PRACTICAL EXPERIENCE ON RISK ANALYSIS IN FOOD SAFETY EMERGENCY IN - PowerPoint PPT Presentation

PRACTICAL EXPERIENCE ON RISK ANALYSIS IN FOOD SAFETY EMERGENCY IN INDONESIA Roy Sparringa National Agency for Drug and Food Control Republic of Indonesia Training Workshop on Food recall and traceability -Application in National food safety control Chiang Mai-Thailand, 15 February 2013

AGENDA 1. Introduction 2.Emergency Response System in Indonesia 3. Practical experience in food safety emergency response 4. Conclusion 2

AGENDA 1. Introduction 2.Emergency Response System in Indonesia 3. Practical experience in food safety emergency response 4. Conclusion 3

Republic of Indonesia • Area: 1,904,569 km 2 (> 17.000 islands, 33 provinces, 530 municipalities/ regencies) • The world’s 4 th most populous country (238 M in 2010 census) • Top production [world rank, FAOstat]: rice, paddy [3 rd ], palm oil [1 st ], cassava [2 nd ], coconuts [1 st ], maize [6 th ], cocoa beans [2 nd ]; also 1 st rank for cloves, vanilla, cinnamon; 2 nd rank for pepper; 3 rd rank for nutmeg, coffee; and many more…

Great challenge to control food safety in Indonesia • Wide coverage area of control • Large diversity of foods: products of SMEs, imported foods • Most food business operators are SMEs: often lack of food safety knowledge and practices • Varying level of consumer awareness in food safety • Limited number of competent food inspectors

AGENDA 1. Introduction 2.Emergency Response System in Indonesia 3. Practical experience in food safety emergency response 4. Conclusion 6

Food Safety Emergency? A situation, whether accidental or intentional, that is identified by competent authority as constituting a serious and as yet uncontrolled foodborne risk to public health that requires urgent action Codex Alimentarius in FAO/WHO (2010) 7

FAO/ WHO framework for developing national food safety Integrated Food Safety emergency response plans System in Indonesia (FAO/WHO, 2010) 1. Obtain high level support Ministries/Agencies from 2. Identify key partners Farm to Table 3. Establish a planning group INRASFF

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Food Safety Alert and Response System in Indonesia National Rapid response, Food Safety particularly in Committee emergency situation Indonesia Rapid Alert System for Food and Feed (INRASFF) Integrated Food Safety System

EMERGENCY RESPONSE IN INDONESIA Other International ARASFF EURASFF INFOSAN IHR GOARN Contact Points International Level National Level CCP Ministry of CCP NADFC LCCP NCP LCCP Agriculture INDONESIA CCP Ministry CCP Ministry of LCCP LCCP of Industry Health CCP Ministry of CCP Ministry of Fisheries& Marine Affairs Trade LCCP LCCP NCP: National Contact Point CCP: Competent Contact Point LCCP: Local Competent Contact Point

• NCP INRASFF: Directorate of Food Safety Surveillance and Extension, NADFC • ISO 9001: 2008  SOP for Food Safety Alert and Response • INRASFF secretariat received and followed up 51 notifications in 2012 from EU-RASFF, INFOSAN and other countries (e.g. South Korea, Thailand, Malaysia, US)

INRASFF = Synergistic Food Safety Alert and Response System in Indonesia FSER Alert Emergency Crisis Alert INRASFF Alert, border rejection Incident News, information Business as usual Food Safety Alert & Response System Food Safety Emergency Response in Indonesia (FAO/WHO, 2010)

AGENDA 1. Introduction 2.Emergency Response System in Indonesia 3. Practical experience in food safety emergency response 4. Conclusion 14

FOOD POISONING OUTBREAKS AT SCHOOL Food poisoning outbreak at school 2007-2011 is dominated by elementary schools (70-79%)

Prevention strategy • School is a place for food safety (WHO, 10 facts in food safety) • Targeted food safety for school-based programs shall be emphasized in public health initiatives (American Academy of Food Microbiology, 2010) • The National Movement of Food Sold and Consumed by School Children(FCSC): initiative of food safety for school children in Indonesia • Food safety program in schools is a strategy to prevent problem which may lead to emergency situation (e.g. foodborne disease outbreak)

PRACTICAL EXPERIENCE ON RISK ANALYSIS IN FOOD SAFETY EMERGENCY IN INDONESIA • Melamine contaminated milk powder (2008) • Cronobacter (Enterobacter) sakazakii in milk powder (2008) • Methylparaben (Methyl p -hydroxybenzoate) in instant noodle (2010) • Handling notification – Fukushima Event Nuclear Power Station Crisis (2011) 17

16 Sept 08 : First alert was received from Sept 2008 : secure website of INFOSAN in a form of sampling food INFOSAN Emergency Note products imported • Set up National Sept – Oct 08: continuously received from China, found Emergency notes. Every note received was standard based on Risk several products reviewed and forwarded to key Assessment contained • Nov 2008 – now stakeholders melamine Monitoring melamine in food product • 16 July 2012 : Ministry of Health issued maximum level of melamine in food 18

MELAMINE Maximum level of Melamine in Foods Food Maximum level (ppm) Powdered Infant Formula 1 Ready-to-eat Infant Formula 0,15 Other foods 2,5 19

Cronobacter (Enterobacter) sakazakii in milk powder (2008) 16 Feb 08 : Publication on a 23 June 08 : Seminar 28 Oct 09: Head of survey of infant formula and round table NADFC issued a decree contained E. sakazakii by discussion held to No. HK.00.05.1.52.3920 university in Indonesia raised discuss E.sakazakii on maximum limit of public concerns prevention contaminants in foods 2009 – now : Monitoring about E. sakazakii has continued • Pre-market evaluation • Post-market evaluation (food sampling, Feb - Mar 08 : sampling of production premises infant food products, inspection) showed negative result • Integrated survey : NADFC, MoH, Universities: no result 26 Feb 08 : NADFC expressed of E. sakazakii in infant that government focused on foods (2010 – 2011) possibility of microbial contamination of E. 20 sakazakii to infant formula

Maximum level of Cronobacter / Enterobacter sakazakii in infant formula Food Microbial hazards Maximum level Infant formula and infant Enterobacteriaceae negatif /10 g† medical formula Enterobacter sakazakii negatif /10 g‡ Note: † n: 10 sampels; c: 2 sampels ‡ n: 30 sampels 21

Methylparaben in instant noodle (2010) Oct 2010: pre-market 9 and 10 Oct 2010: reports evaluation documents, and mass media publication sampling and monitoring on the issue raised public result were assessed concern due to food recall in other country recognized that the instant noodle containing paraben as 11 Oct 2010 (3 cosmetic preservative months): Risk communication performed to community and stakeholders 11 Oct 2010: Press Release : inform that instant noodle in 18 Oct 2010 : Sampling of Indonesia were safe to be ketchup and instant noodles of consumed (case of different methyl paraben in Indonesia and standard applied in imported found no sample exceeding the country) maximum limit 22

Handling Notification – Fukushima Event Nuclear Power Station Crisis (2011) Mar – Sep 11 : INFOSAN INFORMATION NOTE was accepted by NCP – INRASFF, 11 Mar 11: analyzed and forwarded to Import certificates were related contact points within issued for imported 1 x 24 hours products from Japan 27 May 11: Minister of Health Mar-May 11: issued Max Level of Intensive communication Radiation Contaminant was performed to related in Foods stakeholder Food Maximum level Food Maximum level I-131 Cs-137 I-131 Cs-137 Meat 500 Baby food 50 100 Milk and processed milk 100 150 Packaged water 150 Fresh Fruit and Vegetable 1000 500 Cereals, including corn wheat 500 and barley Fish and other sea foods - 500 Other foods 500

Remember Risk Analysis Risk Management Risk Assessment Policy based Science based Risk communication Interactive and ongoing exchange of information and opinions RAS 24

RISK MANAGEMENT Hazard identification Risk management with identified issue Hazard Exposure characterization assessment Risk profile Risk Decision on characterization how to proceed No risk assessment Perform risk assessment RISK ASSESSMENT Consider results Select management options Intervention including risk communication Final management decision 25 Success of risk analysis during food safety emergencies depending on strong risk management role with risk assessment supports

RISK MANAGEMENT PROCESS  Identify & describe food safety issue PRELIMINARY RISK  Develop a risk profile  Establish broad risk management goal MANAGEMENT  Decide whether a risk assessment is ACTIVITIES necessary  Establish a risk assessment policy  Commision the risk assessment  Consider the result of the risk assessment MONITORING AND  Rank food safety issues and set priorities REVIEW • Assess the outcome SELECTION OF RISK • Review the outcome MANAGEMENT OPTIONS  Identify available management IMPLEMENTATION OF THE RISK options MANAGEMENT DECISION  Evaluate the identified management options  Select a risk management Implement the best intervention as option(s) decided (government, industry, RAS 26 consumer)

RISK MANAGEMENT PROCESS Risk management process during food safety emergency in principle is the same, BUT: Need to be quick action, more coordination centrally, usually data / knowledge lacking