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The
Hazard Analysis Critical Control Points/Pathogen Reduction
inspection system has come under criticism from the regulated
industry, critics in various scientific fields, politicians,
and the regulator community.
The
first problem concerns the role of microbiological sampling
and has been raised by the industry. It is a cogent argument.
The meat and poultry industry argues that microbiological
sampling by the government is ineffective and not germane
to processing operations. In at least one of these areas,
the industry has been supported by a Federal District Court
judge, who has ruled that the presence of Salmonella spp.
does not in and of itself indicate a failed process as USDA
FSIS has asserted.
In
its waning days, the Clinton Administration proposed two new
rules for ready-to-eat (RTE) products. One requires product
testing by establishments of all RTE products and the other
requires environmental testing in the establishments where
RTE products are produced; environmental testing includes
both food-contact and non-food-contact surfaces. The Bush
Administration put both rule-making initiatives on hold pending
review but the new Secretary of Agriculture, Ms. Veneman,
interceded and the rules have been published in the Federal
Register for public comment. Industry argues logically that
environmental sampling is unnecessary because RTE products
have a lethality step in their processing that is designed
to kill pathogens.
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Salmonella
Enteritidis
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Industry
also argues that HACCP is not science-based because requirements
for acceptable pathogen levels were established using a national
baseline sample that was subject to several sampling biases,
including selection bias. The claim is made that baselines
resulting from this biased sampling were then used to establish
regulatory standards. USDA FSIS argues in return that the
baselines are simply baselines and the regulatory standards
are based on scientific principles. The courts probably will
ultimately settle this issue.
A
trained risk analyst might point out that attempting to establish
a standard dose-response curve for a microbial pathogen is
futile. It is possible to quantify a dose-response within
a range, but the range would be so wide as to be meaningless
because of the wide variances in Lowest Observed Effect Level
among ages and health statuses, races and ethnic groups, socioeconomic
status groups, ad infinitum.
The
industry's challenge of HACCP on scientific grounds has some
merit. Some of the problems with exposure assessments and
mathematical models are outlined below.
- Lack
of necessary data - because many of these predictive tools
require both input and validation data to ensure that the
model reflects reality, this option may not be feasible.
In many cases, laboratory costs, manpower utilization, time
constraints, and political agenda will prohibit both businesses
and government regulatory agencies from obtaining more than
a one-time vertical slice sample.
- Bacterial
growth models may not reflect reality - it must be constantly
borne in mind that, with microbial pathogens, the unit of
infection is the single cell and, while the risk of infection
from a single cell is exceedingly small, it is not zero.
For example, as few as ten individual vegetative Campylobacter
jejuni cells have been shown to cause morbidity.
- Bacterial
dose-response levels are undefined - because bacterial levels
are not constant, exposure by consumers can only be estimated.
In order to estimate exposure, one must be able to estimate
the probability that the pathogen is present in target foods,
the initial level of the pathogen if it is present, and
how this initial level varies as a result of food processing
operations.
- Model
inaccuracy - as shown in the risk analysis example, many
models use the beta Poisson equation to model bacterial
growth, but many growth patterns are more closely described
by Gomperz's equation, while still others evade precise
mathematical modeling.
- Hazard
analysis is not risk analysis - when establishments determine
where potential biological, chemical, and physical hazards
exist in their food processing operations, they are relying
on historical data and not scientific validation. USDA FSIS
has recently been attempting to make the claim that absence
of evidence is not acceptable as proof of absence of potential
hazard.
- Individual
susceptibility is variable - individuals with healthy immune
systems are seldom at risk for most foodborne toxins. There
is even relative sensitivity to staphylococcal enterotoxin.
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All
of the points raised indicate that risk characterization is
an uncertain process. It must be stated in terms of probabilities
of pathogen presence, exposure odds, probable average dose-response,
and so forth. We cannot categorically state that, because
a particular ground beef lot contains 5,000 colony-forming
units per milliliter (cfu/ml) of coliform bacteria, there
is a specific percentage of the population exposed to this
lot that will become ill. In addition to all of the uncertainties
posed by the nature of microbial pathogens, we must factor
in the vagaries of food processing operations; home food preparation
efficacy; food safety practices in the home; post-preparation
handling; retail establishments' and distribution agents'
methods of handling, storing, and processing.
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