Rahayu
Fak Teknologi Pertanian UGM
Hazard

A condition or physical situation with a


potential for undesirable consequence, such
as harm to life or limb

A biological, chemical, or physical agent in or


property of a food that may cause a food to
be unsafe for consumption

Endang S. Rahayu
Fak Teknologi Pertanian UGM
Risk
The potential for realization of unwanted,
adverse consequences to human life, health,
property, or the environment;
estimation of risk is usually based on the
expected value of the conditional probability
of the event occurring times the
consequence of the event given that it has
occurred;
The likelihood that an adverse health effect
will occur within a population as a result of
hazard in a food.
Endang S. Rahayu
Fak Teknologi Pertanian UGM
Risk Analysis
a detailed examination including risk
assessment, risk evaluation, and risk
management alternatives, performed to
understand the nature of unwanted, negative
consequence to human life, health, property,
or the environment;
an analytical process to provide information
regarding undesirable event;
the process of quantification of the
probabilities and expected consequences for
identified risks
Endang S. Rahayu
Fak Teknologi Pertanian UGM
Risk Assessment
the process of establishing information
regarding acceptable levels of a risk and/or
levels of risk for an individual, group, society,
or the environment;
process of identifying hazards and
characterizing the risk of illness

Endang S. Rahayu
Fak Teknologi Pertanian UGM
Risk Management

as the process of weighing policy


alternatives in the light of the results of risk
assessment and, if required, selecting and
implementing appropriate control options,
including regulatory measures

outcome – the development standards,


guidelines, and other recommendation for
food safety
Endang S. Rahayu
Fak Teknologi Pertanian UGM
Risk Management

Identification of the standards of acceptable


risk appropriate to different types of food
hazard

Establishment of procedures to ensure that


the risks are kept within the limits set by
those standard

Endang S. Rahayu
Fak Teknologi Pertanian UGM
Risk Communication

as an interactive process of exchange of


information and opinion on risk among risk
assessors, risk managers, and other interest
parties

Endang S. Rahayu
Fak Teknologi Pertanian UGM
Risk Estimation
The scientific determination of the
characterizations of risk, usually in as
quantitative a way as possible. These
include the magnitude, spatial scale,
duration and intensity of adverse
consequences and their associated
probabilities as well as a description of the
cause and effect links

Endang S. Rahayu
Fak Teknologi Pertanian UGM
Risk Evaluation
a component of risk assessment in which
judgments are made about the significant
and acceptable of risk

Endang S. Rahayu
Fak Teknologi Pertanian UGM
Risk Identification
Recognizing that a hazard exists and trying
to define its characteristics.

Endang S. Rahayu
Fak Teknologi Pertanian UGM
Hazard analysis

Endang S. Rahayu
Fak Teknologi Pertanian UGM
Background

The significant world-wide increase in food-


bore illness that has been recognized
(arising from enteric organisms) – need the
more effective control using internationally
agreed risk management method

Endang S. Rahayu
Fak Teknologi Pertanian UGM
The Goal of Food Risk Management

To protect public health by controlling such


risk as effectively as possible through the
selection and implementation of appropriate
measure

Endang S. Rahayu
Fak Teknologi Pertanian UGM
Safe and wholesome

Although industry and national regulators


strive for production and processing systems
which ensure that all food be safe and
wholesome, complete freedom from risks in
an unattainable goal.
Safety and wholesomeness are related to e
level of risk that society regards as
reasonable in the context, and in comparison
with other risks in everyday life.
Endang S. Rahayu
Fak Teknologi Pertanian UGM
General Principles of Food Safety Risk Management
1. Risk management should follow a structures approach
2. Protection of human health should be the primary consideration
in risk management decisions
3. Risk management decisions and practices should be transparent
4. Determination of risk assessment policy should be included as a
specific component of risk management
5. Risk management should ensure the scientific integrity of the risk
assessment process by maintaining the functional separation of
risk management and risk assessment
6. Risk management decisions should take into account the
uncertainty in the output of the risk assessment
7. Risk management should include clear, interactive
communication with consumers and other interested parties in all
aspects of the process
8. Risk management should be a continuing process that takes into
account all newly generated data in the evaluation and review of
risk management decisions
Endang S. Rahayu
Fak Teknologi Pertanian UGM
1. Risk management should follow a
structures approach

Elements of structured approach :


- Risk evaluation
- Risk management option assessment
- Implementation of management decision
- Monitoring and review

Endang S. Rahayu
Fak Teknologi Pertanian UGM
Elements of Risk Magement
A. Risk Evaluation
- Identification of a food safety problem
- Establishing of a risk profile
- Ranking of the hazard for risk assessment and risk management priority
- Establishment of a risk assessment policy for conduct of risk assessment
- Commissioning of risk assessment
- Consideration of risk assessment result
B. Risk Management Option Assessment
- Identification of available management options
- Selection of preferred management option, including consideration of an
appropriate standard
- Final management decision
C. Implementation of Management Decision
D. Monitoring and Review
- Assessment of effectiveness of measure taken
- Review risk management and/or assessment as necessary

Endang S. Rahayu
Fak Teknologi Pertanian UGM
2. Protection of human health should be
the primary consideration in risk
management decisions
Decision on acceptable levels of risk should be
determined primarily by human health
consideration (arbitrary or unjustified differences in
the risk levels should be avoided)
Other factor considerations : economic cost,
benefits, technical feasibility, and societal
preferences

Endang S. Rahayu
Fak Teknologi Pertanian UGM
3. Risk management decisions and
practices should be transparent
Risk management should include the identification
and systematic documentation of all elements of
the risk management process including decision-
making, so that the rationale is transparent to all
interested parties

Endang S. Rahayu
Fak Teknologi Pertanian UGM
4. Determination of risk assessment
policy should be included as a specific
component of risk management

Risk assessment policy sets the guidelines for


value judgments and policy choices which may
need to be applied at specific decision points in the
risk assessment process, and preferably should be
determined in advance of risk assessment, in
collaboration with risk assessors.

Endang S. Rahayu
Fak Teknologi Pertanian UGM
5. Risk management should ensure the
scientific integrity of the risk assessment
process by maintaining the functional
separation of risk management and risk
assessment

Functional separation of risk management and risk


assessment serves to ensure the scientific integrity of the
risk assessment process and reduce any conflict of interest
between risk assessment and risk management. However, it
is recognized that risk analysis is an interactive process, and
interactions between risk managers and risk assessors are
essential for practical application

Endang S. Rahayu
Fak Teknologi Pertanian UGM
6. Risk management decisions should
take into account the uncertainty in the
output of the risk assessment

The risk estimate should, whenever possible,


include a numerical expression of uncertainty, and
this must be conveyed to risk managers in a readily
understandable form so that the full implications of
the range of uncertainty can be included in
decision-making. For example, if the risk estimate
is highly uncertain the risk management decision
might be more conservative

Endang S. Rahayu
Fak Teknologi Pertanian UGM
7. Risk management should include clear,
interactive communication with consumers
and other interested parties in all aspects of
the process

On-going reciprocal communication among all interested


parties is an integral part of the risk management process.
Risk communication is more than the dissemination of
information, and a major function is the process by which
information and opinion essential to effective risk
management is incorporated into decision

Endang S. Rahayu
Fak Teknologi Pertanian UGM
8. Risk management should be a continuing
process that takes into account all newly
generated data in the evaluation and review
of risk management decisions
Subsequent to the application of a risk management
decision, periodic evaluation of the decision be made to
determine its effectiveness in meeting food safety objectives.
Monitoring and other activities will likely be necessary to
carry out the review effectively

Endang S. Rahayu
Fak Teknologi Pertanian UGM
Background
Globalization of food trade and increasing
problems worldwide with emerging and re-
emerging food-borne disease have
increased the risk of cross-border
transmission of infectious agent

Risk assessment of
microbiological hazard in food

Endang S. Rahayu
Fak Teknologi Pertanian UGM
Risk assessment
(Standards, guidelines, recommendation)

Design of import and export inspection systems


Acceptance/rejection criteria for foods
Monitoring and surveillance programmes
Development of information needed to formulate
efficacious management strategies
Overall allocation of food safety regulatory
resources proportional to all classes of hazard
in foods

Endang S. Rahayu
Fak Teknologi Pertanian UGM
Safety standard
• Zero risk standard (ADI Level =Acceptable
Daily Intake)
• Balancing standards (cost-benefit, cost-
effectiveness, ALARA = as low as reasonably
achievable)
• Threshold standard (acceptable)
• Procedural standard (agreed process)

Endang S. Rahayu
Fak Teknologi Pertanian UGM
Risk Assessment
Hazard Identification
Hazard Characterization
Exposure Assessment
Risk Characterization

Endang S. Rahayu
Fak Teknologi Pertanian UGM
Hazard Identification

The process of determining whether


exposure to an agent can cause an increase
in the incidence of a health condition

Endang S. Rahayu
Fak Teknologi Pertanian UGM
Hazard Assessment

An analysis and evaluation of the physical,


chemical, and biological properties of the
hazard

Endang S. Rahayu
Fak Teknologi Pertanian UGM
Hazard Characterization

Endang S. Rahayu
Fak Teknologi Pertanian UGM
Exposure assessment

Endang S. Rahayu
Fak Teknologi Pertanian UGM
Risk Characterization

Endang S. Rahayu
Fak Teknologi Pertanian UGM
Chemical Risk Assessment

Endang S. Rahayu
Fak Teknologi Pertanian UGM
To access the risk that chemicals may
pose many assumption must be made,
for example :
- Uniform presence in the food
- Uniform exposure of the population
- Access of the chemicals to the target organ or tissue
- Homogenous presence of the substance through the
food
This information have generally been reasonable, as
chemical do not increase in concentration their
homogenous distribution through out the food is a likely

Endang S. Rahayu
Fak Teknologi Pertanian UGM
Microbial Risk Assessment

Endang S. Rahayu
Fak Teknologi Pertanian UGM
Biological agent

Infectious, toxicoinfectious, or toxigenic food-


borne organisms or their toxic product

Endang S. Rahayu
Fak Teknologi Pertanian UGM
Biological agents

- Levels of microbiological agents may change


(their numbers may increase or decrease)
- Humans vary greatly in their susceptibility to biological
agents that are associated with foods
- Many foods are cooked prior to consumption –
reducing the prevalence of biological agent

Illness from biological agents in these foods (with few


exception) only occurs if an error is made, usually in
cooking or handling procedure
While chemical – few of which are destroyed by cooking
Those, illness from exposure to biological agents is
more difficult to predict than chemical hazard
Endang S. Rahayu
Fak Teknologi Pertanian UGM
Risk assessment for illness caused by
food-borne biological agents

Endang S. Rahayu
Fak Teknologi Pertanian UGM
Components of risk assessment for
biological agents associated with a food

Hazard identification
Exposure assessment
Dose-response assessment
Risk characterization

Endang S. Rahayu
Fak Teknologi Pertanian UGM
Components of risk assessment
A. Hazard identification

Use of epidemiological, biological, and other


pertinent information and expert knowledge to
identify hazardous biological agents that may
potentially be in foods and cause illness to
consumers.
Hazard identifications should include initial
estimates of the amount, frequencies, and sources
of the biological agent(s)

Endang S. Rahayu
Fak Teknologi Pertanian UGM
Hazard identification
Biological surveillance
The process of identifying potential food-borne biological
hazard associated with products and processes from
production through consumption
Epidemiologic surveillance
The active or passive monitoring of the human population
of food-borne illness
Epidemiologic investigation
The process of studying the factors that contribute to the
occurrence of food-borne illness. Information from such
investigations may include the identification of the
etiological agent, the relationship between the agent and
product contamination, the quantity of agent in the food,
attack rates, and information on severity, symptoms,
demographics, and what when wrong

Endang S. Rahayu
Fak Teknologi Pertanian UGM
Components of risk assessment
B. Exposure assessment

Determine the probability of consumption and the


amount of the biological agent consumed. The
levels of agent, the duration and frequency of the
exposure, and other characteristics of the exposure
are, at times, of concern and may require
consideration of :
Population demographics
Biological agent distribution
Predictive modeling

Endang S. Rahayu
Fak Teknologi Pertanian UGM
Components of risk assessment
C. Dose-response assessment

Estimation of the relationship between the quantity


of a biological agent and the frequency and
magnitude of adverse human health effects in a
population.
Dose-response assessment typically include
estimates of the rates of infection, morbidity, and
mortality.

Endang S. Rahayu
Fak Teknologi Pertanian UGM
Dose-response assessment

Human volunteer feeding studies


Epidemic data
Animal data
Substrate (food components) effects
Physiological state of the microorganism
Physiological state of the population
Clinical and laboratory studies
Estimation of severity assessment
Sequelae – long term adverse health effect such as renal
failure, reactive arthritis, or neurological deficits)
Secondary infections – person to person transmission
Endang S. Rahayu
Fak Teknologi Pertanian UGM
Severity assessment – an estimation of the
proportion of infected individuals that become
overtly ill and the proportion of overtly ill persons
that become seriously ill or die.
Characterization of illness
Mild symptom
Severe illness
Mild diarrhea
Renal failure
Death

Endang S. Rahayu
Fak Teknologi Pertanian UGM
Components of risk assessment
D. Risk characterization

Risk characterizations combine the information


obtained from exposure and dose-response
assessments to estimate for each hazard the
likelihood and magnitude of disease under various
conditions of human exposure.

Endang S. Rahayu
Fak Teknologi Pertanian UGM

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