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Webinar: Assessment of the risk of human salmonellosis associated with the consumption of tree nuts. Monday, July 22 nd 12 – 1 pm ET. Webinar outline: Today’s webinar will contain 3 parts . Today’s webinar content: Welcoming remarks
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Webinar: Assessment of the risk of human salmonellosis associated with the consumption of tree nuts Monday, July 22nd 12 – 1 pm ET
Webinar outline: Today’s webinar will contain 3 parts Today’s webinar content: • Welcoming remarks • Risk assessment plans, Federal Register notice, and data gaps • Questions and Answers
Webinar outline: Today’s webinar will contain 3 parts Today’s webinar content: • Welcoming remarks • Risk assessment plans, Federal Register notice, and data gaps • Questions and Answers
Webinar outline: Today’s webinar will contain 3 parts Today’s webinar content: • Welcoming remarks • Risk assessment plans, Federal Register notice, and data gaps • Questions and Answers
Introduction: The interdisciplinary risk assessment team The risk assessment team (in alphabetical order): • Karin Hoelzer (FDA/CFSAN/OAO) – project lead / modeling • Rhoma Johnson (FDA/CFSAN/OFS) – tree nut industry knowledge • John W. Larkin (FDA/CFSAN/OFS) – performance standards • Haiping Li (FDA/CFSAN/OFS) – microbiology / predictive modeling • Regis Pouillot (FDA/CFSAN/OAO) – mathematical modeling
Outline: Today’s webinar covers these topics • Background & Rationale • Reasons for conducting the risk assessment • Risk assessment approach & methodology • Risk assessment approach • Key risk assessment model parameters 3. The Federal Register notice • FR notice content & identified data gaps • Process for submitting data & comments 4. Questions & Answers 5. Closing remarks
Outline: Today’s webinar covers these topics • Background & Rationale • Reasons for conducting the risk assessment • Risk assessment approach & methodology • Risk assessment approach • Key risk assessment model parameters 3. The Federal Register notice • FR notice content & identified data gaps • Process for submitting data and comments 4. Questions & Answers 5. Closing remarks
Rationale: Salmonella contaminated tree nuts are a concern • Outbreaks of salmonellosis have occurred, e.g.: • Raw almonds (2000/2001 & 2003/2004) • Pine nuts (2011) • Desiccated Coconut (1999) 2. Product has been recalled due to Salmonella contamination, e.g.: • Pistachios (2009/2010) - Pine nuts (2011) • Walnuts (2010) - Macadamia nuts (2013) • Hazelnuts (2009, 2013) 3. Salmonella has been isolated from product during surveys, e.g.: • Almonds - Macadamia nuts • Cashew nuts - Walnuts • Brazil nuts - Pistachio nuts • For references: please see Federal Register Notice or contact the presenters
Outline: Today’s webinar covers these topics • Background & Rationale • Reasons for conducting the risk assessment • Risk assessment approach & methodology • Risk assessment approach • Key risk assessment model parameters 3. The Federal Register notice • FR notice content & identified data gaps • Process for submitting data and comments 4. Questions & Answers 5. Closing remarks
Risk assessment: Tree nuts that may be considered The risk assessment may consider all / some of the following nuts: • The tree nut varieties consumed in the U.S. • Domestically produced & imported tree nuts • Tree nuts treated / not treated to reduce microbial contamination As detailed in the FR notice, we would appreciate comments on: • The types of tree nuts to evaluate in the risk assessment • The types of tree nuts that enter the U.S. market ‘untreated’
Risk assessment: The risk Assessment Framework Conduct & Manage Process Step 1: Commission Step 2: Data collection & evaluation Step 3: Develop model/report Step 4: Review & clearance Step 5: Issue
Risk assessment: Choosing a quantitative approach • We anticipate the following model outputs: • Expected number of cases / serving or cases / year • Quantified impact of interventions through “what-if scenarios” • Model likely based on peer-reviewed risk assessment models: • e.g. Lambertini et al., 2012 (developed for U.S. almonds) • Plan to evaluate product pathway: harvest to consumption • Expected extensions beyond currently published models: • Adaptation to consider other tree nuts in addition to almonds • Quantification of uncertainty • Sensitivity analysis
Salmonella prevalence atharvest Salmonella concentration atharvest Risk assessment: Proposed model outline Pre-processstorage Post-harvest treatment Post-processstorage Retail storage Consumer home storage Serving size Dose-Response model Number ofservings Risk of illness per annum & risk per billion servings
Risk assessment: Data needs for modeling • Salmonella prevalence & concentration on tree nuts • Salmonella survival & inactivation on tree nuts during storage • Salmonella inactivation through post-harvest treatments • Salmonella dose-response relationships (we currently plan to use published Salmonella dose-response models) • Tree nut consumption in the U.S.
Outline: Today’s webinar covers these topics • Background & Rationale • Reasons for conducting the risk assessment • Risk assessment approach & methodology • Risk assessment approach • Key risk assessment model parameters 3. The Federal Register notice • FR notice content & identified data gaps • Process for submitting data and comments 4. Questions & Answers 5. Closing remarks
Data Gaps I: Salmonella Contamination Model inputs: Prevalence & concentration of Salmonella at harvest • Data at any stage of the farm-to-fork continuum useful • Possible to infer contamination at harvest (if meta-data available) ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- In the FR notice, we are requesting the following types of data: • Prevalence of Salmonella in different tree nuts, with data specifying: • Prior handling (e.g., storage, processing treatment) • Test method; sampling protocol • Size of the analytical unit; number of samples tested & number positives • Concentration of Salmonella in tree nuts: • Same information as for prevalence • Raw data in unaggregated form (e.g., MPN patterns) • Data based on tree nut lots that were / were not associated with outbreaks
Salmonella prevalence atharvest Salmonella concentration atharvest Model parameters II: Salmonella Survival & Inactivation Pre-processstorage Post-harvest treatment Post-processstorage Retail storage Consumer home storage Serving size Dose-Response model Number ofservings Risk of illness per annum & risk per billion servings
Data Gaps IIa: Salmonella Survival & Inactivation Model inputs:Salmonella inactivation during storage • Survival & inactivation kinetics impact several model parameters • Survival & inactivation kinetics depend on storage conditions ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- In the FR notice, we are requesting data / models to address the following: • Differences in Salmonella growth / survival / inactivation among tree nuts: • Effect of nut composition, water activity, etc. • Impact of typical processing, handling and storage conditions • Other factors as applicable • Differences in Salmonella growth / survival / inactivation farm-to-fork: • Effect of relative humidity, temperature, etc. • Differences due to geographic regions, season, etc. • Difference in Salmonella growth / survival / inactivation in complex foods: • Behavior of Salmonella in foods that contain tree nuts as ingredients
Data Gaps IIb: Nut Storage, Handling & Processing Model input:Salmonella inactivation during storage • Storage conditions are important to model inactivation kinetics ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- In the FR notice, we are requesting the following related data: • Typical tree nut storage conditions (from harvest to consumption): • Storage times / temperatures / relative humidity • Differences in storage conditions among tree nuts • Expected impacts on Salmonellaconcentrations • Typical consumer handling practices • Types of handling practices & typical handling conditions • Expected impacts on Salmonella concentrations
Salmonella prevalence atharvest Salmonella concentration atharvest Model parameters III: Post-harvest treatment efficacy Pre-processstorage Post-harvest treatment Post-processstorage Retail storage Consumer home storage Serving size Dose-Response model Number ofservings Risk of illness per annum & risk per billion servings
Data Gaps III: Post-harvest Treatments Model input:Salmonella inactivation during post-harvest treatments • Treatments may differ in efficacy across tree nuts --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- In the FR notice, we are requesting data / models to address the following: 1. Typical treatments to reduce bacterial contamination: • Types of treatments & frequency of applying these treatments • Differences in treatment among tree nuts • Exact treatment conditions • Efficacy of treatments in reducing contamination with Salmonella
Salmonella prevalence atharvest Salmonella concentration atharvest Model parameters IV: Tree nut consumption Pre-processstorage Post-harvest treatment Post-processstorage Retail storage Consumer home storage Serving size Dose-Response model Number ofservings Risk of illness per annum & risk per billion servings
Data Gap VI: Consumption Data Model inputs: Serving sizes & consumption frequency • Consumption data by population subgroup & tree nut type (e.g., variety) -------------------------------------------------------------------------------------------------------------- In the FR notice, we request the following related data: • Consumption practices (i.e., frequency & serving size) in the U.S.: • Consumption by population subgroups (e.g., adults, the elderly etc.) • Consumption of tree nuts in different processing forms: - Raw (i.e., no treatment to reduce bacterial contamination) - After undergoing treatments to reduce bacterial contamination - After the consumer applied treatments that may reduce contamination • Other consumption-related data
Federal Register Notice: Logistics (see also FR notice) Federal Register notice can be accessed at: https://www.federalregister.gov/ Submission of data and comments to the docket: • Submissions must be received by 10/16/2013 • Comments must be submitted to the docket to receive full consideration • Submit electronic comments & scientific data and information to http://www.regulations.gov • Submit written comments and scientific data and information to the Division of Dockets Management (HFA–305), Food and Drug Administration, 5630 Fishers Lane, rm. 1061, Rockville, MD 20852
Federal Register Notice: Content of the FR notice • Background • Request for Comments, Scientific Data and Information: • Salmonella prevalence & concentration on tree nuts • Salmonella survival, growth or inactivation dynamics • Relevant food consumption practices in the U.S. • Storage, handling and processing conditions • Other comments (e.g., types of tree nuts to include) • More details are provided for each topic (as discussed today) • Instructions for submission of comments & data • References
Webinar outline: Today’s webinar will contain 3 parts Today’s webinar content: • Welcoming remarks • Risk assessment plans, Federal Register notice, and data gaps • Questions and Answers
Questions & Answers: We invite clarifying questions about: • Rationale for conducting the risk assessment • Risk assessment scope & approach • Data gaps & request for data and information • Logistics of data submission