Foodfocus Te P o u O r a n g a K a i o A o t e a r o a Kai time – food safety on the Marae Is it safe? A risky calculation Dinner diving dangers FBI under surveillance June 2009 Foodfocus Cover: Whaea Donna Richards welcomes Andrew McKenzie to Turangawaewae Marae Contents Features 12 FBI under surveillance 10 Kai time – food safety on the Marae 12 Dinner diving dangers 14 Is is safe? A risky calculation 16 Regular columns 14 2 16 19 1 In focus: Pasifika and Food Shows 2 – Neudorf’s winning whey 3 NZFSA News: Canada-NZ: ranking FBI risk 4 – A matter of policy 4 Science: Strategy to reduce foodborne salmonellosis 5 Campylobacter: Study provides some surprises 6 International trade: Off to market – negotiating FTAs 8 NZFSA News: Beekeeper stung by fine 9 – NZFSA’s turkey appeal upheld 9 Foodsafe Partnership: New Foodsafe Partnership strategy 18 – FBI case files coming to your school 18 Food safety: Hot tips for a safe sausage sizzle 19 – Tasty treat with a nasty bite 19 – Not berry nice 19 Fact sheet: Intense food sweeteners 20 FBI: A pain in the gut – E.coli O157:H7 21 Every effort has been made to ensure the information in this publication is accurate. In Focus: ACVM under the spotlight 22 NZFSA does not accept any responsibility or liability whatsoever for any error of fact, omission, interpretation or opinion that may be present, however it may have occurred. DFR: FCPs working well, councils say 24 – Food safety in 5 languages 24 NZFSA Publications 25 21 22 Food Focus is a publication of the New Zealand Food Safety Authority. It is published three times a year and widely distributed. For more information, or editorial enquiries about Food Focus please contact Elspeth McIntyre, Senior Advisor (Communications) on 029 894 2608 or email [email protected] For subscription enquiries or changes to your subscription details, please contact Elspeth McIntyre, as above. New Zealand Food Safety Authority PO Box 2835 86 Jervois Quay, Wellington, New Zealand Phone 04 894 2500 Fax 04 894 2501 Editorial IMPORTANT DISCLAIMER Foodfocus Editorial “NZFSA is committed to engaging with any community which has identified food-related risks, to improve its food safety and nutritional practices.” One of NZFSA’s chief strategic objectives is to engage with communities with identified food risks, and to provide sound science-based advice on safe food practices and nutrition to support better health. To do this, NZFSA staff are forging links with different communities to find practical and achievable ways of reducing food-related risks. As an organisation, we are committed to the guiding principles of partnership, protection and participation. We are aiming for culturally appropriate outcomes and are using a variety of media to get the message across. Community groups with information gaps on food safety are identified in a variety of ways. It could be that, as in the case of our 2005 Umu Pasifika project, a community representative takes the initiative and approaches NZFSA to look into a community’s needs. Or, it might be that other regulators working in food recognise a need and make a suggestion to us. Te Kai Manawa Ora, the Marae Food Safety Guide we‘ve just launched, and which is the subject of this issue’s cover and pictorial feature, was written in response to requests for further information from whanau, hapu and iwi after the release in 2004 of NZFSA’s Hangi Guide. From NZFSA’s perspective, Te Kai Manawa Ora is a significant milestone in our ongoing efforts to provide science-based food safety information in the non-regulatory environment. We’re all very proud of this latest publication. Te Kai Manawa Ora is an attractive 105-page booklet bringing together the most up-to-date scientifically robust food safety information in a culturally appropriate way. It’s designed to provide Marae cooks and their helpers with sound, practical advice for catering for large numbers of diners. It incorporates food safety information on a range of traditional Maori food practices including hangi and gathering foods such as puha and shellfish. The launch was an impressive affair at Turangawaewae Marae, one of New Zealand’s most prestigious Marae and the ancestral home of Kingi Tuheitia. The welcome we received from the people of Turangawaewae was humbling and we were gratified by the positive reception the new resource received. After a long period of development, all those involved can be proud of the outcome. The next priority will be to publicise the guide and help all Marae use it. NZFSA is committed to engaging with any community which has identified food-related risks, to improve its food safety and nutritional practices. Andrew McKenzie June 2009 1 IN FOCUS Foodfocus NZFSA at Pasifika Foodsafe Feleti with friend at Pasifka 2009 The New Zealand Food Safety Authority’s (NZFSA’s) 2009 show schedule kicked off at the Pasifika festival in Auckland. Over 200,000 attendees braved the rainy weather to attend the Pasifika festival at Western Springs Park in March. Pasifika is the South Pacific’s largest Pacific Islands community event with 150 stalls selling Pacific Island food – from fresh coconuts and mangoes to food prepared and cooked in the traditional umu or lovo. NZFSA staff had a busy day handing out fridge magnets, stickers and brochures to festival-goers to remind people of our food safety messages – Clean, Cook, Cover, Chill. We were helped by our Pacific Island mascot Foodsafe Feleti who is always a big hit with younger visitors to the festival. Food safety message taken to food shows Consumer enquiries advisor Kelly McKenzie talks to visitors at the Christchurch Food Show NZFSA’s busy events schedule includes attending food shows around the country. One effective way for NZFSA to get the food safety message out to consumers is to have a stand at annual food shows. It’s a great way of connecting directly with the person who does most of the buying, storing, preparing and cooking of food at home, or with food business operators. The first food show for the year, in early April, saw NZFSA communications and technical staff in Christchurch, and then in Wellington in May. Hundreds of magnets and balloons were given away to children while their parents picked up information from NZFSA’s stand. A new booklet Food Safety in the Home and our brochure Healthy eating checklist were very popular, and received many positive comments from consumers. All NZFSA’s publications are available free of charge. Call freephone 0800 693 721 or email [email protected]. Most of our consumer publications can be downloaded from our website. See www.nzfsa.govt.nz and click on the green Consumer tab and look for a topic that interests you, or go directly to the dark blue tab titled All Publications. NZFSA will be at the Auckland Food Show during the first weekend in August so drop in to say hello. 2 June 2009 IN FOCUS Foodfocus Neudorf Dairy head cheesemaker Fiona Guyan slices up some of the company’s award-winning Rawhide cheese at the Nelson Farmer’s Market Neudorf’s winning whey A cheese company that controls production from the paddock to the plate has scooped the New Zealand Food Safety Authority’s new cheese award. Neudorf Dairy’s Rawhide sheep’s milk cheese was named the New Zealand Food Safety Authority Champion New Cheese at the Cuisine New Zealand Champion of Cheese awards. Entrants had to show they complied with relevant food safety laws. Judges then selected the category winner based on the cheese’s aroma, flavour, texture and body, appearance and rind development. Brian and Sharon Beuke have been farming sheep on their picturesque 380 hectare property near Upper Moutere, Nelson for over 35 years. They got into cheesemaking in 2005 - building a purpose-built factory onsite - after the cheesemaker they supplied milk to shut up shop. Head cheesemaker Fiona Guyan joined the company in late 2005, having spent seven years learning the trade on European farms. She had only ever made one batch of sheep’s milk cheese before starting work at Neudorf, but was quickly converted. “It’s much thicker and creamier than cow’s and goat’s milk and has a higher proportion of milk solids, which reduces the making time,” she says. “It also has a lovely sweetness and a beautiful yellow colour that gets deeper and deeper with age.” On a good day, Neudorf Dairy’s 600 East Friesian sheep produce about 500 litres of milk, which is pumped into the factory, pasteurised and made into one of six varieties of cheese. Soft cheeses can be eaten the next day, but some of the harder cheeses are kept in a ripening cellar for a little over two years before they are ready. The young company has had a golden run. In addition to the NZFSA Best New Cheese award, Neudorf Dairy has won best washed rind cheese in 2006 and 2007, and sheep’s milk cheese in 2008, along with six gold medals and one silver medal at various Champion of Cheese awards. Fiona says the semi-firm Rawhide cheese, which is sold at Nelson’s Saturday markets, speciality cheese shops, and cafes and restaurants throughout the country, is aged for six months and has a hard, stonecoloured rind and smooth, creamy centre. “I’d serve it with something simple, some fresh crusty bread and grapes or sliced pears. It has a very subtle flavour which you don’t want to mask.” Fiona says having the farm onsite means she and her two assistants have greater control over every stage of production, from paddock to plate. The company changed hands since the awards ceremony, with husband and wife team Michael Smith and Barbara Hewitt taking over the reins. Michael is keen to continue Neudorf Dairy’s success, and increase production - still using milk provided by the Beukes’ herd of sheep. She says the idea of milking sheep is still very new to Kiwis, and the lower milk yield stops more people from producing sheep’s milk products. “We want to retain the high quality product, get the sheep’s milk volume up and start looking at other cheese varieties as well,” he says. Control from paddock to plate June 2009 3 NZFSA NEWS Foodfocus Canada-NZ: ranking FBI risk NZFSA’s science group learned more about Canada’s system for ranking foodborne illness risks with a visit from Guelph University professor Valerie Davidson. Professor Davidson has been working with the Public Health Agency of Canada, Health Canada and the University of Massachusetts on a risk-ranking system which considers four factors that may be important to risk managers: public health, consumer perceptions of risks and acceptance, market impacts, and social sensitivity. NZFSA’s system focuses principally on public health implications and potential food sources. NZFSA’s principal adviser on public health, Donald Campbell, says despite the different approaches, there are several areas of overlap between Canadian and New Zealand risk-ranking systems. For example, both organisations use a tool called Disability Adjusted Life Years to quantify the impact of foodborne pathogens on public health. This was developed by NZFSA and adopted by Canada. Also, the protocols involved in NZFSA’s 2007 Acute Gastrointestinal Illness Study, which used phone surveys to gain a better understanding of the size of the foodborne illness problem in New Zealand, were modelled on a Canadian study. NZFSA’s science group and the Canadian organisations will continue to work closely on a variety of international food-related projects, primarily through the International Collaboration on Enteric Disease Burden of Illness Studies. Professor Valerie Davidson of Guelph University, Canada A matter of policy The New Zealand Food Safety Authority (NZFSA) is updating and overhauling the policy statements on its website so consumers and industry have easier access to a succinct summary of the national food regulator’s position on a range of important or topical food safety issues. Policy director Carole Inkster says ensuring concise, clear policy statements are available upfront provides consumers with clarity about food safety issues and certainty for business. “Each statement links to comprehensive background documents for anyone who wants more detailed information on the rationale behind the policies we’ve adopted.” standards as being of equivalent to their own in terms of the food safety outcomes they want, so that costs to food producers who export are kept as low as possible. “NZFSA’s policies directly link to its mandate of protecting consumers of New Zealand food, whether here or overseas,” Carole says. NZFSA’s existing policy statements cover a range of food safety issues, such as organics, wild food, and market access and official assurances. Other policy statements are being revamped and a further 10 policy statements are being developed on subjects ranging from NZFSA’s participation in international forums to the role and importance of ‘equivalence’ – where countries accept each others rules and NZFSA’s policy statements are on www.nzfsa.govt.nz under ‘Policy & Law’. “Over time the format, content and length of our policy statements has varied, depending on the topic and who we were trying to reach. We’ve decided to make all the policy statements more succinct, more readable and more consistent. 4 June 2009 SCIENCE Foodfocus Strategy to reduce foodborne salmonellosis Salmonella is recognised as one of the three most important foodborne pathogens in New Zealand, second only to Campylobacter. Illness due to salmonellosis is estimated to cost New Zealand around $2.8 million a year. That’s why NZFSA has earmarked this disease as one of its key strategic priorities and devised a strategy to reduce its incidence. NZFSA’s Salmonella Risk Management Strategy spells out a specific programme of work for the next year. Just a single bacterium of Salmonella lodged in the wall of your intestine is enough to make you sick. It acts quickly. If you have salmonellosis, you will probably suffer nausea, vomiting, abdominal cramps, diarrhoea, fever, and headache within 72 hours. The discomfort usually lasts between one to seven days but in more severe cases it can go on for up to 10 days. Most Salmonella infections resolve themselves and don’t usually require treatment other than lots of fluids and rest. In a small proportion of cases salmonellosis can lead to septicaemia and sometimes death. People most at risk from salmonellosis include the very young, the frail elderly or people with low immunity due to chronic illness or recent major surgery. NZFSA’s strategy focuses on non-typhoid Salmonella because it is fairly common in the environment and can sometimes be found on food. There are also typhoid and paratyphoid strains of Salmonella. These are rare in New Zealand and, while they can be spread by infected food handlers, the most common sources of infection are by water, such as drinking untreated water or eating shellfish collected from contaminated areas. While there is anecdotal evidence to suggest that non-typhoid Salmonella may come from a variety of sources, lack of scientific data is a problem. The early stages of the strategy will focus on gathering information from a wide range of domestic food sectors and imported foods to try to identify the main sources of the disease. This information will provide a sound scientific basis for pinpointing where in the food chain we can take action to reduce or stop the disease developing. NZFSA has three strategic goals in relation to non-typhoid Salmonella: 1. to achieve a 30% reduction in reported annual incidence of foodborne salmonellosis after five years 2. to detect and control exotic versions of Salmonella that are known to be more virulent and/or have multiple antibiotic resistance, and so require specific risk management strategies 3. to support market access by having in place robust systems to control the presence and level of Salmonella in food produced in New Zealand. The strategy will be updated annually, building on the knowledge we gain as we progress. The Salmonella Risk Management Strategy 2009 – 2012 and other information on Salmonella is available on our website www.nzfsa.govt.nz June 2009 5 CAMPYLOBACTER: NZFSA’S STRATEGY IN ACTION Foodfocus Campylobacter study provides some surprises When going to war it pays to know as much as possible about your enemy. Recently released research has given NZFSA and the poultry industry valuable information to use in the battle against Campylobacter – a bacteria which causes campylobacteriosis in thousands of New Zealanders each year. The New Zealand Food Safety Authority (NZFSA) funded study conducted by Massey University and MidCentral Health in the Manawatu looked at people who fell ill with campylobacteriosis over a three year period (March 2005 – February 2008). It established how many of them got sick because of something they ate and how many got sick from environmental sources, such as contaminated water or person-toperson transmission. probably the most detailed look anyone has had worldwide at source attribution of campylobacteriosis. It has provided some surprising findings. NZFSA public health principal advisor Donald Campbell says the study is It was also surprising to discover that a particular Campylobacter strain (ST-474) that “The proportion of cases that were attributed to consumption of poultry meat came out at around 75% and that was higher than we expected. Up until now we had worked off a figure of 60% based on earlier studies New Zealand’s monthly campylobacteriosis cases 2,500 2,000 2005 2006 2004 Cases 1,500 1,000 2008 2007 2009 500 0 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Source: ESR 6 June 2009 CAMPYLOBACTER: NZFSA’S STRATEGY IN ACTION Foodfocus is relatively rare internationally was responsible for a quarter of the annual cases of people getting sick here. “This leads us to ask: is this a different organism? Are people perhaps more likely to get sick from this strain than other ones?” Donald says. Most other cases of campylobacteriosis recorded in the study were attributed to sheep and cattle. Donald says the animal strains were far more dominant in people from rural areas, especially children, than city dwellers and work is likely to go ahead to determine whether this is caused by environmental factors, such as animal contact and occupation. “It might very well be a health promotion campaign that is needed to address this issue rather than a food safety initiative.” Figures showed a small number of people got sick from environmental sources such as water and birds. 75ºC Poultry Minced meat and sausages No pink should be visible New recipe for cooking poultry 65ºC Fish For years the New Zealand Food Safety Authority has been advising consumers not to be chicken about meat safety. Heat kills harmful bacteria, so it is important that meat and poultry is properly cooked to avoid getting sick from any bugs that might be on the raw meat. NZFSA has recently reviewed and lowered the temperature it advises people cook poultry to. The recommendation is now 75°C. Research guiding the way forward The data from the study has been a valuable tool in NZFSA’s discussions with the poultry industry because the findings have been able to inform and demonstrate where the problem is. NZFSA’s microbiology principal advisor Roger Cook says this new advice has come out of a comprehensive study looking at the heat sensitivity of Campylobacter and the time/temperature combinations needed to kill off the bacteria. “It also gives a tool for evaluating the work that has already been happening with our Campylobacter Risk Management Strategy to combat the problem and it confirms that we are definitely on the right track.” “Campylobacter is just a normal everyday bug and so it is easy to kill off. But because chicken consists of lots of muscle bundles and there are different crevices that the bacteria can get into and hide in, people have said ‘maybe we need to increase the temperature it needs to be cooked to so we are absolutely certain bacteria are killed off’.” There was a small decline in the proportion of campylobacteriosis cases attributable to consumption of poultry meat in the final year of the three-year study. Interestingly, the national surveillance figures show a gratifying drop of almost 50% of human cases in 2008, Donald says. Over the years people involved with food safety have adopted this precautionary approach and added a safety margin by increasing the recommended temperature by a few degrees. Dr Cook says that although it is widely acknowledged that undercooked chicken is one factor leading to campylobacteriosis in New Zealand, recommending a cooking temperature that is higher than necessary doesn’t give consumers extra protection; it merely leads to overcooking. “We’re waiting to see if this is just a blip or a sustainable trend. We have had swings before but not as large, so it looks promising.” The study has provided a valuable way to monitor where the numbers are dropping off, which has prompted ongoing work seeking to understand what has caused this decline. Donald says the model used in this research has worked well. “We are keen to use this for other diseases – such as salmonellosis and E. coli O157:H7 infection – and we are currently deciding where to focus on next.” The study on recommended cooking temperatures has also looked at how to kill off other harmful bacteria commonly found in meat and poultry, such as Listeria, Salmonella and E. coli O157:H7. While the recommended cooking temperature for poultry has changed, NZFSA’s other safety tips remain the same: • Always defrost poultry in the fridge and not the bench where harmful bacteria can multiply quickly. • Place poultry in the bottom of the fridge, where juices won’t leak on to and contaminate other foods. • To get an accurate reading of the temperature, use a meat thermometer. Insert it into the breast, which is the thickest part of the bird, taking care not to touch the bone. • When cooking a stuffed chicken or turkey, the centre of the stuffing must reach 75°C. June 2009 7 INTERNATIONAL TRADE Foodfocus Off to market – negotiating free trade agreements Better market access through free trade agreements is being touted by many commentators as the way forward in the face of the world economic slowdown. There is optimism that removing trade barriers under free trade agreements (FTAs) will open up overseas market opportunities for New Zealand businesses, create jobs, and cushion New Zealand exporters from the current crisis facing the global economy. New Zealand Food Safety Authority (NZFSA) market access director Tony Zohrab says the value of free trade agreements is that they allow New Zealand’s voice to be heard by its trading partners and provide a framework for ongoing trade cooperation. “FTAs give us a vehicle and framework for cooperation into the future. They identify who we need to talk to on the rules affecting trade in food. They allow both parties to describe exactly what they understand or mean by ‘equivalence’ and record mutually agreed rules relating to food safety and animal or plant health. The aim is to provide transparency and commercial certainty. And, they provide an opportunity 8 June 2009 to talk and inject our ideas in advance of our trading partners finalising their import rules. team draws on NZFSA colleagues with scientific or technical expertise as needed. “This kind of ‘foot in the door’ is crucial in terms of our long-term strategic trade relationships.” World Trade Organization (WTO) rules on food safety and animal and plant health standards are set out in the Sanitary and Phytosanitary Measures (SPS) Agreement. NZFSA, MAF and Biosecurity NZ are New Zealand’s expert bodies on SPS requirements and rules. New Zealand signed two free trade agreements in the past year, one with China in April 2008 and one in February 2009 with Australia and the 10 Asian countries making up the Association of South East Asian Nations (ASEAN). Another five FTAs are either under negotiation or expected to start in the next 12 months: with the Gulf Cooperation Council (GCC) which represents six Middle Eastern countries; Malaysia; Korea; India; and the trans-Pacific Partnership, formerly known as the P4 which includes New Zealand, Chile, Singapore, and Brunei and which may be expanded to include Peru and the United States. NZFSA’s role in trade NZFSA supports Ministry of Foreign Affairs and Trade negotiations with technical expertise on the parts of the agreements that impact on food safety. NZFSA has eight people working in the market access area, with backgrounds as varied as food technology, veterinary science, and trade policy. The market access The SPS agreement allows countries to set their own standards, but it also says regulations must be based on sound science. They should be applied only to the extent necessary to protect human, animal or plant life or health, and may not be used to disguise technical barriers to trade. The advantage to countries which use these internationally-agreed international standards, guidelines and recommendations is that they are unlikely to be challenged legally in a WTO dispute. The SPS agreement names the joint FAO/WHO Codex Alimentarius as the relevant standard-setting organisation for food safety. However, countries may use measures which result in higher standards if there is scientific justification and they apply the standards in a consistent, not arbitrary, way. Where INTERNATIONAL TRADE necessary, there are avenues for applying the ‘precautionary principle’, a kind of ‘safety first’ approach to deal with situations where there is concern with a product or process which has not yet been subjected to proper scientific scrutiny. Tony Zohrab says New Zealand’s 1997 agreement with the European Union on sanitary measures which apply to trade in live animals and animal products is still the ‘gold standard’ in terms of New Zealand’s international sanitary trade agreements. “We’re still using the model, with a few modifications. It’s a very enabling model and reflected the maturity of the bilateral relationship when it was developed. But the principles we abide by in negotiation remain the same – empathy and a good understanding of the political and global context, honesty, patience and a thorough understanding of both New Zealand’s and the importing country’s food requirements.” By the numbers benefits of FTAs New Zealand’s FTA with China was that country’s first with a developed nation. At the time of signing, exports to China were worth NZ$2 billion a year with a large proportion in the food sector. China is our third largest individual trading partner, our largest source of international students and our fourth largest source of tourists. This FTA was estimated to benefit New Zealand by growing our exports by up to $350 million a year and, in due course, reducing tariff payments by $115 million. The signing of the NZ/Australia-ASEAN FTA gives us further access to a combined market of more than 560 million people and GDP of $US737 billion. ASEAN accounts for about 25% of Fonterra’s exports worth around NZ$2.2 billion. Meat and wool exports to ASEAN nations are worth a further NZ$330 million. And, the potential is enormous, with a 77 per cent rise in exports to ASEAN countries in 2007. FTA benefits in the SPS area are less tangible, but come down to greater certainty and consistency in the application of trade rules. NZFSA NEWS Foodfocus Beekeeper stung by fine A Whangamata beekeeper who admitted selling honeycomb that poisoned 22 people at Easter a year ago has been ordered to pay more than $3000 reparation to victims in a case brought by the New Zealand Food Safety Authority. Kevin Prout, of Projen Apiaries, had earlier pleaded guilty to four charges under the Food Act. Three related to the sale of contaminated honeycomb, and a fourth covered incorrect labelling. In March, Prout was spared a fine for the charges relating to the sale of honeycomb, but told to pay a total of $3350 reparation to victims plus $750 in laboratory costs and $450 in solicitor’s fees. He was convicted and discharged for the labelling offence. Under the Food Act, all food sold to the public must be safe to eat and sellers of food must be able to show they have taken all reasonable precautions to ensure the food they sell is safe. The Food (Tutin in Honey) Standard 2008 that came into force in January 2009 sets a maximum level of tutin in honey sold for human consumption. It also requires beekeepers in risk areas to ensure their product is safe by complying with at least one of a number of risk management options. NZFSA’s turkey appeal upheld A Gisborne restaurateur has been ordered to pay more than $11,000 after his poor food safety practices caused more than 50 Christmas Day diners to fall ill. The Bushmere Arms provided a buffet lunch for 110 diners, with a selection of ham, beef and turkey on Christmas Day 2006. In the days following, 57 diners reported stomach pain, abdominal cramps and diarrhoea. A Health Protection Officer found the symptoms were consistent with food poisoning caused by Clostridium perfringens. The bacteria were also found in samples of the leftover turkey, and the enterotoxin from the bacteria in faecal samples from two of the ill diners. The restaurant’s owner-operator Robin Pierson was convicted for selling contaminated food at a trial in Gisborne District Court in June 2008, and fined $400. He appealed against the conviction in the High Court at Gisborne in February this year, arguing the prosecution had failed to prove beyond reasonable doubt the turkey had caused the illnesses. The New Zealand Food Safety Authority (NZFSA) appealed against the inadequacy of the original sentence. In a Gisborne High Court appeal judgement released last month, Pierson was ordered to pay $400 in fines, along with $850 in reparation to victims and $10,414 in costs to the Crown. NZFSA assistant director of compliance and investigation Justin Rowlands said he was pleased the court had recognised the serious effect poor food handling practices could have on members of the public. June 2009 9 Foodfocus NZFSA public health principal advisor Donald Campbell FBI under surveillance A day off work with a squiffy tummy which we blame on a dodgy dinner is a commonplace experience for thousands of New Zealanders. It’s a scenario that is thought to cost the country around $86 million a year, mostly in lost productivity due to time off work. It’s also a cost that NZFSA is working to reduce. New Zealand Food Safety Authority (NZFSA) public health principal advisor Donald Campbell says having accurate, detailed data is vital in developing public health policies that improve food safety and reduce the cost to society of foodborne illness. Counting the numbers is called ‘FBI (foodborne illness) surveillance’. “It’s important not just to count the numbers – it’s got to translate into public health action, and that’s what we’re doing with our three public health strategies for Campylobacter, Salmonella and Listeria,” Donald says. FBI surveillance is an important first step in making sensible decisions about where to focus energy and resources. To get data, NZFSA relies on the national communicable disease notification system (EpiSurv) run by Crown research institute, the Institute of 10 June 2009 Environmental Science and Research (ESR), under contract to the Ministry of Health. Doctors and laboratories are required by law to notify public health units of patients with anything on the list of 54 notifiable diseases. NZFSA’s interest is food safety, so it has ESR extract annual data for potentially foodborne illnesses, especially those traced back to contaminated food or linked to a food source. Acute gastroenteritis illness is a general term for stomach upsets which may or may not be traced to a specific bug. Common foodborne bugs (which include bacteria, protozoa or viruses) are Campylobacter, Salmonella, Listeria, Escherichia coli (E.coli), and norovirus. Campylobacter etc is the name of the pathogen that makes you sick, while campylobacteriosis is the name of the disease the bug causes. The tip of the iceberg The actual numbers notified are just the tip of the iceberg, says Donald. “It’s very difficult to get accurate information about the causes of many acute gastro illnesses – especially which of them are from food, as opposed to contact with infected animals, water, or people. We rely on data that has been officially notified by doctors or laboratories and then where the type of illness has been confirmed by laboratory tests. “The reality is, many people don’t go to the doctor in the first place, or if they do go they don’t have lab tests done, or they might have tests which then fail to identify the pathogen that’s caused the illness. There is fallout all the way through the system and this affects the accuracy of the information we get.” Foodfocus Reported to notification system This pattern is called the ‘notification pyramid’ (right). “We don’t know the number of cases of foodborne illness that go either unrecognised or unreported, but we do know that it is much greater than we see in actual numbers notified,” Donald says. Estimates of the true impact of foodborne illness on human health and costs to the community are based on two kinds of studies. The first are localised studies undertaken by choosing a random sample of general practices, then taking stool samples from every person with diarrhoea who walks in the door to screen for the kinds of bugs that cause acute gastro illnesses. It’s very expensive, with one such study in Britain costing £5m. In New Zealand, we’ve approached it by doing a community survey, Donald says. Over a year, about 300 people a month were surveyed randomly by phone. They are asked if they have had diarrhoea or vomiting or other symptoms of acute gastro illness, and time off work as a result. “The trouble with that approach is that you can only say they’ve had acute gastrointestinal illness, but you don’t know what type they’ve had. But it helps build a picture of the cost to the community in terms of work days lost due to acute gastro-intestinal illnesses.” NZFSA then uses the British or USA localised studies to estimate how many of those illnesses are from food sources. “We can use the UK and US figures and extrapolate information for the New Zealand situation using different multipliers for different diseases. We know for example that almost 100% - or 1 in 1 of listeriosis cases get notified because almost everyone who gets ill from Listeria seeks medical help and ends up in the system. But for Salmonella it’s about 1 in 3 and for Campylobacter is more like 1 in 8.” Positive test results Specimens submitted to lab Specimens taken by doctor Visits to doctor Cases of acute gastro illness Shaping public health goals Salmonellosis came a distant second So, counting the numbers gives good in the numbers game, with just 1,274 baseline information and allows for notifications – around 60% of those due ongoing monitoring and evaluation of to food. The choice of salmonellosis as a programmes. But what about the all- public health goal allows us to see how important action? Information from the New Zealand’s monitoring programme foodborne illness surveillance data was stacks up against those in the United used to select NZFSA’s three strategic public States and United Kingdom, providing health goals: reducing campylobacteriosis international comparisons on the by 50% and salmonellosis by 30% over effectiveness of our food safety strategies. five years, and seeing no increase in the incidence of foodborne listeriosis despite In developed countries, effective surveillance of an increasing range of higher risk foods foodborne illness is fundamental to food safety becoming available. systems. Because of this, the World Health Organization is developing a global approach “We chose these diseases because to improve foodborne disease surveillance. two are the most commonly notified New Zealand is part of that initiative. (campylobacteriosis and salmonellosis) and listeriosis is one of the most severe,” “It is useful to be part of the global Donald says. network for foodborne illness surveillance because it allows us to share approaches Campylobacteriosis and listeriosis between and to compare and validate the results. It them create the highest human health allows us to get more bang for our buck,” burden in New Zealand. In 2007 more Donald says. than 12,776 cases of campylobacteriosis were reported with the majority of them attributed to food. Listeria had just 26 cases notified, but 20 were attributed to food, and the potential effects of listeria are the most severe as it can cause abortion or stillborn births in pregnant women and death in other vulnerable groups. June 2009 11 Foodfocus Kai time – food safety on the Marae The New Zealand Food Safety Authority’s (NZFSA’s) new Marae food safety guide, Te Kai Manawa Ora, was launched following a powhiri at Turangawaewae Marae in April. NZFSA community extension programme manager Raniera Bassett said Te Kai Manawa Ora provides step-by-step guidance on procedures to keep kai safe when gathering, preparing, cooking and serving. “In te ao Mäori, the Marae is where Maori have cultural and spiritual responsibilities to maintain the tapu, the mana and dignity of kaumatua, whanau hapu and iwi. An essential element to ensure this is to provide kai. This food safety guide has a place on all Marae for that reason,” Raniera says. The guide, in Mäori and English, provides clear, easy to follow scientifically-based and culturally-appropriate food safety information for Marae cooks and their helpers who often cater for large numbers of diners. It also includes food safety information on traditional Maori food practices including hängi and gathering kaimoana, watercress and puha. It contains templates of maintenance and cleaning schedules which Marae kitchen workers can use to document their food safety practices to help keep their whanau and guests free from foodborne illness. Food safety minister Kate Wilkinson was joined at the launch by associate minister for Maori Affairs Georgina te Heuheu, Kingi Tuheitia’s sister Heeni Katipa, NZFSA kaumatua Bunny Tumai, NZFSA staff, and representatives of Marae who had contributed to the project. NZFSA chief executive Andrew McKenzie presented certificates of appreciation to representatives of Marae who helped inform and test the advice in developing the guide. “Engaging with the community is an integral part of NZFSA’s commitment to informing consumers about New Zealand’s special and unique food-related customs and practices. We want to expand our work with groups who have identified specific food-related risks and to provide science-based advice on safe food practices and nutrition.” Turangawaewae Marae committee chair Pokaia Nepia welcomes the manuhiri 12 June 2009 Kai is an essential part of Marae manaakitanga and hospitality Foodfocus Manuhiri being welcomed onto Turangawaewae Marae Raniera Bassett, Minister Wilkinson and Mere Williams Te kaitiaki Mere Williams and Minister Wilkinson Representatives of Kawiti Marae, Kawakawa, with Andrew McKenzie The Marae food safety project team June 2009 13 Foodfocus Dinner diving dangers You’ve probably heard the saying ‘one man’s trash is another man’s treasure’, but a small number of people are taking the saying to unsafe extremes. “Dumpster diving (also called ‘skipping’) has recently been highlighted with the arrest of three Dunedin students, and it’s a practice we would also strongly advise against,” says New Zealand Food Safety Authority microbiologist Roger Cook. “Anybody who eats food from a dumpster is putting themselves as well as the people they share the food with at risk of foodborne illness,” Roger said. Dumpster diving involves sifting through other people’s rubbish, mostly commercial skip bins, and taking out what someone considers to be perfectly good and usable merchandise. Supermarkets throw away food for a range of good reasons: food may be past its bestby or use-by date, damaged or subject to a recall. Generally, this means appliances and clothes but it can also extend to food – and that’s where it worries NZFSA. While it might be tempting to make a meal from the food others toss out, because of philosophical reasons or hard economic times, there are serious food safety concerns. 14 June 2009 Why supermarkets throw food away Most commonly, the food is past its best-by or use-by date. Best-before dates relate to food quality – food generally loses some of its quality and taste if eaten after this date. Use-by dates are a marker for food safety – food should not be eaten and cannot be sold after this date. Sometimes, food will be thrown out before it reaches these dates to clear shelf space for newer products – but that does not mean it is safe to consume once in the dumpster. Use-by and best-by dates are dependent on food being stored in the correct conditions, Roger says. “If it is stored at 4 deg C in the cabinet, and you throw it into a dumpster with an external temperature of 20 deg C, the product starts to spoil and the use-by date concept goes out the back door.” Food may be thrown out because it is bruised or its packaging is damaged, allowing bacteria to grow more easily inside. Food subject to a recall may also be thrown out so it does not pose a health risk to consumers. In New Zealand, if a decision is made to dispose of a recalled product in a dumpster bin, a Food Act officer will make sure the products are marked so it is clear Foodfocus What the supermarkets say New Zealand’s two major grocery store groups strongly advise against retrieving waste from rubbish bins, saying there is a serious risk from cross contamination and potential personal injury. The activity could also constitute theft. Foodstuffs and Progressive say they are committed to ensuring food waste is kept to a minimum. Both groups donate food where possible, under very controlled conditions. they cannot be sold. They will also open the food and use a pungent cleaner and/ or spray paint on it so it is clearly smelt and seen to be contaminated. Dumpsters holding recalled food are generally locked and taken to a rubbish tip as soon as possible. Wrapping offers little protection as it may be permeable to some chemicals or get smeared with bacteria from other food. If people do not wash their hands after handling contaminated packaging, they could transmit the bacteria to other food or their mouths, and make themselves sick. Dirty dumpsters There’s also no guarantee heating the food will kill any bugs as cooking destroys only some of the bacteria that could contaminate food in the trash. Staphylococcus aureus enterotoxin, for example, is not inactivated by cooking, and cooking has little effect on chemical contamination. Dumpsters can expose food to a range of physical, chemical and microbiological hazards. Who knows what was last in the dumpster before it was carted to the tip, emptied and then dropped off ready for more waste? Food for disposal can mix with items such as glass shards. It can also get covered in chemicals like cleaning products or motor oil, which may have been discarded into the same skip. The confined dumpster conditions create a potential breeding ground for flies and bacteria, which can contaminate food and lead to foodborne illness. Campylobacter bacteria, for example, are found on raw poultry and can grow very rapidly in warm, moist conditions like those inside a dumpster. “Foods that are eaten raw, like lettuces, may have been sloshed with old poultry juices and become cross-contaminated with Campylobacter,” Roger says. Campylobacter is New Zealand’s leading cause of foodborne illness. At Foodstuffs, individual stores gift to charities and food banks where the quality and safety of the products can be guaranteed. Progressive has in the past gifted food to food banks when there is a printing error or small dent in the product but the food quality and safety is not affected. Garbage is not food Once food is dumped, it is exposed to a range of hazards, including crosscontamination from other items and lack of refrigeration, as well as rats, flies and bacteria. So although it may be tempting to make a meal out of the food your neighbours or your supermarket throw out, it’s simply not worth the risk. “While food is in a shop or restaurant, it is subject to the food safety programmes or assurances provided by food hygiene regulations,” Roger says. “As soon as food is out of these controlled conditions, it’s garbage. You cannot treat it as food.” June 2009 15 Foodfocus NZFSA toxicologist John Reeve calculated the minute levels of melamine accidentally present in an ingredient of milk powder posed no threat to health Is it safe? A risky calculation Food contamination on a large scale can happen at anytime. Sometimes the culprit is microbiological – caused by bacteria or viruses – or chemical. Chemical contaminants in food can be naturally-occurring, like tutin and cyanide, or man-made, like melamine. When chemical food contamination occurs, NZFSA toxicologists conduct a risk assessment to calculate the possible risk to the health of anyone who eats the contaminated product. The answer is rarely clear cut, but the public want certainty in the advice they’re given about food safety. New Zealand Food Safety Authority (NZFSA) toxicologist John Reeve says consumers’ perceptions of risk from food are often not the same as the risks identified and assessed in the objective science-based processes used by regulators. “This makes it difficult to deliver clear messages. Scientists and regulators consider food okay to eat when the levels of hazards, like chemical residues, are either not present at all or are within acceptable limits. Consumers find it difficult to accept that safety is anything other than black or white.” Everything including the kitchen bench In February 2009, NZFSA was notified that an imported iron supplement used to fortify some milk products was contaminated with the industrial chemical melamine. Just months earlier some babies had died and thousands had reportedly been made very sick following deliberate criminal 16 June 2009 adulteration of milk powder in China, so of course alarm bells were ringing. This time, there was no criminal adulteration – the contamination was accidental due to a processing glitch in the overseas factory where the ingredient was made. Tests at an approved laboratory showed that due to dilution of the ingredient in processing, the melamine would not even be detected in the final product – mostly milk powder which was then itself used as an ingredient in products like biscuits. So, was this latest event even a safety concern at all? Initial tests of two samples of the iron supplement ingredient showed they contained residues of melamine in excess of the 5ppm level for food ingredients which prompts the involvement of New Zealand’s food safety regulator, NZFSA. Melamine is not a permitted additive in food and there is no safety level set for it. Melamine is widely used in plastics, adhesives, benchtops, dishware, whiteboards, flame retardants and fertilisers. Food safety regulators now recognise that incidental contamination is unavoidable through leaching into food from processing equipment and packaging materials. As a result, the World Health Organization has set a tolerable daily intake (TDI) for melamine. The TDI, which is very similar to an acceptable daily intake or ADI, represents the amount of a substance in food that a person can ingest on a daily basis for a lifetime without showing any health effect. The TDI allows national authorities to set limits in food that would spark a withdrawal of a food product should melamine be detected as a result of intentional adulteration. So, when melamine was found in an ingredient for food products that would take time to confirm had not already reached shop shelves, the question everyone wanted the answer to was: “if I have eaten any, is it safe?” To find out, John Reeve ran a quick risk assessment Foodfocus based on a worst case scenario which assumed all foods containing the iron supplement were contaminated by melamine at its detection limit, even though none had been detected in testing. “We take a very conservative approach when it comes to food safety. It’s highly unlikely that a chemical found to be safe would turn out not to be, while something thought to be unsafe could prove to be okay at low levels. So we always calculate risk based on the highest possible dose of the substance consumed by the most sensitive individual.” In this case, John says, it was a relatively straightforward calculation. Safety as the sum of all things ÷ 100 The toxic effect of eating melamine-tainted food is fairly well known as a result of data collected following a melamine-tainted pet food scandal in the United States in 2007, then the 2008 adulteration of milk with melamine in China. From this information and the test results, John had some certainties as a starting point for his calculation. John knew the highest level of melamine likely to be found in the iron supplement ingredient. He knew how much of the iron supplement ingredient was used in the food. He knew how much of the final food product a person would be likely to consume, based on national nutrition surveys which supply a wealth of useful detail about what we eat, how much and how often. He also knew from animal studies the highest dose of melamine at which there is no observable adverse effect (NOAEL) on the body, and that melamine doesn’t accumulate but is excreted fairly rapidly through urine. As well as considering what we know for certain, the calculation also factors in all those things we don’t know, aren’t sure about, or which vary from individual to individual. These ‘uncertainty factors’ include: the difference in the effects of the substance on laboratory animals for which we often have accurate data and humans, for which we may not; varying ages, body weights and health of consumers; whether the available data is complete; and the quality of the available data which may also be variable. Traditionally, the dose just below where an effect can be seen is divided by uncertainty factors in order to build in an acceptable level of safety. The calculation always starts by dividing by two 10-fold uncertainty factors to account for the fact that usually the available data applies to animals rather than humans, and for differences between individuals. That means assessment of the risk starts with estimating a level of contaminant a person needs to consume that is more than 100 times less than that we would expect someone to consume before showing any observable adverse health effect. Further uncertainty factors (UF) are then used as appropriate. The calculation looks like this: Highest acceptable intake = NOAEL UF1 x UF2 x UF3 x UF4… etc (where UF1 is for extrapolation of data from animals, UF2 is variation between most and least sensitive human, UF3 is quality of data, UF4 is used if the available data is less than ideal, and so on.) From this information John could calculate the potential health risks to anyone eating food containing the contaminated ingredient. On the basis of assuming the worst, he calculated the highest possible amount of melamine that a susceptible person might eat each day. “In this case, by comparing the highest possible intake of melamine with the acceptable intake we were able to say with certainty that the melamine in the imported ingredient did not pose a health risk. But it shouldn’t have been there. People often think that if it shouldn’t be there and there are no safe levels set for it, then it’s dangerous but it doesn’t always work like that. “The definition of ‘safety’ in these sorts of incidents is our best judgement about the level of exposure to something that has a reasonable certainty of no harm to humans. People take risks of varying sorts every day. We drive cars, cross busy roads with earphones impairing our awareness, use electrical equipment, smoke cigarettes. It’s how we manage those risks that’s important.” Managing food safety risks is another story, John says. “In NZFSA we try to keep risk assessment and risk management separate. As someone who assesses risk I have to be completely focussed on what the science is telling me is safe or not safe. It’s up to the risk managers to then balance the science and other factors such as what people believe to be an acceptable level of risk to come up with strategies or tactics for ensuring that any risk is acceptable while being fair and necessary.” What does toxicological risk assessment involve? Toxicologists are the science world’s jacks of all trades, according to NZFSA toxicologist John Reeve. “Toxicologists have to have a good understanding of the life sciences: pharmacology, biochemistry, genetics, physiology, and so on, because many of the systems affected by toxins are interrelated or interdependent. Changes to one organ can cause changes to other systems or parts of the body.” Toxicological risk assessment involves biological and systemic detective work, tracking and understanding changes in the body possibly caused by chemicals, rather than the ‘normal’ fluctuations or unrelated events that occur from time to time in the body’s systems. “We’re all subject to daily ups and downs of moods or physiological responses. These reactions might be due to a toxin, or they may be blips that are entirely unrelated and natural. The trick is working out which is which.” June 2009 17 FOODSAFE PARTNERSHIP Foodfocus New Foodsafe Partnership strategy For the first time, the Foodsafe Partnership is using a targeted approach to try to improve food safety practices in the home. Such an approach tries to influence behaviour for a social good. The new strategy is based on the New Zealand skin cancer control strategy, which is an internationally-recognised model with a proven track record of success in getting people to reduce their risk of skin cancer. “The Foodsafe Partnership has adopted this approach because it focuses on positive behaviour change which we hope will translate into better food safety practices in the home,” says New Zealand Food Safety Authority (NZFSA) communications manager Gary Bowering. Food safety messages are being targeted at different consumer groups according to the setting in which they operate such as at home, at school, at work, or at play. It has been estimated that 40% of all foodborne illness in New Zealand is caused by inadequate food handling practices in the home. “This is an area that cannot be regulated and relies on public information to change behaviour,” Gary says. The Foodsafe Partnership working group compromises Consumer NZ, Environmental Science Research, regional public health boards, the poultry industry and NZFSA. The partnership is developing a strategic direction and priorities to 2012. The Foodsafe Partnership’s goal for this year is to reduce the percentage of New Zealanders who get a foodborne illness. Its three main objectives are to: 1. increase the proportion of consumers who are aware and understand the causes and consequences of foodborne illness 2. increase the proportion of consumers who use good food safety practices, and 3. increase stakeholder support and participation in Foodsafe Partnership activities. The partnership’s strategies to achieve these objectives include: • educational campaigns aimed at food preparers • identifying key areas associated with recreation to promote food safety • incorporating food safety messages into existing education resources and networks • • engagement at a national and local level to increase stakeholder support using current stakeholders to increase message reach and frequency. “The Foodsafe Partnership strategic plan has clearly defined goals and objectives, and is well supported by everyone involved,” Gary says. The New Zealand Foodsafe Partnership was established in 1998 to promote consistent and appropriate food safety messages to New Zealand consumers. The partnership is open to anyone interested in promoting food safety messages. It comprises representatives of the food industry including food and service organisations, consumer groups, science organisations, public health groups and NZFSA. National Foodsafe campaigns have been running for the last five years with increased emphasis during the summer months and a particular focus on a national Foodsafe week in November. Visit the Foodsafe Partnership website at http://www.foodsafe.org.nz/ for more information. FBI case files coming to your school There has been an overwhelmingly positive response from primary and intermediate schools in New Zealand to book the new ‘FBI Case File’ resource. It has already been successfully used this year in a number of schools to teach students about the importance of food safety in the home. The mobile pull-up stands replicate a ‘crime scene’ and can be set up in a classroom or library so students can solve the food safety crimes with the help of clues in the ‘FBI Case File’ booklet. The clues revolve around hand hygiene and the 4Cs of food safety (clean, cook, cover, chill). This is a free resource and can be booked on a two week rotational basis by contacting [email protected] or phone 04 894 2526. 18 June 2009 FOOD SAFETY Foodfocus Hot tips for a safe sausage sizzle Sausage sizzles are a popular way to raise money for schools, sports teams, charities and community groups. But if the food is not prepared, stored or cooked properly it can make people sick. Event organisers need to ensure the food they sell at their sausage sizzle is safe. NZFSA has published information online called Hot tips for a safe and successful sausage sizzle. It is part of a series of food handler guidance information sheets which give food safety tips for selling food at occasional events and food safety tips for event organisers, as well as sausage sizzle advice. there may be local requirements, particularly concerning where food may be sold. Before making any firm plans, event organisers should contact their local council to discuss what food they want to sell and where they want to sell it. The council’s Environmental Health Officer will tell you about any requirements the council may have, such as a permit to sell the food. Hot tips for a safe and successful sausage sizzle and other food handler guidance can be viewed on NZFSA’s website at http://www.nzfsa.govt.nz/ policy-law/projects/domestic-foodreview/ under the section on Food Handler Guidance Most fundraising activities involving food, including sausage sizzles, are not required to meet the same registration requirements expected of food businesses. However, While it is very unlikely a person could eat enough to be at risk, the unripe green berries can be mildly toxic and should be avoided. Black nightshade (Solanum nigrum) berries have been found in several packets of frozen vegetables. The plant is distinct from deadly nightshade (Atropa belladonna) which can be fatal but is rare in New Zealand. NZFSA compliance director Dr Geoff Allen says the contamination probably occurred when the berries were inadvertently harvested with peas. Hot tips for a safe and successful sausage sizzle provides clear advice to help fundraisers plan, prepare, cook and serve food safely. In particular, you should: • Organise to collect food from your supplier as close as possible to the event so it is fresh and at a safe temperature. • Ensure everyone who will help on the stall thoroughly washes their hands, is clean and healthy, and free from colds, cuts and skin rashes. • Cash handlers must not handle food unless they wash their hands thoroughly between tasks. • Store food so it’s kept clean and protected from contamination, such as in a chilly bin or portable fridge. • Cook sausages right through to the centre, until there are no pink bits left. • Keep cold food cold (below 4ºC) and hot food hot (above 60ºC) to prevent harmful microbes from growing. • Throw away any cooked food that has been on display but hasn’t been sold by the end of the day. Not berry nice The New Zealand Food Safety Authority (NZFSA) is investigating how black nightshade berries got into some frozen vegetables packets. “Black nightshade is a common weed in New Zealand so it’s possible for small numbers of the berries to be found in any product that contains peas.” While NZFSA believes it is unlikely to be a safety issue, it is not appropriate for frozen vegetable products to contain the numbers of berries that have been reported. Tasty treat with a nasty bite It may be a traditional treat to lick the bowl and spoon when baking, but the New Zealand Food Safety Authority is advising against it after an outbreak of salmonellosis was linked to some brands of flour. Eating uncooked flour in batter or homemade play-dough is one of the possible activities associated with a salmonellosis outbreak in December 2008. Raw ingredients such as flour and eggs aren’t sterile. Cooking will kill any bacteria and make home-baked goods safe to eat. Licking the bowls and utensils during cooking exposes you to raw ingredients that could contain harmful bacteria. “We are working with the companies concerned to make sure they have put in place solutions that will minimise the chance of a repeat of the problem,” Geoff says. Unripe black nightshade berries are similar in size, shape and colour to peas but have star-like scales where the berry originally connected to the stem. They also reveal seeds when squeezed. If you find berries in a frozen vegetable product, remove them or return the product to your supplier. If you find a large number of berries, alert your local public health unit, and see a doctor if you have any health concerns. June 2009 19 FACT SHEET Foodfocus Intense food sweeteners Intense sweeteners replace the sweetness normally provided by sugar to provide low calorie or sugar-free alternatives. Intense sweeteners cannot always simply replace sugar or other sweeteners as sugar may also be used for other reasons in food such as to thicken, help retain moisture or prevent ingredients from separating (as thickeners, humectants or emulsifiers) or to provide bulk and texture. Unlike sugar, intense sweeteners contain little energy so they are suitable for people with medical conditions affected by sugar – such as diabetes or obesity. Their use can also reduce tooth decay caused by added sugars. Intense sweeteners are often called ‘artificial sweeteners’ but some are naturallyoccurring plant extracts such as steviol glycosides from the stevia plant. Intense sweeteners are food additives and are regulated under the Australia New Zealand Food Standards Code. Food Standards Australia New Zealand (FSANZ) carries out safety assessments to ensure the permissions to use food additives including these sweeteners do not exceed safe levels even in high consumers. Intense sweeteners are identified on labels under the class name ‘Sweetener’ followed by their name or number. A-Z of intense food sweeteners These intense sweeteners are approved for use in food in New Zealand: Acesulphame potassium (950) (Acesulphame-K) is 200 times sweeter than sugar. Acesulphame potassium is used as a tabletop sweetener, and with aspartame in many food and drinks, confectionery, canned food, oral hygiene products and pharmaceuticals. Alitame (956) is about 2000 times sweeter than sugar, about 10 times sweeter than aspartame and has no aftertaste. It is used in toiletries and pharmaceuticals, but rarely as a sweetener in foods or drink. 20 June 2009 Aspartame (951) is more than 200 times sweeter than sugar. It is used in low-energy or sugar-free foods, including carbonated soft drinks, yoghurt and confectionery. Aspartame has been safely used for at least 25 years as a sugar alternative, and is one of the most studied sweeteners on the market. Aspartame does carry a risk for a small number of people with the rare inherited disorder phenylketonuria (PKU). They are advised not to consume aspartame because they are unable to metabolise the amino acid phenylalanine, which could accumulate to potentially harmful levels. All products containing aspartame must have a warning about phenylalanine. Aspartame-acesulphame salt (962) is about 350 times sweeter than sugar and is produced by combining aspartame and acesulphame potassium under acidic conditions. It is used in a range of foods, drinks, confectionery and chewing gum. As with aspartame (951), all products containing this sweetener must have a warning about phenylalanine. Cyclamate (952) is 30–50 times sweeter than sugar. It is used in confectionery and many foods and drinks. It is often paired with saccharin to make the food product taste better. Neotame (961) is 7,000 to 13,000 times sweeter than sugar. Neotame is used in a range of food, canned fruit, drinks and confectionery. It is structurally similar to aspartame, but the potential release of phenylalanine from neotame is so limited that a warning for patients with PKU is not necessary. Saccharin (954) is about 300 times sweeter than sugar and has no calories. It is used in many foods and drinks, confectionery, medicines and toothpaste. Stevia (Steviol glycosides) (960) is a naturally-occurring sweetener from plants in the sunflower family. It has a slower onset and longer duration of taste than sugar. It is 250–300 times sweeter than sugar. Sucralose (955) is about 600 times sweeter than sugar and has no calories. It is commonly used in food, drinks and confectionery. Thaumatin (957) is an intensely sweet tasting protein (about 100,000 times sweeter than sugar) originally extracted from a West African plant. It can now be manufactured by genetically-modified bacteria. Thaumatin tastes different from sugar because the sweet sensation builds very slowly and lingers for a long time leaving a liquorice-like aftertaste. Sugar alcohol sweeteners There are a range of food additives other than intense sweeteners that act as sweeteners but are generally less sweet than sugar and are often used for their other properties, as emulsifiers, thickeners or humectants. These are sugar alcohols which cannot be completely digested, so eating too much can lead to diarrhoea. Certain sugar alcohols used as sweeteners are required to have an advisory statement that excess consumption may have a laxative effect. Sugar alcohol sweeteners include: Erythritol (968), Isomalt (953), Sorbitol (420), Mannitol (421), Xylitol (967), Maltitol (965), and Lactitol (966). For a copy of NZFSA’s brochure Intense food sweeteners look under food additives in the consumer section of the website (www.nzfsa.govt.nz) or call 0800 693 721 or email [email protected] FOODBORNE ILLNESSES Foodfocus A pain in the gut – E.coli O157:H7 There are a wide variety of Symptoms of E. coli O157:H7 bacteria, fungi, parasites, viruses E. coli O157:H7 is a notifiable disease in New Zealand - there are approximately 100 reported cases each year. This is relatively low compared to other notifiable diseases such as campylobacteriosis and salmonellosis but due to the severe effects of this bacterium it is of great concern. and other organisms living in the environment that can cause illness. Many of these can contaminate food. Escherichia coli (E. coli) is one bacterium that can make people sick through exposure to contaminated food. E. coli is a common bacterium that normally lives in the intestines of humans and warmblooded animals such as sheep, cows, cats and dogs. Most strains of this bacterium are harmless but some strains, such as E. coli O157:H7, can cause severe gastroenteritis and kidney damage. Sources of contamination Foods and causes linked overseas to E. coli O157:H7 infections include eating undercooked meat, usually minced meat, contaminated during the slaughter process, eating raw vegetables that haven’t been washed properly, drinking untreated water or unpasteurised milk, and handling farm animals that are shedding the bacterium. In contrast, not one human case in New Zealand has been attributed to the consumption of regulated food. Like any illness of the gut, the bacteria are shed for a fortnight or more and are easily spread to food and surfaces through poor hand hygiene. People infected by E. coli O157:H7 can experience a range of symptoms. In most cases symptoms appear within one to eight days and include severe abdominal pain, watery diarrhoea that can become bloody, and occasional vomiting. People who experience these symptoms are advised to seek medical attention quickly. Most people recover fully without antibiotics within five to 10 days. However in a small number of severe cases, particularly in children under five years of age or older people, the infection can cause a complication called haemolytic uraemic syndrome (HUS). This is a serious disease which causes the red blood cells to rupture, leading to anaemia and kidney failure. In these cases blood transfusions or bloodclotting factors, as well as kidney dialysis may be necessary. While most people with HUS recover fully, it can be fatal. Refrigeration will stop E. coli from growing but it won’t kill the bacteria. Raw vegetables, such as lettuce and spinach, should be rinsed thoroughly under clean running water to wash off dirt and faeces, and any associated bacteria. The outer leaves of lettuces, such as iceberg lettuces, should be removed and discarded. If possible, pat vegetables dry with a paper towel to avoid splashing any remaining bacteria onto other foods or surfaces. E. coli is heat sensitive so cooking food thoroughly will remove the risk of infection. Bacteria contaminate the outside surfaces of whole meat so if you like your fillet or rib-eye steak rare make sure that the surface is well seared. Particular attention should be paid to minced meat products where the bacteria may be mixed right through to the centre. In 1993, eating undercooked hamburgers at a fast-food chain in the United States resulted in hundreds of people falling ill and the death of four children. Make sure the cooked meat is brown throughout (with no pink bits), and the juices run clear. If in doubt, use a meat thermometer to check the internal temperature – it should be above 65ºC. Prevention Always follow the ‘wash + dry = clean hands’ rule immediately after touching animals, using the toilet, and before touching food. This will reduce the risk of spreading the bacteria. June 2009 21 IN FOCUS Foodfocus ACVM operations manager Maree Zinzley ACVM under the spotlight Agricultural chemicals and veterinary medicines imported or manufactured for sale and use in New Zealand are subject to the provisions of the Agricultural Compounds and Veterinary Medicines (ACVM) Act, administered by NZFSA. With more than 2000 products currently registered for sale and use in New Zealand, NZFSA’s ACVM operations programme manager Maree Zinzley takes her role very seriously. We invited Maree to talk about the role her team plays in ensuring NZFSA’s commitments under the ACVM Act are met. Put very simply, NZFSA’s primary responsibility is to ensure that any product intended for use on animals, plants or primary produce in New Zealand is safe, and does what the product applicant says it is going to do. I guess you could liken our role to that of the Ministry of Health’s, in the sense that they ensure human medicines pose no risk to patients or users. 22 June 2009 NZFSA ensures agricultural chemicals, such as fertilisers and pesticides, and veterinary medicines pose no risks to public health, trade in primary produce, animal welfare and agricultural security. NZFSA also ensures that the use of these products does not exceed limits set for domestic food residues. Under the provisions of the Act, NZFSA assesses the risks associated with agricultural chemicals or veterinary medicines to determine their safety and suitability for plants and animals. Before any agricultural chemical or veterinary medicine can be imported, manufactured, sold or administered in New Zealand, NZFSA approval must be sought. Products undergo robust assessment NZFSA’s approvals process is very robust because we need to be convinced of the safety and efficacy of the product when it is used as it is supposed to be. The process of registering an agricultural chemical or veterinary medicine for the ‘first timer’ is quite complex. People who are new to the process are encouraged to talk to one of the consultants listed on our website before submitting their application. Applicants are required to submit a draft product label, a product data sheet (essentially an application form) which includes key information about the product such as if it’s a powder or a liquid, the intended target animal or plant, and how it will be administered. They must also provide supporting chemical and manufacturing data and proof that the manufacturer has an approved good manufacturing programme (GMP) in place. Every application is assigned a unique ACVM identifying number – if the application is successful, this is the number consumers see printed on the label of a registered trade name product. Once we are satisfied that the documentation is complete, the file is then handed over to our technical team for review. This team comprises people who appraise the veterinary, agricultural chemical, chemistry, and maximum residue level aspects of each product. There are also a number of specialist experts available. The criteria used to assess the safety and suitability of an agricultural chemical differs to that of a veterinary medicine. All products must comply with the levels set under the Food Act for residues allowed in domestic foods, and there must be sufficient consumer information available about the product on the label. We also look at the effect the product will have on plants, produce and animals. In the case of veterinary medicines, the appraiser would IN FOCUS also consider whether the product is likely to cause any unnecessary pain or distress to the animal. We all know that some medicines cause side effects. We need to be sure that the side effects are not going to compromise the health and wellbeing of the animal during the treatment process. In some instances, appraisers will recommend that an application is approved subject to specific conditions being imposed, such as the product can only be administered by a registered veterinarian. Before any recommendation can be made to approve an agricultural chemical or veterinary medicine, appraisers must be firmly convinced that the data provided has met the requirements, and that any risks associated with the product can be managed. Straightforward applications for the registration of brand new chemicals that have been submitted with a complete dossier of information are likely to be approved within six to twelve months. However, for more complex products or where there is insufficient supporting data, or approval is needed from the Environmental Risk Management Authority (ERMA), or the Ministry of Health (MoH), this can take longer. NZFSA operates a ‘smart-track’ system for simpler applications, for example where a registrant is updating an application due to a change in manufacturer. Registrants of agricultural compounds and veterinary medicines are required to renew their product registrations every three years. Border control Agricultural chemicals and veterinary medicines cannot be imported into New Zealand unless they are registered with the ACVM group. MAF Biosecurity New Zealand (MAF BNZ) operates a ‘class determination process’ on behalf of NZFSA at the border. Products purchased overseas that can’t be clearly identified are held Foodfocus in quarantine until MAF BNZ receives notification from NZFSA that the products can be cleared. Products exempt from registration What are agricultural compounds? Not all products available in the New Zealand market require registration, such as some domestic pet shampoos. As long as the product isn’t making claims to treat or cure a specific condition or disease, and the ingredients are recognised as being safe – they must be listed on NZFSA’s ‘substances generally recognised as safe’ (GRAS) list – the product may be exempt from registration. This is a difficult area to police, especially with the influx of homeopathic products on the market that often claim to treat animal ailments. People need to be aware that they use these types of products largely at their own risk if they don’t have an ACVM registration number printed on the label. Agricultural compounds are agricultural chemicals and veterinary medicines used in the production of primary produce (farmed plants or animals). They are also used by home gardeners, and for the health of domestic animals such as cats and dogs. Types of agricultural compounds: • veterinary medicines, including those used on domestic pets • agricultural chemicals, including herbicides, fungicides, insecticides, plant growth regulators, surfactants, and adjuvants Non-compliance • NZFSA takes non-compliance with the Act very seriously. The best way to tell if an agricultural chemical or veterinary medicine is registered is to look for the unique ACVM identifier number printed on the label. NZFSA also publishes a list of registered trade name products on its website. vertebrate toxic agents that are used to kill animals such as possums and rodents • fertilisers and soil conditioners • animal feeds, including some domestic pet foods. People who suspect a product of making false claims, or suspect products of being imported, manufactured, sold or administered illegally are encouraged to report it to NZFSA. For more information about the ACVM group or to view an up-to-date list of registered agricultural compounds or veterinary medicines visit NZFSA’s website at http://www.nzfsa.govt.nz/ acvm/registers-lists/index.htm June 2009 23 DOMESTIC FOOD REVIEW Foodfocus FCPs working well, councils say Nine months on from the voluntary implementation of food control plans (FCP) for the food service and catering sector, benefits for both food operators and councils are starting to show, according to those overseeing the introduction of the programme. Local government and NZFSA staff have been sharing information about how the new system is working, and discussing next steps in the voluntary implementation programme. They have highlighted a number of successful strategies, and identified some areas where changes would be beneficial. Most reported the new system’s change in focus – from inspecting premises to checking a business’s food safety system – was helping to improve relationships between operators and councils. “This new approach changes the way environmental health officers interact with food operators. It encourages a system of co-operation and dialogue and has a real focus on actual food handling practices ensuring that food safety is put first. It’s about working positively in partnership with food operators and guiding them through the changes, rather than the old system where we tended to focus on the negative, pointing out mistakes and issuing instructions,” said Carole Simpson, Auckland City Council’s environmental health team leader. Councils working together to share expertise and resources was cited as another bonus of the system. Rodney District Council environmental health manager Ian Farrell said that as a medium-sized council, they don’t have the resources to run food safety training courses so being able to share expertise with Auckland City Council is a great help. A similar scheme is underway in the Wellington region, with the Wellington Regional Cluster Group welcoming operators from Upper Hutt, Hutt, and Porirua City Councils, and Kapiti, Masterton and South Wairarapa District Councils to join training programmes held at various locations across the Wellington region. Napier City Council’s regulatory services manager Mike Webster said some operators were initially concerned at what they perceived to be considerable paperwork. “At first operators are a bit put off by the size of the FCP but once they’ve worked through it, they find it takes them just an extra few minutes each day to record the required information. It becomes part of their routine just like unlocking the doors and turning on the lights,” said Mike. Local government representatives and NZFSA staff are now looking at gaps in the content and scope of the FCP. Extra topics such as dealing with private water supplies and foods such as sushi and kebabs are being developed and will be available soon. The local council staff are confident about the future of food control plans and are looking forward to increasing the number of operators registering plans in their areas. Food safety in 5 languages Chinese, Korean, Vietnamese and Hindi food business operators now have access to a free food safety management plan in their own languages. The Food Control Plan for food service and catering businesses has been translated into the four most common languages of food operators (after English) in New Zealand and is available to download from NZFSA’s website. “It’s important to make this information accessible to the large number of operators who don’t speak English as a first language. It will reduce barriers for operators and improve food safety for everyone,” says NZFSA’s policy director Carole Inkster. 24 June 2009 The Food Control Plan provides operators with a ready-written food safety management system. It identifies potential risks at each point of a food business’s operation, from receiving and storing goods, to preparing, cooking, displaying and serving food, and contains procedures to keep food safe at each point. Sixty-four of New Zealand’s 73 local councils have joined the voluntary food safety management scheme and more than 280 food operators have signed up since the plan was launched in August last year. It aims to reduce the rate of foodborne illness in New Zealand. After downloading the plan from NZFSA’s website, food operators can contact their local council to help get them underway. The Food Control Plan in all five languages can be found at: http:// www.nzfsa.govt.nz/policy-law/projects/ domestic-food-review/food-controlplans.htm RESOURCES FROM NZFSA Foodfocus Publications NZFSA publishes a variety of booklets, leaflets and fact sheets covering various food safety topics. All are available for download from NZFSA’s website www.nzfsa.govt.nz. Hard copies can be ordered by freephone 0800 693 721 or email [email protected] Eating safely when you have food allergies This 24-page A5 booklet provides information that will help allergy sufferers make better food choices when managing their allergy. Understanding food labelling FOOD LABELL ING This booklet will help anyone who wants to understand food labels, including date marks, such as ‘Best before’ and Use by’. Understand ing food labe Te Pou O ranga Consumer Resource Catalogue My cool lunchbox Meet the bugs A A5 size 4-panel brochure gives simple An ffood safety messages for school kids and parents to help keep lunchboxes ‘cool’. p An 8-panel brochure provides information about the most common pathogens that cause foodborne illness – their symptoms and likely sources of infection. Consumer Resource Catalogue Revised Food safety in pregnancy This 12-page A5 booklet lists the freely available resources produced by NZFSA. This is a handy reference for schools, medical centres and anyone who regularly uses food safety material. Pregnant women have lower levels of immunity than usual and may be more at risk of getting diseases carried by food. This booklet provides advice and guidance on cooking, storing, and eating out – in New Zealand and overseas. A 20-page A5 booklet.. otearoa Te Pou Oranga Kai O A Kai O A otearo ls a How to get your own free copy of Food Focus NZFSA’s flagship quarterly publication, Food Focus, is freely available. Just fill out your details below and post or fax it back to us: NZFSA, PO Box 2835, Wellington; fax 04 894 2501. Or call us on our freephone 0800 693 721 or email [email protected]. Please let us know if your address has changed so we can keep your details up to date. This will help us make sure you always get your copy of Food Focus. First name: Phone number: Last name: Email address: Job title: Industry sector you most identify with: Company name: Postal address: City and postcode: Country: Yes I would like to receive email notices in the future. (To check you have the correct post code, visit New Zealand Post’s website www.nzpost.co.nz.) June 2009 25 www.nzfsa.govt.nz New Zealand Food Safety Authority 86 Jervois Quay PO Box 2835, Wellington NEW ZEALAND Telephone 04 894 2500 Facsimile 04 894 2501 FOOD SAFETY CONCERNS 0800 NZFSA1 (0800 693 721) ISSN 1175-9348 (Print) ISSN 1178-170X (Online)
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