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Addressing Foodborne Threats to Health: Policies, Practices, and Global Coordination: Workshop Summary (2006)

Chapter: APPENDIX A Forum on Microbial Threats

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Suggested Citation:"APPENDIX A Forum on Microbial Threats." Institute of Medicine. 2006. Addressing Foodborne Threats to Health: Policies, Practices, and Global Coordination: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/11745.
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APPENDIX A
Forum on Microbial Threats

Board on Global Health

Institute of Medicine

The National Academies

Foodborne Threats to Health: The Practice and Policies of Surveillance, Prevention, Outbreak Investigations, and International Coordination

October 25 and 26, 2005

KECK 100

National Academies

500 Fifth Street, N.W.

Washington, D.C. 20001

AGENDA

Tuesday, October 25, 2005

8:30–9:00:

Continental Breakfast

9:00:

Welcome and Opening Remarks

 

Stanley Lemon, The University of Texas Medical Branch, Galveston

Chair, Forum on Microbial Threats

Margaret A. (Peggy) Hamburg, Nuclear Threat Initiative
Page 256 Cite
Suggested Citation:"APPENDIX A Forum on Microbial Threats." Institute of Medicine. 2006. Addressing Foodborne Threats to Health: Policies, Practices, and Global Coordination: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/11745.
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Vice-chair, Forum on Microbial Threats

Session I: The Current U.S. Food Supply—Ruth Berkelman, Moderator

9:20:

Globalization of the food supply—Discussion to address the “inputs” to the U.S. food supply—locally, regionally, and globally—and how the percentage of those inputs has changed over time.

  • Craig Henry, Vice president, FPA

9:50:

Discussion

10:15:

Break

Session II: The Food Supply “Threat Spectrum”—Michael Osterholm, Moderator

9:00:

Welcome and Opening Remarks

10:30:

Overview of the threat spectrum—Unintentional vs. intentional

  • Michael Osterholm, University of Minnesota

11:00:

Discussion

11:15:

Burden of illness associated with foodborne threats to health

  • Rob Tauxe, CDC, Atlanta, GA

11:45:

Discussion

12:00–12:45:

Lunch

Session III: The Food Supply “Threat Spectrum”: Case Studies—David Acheson, Moderator

12:45:

Cyclosporiasis in imported fresh basil

  • Barbara Herwaldt, CDC, Atlanta, GA

  • Dean Bodager, Florida Department of Public Health

1:15:

Hepatitis A from imported green onions

  • Beth Bell, CDC, Atlanta, GA

1:45–2:15:

Discussion

2:15–2:30:

Break
Page 257 Cite
Suggested Citation:"APPENDIX A Forum on Microbial Threats." Institute of Medicine. 2006. Addressing Foodborne Threats to Health: Policies, Practices, and Global Coordination: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/11745.
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2:30–3:30:

Botulinum toxin—David Acheson, presenter

Discussants:

  • Milton Leitenberg, University of Maryland

  • Clay Detlefsen, Vice president for Regulatory Affairs, International Dairy Foods Association

3:30–3:50:

Discussion

Session IV: What are the Tools and Technologies for Real-Time Surveillance of the Food Supply for Conventional and Unconventional Adulterants? Local/Regional/National/Global—Dr. Pat Fitch, Moderator

3:50–5:00:

  • John Besser, Minnesota Department of Health

  • Bob (Robert L.) Buchanan, Director, Office of Science, CFSAN

  • Kimberly Elenberg, USDA, FSIS, Office of Food Safety and Emergency Preparedness

5:00–5:45:

Open Discussion of Day 1/Adjournment of the first day

6:00:

Reception

7:15:

Dinner Meeting of the Forum on Microbial Threats

[location: The Atrium, 3rd Floor; KECK Center]

Wednesday, October 26, 2005

8:00–8:30:

Continental Breakfast

8:30:

Opening Remarks/Summary of Day 1

 

P. Frederick Sparling, UNC, Vice-chair, Forum on Microbial Threats

Session V: Who Is Responsible for Ensuring the Wholesomeness of the Food Supply? Domestic and International Perspectives—Dr. Jim Hughes, Moderator

8:45:

The U.S. Food Safety System

  • John Bailar, III, University of Chicago (Chair, NRC Report: Ensuring Safe Food: From Production to Consumption)
Page 258 Cite
Suggested Citation:"APPENDIX A Forum on Microbial Threats." Institute of Medicine. 2006. Addressing Foodborne Threats to Health: Policies, Practices, and Global Coordination: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/11745.
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9:15:

The International Food Safety System—WHO perspective

  • Jørgen Schlundt, Director of the Food Safety Program (WHO)

9:45:

Discussion

10:15–10:30:

Break

Session VI: What Are the Incentives and Disincentives Associated with Disease/Contamination Reporting? Impacts on Human Health and International Trade—BSE as a “Case Study”—Dr. Lonnie King, Moderator

10:30–12:00:

Case study of BSE—Human illness associated with BSE-tainted meat and meat products; surveillance tools and technologies; impacts on international trade associated with reporting a “positive”

 

Overview: Stanley Prusiner, UC San Francisco

  • Steven Collins, Department of Pathology, University of Melbourne, Parkville, Australia

  • Maura Ricketts, Executive Director, Health Canada

  • Wil Hueston, University of Minnesota

12:00–12:15:

Discussion

12:15–12:45:

Discussion of Morning Sessions

12:45–1:30:

Lunch

Session VII: Threat Reduction Research and Policy Opportunities—Dr. George Korch, Moderator

1:30–2:45:

Panelists

  • Lonnie King, Chair, NRC Report: Animal Health at the Crossroads

  • Sanford Miller, Food Policy Institute

  • Frank Busta, University of Minnesota

2:45–3:15:

Discussion

3:15–4:00:

Next Steps

4:15:

Adjourn
Page 255 Cite
Suggested Citation:"APPENDIX A Forum on Microbial Threats." Institute of Medicine. 2006. Addressing Foodborne Threats to Health: Policies, Practices, and Global Coordination: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/11745.
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Page 255
Page 256 Cite
Suggested Citation:"APPENDIX A Forum on Microbial Threats." Institute of Medicine. 2006. Addressing Foodborne Threats to Health: Policies, Practices, and Global Coordination: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/11745.
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Page 256
Page 257 Cite
Suggested Citation:"APPENDIX A Forum on Microbial Threats." Institute of Medicine. 2006. Addressing Foodborne Threats to Health: Policies, Practices, and Global Coordination: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/11745.
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Page 257
Page 258 Cite
Suggested Citation:"APPENDIX A Forum on Microbial Threats." Institute of Medicine. 2006. Addressing Foodborne Threats to Health: Policies, Practices, and Global Coordination: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/11745.
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In December 2004, at a press conference called to announce his departure as Secretary of the Department of Health and Human Services (HHS), Tommy Thompson raised both concern and controversy when he remarked that he could not understand why the terrorists had not yet attacked our food supply "because it is so easy to do." Although to date the United States has been spared such a disaster, the many documented examples of unintentional outbreaks of foodborne disease—some of which have sickened hundreds of thousands of people, and killed hundreds—provide a grim basis for estimating the impact of deliberate food adulteration. Due to the wide variety of potential chemical and biological agents that could be introduced at many vulnerable points along the food supply continuum, contaminating food is considered an especially simple, yet effective, means to threaten large populations.

To explore the nature and extent of such threats, possibilities for reducing their impact, and obstacles to this goal, the Forum on Microbial Threats of the Institute of Medicine (IOM) convened the workshop Foodborne Threats to Health: The Policies and Practice of Surveillance, Prevention, Outbreak Investigations, and International Coordination on October 25 and 26, 2005. Workshop participants discussed the threat spectrum and burden of disease associated with foodborne illness and the role that increasing globalization of food production and distribution plays in the transmission of foodborne disease. Participants also reviewed existing research, policies, and practices concerning foodborne threats in order to identify unmet needs, challenges, and opportunities for improving food safety systems, surveillance, and emergency response.

Although this workshop summary provides an account of the individual presentations, it also reflects an important aspect of the Forum philosophy. The workshop functions as a dialogue among representatives from different sectors and presents their beliefs on which areas may merit further attention. However, the reader should be aware that the material presented here expresses the views and opinions of the individuals participating in the workshop and not the deliberations of a formally constituted IOM study committee. These proceedings summarize only what participants stated in the workshop and are not intended to be an exhaustive exploration of the subject matter or a representation of consensus evaluation.

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