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Ensuring Safe Food: From Production to Consumption (1998)
Institute of Medicine (IOM)

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technology defines what is achievable through the application of current science. Public resources can have the greatest favorable effect on public health if they are allocated in accordance with the combined analysis of risk assessment and technical feasibility. However, limiting allocation of resources to only those areas where high priority hazards are known can create a significant problem: other hazards with somewhat lower priority but with a much greater probability of reduction or elimination might not be addressed due to limited resources. Thus both the marginal risks and marginal benefits must also be considered in allocating resources.

Not all agencies responsible for monitoring the safety of imported food are authorized to enter into agreements with the governments of exporting countries in order to reciprocally recognize food safety standards or inspection results. Uniform or harmonized food safety standards and practices should be established, and officials allowed to undertake research, monitoring, surveillance, and inspection activities within other countries. This should permit inspection and monitoring efforts to be allocated in accordance with science-based assessments of risk and benefit. Changes in federal statute that would foster and enhance science-based strategies are shown in Box ES-2.

BOX ES-2. Changes in Federal Statutes that Would Foster and Enhance Science-based Strategies

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Eliminate continuous inspection system for meat and poultry and replace with a science-based approach which is capable of detecting hazards of concern;

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mandate a single set of science-based inspection regulations for all foods; and

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mandate that all imported foods come from only countries with food safety standards deemed equivalent to US standards.

Recommendation IIb:

Congress and the administration should require development of a comprehensive national food safety plan. Funds appropriated for food safety programs (including research and education programs) should be allocated in accordance with science-based assessments of risk and potential benefit.

Changes in statutes or organization should be based on a rational, well-developed national food safety plan formulated by current federal agencies charged with food safety efforts and with representation from the many stakeholders involved in ensuring safe food. Such a plan, as shown in Box ES-3, should serve as the blueprint for strategies designed to determine priorities for

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