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

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To accomplish these objectives, the committee recommends that the following measures be taken regarding the scientific and organizational changes needed to improve the US food safety system:

Recommendation I:

Base the food safety system on science.

The United States has enjoyed notable successes in improving food safety. One example is the joint government-industry development of low-acid canned food regulations, based on contingency microbiology and food engineering principles, that has almost eliminated botulism resulting from improperly processed commercial food. Similarly, the passage of the 1958 Food Additives Amendment to the Food, Drug, and Cosmetic Act of 1938 was a "technology forcing" event that improved the evaluation of the safety of added and natural substances and reduced the risks associated with the use of food additives. In a like manner, the Delaney clause of that amendment resulted in increased attention to carcinogenic substances in the food supply. With increasing knowledge, many rational, science-based regulatory philosophies have been adopted, some of which rely on quantitative risk assessment. Adoption of such a science-based regulatory philosophy has been uneven and difficult to ensure given the fragmentation of food safety activities, and the differing missions of the various agencies responsible for specific components of food safety. This philosophy must be integrated into all aspects of the food safety system, from federal to state and local.

Recommendation IIa:

Congress should change federal statutes so that inspection, enforcement, and research efforts can be based on scientifically supportable assessments of risks to public health.

Limitations on the resources available to address food safety issues require that food safety activities operate with maximal efficiency within these limits. This does not require full-scale, cost-benefit analysis of each issue, but it does require that costs, risks, and benefits be known with some precision. Thus, where feasible, regulatory priorities should be based on risk analysis which includes evaluation of prevention strategies where possible. The greatest strides in ensuring food safety from production to consumption can be made through a science-based system that ensures that surveillance, regulatory, and research resources are allocated to maximize effectiveness. This will require identification of the greatest public health needs through surveillance and risk analysis, and evaluation of prevention strategies. The state of knowledge and

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