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Speeches

Breaking the Cycle of Foodborne Illness

Remarks prepared for delivery by Dr. Elsa Murano, Under Secretary for Food Safety, before the International Congress of Refrigeration, August 19, 2003, Washington, DC.

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(Slide 1) Title SlideGood afternoon! It is certainly a pleasure to be here with you today. I know you have a very ambitious agenda this week, but I hope you will have at least a few minutes to see our beautiful capital city. You may not know that Washington was built on a swamp. (Slide 2) old photo of a cattle walking through a marshy area; U.S. Capitol building visible in backgroundIf, back in the early 1800s, you were traveling to the area of the Ronald Reagan building, where your reception was last night, you would have gone by flat-bottomed boat. Routinely spending the month of August in a swamp would be hot even for a Texan like me if it wasn’t for the wonderful invention of the centrifugal refrigeration machine! On behalf of all of us who live in this former swamp, I thank you!

I can readily say that, in Washington, there are a tremendous number of issues that we deal with each day. However, the safety of our food supply is one of the most important issues we face at USDA and as a nation.

Slide introduces black and white film clip - advertisement, c. 1926, for electric refrigeratorsThere is nothing more personal or vital to us all than the food we provide to our families and ourselves. (Slide 3) Consistent and accurate refrigeration changed not only the food industry but the nation forever. Today, we depend on all manner of convenient food preparation, none of which would be possible with out the many refrigeration technologies many of you in this room helped pioneer. You’ve all done a marvelous job.

(Slide 4) Photos of foodservice worker, grocery store employee and customer, and girl eatingI believe we have the best food production and processing system in the world, providing consumers with the most abundant and safest food supply. However, over the last few years we have seen that the system is not perfect. Food safety continues to be a serious matter and one, that if not continually addressed, can lead to tragic events in some cases. Because of your experience, and your dedication, I would like to take this opportunity to enlist your help in improving the safety of the food supply and protecting public health. We share this mission and together we can make a difference.

(Slide 5) photos of White House and cover of FSIS Vision PaperOf course, government has a major role in improving food safety. And I believe this Administration's commitment to taking food safety to the next level is plain to see in the recently-released vision paper titled "Enhancing Public Health: Strategies for the Future." I hope you have had a chance to read it--it's available on the FSIS web site at www. fsis.usda.gov, and we also have copies available here today. But don't worry if you haven't had a chance to read it yet, because I will be discussing it in a few minutes.

Epidemiological data from the Centers for Disease Control and Prevention and our own regulatory testing show that we are headed in the right direction. There has been a significant decline in the number of food borne illness over the past six years. Despite these positive trends, we must continue to push even harder, and the agenda for this meeting reflects this need. It certainly is not time to declare victory in the fight against foodborne illness. Eradicating foodborne illness is an evolving challenge—a moving target, so to speak. The good news is that we know more about how to fight pathogens, we have better tools at our disposal, and all of us are working better as a team. But in order to use all of our new knowledge and tools to our advantage, we must have a firm idea of where we headed.

Implementing a strategy consisting of five goals (listed in next section)  has significantly improved our food safety programs.It’s important that we continually examine what we’ve accomplished and where we need to go next. (Slide 6) Over the past two years, the Food Safety and Inspection Service has been implementing a 5-point strategy and it has successfully improved our food safety programs. I want to take a few minutes to review those accomplishments as a prelude to a discussion of the future. Then I will discuss our new initiatives for 2003 and the next level of the Food Safety Vision that we must achieve.

Accomplishments

As I mentioned, FSIS has been implementing a strategy consisting of five goals:

Goal #1-First is improving the management and effectiveness of regulatory programs, and I believe we have seen significant changes in three major areas--workforce, agency organization, and automation.

photos depict training of consumer safety officers(Slide 7) We know it is essential for FSIS to have a scientifically and technically trained workforce that can operate in modern food safety systems. One step in that direction was increasing our cadre of scientifically trained personnel, known as Consumer Safety Officers or CSOs. FSIS has trained 107 employees as CSOs in FY 2002, and plans to train almost 200 additional employees in FY 2003.

finalizing reorganization(Slide 8) FSIS is also finalizing a plan for reorganization to prepare the Agency to better meet its public health and food safety goals. The changes have strengthened the bonds among the FSIS offices and have made operations more coherent and responsive.

AIIS directs port-of-entry sampling of imported shipments.(Slide 9) In addition to the reorganization, FSIS has instituted new automated systems to assist in achieving its mission, an example being the new Automated Import Information System (AIIS), which directs port-of-entry sampling of imported shipments.

Goal #2-The second goal is ensuring that policy decisions are based on science. Graph shows 6 percent overall decrease in foodborne illnesses between 1996 and 2002(Slide 10) The framework for this approach is the Pathogen Reduction/Hazard Analysis and Critical Control Points (PR/HACCP) system. This preventive approach is working, as evidenced by a 16 percent overall decrease in foodborne illnesses between 1996 and 2002, and by a decrease from 5.0 percent to 4.3 percent in the prevalence of Salmonella in regulatory samples from 2001 to 2002.

(Slide 11) Photos illustrate pathogenic bacteria and microbiological testing.Within the HACCP framework, FSIS continuously reviews its existing authorities and regulations to ensure that emerging food safety challenges are adequately addressed. FSIS has issued regulations for establishments producing ready-to-eat products where the pathogen Listeria monocytogenes is a concern. It has issued new procedures emphasizing the use of Salmonella testing. FSIS also announced a series of new measures to further prevent contamination of ground beef with the pathogen E. coli O157:H7. And FSIS began implementing a verification program to verify that establishments using Advanced Meat Recovery systems to produce beef are preventing spinal cord from entering the food supply.

(Slide 12) Risk assessment; Listeria under microscope; photo of deli counter in storeWe are also improving our ability to determine the threats we face. Risk assessment is increasingly being used to provide FSIS with the solid scientific foundation on which to base regulatory and policy decisions. For example, FSIS’ release early this year of a draft quantitative risk assessment for Listeria in ready-to-eat (RTE) meat and poultry products provided important data enabling FSIS to publish a final Listeria rule. Our aim is to be inclusive and not make policy in a vacuum.

(Slide 13) Sharing and gathering information at public meetings; seeking input from the scientific communityThroughout the process of developing these policies, FSIS has aggressively sought the input of the scientific community and others. The Agency has sponsored many public meetings and scientific symposia that allow the agency to share information with, and gather input from, stakeholders on food safety and public health topics.

Goal #3-The third goal is improving coordination of food safety activities with other public health agencies. (Slide 14) Map of Northeastern U.S. (area affected by listeriosis outbreak)An example of this progress was the unprecedented investigation conducted with the CDC and State and local public health agencies on the northeastern listeriosis outbreak that occurred in 2002.

(Slide 15) MOU with PHS; photos from signing ceremonyAnother example of enhanced public health agency coordination is the growing cadre of Public Health Service Commissioned Corps Officers, who are working at FSIS through a Memorandum of Agreement (MOA) with the U.S. Department of Health and Human Services’ PHS Commissioned Corp.

Goal #4-The fourth goal is enhancing public education efforts.photos - food safety education through press conferences, live broadcast interviews, cooking demonstrations, video news releases (Slide 16) Food safety education is an important complement to effective regulation in reducing the risk of foodborne illness. FSIS has been conducting an aggressive educational campaign of public events and media interviews with national and regional news organizations in order to reach more of the population with important public health messages.

(Slide 17)Map of U.S. showing some of the Mobile's visits. Our educational efforts have also ‘hit the road’. FSIS has launched the USDA Food Safety Mobile to strategic locations throughout the country to bring food safety messages directly to the public. Through a partnership with university extension agents and private industry, the Mobile has hosted numerous demonstrations for food handlers of all ages.

And keeping in mind the changing demographics of the Nation, FSIS has also taken important steps to provide food safety education to citizens whose first language is not English. We recently participated, together with industry groups, in producing a series of international food safety icons for use in safe food handling. With the diversity of languages spoken by food handlers, we need pictorial representations of food safety tasks that can be understood regardless of a person’s native language. I am pleased that FSIS was one of the many participants in this project.

Prevention-Detection-Response; strengthening an existing strong infrastructure; booklet-FSIS Security Guidelines for Food ProcessorsGoal #5-The fifth goal is to protect meat, poultry, and egg products against intentional contamination. (Slide 18) Since the attacks on September 11, FSIS has strengthened coordination and preparation efforts to prevent, detect, and respond to food-related emergencies resulting from acts of terrorism. We have also enhanced our programs to ensure the safety of meat, poultry, and egg products that come to us from other countries. With a strong food safety infrastructure already in place, FSIS has been able to focus on strengthening existing programs.

(Slide 19) Securing Safe Food Worldwide; picture of seaport; Codex Alimentarius, FAO, and WHO logosFood safety and security does not stop at national borders. With the global food supply, we are interdependent on each other. The way food is traded has a tremendous impact on the health of populations. In the old days, foods were traded locally, and so, if those foods were contaminated, foodborne illness that developed remained a local problem. Now, the world is truly shrinking. Increasing international trade has meant that a greater variety of foods are available to the world’s population. This expansion reach in food distribution, which has resulted in improved nutrition, has also meant that a greater probability exists for unsafe food, either intentionally or unintentionally contaminated, to reach a large population. One group that is addressing problems such as these is the Codex Alimentarius Commission. Codex is the major international mechanism for developing international food safety standards and provides for the exchange of information and ideas related to food safety. The U.S. Codex Office is located in the Food Safety and Inspection Service at USDA and we are proud to be active members of this important forum.

New Initiatives for 2003

(Slide 20) Title Slide - New Initiatives for 2003Now that I have given you an idea of where we have been, I’d like to outline several new initiatives FSIS is undertaking to continue the progress we’ve made to date.

New Food Safety Technologies

I will begin with our recently established New Technology Office, that will expedite the implementation of safe interventions at slaughter and processing establishments. (Slide 21) Photo of FSIS New Technology StaffWhen we completed our risk assessment for Listeria in ready-to-eat products, it struck me how important interventions are in mitigating risk. I believe that we must encourage innovations in safe and effective interventions, and one way FSIS can do this is to ensure that we facilitate the process.

Our New Technology staff is an experienced team of 12 who will serve as the single portal for all new technology submissions. We designed this group to better mange the new technology process and allow for fast track implementation. They are also making sure that all FSIS personnel are aware of new technologies and where they are being used.

To increase the pool of new technology submissions, we will be developing a New Technology website where parties may submit their information on line. In the interim, we have established an e-mail address, FSISTechnology@fsis.usda.gov, for interested groups to learn more about how to have their products or ideas considered.

Train to the Vision

Retooling training and education programs for all employees is a second initiative for 2003. FSIS recognizes the importance of this initiative for the consistent enforcement of its regulations.

(Slide 22) Two-fold plan to enhance workforce trainingFSIS has crafted a two-fold plan to enhance workforce training. First, all training programs for all employees will be updated to incorporate a public health focus by integrating scientific and technical principles, including HACCP validation. Training on technical and regulatory approaches to inspection, and use of enforcement responses, such as suspension of inspection, will be included where appropriate.

(Slide 23) plan 2, moving training closer to employee's worksiteSecond, FSIS is moving to a system of delivering training that is as close to the employee’s worksite as possible. This will involve regional training and regional trainers, as well as interactive sessions near the employee's work site and on-site training programs.

Some of the training, particularly training involving new technologies and methodologies, will be carried out in conjunction with the regulated industry. In this way, both processors and inspectors share in the knowledge gained about the science behind the FSIS regulations, and how they must be applied to improve public health.

Risk Assessment Coordination

(Slide 24) Seals of 8 USDA Agencies represented on risk assessment committeeNext is risk assessment coordination. We have established a Food Safety Risk Assessment Committee with USDA-wide membership. Risk assessments allow us to focus resources on those hazards along the farm-to-table continuum that pose the greatest risk to public health. Each member of this committee brings a specific expertise to ensure that our research, regulatory and public outreach resources achieve the greatest public health benefit and avoid redundancies.

The need for such a committee is growing as risk assessment becomes more and more important as a means of providing the science behind policy decisions. Microbial risk assessment is still in its infancy compared to chemical risk assessments, so the need to share ideas and resources is even more critical.

The group has already had its first meeting and the results have been exciting. We’re finding there is a lot of interest in working together, and a lot of opportunities to rely on each Agency’s expertise to make the entire risk assessment process go much more smoothly.

We also will be holding a public meting on risk analysis in early November. As we make progress in conducting risk assessments, we must also move forward in integrating the three components of risk analysis – risk assessment, risk management, and risk communication.

Research Agenda

(Slide 25)Research agenda Next, FSIS is working with the Research, Education, and Extension mission area at USDA to coordinate food safety research priorities and needs. A public meeting was held in Colorado last month, to help initiate the development of a unified research agenda to complement industry and academic research, as well as encourage external research directed toward this unified agenda. We are in the process of sifting through all the research needs that were presented at that meeting, and expect to have a document detailing USDA’s research objectives in food safety by this fall.

The challenge for the future will be to transfer research results to practical use. A good example is the reduction of E. coli O157:H7 before cattle reach the slaughter plant. Much research has been done, but definitive steps that work in real life are still lacking.

Best Practices for Animal Production

(FSIS Initiatives - Best Practices for Animal ProductionSlide 26) Speaking of pre-harvest food safety, next, in consultation with livestock producers, researchers, and other stakeholders, FSIS is developing a list of best management practices for animal production facilities such as feedlots to provide guidance in reducing pathogen loads before slaughter. FSIS will hold a symposium this September as a foundation for the development of guidelines that can be followed at the feedlot by producers to minimize carriage of human pathogens by food animals.

Baseline Studies

(Slide 27) FSIs Initiatives - Baseline StudiesFSIS is making plans to conduct continuous baseline studies to determine the nationwide prevalence and levels of various pathogenic microorganisms in raw meat and poultry. In the past, limited baseline studies have been used to establish performance standards. While these performance standards have not been directly correlated with public health outcomes, they are an important part of verifying the sanitary operation of meat and poultry establishments.

The new baseline studies will take into account regional variation, seasonality and other critical factors. The continual nature of the baseline studies will provide both benchmark information on the national trends and a tool to assess performance of initiatives designed to reduce the level and prevalence of pathogens in meat and poultry products. These baseline studies will also feed into risk assessments that support regulatory initiatives for reducing foodborne illness. These surveys will be important in establishing the link between foodborne disease and ecological niches, as well as levels and incidence of pathogens in meat and poultry. The net result will be more targeted interventions and effective elimination of sources of foodborne microorganisms.

Modernization of Enforcement Activities

(Slide 28) Scales; a strong system of checks and balances is important to an effective food safety system.And finally, a strong system of checks and balances is important to an effective food safety system. FSIS will continue to review authorities and regulations and will continue to work with interested parties to modernize and further enhance its compliance efforts.

Title Slide - Taking Food Safety HigherSo far I’ve spoken about what we’ve accomplished and what’s on the near horizon. Now let’s discuss how we can achieve the next level of the Food Safety Vision. (Slide 29)

Achieving the Next Level of the Food Safety Vision

(Slide 30) Photos - on farm, in distribution, in laboratory, in the plant, child eating lunchThe next level of the Food Safety Vision involves the ability to predict, or anticipate, problems as much as possible before they arise. Toward this effort, FSIS intends to identify hazards early by analyzing prevalence and enforcement data, coupled with ensuring that the right corrective actions are taken promptly to minimize risks to public health.

Through analysis and discussions with stakeholders, FSIS has identified three issues that need to be addressed if FSIS is to attain this next level of public health protection.

Issue #1: Anticipate/Predict risk through enhanced data integration.

(Slide 31) Issue #1: Anticipate/Predict risk through enhanced data integration.To anticipate hazards involving meat and poultry products, FSIS must have the best available data to clearly identify the extent and nature of these hazards, in order to determine and calibrate an effective response. These data consist of FSIS’ regulatory samples, as well as samples collected by food processing establishments. Thus, there is a need to improve access to, and analysis of, food safety data from all reliable sources. I believe that such anticipatory activities are a key component of prevention, and recognize that if we are to break the cycle of foodborne illness, consistent and thorough data analysis must take place. Here is where industry and government can work together, since it is in all of our best interest to avail ourselves of as much information as possible so that outbreaks and recalls can be prevented.

Issue #2: Improved application of risk into regulatory and enforcement activities.

(Slide 32) Issue #2: Improved application of risk into regulatory and enforcement activities. FSIS recognizes the need to better document food safety problems as they occur, in order to analyze conditions that should be corrected in its science-based approach to pathogen reduction. For example, a better understanding of the prevalence and causes of food safety failures could allow FSIS to assess how best to address them. Data regarding the causes of food safety violations, either within a specific establishment, or within a class, can be utilized in order to better focus prevention and regulatory enforcement strategies. Just like with microbiological sampling data, the types and frequencies of enforcement actions taken can help us determine where our resources need to be focused, so that we don’t waste efforts and instead apply a greater emphasis where they can be most productive.

Issue #3: Better association of program outcomes to public health surveillance data.

(Slide 33) Issue #3: Better association of program outcomes to public health surveillance data. FSIS has made great strides in preventing foodborne illness, which CDC has attributed in part to the implementation of HACCP. However, there still is a need to determine how specific policies affect public health. We must be able to connect the occurrence of specific pathogens in specific foods to the occurrence of human foodborne illness, and FSIS is working with CDC’s National Center for Infectious Diseases to design and support studies that enable such connections to be made.

As you can see, what I have laid out for you is not rocket-science. But it is science, and it is with this approach in mind, that we will continue our efforts to improve public health. The Agency intends to engage the scientific community, public health experts and all interested parties in an effort to identify science-based solutions with public health outcomes. It is FSIS’ intention to pursue such a course of action in the coming months, in as transparent and inclusive a manner as possible. The resulting strategies will help FSIS continue to reach its goals and achieve its mission of reducing foodborne illness.

Closing

(Slide 34) seal of inspectionI look forward to your comments on the vision paper. As members of an industry whose creations have been named in the top 10 inventions of the 20th century, overcoming challenge with innovation is nothing new for you. Together, we can meet the food safety challenges I’ve mentioned.

The Agency welcomes the input of all interested parties and encourages the free exchange of ideas as it continues to work to enhance the safety of the food supply. Thank you again for the opportunity to speak with you today.

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For Further Information:
FSIS Congressional and Public Affairs Staff
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Fax: (202) 720-5704

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