US Food Safety

As the year comes to a close, many publications are looking back on the year and assessing our nation's food safety system.  From the Wall Street Journal to USA Today and Reuters, everyone has something to say about the American food supply. 

The Wall Street Journal focused today on the USDA and the number of E. coli outbreaks in 2007.  Bill Tomson wrote about the Topps E. coli outbreak and the impact it has had on USDA's food safety policies:

It took one of the largest-ever beef recalls -- 21.7 million pounds of frozen hamburger patties linked to severe illnesses -- in 2007 to make USDA officials question whether beef processors around the country were following safety guidelines when it came to E. coli contamination. The New Jersey-based Topps Meat Co., the producer behind the massive recall, certainly wasn't, USDA officials said.

"When we sent food-safety assessors into the Topps plant, we found that their policies they had in place were not being followed nearly as vigorously as they had been just two years ago when we did a food-safety assessment in the same plant," USDA Under Secretary for Food Safety Richard Raymond said in an interview.

The Topps event led to several tough questions. The first was whether the Topps situation was unique.

"We don't know if Topps was the tip of the iceberg and other plants have gotten sloppy, or Topps was kind of an isolated incident," Mr. Raymond said.

USA Today focused on under-funding at the FDA and what that means for American consumers purchasing food products regulated by FDA.  Julie Schmidt wrote:

The appropriation is 12% more than the agency got for food safety in fiscal 2007. But half the increase will be eaten up by annual cost increases, including pay raises, and the FDA won't get the other half until July — and only then if it has a performance plan in place that lawmakers find adequate.

"In the budget climate we're in, any increase is better than nothing," says Scott Faber of the Grocery Manufacturers Association, which represents foodmakers. "But we're disappointed and surprised in light of soaring imports and declining consumer confidence." A broad coalition of groups, including the GMA, have pushed for bigger food-safety increases in the past year because of a string of high-profile food recalls. The Coalition for a Stronger FDA, which includes three former secretaries of Health and Human Services, which oversees the FDA, has sought 15% increases for the FDA for each of the next five years.

And Reuters carried an article about foods imported from China and Americans' worries about foodborne illness coming from Chinese imports.  Missy Ryan wrote:

China is struggling to meet food safety demands from trading partners as it slowly modernizes a food production system still rooted in small-scale family farms, U.S. and Chinese officials said on Tuesday.

"China is a country in economic transition and it has a mixture of traditional problems and modern problems that both coexist," Wu Yongning, an official at the Chinese Center for Disease Control and Prevention, said in a seminar on food safety at a Washington think tank.

Those problems, he said, now range from improper food preparation on family-run farms to shortcuts taken on industrial chicken farms.

USDA, FDA critics heard

John Munsell, a former meat-processing facility owner, was recently interviewed by Meat & Poultry Magazine about what he learned while conducting interviews of industry players.  While Munsell has been a critic of USDA meat inspection practices and policies, he is working for change through FARE, the Foundation for Accountability in Regulatory Enforcement.  What he had to say about his findings follows:

cowsMunsell said that judging from the comments his survey elicited, inspectors appear to be as frustrated about the situation as small-plant operators. "Meat-inspection personnel are throwing their hands into the air, as they again are being forced to implement policy, which was stillborn before it left Washington, D.C.," he told M&P. "The OPEER office in FSIS is totally closed to new suggestions, and bulldozes ahead with no semblance of common sense or scientific underpinnings. Agency field personnel must quietly acquiesce to these inane demands, or face diminished career advancement and/or reassignment to remote locations without family."

When he’s talked to researchers and scientists about his concerns, their reaction to current E. coli inspection policy is, he said, "incredulous." "They remind me that the scientific method requires immediate and thorough documentation of every factor potentially influencing the eventual outcome, with no artificial restrictions. Yet when FSIS inspectors collect samples for analysis at USDA labs, the inspectors do not document the origin of the meat," he said. "The official form has no place on which to record the data, and the inspectors are not to document such info. So what happens if the sample comes back positive? Simple: blame it on the downline plant, since the agency failed to record where the meat originated. This is not the scientific method. If our foreign trading partners were aware of this snafu, they’d be justified in blacklisting us."

Meat & Poultry's coverage of current issues facing USDA are in line with problems FDA is facing in policing the rest of the food supply.  In a hearing last week, Michael Taylor testified that FDA's current food safety plan is not adequate to protect public health.  Mr. Taylor outlined five policy elements he thinks FDA needs to take to improve our nation's food supply in testimony before the Senate Committee on Health, Education, Labor and Pensions. 

1. Treat food safety as a farm-to-table, system-wide problem.

2 Make prevention of food safety problems the central focus of the system.

3. Recognize that the primary duty for prevention falls on the food industry.

4. Focus FDA on setting and enforcing standards that make the food industry accountable for prevention.

5 Strengthen FDA’s mandate and tools for providing national leadership on food safety and managing a science- and risk-based regulatory program.

Mr. Taylor's testimony was central to the committee's session on developing a comprehensive response to food safety, after which they asked for more money dedicated to food safety

Our food safety system

USA Today published two articles about food safety for this weekend's USA Today.  In the first article, titled, "Report: FDA so underfunded, consumers are put at risk," Julie Schmidt reports on a report that was released by an advisory panel to the FDA which concludes:

The Subcommittee concluded that science at the FDA is in a precarious position: the Agency suffers from serious scientific deficiencies and is not positioned to meet current or emerging regulatory responsibilities.

The Subcommittee found that the deficiency has two sources:

  • The demands on the FDA have soared due to the extraordinary advance of scientific discoveries, the complexity of the new products and claims submitted to FDA for pre-market review and approval, the emergence of challenging safety problems, and the globalization of the industries that FDA regulates.
  • The resources have not increased in proportion to the demands. The result is that the scientific demands on the Agency far exceed its capacity to respond. This imbalance is imposing a significant risk to the integrity of the food, drug, cosmetic and device regulatory system, and hence the safety of the public.
The Subcommittee further noted that the impact of the deficiency is profound precisely because science is at the heart of everything FDA does. The Agency will flounder and ultimately fail without a strong scientific foundation. That foundation rests on three pillars. The first pillar is strong selective scientific research programs that are appropriately mission-supportive, in all areas of FDA responsibility. This research is critical because it is not conducted by other public or private entities, but is fundamental to the discharge of FDA’s statutory responsibilities to protect and promote the public health. The second pillar is excellent staff with cutting-edge scientific expertise appropriate to the mission. This expertise includes the ability to access, understand and evaluate science; effectively apply this science to the regulatory process; and communicate the implications of its findings for product safety and efficacy to the public. The third pillar is an information infrastructure and processing capability that ensures the FDA has access to the best data and information necessary to support the regulatory science required to fulfill FDA’s mission.

The USA Today article provides more background on the report, and highlights deficiencies identified by the advisory committee:

The report — developed in the past year by experts from academia, industry and other government agencies — delivers a scathing review of the state of the FDA, which regulates 80% of the nation's food, its drugs, vaccines and medical devices.

The report details a "plethora of inadequacies" in the agency, including:

•Inadequate inspections of manufacturers, noting that foodmakers, for example, are inspected about once every 10 years.

•A "badly broken" food-import system and food supply "that grows riskier each year." In the past 35 years, FDA inspections of the food supply have dropped 78% due to soaring numbers of products and inadequate FDA funding.
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•A depleted FDA staff, which is about the same size as it was 15 years ago despite huge growth in agency responsibilities. Instead of being proactive, the agency is often in "fire-fighting" mode.

•A workforce with a "dearth" of scientists who understand emerging technologies. Turnover rates in some scientific positions at the FDA run twice that of other government agencies.

•An "obsolete" information-technology system.

As Bill Marler stated on his blog post titled, "Government Puts Consumers At Risk": 

The report says Congress has given the FDA more responsibilities over the past two decades, but no funds to cover the extra work. Meanwhile, the agency hasn't been able to recruit the sophisticated scientific expertise needed to oversee complex medicines and food. The report says the FDA needs at least an extra 350 million dollars to address drug safety, and 450 million more dollars to improve food safety. Actually, the same holds true for the USDA. Just in the last two months we have seen the USDA move slowly on the Topps recall, putting people at risk, and then we see them announce one day that the USDA is getting tough on Canadian E. coli imports, only to turn around quietly and stop testing a week later.

His comments are along the lines of another USA Today article's topic - the USDA.  Julie Schmidt partnered with Barbara Hansen to write, "Most recalled meat is never recovered, likely is eaten," an article about meat recalls conducted by the United States Department of Agriculture.  In the article, Schmidt and Hansen describe the current recall process and point out inefficiencies that result in ineffective recalls.

A particularly alarming statistic pointed out in the article is that ,"for five recalls that followed reports of consumer illness, recovery rates per recall averaged just 20%," which means that most of the meat recalled had already been eaten or was in consumers' freezers but never made it back to the manufacturer.  Improvements in the recall process are expected to come, but what is most promising in the short-term is, as reported:

To get more consumers to check homes for recalled meats, the USDA next year plans to publicize names of retailers selling meat that was later recalled. "We think it would be helpful for people to know, 'Gee, that is my store,' " says Petersen.

Recall notices now posted on the USDA's website typically name states where a product was sent but not retailers, unless their names are on the product. Retailer names have been considered confidential business information, as with any customer lists.

While much more must be done to improve our food safety system, the FDA report and USDA's proposed improvements to the recall process are baby steps in the right direction.

Food Safety report due today

Today, the recommendations of an advisory committee which was formed to assess the safety of the nation's food supply will issue a report to President Bush and Congress.  An article that appeared last night on the New York Times website provided some insight into the reasons behind the formation of the committee and what will be included in the report:

food safety reportNeither the FDA nor the USDA had the authority to order ConAgra to recall the products. In fact, all food recalls, except for those involving infant formula, are voluntary. Often, the government gets a product recalled by warning the company it could face bad publicity if it does not withdraw the food.

An advisory committee created in response to concerns about recalls of imported products -- including dog food and toothpaste -- will suggest changing that.

The commission, created in July in response to concerns about recalls of imported items, will recommend to President Bush that the FDA be empowered to order recalls of products deemed a risk to consumers, an administration official said Monday. Congress would have to approve such a step.

Here is what critics who were interviewed had to say of the food supply as it is: 

''FDA's food program is very small compared to its task.''  -- William Hubbard, a top FDA official for 14 years.

''I think the food industry has a very long history of not doing anything on food safety unless it has to.''  -- Marion Nestle, a New York University professor who wrote a book on food safety.

Bill Marler, another food industry critic, recently wrote in Food Safety Magazine:

Ultimately, dedication to food safety must go beyond the company's HACCP programs in terms of compliance, implementation, testing and auditing. This commitment starts at the top of the organization with the CEO, president and senior management team. Managing the business in a way that pays more than lip service to food safety will produce high-quality, profitable products that don't make people sick, and is essential to the continued health of your bottom line and the health of your consumers.

FDA Implementing Initiative to Reduce Tomato-Related Foodborne Illnesses

FDA announced today that it was introducing a multi-year tomato safety initiative to reduce the number of foodborne illnesses traced to tomato consumption in the United States.  The initiative comes on the heels of two Salmonella outbreaks traced to tomatoes last summer and fall.

In a press release announcing the initiative, FDA stated:

The initiative, part of FDA’s Produce Safety Action Plan, is a collaborative effort between FDA and state health and agriculture departments in Florida and Virginia. Several universities and members of the produce industry also are part of the effort. It will begin during this year’s growing season for Virginia in the summer and for Florida in the fall.

During the past decade, the consumption of fresh and fresh-cut tomatoes has been linked to 12 different outbreaks of foodborne illness in the United States. Those outbreaks include 1,840 confirmed cases of illness. The majority of these outbreaks have been traced to products from Florida and the eastern shore of Virginia; however, tomato-associated outbreaks also have been traced to tomatoes from California, Georgia, Ohio, and South Carolina. The effort will include identifying practices or conditions that potentially lead to product contamination, which will allow FDA to continue to improve its guidance and policy on tomato safety. The initiative will evaluate the need for additional produce safety research, education, and outreach.

FDA also said that the Tomato Safety Initiative will go hand in hand with the Leafy Greens Initiative, which was launched in 2006.

Who is responsible for food safety?

Newsinferno.com added a post titled, "CDC, FDA, ConAgra or Peter Pan himself, Who’s to Blame for the Underreporting of Sickening and Potentially Deadly Salmonella & E-Coli Food Poisoning Cases?" which offers an interesting discussion on foodborne illness outbreaks.  

The federal agency responsible for insuring food safety was also been taken to task for its role in the incident. In April 2007, the Washington Post published documents proving that the FDA, as well as ConAgra, knew of contamination problems at the plant as far back as 2004. The agency took few corrective measures, assuming that ConAgra would address the situation itself. ConAgra apparently did little to nothing to fix the problem.

And this was not the first time the FDA knew about food safety problems but did little to correct them. The Post article also cited evidence that the agency had been aware of problems with contaminated spinach and other California greens as far back as 1995. In the fall of 2006, hundreds of people were sickened and three were killed after contracting e-coli from contaminated California Spinach.

Critics say that under-funding and a lack of trained inspectors at the FDA have left the nation’s food supply in a perilous condition. A congressional fact sheet published by Henry Waxman (D-Calif) in 2006 said funding for the FDA fell short by $135 million. The number of scientists employed by the FDA’s food division dropped from 1,000 to 800 in the past three years. This decrease in personnel and the ongoing budget cuts have overwhelmed the agency, greatly impacting its ability to watch over the food supply. The results of this shortfall are apparent — according to the CDC, contaminated foods cause 325,000 hospitalizations and 5,000 deaths each year.

Maybe Newsinferno.com will post about the recent E. coli outbreaks traced to ground beef and include USDA in its next analysis.

Making food safer

The USDA is expected to announce today whether 20 million chickens who were fed melamine-contaminated feed are to be released into the US food supply.  Bloomberg News reported on USDA's investigation and decision-making process:

The U.S. Department of Agriculture said it is keeping as many as 20 million chickens from slaughter this weekend as officials investigate whether the birds were given tainted feed.

The chickens are in several states on farms contracted to ``large commercial operators,'' USDA spokesman Keith Williams said today in a phone interview. The chickens are being voluntarily held until at least May 7 while the USDA, the Food and Drug Administration and the Environmental Protection Agency decide whether they are safe for eating.

The chickens received feed believed to be tainted with melamine, an industrial chemical that has been found in wheat gluten imported from China, Williams said. The contaminated feed has been connected to the deaths of at least 14 pets and caused the quarantine of hog farms in six U.S. states this year.

Pet food contaminatin and the FDA's creation of a new position - assistant commissioner for food protection, or what has been dubbed "Food Safety Czar," have both been widely discussed in food safety circles, as well as on editorial pages of newspapers like the New York Times and the Seattle Times.
 
In today's New York Times, the editorial board focuses on pet food contamination and the need for government action to ensure the safety of imported food:

As the global trade in foodstuffs expands, the Food and Drug Administration must be given more legal authority, money and inspectors to ensure the safety of imported foods. It would be even more tragic if the next episode were to kill thousands of people before being detected and contained.

It now looks as if two Chinese companies sold wheat gluten and rice protein spiked with an industrial chemical, melamine. Their apparent goal was to cut costs. Last week the F.D.A. rushed to upgrade its food safety programs, creating a new position — assistant commissioner for food protection — and naming a respected scientist to fill it. That should focus needed attention on a subject that often seems secondary in an agency straining to regulate drugs and medical devices. But not much will change until Congress provides money and legal authority to police foreign producers.

The Seattle Times editorial board focused more on the Food Safety Czar and on upcoming legislation:

This week, the FDA established a new position — assistant commissioner for food protection. The first task for David Acheson, a physician who has researched food-borne pathogens extensively, is crafting a strategy to ensure food safety and defend the food system from people who would deliberately try to compromise it.

The U.S. Senate also this week approved a provision by Sen. Dick Durbin, D-Ill., to strengthen the food-safety system. The amendment to a Food and Drug Administration reauthorization bill would establish an early-notification system for food problems, increase inspections of foreign imports and create a database to help spot patterns needing investigation.

Imports aren't the only challenge. During the past year, hundreds of people were sickened by salmonella in peanut butter and by E. coli in organic spinach. At least five people died between the two cases. A surveillance system might have noticed earlier the pattern of problems in the Central California area where the spinach was produced.

Senator Durbin has also introduced the Safe Food Act of 2007, which is the focus of a blog post at The Ethicurean, where it is stated that: 

The Safe Food Act calls for the creation of a single cabinet-level Food Safety Administration with a singular mission: safe food. The bill aims to increase the frequency of inspections of food processing plants, create a method to trace food ingredients to their points of origin, and to step up monitoring of food imports. Unlike the current FDA, the administration will have the power to order mandatory recalls of unsafe foods.

More food safety discussions are occuring across the country.  The Atlanta Journal-Constitution asked its readers whether they wash fruits and vegetables before eating them.  Answers to the question have been posted on the AJC Web site.  The LA Times reported on Los Angeles County's attempt at requiring food handlers to be vaccinated against hepatitis A, pointing out that, "The county cannot legally require food workers to be vaccinated against hepatitis A," but noting that the state of California has the legal authority to put such a requirement in place.  And the Bioblog posted recently about the debate over whether grass-fed beef produce E. coli.


Food Safety Under-Funded

Former heads of the Food and Drug Administration (FDA) testified yesterday that more must be done to protect our nation's food safety.  The statements came the same day the FDA announced that it had created a new position - termed the Food Safety Czar by members of Congress - to coordinate food safety efforts.  Bloomberg News covered the story for the Philadelphia Inquirer:

Regulators don't have the money, equipment and staff to keep industrial chemicals, salmonella and E. coli from contaminating the American food supply, former commissioners of the Food and Drug Administration testified yesterday.

"Simply put, our food safety system is broken," said David Kessler, who was named to head the agency by President George H.W. Bush and served from 1990 to 1997.

"The reality is that there is currently no mandate, no leadership, no resources, nor scientific research base for prevention of food safety problems," Kessler told a hearing of the House Oversight Committee in Washington.

The hearings come on the heels of a Government Accountability Office (GAO) report in which the US food safety system was deemed high-risk and, on a smaller scale, a Massachusetts independent state auditor's report on the Commonwealth of Massachusetts food protection program.  Concerns of the Massachusetts State Auditor's report echo concerns previously pointed out about the nation's food safety system.  Areas of concern listed in the Massachusetts Auditor's report were:

  1. Resource constraints that impair the Department of Public Health's (DPH) ability to oversee local health board food protection activities and DPH's ability to conduct wholesale food inspections.
  2. Understaffing of local health authority food inspection activities.
  3. Inadequate local inspection frequency and rare use of appropriate risk-based scheduling systems.
  4. Inadequate training and qualifications of local inspectors.
  5. Inadequate documentation and standardization at local authorities.
  6. Deficiencies in foodborne illness and general complaint investigations and responses at local and state levels.
  7. Lack of proper information technology systems.
  8. Needed improvements to quality assurance systems to promote safe food practices.
  9. Inefficiencies and administrative problems resulting from decentralization of food protection activities.
  10. Lack of strategic long term planning by DPH for food protection efforts.
The full Commonwealth of Massachusetts State Auditor's report is available at the Auditor's Web site.