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Using Quantitative Risk Assessment and Accounting for Variability and Uncertainty Incorporating risk metrics into food safety regulations: L. monocytogenes in ready-to-eat deli meats 1 Daniel Gallagher Virginia Tech 12th Annual Joint Fera/JIFSAN Symposium Greenbelt, MD June 15-17, 2011

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Page 1: Incorporating risk metrics into food safety regulations: L. monocytogenes in ready-to-eat deli meats 1 Daniel Gallagher Virginia Tech 12th Annual Joint

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Using Quantitative Risk Assessment and Accounting for Variability and Uncertainty

Incorporating risk metrics into food safety regulations: L. monocytogenes in ready-to-eat deli meats

Daniel GallagherVirginia Tech

12th Annual Joint Fera/JIFSAN Symposium Greenbelt, MDJune 15-17, 2011

Page 2: Incorporating risk metrics into food safety regulations: L. monocytogenes in ready-to-eat deli meats 1 Daniel Gallagher Virginia Tech 12th Annual Joint

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Traditional Regulatory Controls Examples

Poultry cooked to minimum of 165°F Milk pasteurized at 72°C for 15 sec Food code safety criteria Aw < 0.95 & pH < 5.5 L. monocytogenes zero tolerance

(sampling: < 1 cfu / 25 g)

Major components in HACCP plans Critical control points

Not directly related to public health / illness rate Inflexible, not conductive to innovation

Adapted from Buchanan & Whiting, CFSAN/FDA 2004

Page 3: Incorporating risk metrics into food safety regulations: L. monocytogenes in ready-to-eat deli meats 1 Daniel Gallagher Virginia Tech 12th Annual Joint

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New Risk Based MetricsVocabulary

Appropriate Level of Protection (ALOP) The level of protection deemed appropriate to protect health

Food Safety Objective (FSO) The maximum frequency and/or concentration of a hazard in a

food at the time of consumption that provides or contributes to the appropriate level of protection (ALOP)

Performance Objective (PO) The maximum frequency and/or concentration of a hazard in a

food at a specified step in the food chain before the time of consumption that provides or contributes to a FSO or ALOP, as applicable

Page 4: Incorporating risk metrics into food safety regulations: L. monocytogenes in ready-to-eat deli meats 1 Daniel Gallagher Virginia Tech 12th Annual Joint

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Application of RM Metricsto a Food Process

Application of RM Metricsto a Food Process

Time

PathogenLevel

Enter slaughter Point ofconsumption

ALOPPO

Current risk

Page 5: Incorporating risk metrics into food safety regulations: L. monocytogenes in ready-to-eat deli meats 1 Daniel Gallagher Virginia Tech 12th Annual Joint

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Different approaches

Traditional approach incorporates variability and uncertainty at each step of the process. The resulting estimated number of illnesses is an uncertain distribution.

The risk metric approach considers the number of illnesses as a fixed goal.

This research: incorporate uncertainty and variability into the performance objective (PO) at the plant, i.e. the PO is an uncertainty distribution.

Page 6: Incorporating risk metrics into food safety regulations: L. monocytogenes in ready-to-eat deli meats 1 Daniel Gallagher Virginia Tech 12th Annual Joint

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ALOP as fixed goal

Brief overview: risk metrics

Food processing plant

Retail grocery store

Consumption in the home

Listeriosis illnesses

ALOPRisk per serving

FSOdose

PORegulated

concentration

PORegulated

concentration

Page 7: Incorporating risk metrics into food safety regulations: L. monocytogenes in ready-to-eat deli meats 1 Daniel Gallagher Virginia Tech 12th Annual Joint

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Page 8: Incorporating risk metrics into food safety regulations: L. monocytogenes in ready-to-eat deli meats 1 Daniel Gallagher Virginia Tech 12th Annual Joint

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Implementation

Written in R 2.13 snow package for parallel processing

Latin Hypercube design for selecting uncertainty realizations

Each run: 240 uncertainty simulations each with 7.5 million variability realizations

Page 9: Incorporating risk metrics into food safety regulations: L. monocytogenes in ready-to-eat deli meats 1 Daniel Gallagher Virginia Tech 12th Annual Joint

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Major Data Sources

Plant Lm concentration distribution: FSIS reporting

Growth, lag times, plant-to-retail transport: Pradhan et al. 2009 Transport times/temperature, lag times, growth rates (with &

without growth inhibitors)

Retail Cross contamination : Endrikat et al. 2010 Simplified z-score approach

Consumer handling: Pouillot et al. 2010 storage time / temperature varies by retail vs plant sliced

Dose-response: WHO/FAO

Page 10: Incorporating risk metrics into food safety regulations: L. monocytogenes in ready-to-eat deli meats 1 Daniel Gallagher Virginia Tech 12th Annual Joint

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Baseline Conditions

Uncertainty Starting plant

concentration distribution▪ Log10 normal

distribution▪ mean: -9.22, SD: 2.92▪ correlation: -0.99

Fraction of product with growth inhibitor (50-60%)

Variability Growth rates Lag times Storage times /

temperatures Serving sizes

Nonstochastic Dose response r

Page 11: Incorporating risk metrics into food safety regulations: L. monocytogenes in ready-to-eat deli meats 1 Daniel Gallagher Virginia Tech 12th Annual Joint

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WHO / FAO Dose Response

Dose, log10 cfu

6 8 10 12 14 16

Pro

ba

bility

of Illn

es

s0.0

0.2

0.4

0.6

0.8

1.0Healthy, medianSusceptible, median

rDeill 1)Pr(

Baseline: r fixedrhealthy = 2.41e-14rsusceptible = 1.05e-12

Page 12: Incorporating risk metrics into food safety regulations: L. monocytogenes in ready-to-eat deli meats 1 Daniel Gallagher Virginia Tech 12th Annual Joint

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-15.0 -14.0 -13.0 -12.0

0.70

0.75

0.80

0.85

0.90

Risk per serving, log10

Cum

ulat

ive

Pro

babi

lity

Variability and Uncertainty2nd order Monte Carlo

variability run for given uncertainty realization

-15.0 -14.0 -13.0 -12.0

0.70

0.75

0.80

0.85

0.90

Risk per serving, log10

Cum

ulat

ive

Pro

babi

lity

Multiple variability runs for different uncertainty realizations

Uncertainty distribution of given statistic of each variability run

Page 13: Incorporating risk metrics into food safety regulations: L. monocytogenes in ready-to-eat deli meats 1 Daniel Gallagher Virginia Tech 12th Annual Joint

13Mean risk of illness per serving, log10

-6.50 -6.45 -6.40 -6.35 -6.30 -6.25

Cu

mu

lativ

e P

erc

en

tile (%

)

0

20

40

60

80

100

Baseline current industry risk per serving distribution

Page 14: Incorporating risk metrics into food safety regulations: L. monocytogenes in ready-to-eat deli meats 1 Daniel Gallagher Virginia Tech 12th Annual Joint

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Example Result

Results of 1 uncertainty run.N = 1e5ALOP = -6.5Truncated industry response

PO

Max growth level

1:1 lineno growth

Cross contamination

Retail sliced without growth inhibitor

Page 15: Incorporating risk metrics into food safety regulations: L. monocytogenes in ready-to-eat deli meats 1 Daniel Gallagher Virginia Tech 12th Annual Joint

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Root finding for Plant POEach uncertainty run

Plant PO, log10 cfu/g

-30 -20 -10 0 10

Me

an R

isk pe

r Se

rving - T

arg

et A

LO

P, lo

g1

0

-1.4

-1.2

-1.0

-0.8

-0.6

-0.4

-0.2

0.0

0.2

Resulting Plant PO for Target ALOP

Ob

jecti

ve F

un

cti

on

Page 16: Incorporating risk metrics into food safety regulations: L. monocytogenes in ready-to-eat deli meats 1 Daniel Gallagher Virginia Tech 12th Annual Joint

16Plant PO, log10 cfu/g

-10 -8 -6 -4 -2 0 2Pro

ba

bility

tha

t risk

pe

r se

rvin

g <

= ta

rge

t AL

OP

(%)

0

20

40

60

80

100

-6.33 (Q95)-6.36 (Q75)-6.38 (Q50)-6.41 (Q25)-6.45 (Q5)-6.50

Plant PO, log10 cfu/g

-10 -8 -6 -4 -2 0 2Pro

ba

bility

tha

t risk

pe

r se

rvin

g <

= ta

rge

t AL

OP

(%)

0

20

40

60

80

100

-6.33 (Q95)-6.36 (Q75)-6.38 (Q50)-6.41 (Q25)-6.45 (Q5)-6.50

Plant PO ResultsTruncated Industry

Target ALOP

Page 17: Incorporating risk metrics into food safety regulations: L. monocytogenes in ready-to-eat deli meats 1 Daniel Gallagher Virginia Tech 12th Annual Joint

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Deconvolution VerificationTruncated industry response. Target ALOP of log10 risk per serving = -6.416 (Q25 of the ALOP distribution).

PO Quantile (%) Plant POMean Risk

per Serving, log10

Fraction of Risk per Serving

Distribution > Target ALOP (%)

10 -4.98 -6.46 10.4

20 -4.57 -6.45 20.8

30 -4.19 -6.44 30.3

40 -3.70 -6.43 41.3

50 -3.06 -6.42 50.0

60 -2.34 -6.41 60.4

Based on a target ALOP and industry response, an uncertainty distribution for the PO was calculated. Different quantiles of this PO distribution were then set as the regulatory PO and the resulting uncertainty distribution of risk per serving generated.

Page 18: Incorporating risk metrics into food safety regulations: L. monocytogenes in ready-to-eat deli meats 1 Daniel Gallagher Virginia Tech 12th Annual Joint

18Plant Lm Distribution

For a fixed ALOP, different industry response assumptions lead to different POs

Page 19: Incorporating risk metrics into food safety regulations: L. monocytogenes in ready-to-eat deli meats 1 Daniel Gallagher Virginia Tech 12th Annual Joint

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Plant PO results by industry response Target ALOP = -6.38 (Q50)

Plant PO, log10 cfu/g

-10 -8 -6 -4 -2 0 2Pro

ba

bility

tha

t risk

pe

r se

rvin

g <

= ta

rge

t AL

OP

(%)

0

20

40

60

80

100

truncatedshiftedfixed

Page 20: Incorporating risk metrics into food safety regulations: L. monocytogenes in ready-to-eat deli meats 1 Daniel Gallagher Virginia Tech 12th Annual Joint

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Industry Risk per ServingDifferent Uncertainty Assumptions

Mean Risk of Illness per Serving, log10

-7.5 -7.0 -6.5 -6.0 -5.5 -5.0

Cu

mu

lativ

e P

erc

en

tag

e (%

)

0

20

40

60

80

100

industry, baselineindustry, dose response uncertaintyindustry, increased GI uncertainty

Mean Risk of Illness per Serving, log10

-7.5 -7.0 -6.5 -6.0 -5.5 -5.0

Cu

mu

lativ

e P

erc

en

tag

e (%

)

0

20

40

60

80

100

industry, baselineindustry, dose response uncertaintyindustry, increased GI uncertainty

Mean Risk of Illness per Serving, log10

-7.5 -7.0 -6.5 -6.0 -5.5 -5.0

Cu

mu

lativ

e P

erc

en

tag

e (%

)

0

20

40

60

80

100

industry, baselineindustry, dose response uncertaintyindustry, increased GI uncertainty

Page 21: Incorporating risk metrics into food safety regulations: L. monocytogenes in ready-to-eat deli meats 1 Daniel Gallagher Virginia Tech 12th Annual Joint

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Incorporating Dose-Response UncertaintyTruncated industry response

Plant PO, log10 cfu/g

-35 -30 -25 -20 -15 -10 -5 0

Pro

ba

bility

Ris

k p

er S

erv

ing

<=

targ

et A

LO

P (%

)

0

20

40

60

80

100

Baseline, target ALOP = -6.41 (Q25 of baseline)DR uncertainty, target ALOP = -6.41DR uncertainty, target ALOP = -6.66 (Q25 industry with DR uncertain)

Plant PO, log10 cfu/g

-35 -30 -25 -20 -15 -10 -5 0

Pro

ba

bility

Ris

k p

er S

erv

ing

<=

targ

et A

LO

P (%

)

0

20

40

60

80

100

Baseline, target ALOP = -6.41 (Q25 of baseline)DR uncertainty, target ALOP = -6.41DR uncertainty, target ALOP = -6.66 (Q25 industry with DR uncertain)

Plant PO, log10 cfu/g

-35 -30 -25 -20 -15 -10 -5 0

Pro

ba

bility

Ris

k p

er S

erv

ing

<=

targ

et A

LO

P (%

)

0

20

40

60

80

100

Baseline, target ALOP = -6.41 (Q25 of baseline)DR uncertainty, target ALOP = -6.41DR uncertainty, target ALOP = -6.66 (Q25 industry with DR uncertain)

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Conclusions

Incorporating uncertainty into risk metrics is technically feasible computationally intensive much greater technical demands on risk

managers with uncertainty, adapting PO to actual

regulations difficult▪ industry-wide compliance, not individual food plant▪ need to monitor for entire distribution▪ extremely broad PO uncertainty distributions

In practice, current levels of uncertainties limit applicability for L. monocytogenes

Page 23: Incorporating risk metrics into food safety regulations: L. monocytogenes in ready-to-eat deli meats 1 Daniel Gallagher Virginia Tech 12th Annual Joint

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Acknowledgements

Funding: FSIS Project AG-3A94-P-08-0148

Co authors at FSIS and Virginia Tech Eric Ebel, Owen Gallagher, David

LaBarre, Michael Williams, Neal Golden, Janell Kause, Kerry Dearfield

Régis Pouillot for assistance with dose-response modeling.

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Questions?