Operationalising a Performance Objective with a Microbiological Criterion...

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Operationalising a Performance Objective with a Microbiological Criterion for a Risk- Based Approach prepared by Jeff Farber and colleagues, Health Canada modified and presented by Tom Ross, Tasmanian Institute of Agriculture, University of Tasmania

Transcript of Operationalising a Performance Objective with a Microbiological Criterion...

  • Operationalising a Performance Objective

    with a Microbiological Criterion for a Risk-

    Based Approach

    prepared by

    Jeff Farber and colleagues, Health Canada

    modified and presented by

    Tom Ross, Tasmanian Institute of Agriculture, University of Tasmania

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    Team Members

    Brazil o Andrea Silva

    France o Corinne Danan

    o Olivier Cerf

    India o Aditya Kumar Jain

    Canada o Jeff Farber

    o Helene Couture

    o Anna Lammerding

    o Aamir Fazil

    o Penelope Kirsch

    ICMSF o Jeff /farber

    o Marcel Zwietering

    o Leon Gorris

    o Tom Ross

    mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]

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    the main purpose of risk assessment is to

    provide support for risk management

    decisions, i.e.,

    how to minimise the risk in the most effective

    manner

    Risk Assessment

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    Principles And Guidelines For The Conduct of

    Microbiological Risk Management (MRM)

    CAC/GL 63-2007*

    3. GENERAL PRINCIPLES FOR MRM

    •PRINCIPLE 1: Protection of human health is the

    primary objective in MRM

    •PRINCIPLE 2: MRM should take into account the

    whole food chain

    • PRINCIPLE 3:…..

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    are conceptually linked to the FSO and ALOP

    therefore

    the effect of the steps in the food chain both

    before and subsequent to a PO should be

    considered in setting its value

    Performance Objectives

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    exposure assessment

    “in reverse”

    evaluate how much growth and inactivation

    could occur between production and consumption

    reduce FSO appropriately to generate the

    Performance Objective

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    The ICMSF Equation

    Ho + ΣI - ΣR ≤ FSO

    Ho = initial level of the hazard

    ΣI = total increase (growth or recontamination)

    ΣR = total reduction (inactivation or removal)

    FSO = food safety objective

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    Rearranging the ICMSF Equation

    PO ≤ FSO - ΣI(distribution/consumer) + ΣR(distribution/consumer)

    FSO = H(consumption)

    ΣI(disttribution/consumer) = total increase after production

    due to growth or recontamination

    ΣR(distribution/consumer) = total reduction after production due to

    inactivation or removal

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    manufacturin

    g

    preparatio

    n

    distribution

    and retail,

    home storage

    Setting Performance Objectives

    H1

    SR2, SI2

    H2 = PO

    H2

    SI3

    H3

    primary

    productio

    n

    processing

    H1

    H3

    SR4, SI4

    Hconsumed

    (PO = H2) ≤ FSO –SI3 –SI4 + SR4

    ALOP / no

    public

    health

    burden

    Hconsumption ≤FSO

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    manufacturing preparation public health

    burden

    distribution

    and retail,

    home storage

    Control Options

    primary

    production processing

    H1

    ALOP / no

    public health

    burden

    4

    Hconsumed ≤FSO

    H1

    SR2, SI2

    H2 = PO

    Performance Objectives – Options

    minimise H1

    minimise SI2

    maximise SR2

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    articulate outcomes that should be achieved by a

    control measure or a series or a combination of

    control measures

    i.e., specifies the required ΣR and tolerable ΣI

    Performance Criteria

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    primary

    production

    manufacturing public

    health

    burden

    distribution

    and retail,

    home storage

    Variability in Food Chains

    processing

    preparation primary

    production

    primary

    production

    processing

    processing

    distribution

    and retail,

    home storage

    distribution

    and retail,

    home storage

    distribution

    and retail,

    home storage

    distribution

    and retail,

    home storage

    preparation

    preparation

    preparation

    preparation

    ALOP / no

    public health

    burden

    FSO

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    CCFH drafting group - Example 5A: Base Document: Operationalising a

    Performance Objective with a Microbiological Criterion for a Risk-Based

    Approach

    Purpose

    Who should establish a PO and who should apply it

    Point in the food chain where the MC is applied

    Establishment and implementation of an MC in relation to

    a PO

    Assumptions/decisions to be made for the establishment of an MC

    Sampling plan

    Organism(s) of concern

    Method(s) of analysis

    Interpretation of results

    Actions in case of non-compliance

    Other practical aspects

    Reference documents

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    Purpose

    A performance objective (PO) is a risk-based metric that allows government risk managers and food business operators to specify quantitatively, the required stringency of a food safety management system at a particular point in a food supply chain in consideration of the other control measures used in the food safety management system

    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

    Establishing a microbiological criterion (MC) is one way to see if the PO has been met, i.e., is one way to “operationalise” the PO

    Develop case scenarios (following the general approach described in the base document), to illustrate how one can derive an MC from a PO or from an FSO

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    Who should establish a PO and who should apply it?

    A PO can be derived from a health target (e.g., ALOP) or a food safety objective (FSO) developed by a competent authority

    Can also be established on the basis of a quantitative risk assessment developed for the relevant pathogen in a particular food for/by a competent authority

    Food business operators can establish a PO on the basis of either an FSO set by a competent authority, or an evaluation (usually quantitative) of a hazard in the part of the food supply chain for which they are responsible

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    At what point in the food chain can a PO be established ?

    A PO can be established at any point in a food supply chain (other than at the point of consumption)

    Thus, one can have a PO for raw materials, ingredients, partial and final products within primary production, manufacture, distribution, as well as for products on the market and in foodservice operations

    An MC established based on a PO, relates to the corresponding point in the food supply chain and may serve to verify by microbiological analysis whether the PO is met

  • MRM Metrics Framework

    ALOP/FSO

    Product

    Step D

    Step A

    Step B

    Step C

    Agricultural Commodity

    PO

    MC PC PO

    MC PC

    Food Consumed

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    Establishment and implementation of an MC in relation to a FSO/PO A. Assumptions/decisions to be made for the establishment of an MC

    Firstly, an assumption must be made regarding the distribution of

    the pathogens in the lot of food

    If no available data, a log-normal distribution is assumed, with a

    default value of the standard deviation (SD):

    o SD of 0.2 log10 cfu/g for foods with a “homogenous” distribution of microbes

    (e.g., liquids with a degree of mixing)

    o 0.4 log10 cfu/g for foods with “intermediate homogeneity” (e.g., ground semi-

    solids)

    o 0.8 log10 cfu/g for foods that are not homogenous (e.g., solid foods)

    In certain cases, even greater non-homogeneity could occur, e.g., if

    clumping occurs or if the contamination is restricted to surface

    contamination of a food

  • -5 -4 -3 -2 -1 0 +1

    Log (CFU/g)

    0.0

    0.1

    0.2

    0.3

    0.4

    0.5

    Pro

    ba

    bil

    ity d

    en

    sit

    y

    Food product has a log-normal distribution of pathogen “concentrations”

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    Assumptions/decisions to be made for the establishment

    of an MC (cont)

    The second requirement is to define the ‘‘maximum frequency and/or concentration” of the hazard that will be used to specify the PO

    This would include what proportion (e.g., 95%, 99%, 99.9%, etc.) of the distribution of possible concentrations must satisfy the test limit, so that the PO is met

    There are two limits: o x% of the distribution in the lot is above a PO

    o test limit, m, that is the limit for a sample unit analyzed

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    B. Sampling plan

    The sampling plan appropriate to assess an MC depends on the specific situation for which the PO is established.

    Therefore, a PO can be set as:

    A frequency (prevalence) limit (independent of concentration of the hazard

    A concentration limit (independent of frequency), or

    A limit for concentration and frequency (e.g., 99% confident that the mean log CFU/g is

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    G. Other Practical Aspects

    Random sampling is often not possible and in these cases, the

    calculations and interpretations of pathogen testing data may have only

    limited value

    In simple terms, what this means is that a positive finding (i.e.,

    presence of a pathogen means something, while a negative one means

    very little

    Even when the necessary data are available to allow statistical

    interpretation of the test results, the number of samples needed to

    obtain a meaningful result may be too large to be practical

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    Summary - FSO/PO/MC

    FSO is means of relating stringency of the entire farm-to-table system to public health outcomes

    PO is the primary means for establishing the level of control needed at a specified step in the food chain

    MC is a means of verifying that a PO is being achieved

    FSO

    Food Consumed

    Product

    PO

    MC

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    Three Case Studies

    Example 1: Deriving an MC from a PO that is set as a

    numerical limit to the concentration of a pathogen

    Example 2: Deriving an MC from a PO that is set as

    the limit to the prevalence or proportion of a

    microorganism

    Example 3: Deriving an MC from an FSO for a

    product supporting growth of the target pathogen

    between PO and FSO

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    Example 1: Deriving an MC from a PO that is set as an actual limit to the number of a microorganism

    PO established at a specific point in the value chain (i.e., pathogen level of ≤ 4 log cfu/g for 99.5% of the products in the batch)

    Establish/decide on the concentration distribution in batch/lot and the standard deviation of the pathogen

    concentration (i.e., lognormal; s.d. 0.8 log cfu/g)

    Calculate a mean log concentration of the pathogen such that this batch/lot just complies

    with the PO (i.e., 1.94 log cfu/g)

    Decide on the microbiological limit m for the sampling plan of the MC (i.e., m = 2 log cfu/g)

    From this follows how many samples would be needed to achieve the selected probability of rejection

    (i.e., n = 5)

    Decide on the probability with which a non-compliant batch/lot should be rejected

    (i.e., > 95% confidence)

    Calculate what the probability is for ‘n’ samples to be negative for a just compliant batch/lot

    (i.e., n = 1, 53% up to n= 8, 0.6%)

    1 2

    3

    5

    4

    6 MC: suitable sampling plan parameters m and n (i.e., m = 2 log cfu/g and n = 5)

    (Figure 1.2)

    Example 1: Deriving an MC from a PO that

    is set as an actual limit to the number of a microorganism

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    The role of the PO for lot acceptability

    and the m for sample acceptability

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    Regarding the choice of m, the following m and n values would give

    alternative designs of the sampling plan that can detect/reject non-

    compliant lots with the same confidence:

    m n

    (cfu/g) (log cfu/g)

    4 0.60 1

    19 1.28 2

    100 2 5

    500 2.7 16

    1000 3 31

    1738 3.24 57

    The m values of 0.60 or 1.28 log cfu/g would be constrained by the method

    for microbiological enumeration (e.g., by sensitivity, accuracy, standard deviation),

    while m values of, e.g., 2.7 log cfu/g and higher, would require a very large number

    of samples to be analyzed.

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    Example 2: Deriving an MC from a PO set as the limit to the prevalence of a microorganism

    From this follows the number of samples that would need to be taken to achieve the selected

    probability of rejection (i.e., n = 29)

    Decide on the probability with which a non-compliant batch/lot should be rejected

    (i.e., >95% confidence)

    Calculate what the probability is for ‘n’ samples to be negative given the PO (i.e., n = 1, 90% up to n=30, 4.2%)

    1

    2

    3

    MC: suitable sampling plan parameter n (i.e., n = 29; testing for prevalence)

    PO established at a specific point in the value chain (i.e., ≤10% of carcasses in a batch/lot are tolerated to be positive for the target

    pathogen using enrichment and testing 10-g neck skin samples after chilling)

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    Example 3: Deriving an MC from a FSO for a

    product supporting pathogen growth between PO and FSO

    Establish/Decide on the concentration distribution in the batch/lot and the standard deviation of the pathogen

    concentration at the point of the FSO (i.e., lognormal; s.d. 1.112 log cfu/g)

    Decide on the microbiological limit m for the sampling plan of the MC (i.e., m = 0, in 25g samples)

    From this, follows how many samples would be needed to achieve the selected probability of rejection (i.e., n = 15)

    Decide on the probability with which a non-compliant batch/lot should be rejected(i.e., >95% confidence)

    1 2

    3

    5 4

    7 MC: suitable sampling plan parameter n

    (i.e., n = 15; testing for presence/absence)

    FSO established at the point of consumption (i.e., ≤0.2% of products have a pathogen concentration >100 cfu/g)

    Calculate a mean log concentration so that the distribution with this mean log concentration and standard deviation

    complies with the FSO(i.e., -1.2 log cfu/g )

    6

    Calculate what the probability is for ‘n’ samples to be negative for a just compliant batch/lot (i.e., n = 1, 18.5% up to n=15, 95.4%)

    Derive a suitable mean log concentration and standard deviation of the distribution at the PO from the mean log concentration and standard deviation at consumption complying to the FSO (i.e., -2.5 log cfu/g; s.d. 0.8 log cfu/g)