FSnet Dec. 1/06 -- II

New Food Safety Network Infosheet -- Two Norovirus outbreaks: Same food safety failure

Dinosaur closes for cleanup; 278 report getting ill

Health department fields 200 calls on norovirus outbreak

Norovirus hits Hamilton again

Health hazard alert - Saroli Brand green bella di cerignola olives may contain dangerous bacteria

An Open Letter to Dalton McGuinty, the Premier of Ontario: December 1, 2006

NY cracks down on illegal mystery meats

Dear eDiets: Are soft cheeses dangerous?

Restaurants implement controls to stop 'hidden' epidemic of food poisoning

Kane County sees Salmonella cases rise

Sheetz denied record access

Breakfast bone of contention

Woman claims she found tooth in biscuit

Hague tribunal shuts after Legionnaire's trace found

Hershey chocolate plant reopens next week

U of I scientist helping processors keep E. coli out of meat

Food Defense: International collaboration in a critical area of biodefense

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New Food Safety Network Infosheet -- Two Norovirus outbreaks: Same food safety failure
01.dec.06
Food Safety Network
Ben Chapman
http://www.foodsafety.ksu.edu/articles/965/FSN-infosheet-12-1-06.pdf
The newest food safety infosheet, a graphical one-page food safety-related story
directed at food handlers, is now available at foodsafetyinfosheets.ksu.edu.
Infosheet highlights:
Banquet hall outbreak infected at least 85 in Hamilton, ON. Canada
It has already been confirmed that the norovirus was spread by an employee
Dozens sickened after dining at restaurant near Des Moines, IA
Dr. Patricia Quinlisk, state epidemiologist, was cited as saying "Anyone with diarrhea or vomiting in the last few days should not be handling any food items."
Infosheets are created weekly by FSN and are posted in restaurants, retail stores, on farms and used in training throughout the world. If you have any infosheet topic requests, or photos, please contact Ben Chapman at bchapman@uoguelph.ca



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Dinosaur closes for cleanup; 278 report getting ill
01.dec.06
Syracuse Post-Standard (NY)
Sue Weibezahl
http://www.syracuse.com/news/poststandard/index.ssf?/base/news-7/1164967375244620.xml&coll=1
The Dinosaur Bar-B-Que restaurant was cited as voluntarily closing its doors Thursday afternoon after 278 people called the Onondaga County Health Department to report becoming ill after eating there last weekend and earlier this week.
Jean Smiley, Onondaga County's deputy health commissioner, was cited as saying the restaurant will stay closed today, Saturday and Sunday to give employees a chance to discard ice and prepared foods and thoroughly clean and sanitize the building.
Owner John Stage was quoted as saying, "We need to break this cycle. The Health Department suggested closing, and I think it's a . . . good idea. I'm not worried about the business; I'm just worried about ending this sickness."
Stage said about 20 restaurant employees have called in sick with the same illness; the Dinosaur restaurants in Rochester and Harlem haven't had any problems.
By 5 p.m. Thursday, employees asked patrons to finish their meals and stopped taking new customers, Smiley said. Health officials will oversee the cleaning of the restaurant. The time it is closed should also give sick employees a chance to get better to prevent any future transmission, she said.
Health officials have had to open additional phone lines to keep up with the dramatic increase in calls about people who ate at the Dinosaur and later experienced cramps, vomiting and diarrhea.
Dr. Cynthia Morrow, the county's health commissioner, said some lab reports should be in today to confirm if the gastrointestinal illness was caused by a problem with the food. Tests to determine whether an airborne virus was the cause will take weeks to complete, she said.
Most of the complaints of illness have been primary, meaning the people who got sick ate at the restaurant. There have also been a few complaints of people catching the illness from someone else, she said. People seem to have been infected Friday, Saturday, Sunday and Monday, Morrow said.



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Health department fields 200 calls on norovirus outbreak
01.dec.06
Lansing State Journal (Michigan)
Jeremy W. Steele
http://www.lsj.com/apps/pbcs.dll/article?AID=/20061201/NEWS01/612010364
Health department officials continued to receive more than 200 phone calls today from people concerned about a norovirus outbreak at a local restaurant.
Steve Tackitt, health officer for the Barry-Eaton District Health Department, said his office continues to interview people to determine how widespread the outbreak was.
People who experienced vomiting and diarrhea after eating at Applebee’s Neighborhood Grill & Bar on West Saginaw Highway in Delta Township between Nov. 22 and Nov. 28 should call health officials at 541-2641. Illness also can be reported online at www.michigan.gov/healthwatch.
“We’re taking their names and numbers and will be interviewing them later,” Tackitt said.
As of Thursday, 32 people had reported symptoms, including 19 employees.



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Norovirus hits Hamilton again
01.dec.06
AM900 CHML
http://www.900chml.com/news/news_local.cfm?cat=7428218912&rem=53335&red=80121823aPBIny&wids=410&gi=1&gm=news_local.cfm
Hamilton -- The City of Hamilton’s Public Health Services is, according to this story, investigating an outbreak of gastroenteritis (norovirus) following reports received on Wednesday November 29, 2006.
Reportedly, more than 100 people attended a private function in a private home on the weekend of November 25 and 26. The event was catered by Piazza Banquet Centre.
The pattern of illness suggested norovirus may have spread from person-to-person among people who attended the party.
Public Health Services has inspected the Piazza Banquet Centre on two occasions since the report was received and there is no indication of any problem with food handling preparation or storage at those facilities.
With the cooperation of the people who attended the event, Public Health is working to contact attendees to provide education about handwashing and prevention of norovirus transmission.



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Health hazard alert - Saroli Brand green bella di cerignola olives may contain dangerous bacteria
01.dec.06
Canadian Food Inspection Agency
OTTAWA - The Canadian Food Inspection Agency (CFIA) and Mario Saroli Sales Inc. are warning the public not to consume Saroli brand Green Bella di Cerignola Olives described below because the product may be contaminated with Clostridium botulinum. Toxins produced by this bacteria may cause botulism, a life-threatening illness.
The Saroli brand Green Bella di Cerignola Olives, a product of Italy, is sold in 1 litre containers bearing UPC 7 79390 00404 1 and the lot code 075/6. The affected product has been distributed in Ontario.
There have been no reported illnesses associated with the consumption of this product.
Food contaminated with Clostridium botulinum toxin may not look or smell spoiled.
Consumption of food contaminated with the toxin may cause nausea, vomiting, fatigue, dizziness, headache, double vision, dry throat, respiratory failure and paralysis. In severe cases of illness, people may die.
The importer, Mario Saroli Sales Inc., Vaughan, Ontario, is voluntarily recalling the affected product from the marketplace. The CFIA is monitoring the effectiveness of the recall.
For more information, consumers and industry may call one of the following numbers:
Mario Saroli Sales Inc. at 905-265-2227
CFIA at 1-800-442-2342, 8:00 a.m. to 4:00 p.m. local time, Monday to Friday.
For information on Clostridium botulinum, visit the Food Facts web page at
http://www.inspection.gc.ca/english/fssa/concen/causee.shtml.
For information on receiving recalls by e-mail, or for other food safety facts, visit
our web site at www.inspection.gc.ca.



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An Open Letter to Dalton McGuinty, the Premier of Ontario: December 1, 2006
01.dec.06
Dr. Murray McQuigge
Premier McGuinty,
Thank you for your recent stand to continue to pasteurize milk in Ontario and to not allow the legal sale or distribution of raw milk. Many lives will be saved by your commitment.
However the Ontario Treasurer, Greg Sorbara, has spoken about legalizing the sale of raw milk. Therefore, I feel compelled to write you, especially given the experience of the Walkerton water disaster.
After 16 years in family medicine, I went into public health because I could no longer bear seeing people come to my office that were sick or dying of diseases that could have been prevented. Pasteurization of milk prevents just such misery and death.
It appears that Michael Schmidt is on a hunger strike for the right to legally kill Canadians. It would also appear that Michael Schmidt has been making serious money by flaunting the laws of Ontario and illegally selling and distributing raw milk.
The following are some thoughts on this issue:
In 1938, Ontario Premier Mitchell F. Hepburn’s Liberal government brought in a law to mandate the pasteurization of milk. All provinces in Canada now have this legislation. This legislation was the end result of a crusade started by one of the founders of the Women’s Institute: Adelaide Hoodless of Hamilton, Ontario. In 1896 her 14 month old son died of drinking contaminated milk. At that time, over 10% of all childhood tuberculosis was caused by unpasteurized milk. After the legislation was passed, tuberculosis rates and the rates of many other milk-borne diseases in children plunged dramatically.
Treasurer Sorbara talks about the establishment of a “safe distribution system for raw milk”. There never was, and cannot be, such a safe system. Unpasteurized milk has been one of the most dangerous sources of food poisoning since recorded time. Dairy cattle get many diseases that can cause disease in humans: tuberculosis, brucellosis, listeria (which can cause abortions in pregnant women), salmonellosis, diseases from E. coli O157:H7 (the same bacteria that killed 7 people in Walkerton), campylobacter gastroenteritis, and staph and strep infections to name a few. Cow’s milk is not safe when it comes from the udder. These diseases are all passed through the cow and in to its milk. No amount of clean animal husbandry can prevent this. We know this because, in the U.S. states that allow the sale of raw milk, disease and deaths from its consumption regularly occur. Some of those states are aggressively pursuing legislation to mandate the pasteurization of milk.
Is cow tuberculosis no longer a threat in milk? No. Every year, some dairy cattle in Canada test positive for tuberculosis. All TB needs to make a comeback is to have a lapse in preventive methods. Pasteurization kills the tuberculosis bacteria.
Unfortunately, new bacteria have found their way into our farms and food: E.coli O157:H7 is one of them. It first appeared in 1984 and is now found in at least 10% of the cattle in Canada. It can be passed on by their feces contaminating other foods, milk, and water.
This is not a matter of personal choice, where an adult choice only harms themselves. At Christmas time in 1981, a happy Peterborough couple headed home with the glowing reassurance that their babies – a newborn boy and girl – were healthy and normal. Within 9 days, their newborn girl, Stephanie, came down with salmonella muenster, a pathogenic bacteria frequently associated with raw milk. Stephanie died of salmonella meningitis. Stephanie had never drunk raw milk. It was learned that the mother of another baby in the nursery had drunk raw milk during her pregnancy, and the clinical tests showed that this mother was a carrier of salmonella muenster, although she herself showed no symptoms. She had transferred the infection to her infant, also an asymptomatic carrier, and the salmonella had passed from the baby to Stephanie (see the Harrowsmith 1985 article on this). There are many stories like Stephanie’s. The drinking of raw milk puts others at risk.
Because of public health prevention, today’s public doesn’t see or experience the dirty diseases that we had 75 years ago and so may be led to believe that all food is safe and secure. Nothing could be further from the truth. The recent experience with spinach and carrot juice point out that no food, including organic food, is safe.
There have been many examples of people buying raw milk without being informed of the risks involved. In 1993 in Oregon, U.S.A., a 56-year old woman, Norma Bryne, was a victim of E. coli from drinking raw milk. She spent a month in hospital and incurred an estimated $100,000 in uninsured medical expenses. She testified at an inquiry that “she didn’t understand the risks when she drank the milk” and that the pain she had suffered was “worse than anything I had ever experienced”.
Our local MPP in Grey-Bruce counties, Bill Murdoch, has commented that he was amazed that uniformed men came to seize Michael Schmidt’s milking equipment. As the Medical Officer of Health who ordered Michael Schmidt to cease and desist selling and distributing raw milk in 1994, I can tell you that Schmidt was belligerent and violent towards my staff and they asked me to provide them with police protection when they went to his farm. It is no surprise that the folks seizing Schmidt’s equipment this time took precautions.
This is not an anti-farming issue. My father sold farm machinery in Alliston, Ontario where I grew up and had my first summer jobs on dairy farms. The backbone of Canadian life is farming. This is a medical and public health issue.
I fully support the concerns and recent statements of Medical Officers of Health of Ontario, the Chief Medical Officer of Health, other citizens and health care professionals.
To bring in legislation to allow the sale and distribution of raw milk would be tantamount to willful manslaughter and taking our province back to the Dark Ages.
Respectfully submitted,
Dr. Murray McQuigge, former Medical Officer of Health for the Grey Bruce Health Unit and now, thankfully, retired but seriously concerned.



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NY cracks down on illegal mystery meats
01.dec.06
Herald News Daily: Voice of the Dakotas
Adam Goldman, Associated Press
http://www.heraldnewsdaily.com/ViewArticle.aspx?id=30908&source=2
NEW YORK - When a food safety inspector walked into a market in Queens, he noticed, according to this story, the store had an interesting special posted on its front window: 12 beefy armadillos. In Brooklyn, inspectors found 15 pounds of iguana meat at a West Indian market and 200 pounds of cow lungs for sale at another market. At a West African grocery in Manhattan, the store was selling smoked rodent meat from a refrigerated display case. An inspector quickly seized a couple pounds of it.
Authorities were cited as saying the discoveries are part of a larger trend in which markets across New York are buying meat and other foods from unregulated sources and selling them to an immigrant population accustomed to more exotic fare.
The seizures also cast a spotlight on the eating habits of this ethnically diverse city, where everything from turtles and fish paste to frogs and duck feet make their way onto people‘s plates.
The story says that in the first nine months of the year, inspectors across the state seized 1.6 million pounds of food, destroying about 81 percent of it. Last year, the state seized only 976,076 pounds of food.
Such food can spread nasty bacteria like salmonella or botulism.
Bush meat, or anything killed in the wild, is typically illegal. Eating endangered or threatened species like as gorilla and chimpanzee — whose meat is occasionally found in New York — is against the law.
State sanitary inspection reports dating back to 2001 reveal a widespread appetite for this potentially dangerous food.
Down the street at Dahing Seafood Market, inspectors have found frogs being sold from an unapproved source. And next door, authorities spotted crates of turtles and a large tub of bullfrogs being sold without proper invoices.
Inside Kam Lun Food Products in Queens, inspectors discovered questionable turtles and frogs and a clue: "Label on animal boxes states China Air Cargo," the inspector wrote in his report.
Dr. Philip Tierno, author of "The Secret Life of Germs: Observations and Lessons from a Microbe Hunter," and director of clinical microbiology at New York University Medical Center, was quoted as saying, "That‘s a no-no because there is absolutely no monitoring of the standards in these places. It‘s subject to the vagaries of whoever is processing the food. Who‘s watching?"
Sung Soo Kim, president of Korean American Small Business Service Center of New York, was cited as saying it‘s hard to change eating habits that are centuries-old.
Kim runs a state-approved food safety education program and has delivered seminars to the Korean community about food laws.



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Dear eDiets: Are soft cheeses dangerous?
01.dec.06
eDiets
Pamela Ofstein
http://www.ediets.com/news/article.cfm/cmi_1980579/cid_1
Dear eDiets,
I've been told it isn't safe to eat soft cheeses. Is this only if you're pregnant?
Name Withheld
The Food and Drug Association (FDA) states that it's OK to eat the cheese if it's made from pasteurized milk so hard cheeses are usually acceptable. It's recommended to avoid unpasteurized, soft cheeses not only if you're pregnant but also if you have an impaired immune system (especially elderly people).
Soft cheeses harbor a common bug called Listeria that can be deadly to unborn babies and those who have a weakened immune system. The FDA states that Listeria only lurks in unpasteurized products such as Brie, Camembert, blue cheeses, feta and other soft cheeses. The pasteurization process destroys this bug.
The FDA also recommends avoiding pre-cooked meats like luncheon meats and hot dogs since they often harbor Listeria and are high in sodium. Read the label if you're unsure if a product is pasteurized or not. You can enjoy food products "made with pasteurized milk" but stay away if it contains "raw milk."



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Restaurants implement controls to stop 'hidden' epidemic of food poisoning
01.dec.06
The Enterprise (MA)
Elaine Allegrini
http://enterprise.southofboston.com/articles/2006/11/30/news/news/news02.txt
Abington Health Agent Michelle Roberts was quoted as saying she has a routine for investigating complaints of food-borne illnesses: "Follow the trail of the food from what comes in the back door to what goes out the front door."
By following the trail, she said she learns who delivered the food, who handled the food, where it was stored and how it was served.
Dr. Bela Matyas, medical director of the state Department of Public Health's epidemiology program, was cited as saying Wednesday that food storage and handling regulations have greatly diminished chances for outbreaks food-borne illnesses from one common source, adding, "Lots and lots of people get diarrheal illnesses all the time, but only some of those diseases are caused by food."
Other causes include drinking or recreational water, person-to-person spreading or animals, often in a petting zoo, he added.
He said the data used by Scripps Howard from the national Centers for Disease Control, which compared food-borne illnesses by state, is not based on scientific reporting standards, and therefore does not paint a true picture of the issue.
Louis Tartaglia, Brockton's executive health board director, was cited as saying his department shuts down about six food service establishments each year for violations that may include outdated food, clean-up, cross-contamination or improper handling, but that food-borne illnesses can originate in private kitchens, too, stating, "The biggest problem in the home is thawing something on the counter. The longer the food is out, the longer it's breeding bacteria." (show me the data -- dp)
Javier Perez, manager of the Abington Ale House, was cited as saying the state's food certification program that requires tri-year retraining, sets out the right storage, handling and cleaning procedures that in turn benefit diners.
Craig Sylvester, interim chief of Brockton Hospital's emergency department, was cited as saying it is very unusual to see an outbreak of food poisoning, but when they are confirmed, they are reported to the state, adding, "Most of these outbreaks are some sort of fecal/oral contamination from an animal or person and linked to food handling."
Roberts, the Abington health agent, was quoted as saying, "You can make yourself sick — you go to the bathroom, don't wash your hands, then eat chicken salad. A lot of it is common sense."



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Kane County sees Salmonella cases rise
01.dec.06
Courier-News (IL)
http://www.suburbanchicagonews.com/couriernews/news/156626,3_1_EL01_A3SALMONELLA_S1.article
The Kane County Health Department is, according to this story, reporting an increase in food-poisoning cases.
Health officials were cited as saying the county usually sees an average of four cases of Salmonella poisoning a year, but it has recorded 21 cases so far in 2006.
The health department has issued advice on handling food safely:
Hands should be washed thoroughly before and after handling food.
All meats and eggs should be thoroughly cooked.
All food preparation surfaces should be cleaned. Avoid cross-contamination by using different utensils, plates, cutting boards and counter tops before and after cooking.
All fruits and vegetables should be washed thoroughly before preparing and eating.
The health department is asking people displaying Salmonella symptoms -- headaches, muscle aches, diarrhea, vomiting, rumblings in the bowels, chills, fever, nausea and dehydration -- to see their doctor.
Salmonella often is mistaken for the "stomach flu," health officials said. Symptoms usually appear six to 72 hours after ingestion.



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Sheetz denied record access
01.dec.06
Altoona Mirror (PA)
Phil Ray
http://www.altoonamirror.com/News/articles.asp?articleID=7132
HOLLIDAYSBURG — A Blair County judge was cited as ruling that Sheetz Inc. cannot access Pennsylvania Health Department documents relating to a salmonella outbreak in its stores.
The story says that the denied request is the latest in the legal fallout after the July 2004 outbreak.
Residents from Pennsylvania counties, including Blair, are suing Sheetz Inc. and Coronet Foods of West Virginia, which supplied tainted Roma tomatoes to Sheetz.
Sheetz requested that President Judge Jolene G. Kopriva order the release of documents that detail the state investigation into the source of the outbreak.
Sheetz attorney Christopher Lee of Pittsburgh says the documents are relevant to Sheetz and other defendants.
The state refused to release any documents and instructed two of its doctors not to cooperate with Sheetz.
The health department contends that its records are not public under the Pennsylvania Right-to-Know Law and that the information is ‘‘confidential and not subject to disclosure.’’
Attorney Grace R. Schyler, representing the department, also chastised Sheetz for contacting regional health offices to obtain information about local outbreaks of salmonella.



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Breakfast bone of contention
30.nov.06
North Island Gazette (BC)
PORT HARDY -- Jessie Roland was, according to this story, looking forward to a beautiful day as she sat in her sunny kitchen eating her favourite cereal Friday morning, until she spooned up what appears to be a beef bone.
The bone, which still has remnants of meat attached to it, is about an inch and a half long.
Roland, a long-time Port Hardy resident, artist and business owner, was quoted as saying, "It just turned my stomach. All the possibilities that are going through my mind are grossing me out."
The offending cereal is Post Selects Cranberry Almond Crunch, purchased locally.
Roland called the number on the box and Post said they "would look into it" and took her name, phone number and address.
"When I asked them how they would do that, he said he didn't know," says Roland.
The company did not offer her any compensation. "They seemed a bit indifferent."
Roland also called the Better Business Bureau, who advised her to call Health Canada and report the find in her cereal.



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Woman claims she found tooth in biscuit
01.dec.06
Goldsboro News-Argus (North Carolina)
Andrew Bell
http://www.newsargus.com/news/archives/2006/12/01/woman_claims_she_found_tooth_in_biscuit/index.shtml
A Wayne County woman has filed a lawsuit against McDonald's after allegedly finding a piece of a human tooth in her food last year. She is seeking at least $10,000 in damages over the incident.
Terryl Underwood, who is represented by Goldsboro lawyer Ron Lawrence, filed the lawsuit in August in Wayne Superior Court against Wilson-based Dixon Foods Group Inc., Irvine, Calif.-based Golden State Foods Group and McDonald's Corp.
The lawsuit stems from an alleged incident on Nov. 4, 2005, when Ms. Underwood entered the McDonald's restaurant at 2002 Wayne Memorial Drive and ordered a sausage biscuit. The restaurant is owned by Dixon Foods Group Inc. and receives food and ingredients from Golden State Foods Group. Ms. Underwood said in her lawsuit that after she began eating the biscuit, she bit down on a piece of a human tooth.
After realizing the object was a tooth, Ms. Underwood spit out the tooth and claimed she became nauseated and vomited, which required medical attention. Since that time, she alleges that she has suffered physical pain and discomfort, missed time from work to make repeated visits to the hospital and has suffered mental anguish.



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Hague tribunal shuts after Legionnaire's trace found
01.dec.06
Agence France Presse
THE HAGUE - Proceedings at the International Criminal Tribunal for the former Yugoslavia in The Hague were suspended on Friday after traces of Legionella, which cause Legionnaire's disease, were found there.
The traces were discovered on the fifth floor of the ICTY building, which housed a bank before being put to its current use in 1993.
"There is no danger. This is a precautionary measure," the ICTY's press department said.
The air conditioning in the ICTY's main chamber was shut down, and staff was allowed to go home, but the department said it expected the all-clear by Monday morning.



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Hershey chocolate plant reopens next week
01.dec.06
CBC News
http://www.cbc.ca/Canada/toronto/story/2006/12/01/hershey.html
After a closure of almost a month, the Hershey chocolate factory in Smiths Falls, Ont., is scheduled to reopen next week.
The plant, about 60 kilometres southwest of Ottawa, was shut down Nov. 9 after a routine inspection detected salmonella, a type of bacteria that causes food poisoning.
Company spokeswoman Stephanie Moritz said Hershey was contacting the plant's 500 employees Friday and many of them will be back on the job Monday. The rest will be back later in the week, but their start day will depend on their shifts and jobs. The chocolate shop attached to the plant will also reopen Monday.
Moritz said the plant will begin production next week using a new supplier of soy lecithin, the ingredient the company found to be the source of the contamination during its internal investigation. Soy lecithin is an emulsifying agent used to help chocolate flow during the manufacturing process.
Garfield Balsom, who is with the office of food safety and recall at Canadian Food Inspection Agency, said the agency completed its investigation of the contamination and agrees that the soy lecithin was the cause.
Moritz said the company worked closely with the agency during the shutdown in order to clean the plant.



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U of I scientist helping processors keep E. coli out of meat
01.dec.06
AgriNews Online
http://www.agrinews-pubs.com/display.asp?section=D5AB8F1927085300E41A4DA17C4AEB0F72A503B47DAC924D&Article=782AF00CE040B69EE81183EC6DA490C2C6CA03E4F04F7242
URBANA — A University of Illinois food scientist has discovered that certain solutions used by meat processors to extend shelf life actually do double duty as antimicrobial agents, killing such virulent foodborne pathogens as E. coli 0157:H7.
That’s important because E. coli can be spread via recycled solutions used to tenderize and enhance flavor in steaks, chops, and other cuts of meat, said U of I food science professor Susan Brewer.
The problem motivated Brewer and her graduate students to study the process used to inject meat with enhancement solutions before they’re offered to consumers. And the results, published in the Journal of Food Science and Meat Science, have interested industry representatives.
“We wanted to find a point in the process at which we could exert some kind of control to keep foodborne pathogens from becoming a problem,” said Brewer.
Brewer said that needle injection has been widely used for decades to tenderize meats, and more recently the fresh-meat industry has adopted the use of enhancement solutions, a practice that poultry and ham processors have used for years with very few problems.
“A certain amount of fat makes meat juicy and tasty, but in recent years consumers have been demanding leaner and leaner cuts of meat. Processors are now using the needles that tenderize steaks and chops to inject solutions that make the meat taste better and last longer,” she said.
Picture a continuous end-line process in which needles inject cuts of meat with flavor boosters and shelf-life extenders. A basin catches fluid that goes through the meat or runs off the surface, and the solution is recycled into the system.
“With needle injection, organisms that exist on the outside of a piece of meat can get poked down into the meat where they’re less likely to be killed if consumers like their meat on the rare side,” said Brewer.
Also, as the needles inject one piece of meat after another, they can spread contamination from one piece of meat to another, and recycled enhancement solution can further complicate the spread of pathogens.
At this point, Brewer and her graduate students inserted themselves into the process to learn how contamination was likely to occur and how it could be controlled.
The scientists did two studies; in the first, they contaminated the surface of meat with E. coli K12, an indicator organism for its more dangerous relative, to observe the pathogen’s progress as meat went through the system.
“We inoculated meat at various microbial loads, with some seriously nasty surface contamination on some pieces of meat,” she said.
In the second study, they added E. coli K12 into the enhancement solution itself, experimenting with different components and combinations.
The scientists found that some solutions used to extend the shelf-life of meat also were effective at killing bacteria. “In certain solutions containing sodium lactate or sodium diacetate, bacteria cells couldn’t grow and were substantially reduced. These shelf-life enhancers definitely work, and it really doesn’t make any difference whether the steak itself or the solution is contaminated,” Brewer said.
Brewer says the threat level for such meat cuts as chops, steaks and roasts is not high, although ground meat not cooked to high temperatures can be dangerous.
“You’re always safe cooking red meat to 160 degrees, but if you have questions about food safety, check the USDA’s Meat and Poultry Hotline at www.usda.gov,” she said.
“The meat industry has been very proactive in attempting to prevent contamination of their products. They have an awful lot to lose if such an outbreak occurs,” she said.
“But consumers should realize that the cook is the last point of control for eliminating these toxic organisms,” she added.
“If meat is cooked until it’s well done, you won’t have a problem. These organisms are living cells, and they’re fairly easily destroyed by heat, even E. coli 0157:H7,” she said.
Co-authors of the published papers were Brewer and graduate students C. L. Nicholalde, D. D. Paulson, M. C. Rojas, A. J. Stetzer, E. M. Tucker, R. A. Wicklund, and S. E. Wicklund.



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Food Defense: International collaboration in a critical area of biodefense
30.nov.06
US Department of State
Marc L. Ostfield, Senior Advisor for Bioterrorism, Biodefense, and Health Security
http://www.state.gov/g/oes/rls/rm/2006/77206.htm
Remarks to the European Institute: Transatlantic Dimensions of Biodefense Cooperation and Collaboration Event
Washington, DC
Introduction
Good morning. I'd like to thank the European Institute for the opportunity to speak today about food defense and the importance of international cooperation and collaboration to protect the food supply from intentional contamination.
Our food supply and distribution system is global in nature and poses a relatively soft target offering many points at which it could be deliberately contaminated. We often don't realize the extent to which this is true since food appears at the table without much thought about how it got there. It is only when there is the rare case of contamination and consequential recall that we realize how far and wide food items are distributed or the extent to which they are processed. As a result, it is not necessarily obvious to the consumer that the food supply and distribution system are vulnerable to deliberate contamination. Furthermore, characteristics of certain foods may make them more attractive targets because contamination of those foods increases the potential number of people impacted. Fortunately, while the food supply and distribution system are soft targets, there are many steps nations can and have taken individually and collectively to harden these targets and better enhance national and international food defense.
Distinguishing between Food Defense, Food Safety, and Food Security
Before I go further with my remarks, it's important at this juncture to clarify the terminology I will use. It has been our experience that there are some seemingly similar terms used to refer to protecting the food supply against intentional contamination. But, each of the terms means something fairly different, and the use and misuse of the various terms can cause confusion.
The term Food Defense encompasses the steps taken to minimize or mitigate the threat of deliberate contamination of the food supply, and includes identifying points of vulnerability and working to strengthen infrastructure, thereby, making the food supply a less attractive and, more importantly, less vulnerable target. Controls in support of Food Defense include physical security, for example, monitoring the premises for suspicious activity, or locking chemical storage facilities; personnel security, for example, screening employees, use of name badges; and operational security, for example, monitoring production to prevent sabotage, use of tamper-evident packaging.
This is distinct from Food Safety, which focuses on setting standards for industry regarding the safety of food, good manufacturing practices, quality control of agricultural products, and promotion of trade in food products. Control strategies to enhance food safety can also be distinct from those involved in food defense and include: risk management strategies such as Good Agricultural Practices (GAP); Good Manufacturing Practices (GMP); good hygiene practices (GHP)/ Sanitation Standard Operating Procedures (SSOP); and Hazard Analysis Critical Control Points (HACCP) to prevent or reduce microbial, chemical, or physical contamination.
Finally, Food Defense is also distinct from Food Security which is defined by the World Health Organization and others as “when all people at all times have access to sufficient, safe, nutritious food to maintain a healthy and active life.” In other words, Food Security is a concept that is often discussed in terms of dealing with famine or other national or international food shortages.
Many have used these terms interchangeably and, I would argue, erroneously, creating confusion during both national and international policy discussions. Our focus today is on Food Defense and on the ways in which it intersects with international collaboration.
Food Defense – What is the Issue?
There is a genuine terrorist threat to the global food supply, both at the production and processing stages. In May 2002, the World Health Assembly recognized this threat when it stated that “the malicious contamination of food for terrorist purposes is a real and current threat, and deliberate contamination of food at one location could have global public health implications.” Evidence suggests that terrorist groups have considered the food supply as a target. Before the September 11 terrorist attacks in the United States, many modern bioterrorism attacks were perpetrated using food products with the express purpose of extortion, corporate sabotage, terrorism, political influence, destruction of brand or company image, and/or destruction of an economic sector. Materials discovered since September 11, 2001 at Al Qaeda training camps in Afghanistan show knowledge of specific agents that could be used to contaminate the food supply (their sources, maintenance, growth and toxicity) and the potential of the food supply for the distribution of those agents.
The food supply is a relatively soft target offering many points at which it could be deliberately contaminated. In today's marketplace, food is mass produced and rapidly distributed throughout the world; if contaminated, it could cause morbidity and/or mortality on a global scale. Characteristics of certain foods make them more attractive targets because contamination of those foods increases the potential number of people impacted. Vulnerable food products include those that are mixed during production allowing uniform distribution of an agent throughout the product; those with a short shelf-life, increasing the chance that the food will be consumed prior to detection of contamination; those that are easily accessible to a terrorist (e.g., open access to food production facilities, or unlocked trucks, etc.); and those that are made in large batches allowing great volumes to be contaminated at one time. Furthermore, a number of agents could be used to contaminate food, ranging from microbial agents typically seen in unintentional outbreaks of foodborne illness, pathogenic organisms not normally associated with food consumption, to organisms that have been genetically modified to be more lethal, to highly toxic chemical agents.
A motivated terrorist organization can work to acquire/recruit individuals with the scientific training, technical know-how, fiscal support, and high level planning to produce or procure a wide array of specified agents and the terrorist organization may add contaminants directly to the food or to an ingredient.
It's clear from the historical evidence that the food supply does present an appealing target to those who would wish to cause harm to human health, economic well being, or sociopolitical stability. The deliberate contamination of the food supply is neither a new nor novel threat. Throughout history, we have seen episodes of intentional contamination sicken many individuals; and we've seen these episodes not necessarily with the intent to kill, but rather, to cause economic loss. For instance, in 1978, deliberate contamination of Israeli citrus with the heavy metal mercury resulted in a dozen or so children being hospitalized in the Netherlands and West Germany. Terrorists stated they were targeting the Israeli economy.
Other U.S. and international examples in recent history include:
In 1984, the Rajneeshee religious group contaminated salad bars in the U.S. state of Oregon in hopes of affecting the outcome of a local election. This incident caused 751 cases of salmonellosis and resulted in the hospitalization of 45 of the victims.
That same year, Japan also dealt with deliberate contamination when someone contaminated candy in an attempt to extort money from the manufacturer.
More recently, China had to address this issue when, in 2002, 40 people died and 200 individuals were hospitalized in Nanjing after the owner of a fast-food outlet poisoned a competitor's breakfast foods with rat poison.
One year earlier, 120 people in China were sickened when the owners of a noodle factory reportedly laced their food with rat poison.
In Canada in 1970, a postgraduate student tainted his roommates' food with the parasite Ascaris suum. Four of the victims became seriously ill; two of these suffered acute respiratory failure.
Other incidents in the United States include an incident in 1996 in which a disgruntled laboratory worker deliberately contaminated food to be consumed by co-workers with Shigella dysenteria type 2, causing illness in 12 people. Four of the victims had to be hospitalized and five others were treated in hospital emergency rooms.
Furthermore, in May 2003, a supermarket employee pleaded guilty to intentionally contaminating 200 pounds of ground beef with an insecticide containing nicotine. Although the tainted meat was sold in only one store, 111 people, including approximately 40 children, were sickened.
These are only some examples of deliberate attacks; it is believed that other attacks with more limited impact may go undetected.
A deliberate attack on food could and would be devastating, especially if a dangerous agent were used. If one looks at incidences of accidental contamination, it is not hard to extrapolate the extent of damage from a deliberate attack. Given the global movement of food, contaminated food can be distributed throughout numerous countries as seen in 1996 and 1997 when thousands of people in 21 states within the U.S. and two Canadian provinces became infected with the parasite Cyclospora after eating Guatemalan raspberries unintentionally contaminated with the pathogen. A deliberate attack on food using highly toxic or pathogenic agents, such as the deliberate contamination of Israeli citrus, could be even more devastating, with illnesses becoming deaths.
By now, we are all familiar with the recent E. coli O157:H7 outbreaks from contaminated spinach, leading to a national recall in the U.S. At last count, 26 states were affected, 204 people were sickened, and 3 people died. And the impact of this incident was international in scope. Like the U.S., Canada, for example, ended up advising consumers not to eat U.S. spinach. By some estimates, this outbreak may cost up to $74 million. Even a rumor or hoax can have a significant impact, as we saw in 2001 when rumors surfaced about Foot and Mouth Disease in Kansas. That rumor resulted in an estimated $50 million loss.
Thus, in addition to the public health impacts of intentional food contamination, the economic consequences could also be staggering. An attack on the food supply would only have to sicken or kill a few individuals to have far reaching and substantial economic consequences, including direct costs for response to an attack, disruption of food distribution, trade restrictions, long-term loss of consumer confidence, and ultimately, loss of market-share to a competing company or nation. Any of these consequences might carry a heavy economic and political toll. For example, in 1998, an unintentional contamination in the U.S. of 16,000 metric tons of frankfurters and luncheon meats potentially contaminated with Listeria monocytogenes cost the producer $50-70 million. The company spent at least another $100 million in the following two years to improve food production and convince consumers that its products were safe. The deliberate contamination in the United States in 1982 of the pain reliever Tylenol with cyanide resulted in seven deaths. This incident resulted in a significant and permanent loss of the company's market share. While not a food product, this illustrates the potential consequences of a deliberate attack. A widespread or pervasive attack would likely have even farther reaching consequences. And a perceived threat or hoax can cause the same kind of economic and political damage without a contaminated food product ever reaching a store shelf.
Though the direct and indirect costs associated with the food sabotage are difficult to fully track or anticipate, reports from unintentional contamination incidents are important indicators of the possible economic consequences if a large-scale deliberate event were to occur. The U.S. Department of Agriculture, for example, estimates that food-borne illnesses linked to just five pathogens cost the U.S. economy $6.9 billion annually. The psychological effects on consumer behavior as a result of fear and anxiety over the possibility of a contaminated food product (loss in consumer confidence) can also have a ripple effect on other aspects of the economy. Given that agriculture and food supply and distribution systems are a positive contributor collectively to the U.S. economy, a significant attack on the food supply could have strong negative impact on the economy. This problem is not exclusive to the U.S. Given Europe's experience with natural outbreaks of Bovine Spongiform Encephalopathy ( BSE or “Mad Cow Disease”) and incidences such as the Belgium dioxin contamination episode in 1999, European officials are acutely aware of the potential impact of a deliberate contamination in terms of human life, shorter term economic cost, permanent market loss, and potential political fall-out would be significant. While the human death toll from CJD in the UK was relatively low (158), the linkage between BSE and human health led to international bans of British beef imports, depressed markets for British beef, crippled the UK's cattle industry, and destroyed consumer confidence in the UK's ability to handle a health and agriculture threat. These outcomes ultimately resulted in the creation of a new food regulation authority in the UK . In fact, several years ago during a meeting with counterterrorism officials from a European partner, when we began talking about agroterrorism and food defense issues, they said they were comfortable with the conversation provided that we did not utter the phrases “Foot and Mouth Disease (FMD)” and “Bioterrorism” in the same sentence, such was the concern about the consequences of even hinting at the possibility of using the disease as a deliberate bioterrorism attack.
U.S. National and International Food Defense Efforts
To begin making the food supply system less attractive to a potential terrorist, the U.S. has begun taking many proactive steps.
Within the U.S., we are taking a multi-pronged approach.
At the national policy level, Homeland Security Presidential Directive/HSPD 9 established a national policy to defend the agriculture and food system against terrorist attacks, major disasters, and other emergencies. This Presidential Directive gives key federal agencies responsibility for identifying and prioritizing sector-critical infrastructure and key resources for establishing protection requirements; developing awareness and early warning capabilities to recognize threats; mitigating vulnerabilities at critical production and processing nodes; enhancing screening procedures for domestic and imported products; and enhancing response and recovery procedures
The Public Health Security and Bioterrorism Preparedness and Response Act of 2002 (usually referred to as The Bioterrorism Act) established national provisions to inspect food offered for import at ports of entry into the U.S, with the greatest priority given to inspections to detect the intentional contamination of food. Regulations to enhance Food Defense under the Bioterrorism Act provide for the registration of food facilities, prior notification of imported food shipments, establishment and maintenance of records, and administrative detention of any food for up to 30 days when there is credible evidence that the food poses a serious threat to humans or animals
Vulnerability assessments, the U.S. Departments of Agriculture, Homeland Security, the Department of Health and Human Services' Food and Drug Administration, and the Federal Bureau of Investigation are working closely together with the private sector to identify the most critical nodes or vulnerabilities along the food supply and production system, using the vulnerability assessment tool, CARVER + Shock. EPA has also used this tool to analyze the drinking water infrastructure in the US. CARVER is an acronym which stands for Criticality, Accessibility, Recuperability, Vulnerability, Effect, and Recognizability -- all attributes used to evaluate the effectiveness of a target for terrorist attack. In addition to CARVER, the tool evaluates a seventh attribute, the combined health, economic, and psychological impacts, or the “Shock” attributes of an attack.
Surveillance, the U.S. has established individual diagnostic laboratory networks which monitor human, animal, and plant health, as well as the food and water supplies. These individual networks are now working together under the Integrated Consortium of Laboratory Networks, or ICLN and play a significant role in monitoring the food supply as it moves from “farm to fork.” This increasing ability to quickly identify outbreaks of foodborne illness helps ensure that outbreaks or unusual patterns of illness are investigated quickly. As part of this surveillance, the U.S. is increasing national participation in the first Internet-based food safety system: eLEXNET (Electronic Laboratory Exchange Network). This shared electronic data system consolidates and shares microbial food contamination findings among federal, state and local laboratories. Helping ensure increased speed, awareness, and coordination to prevent or respond to deliberate threats to the food supply.
Working with private industry to reduce threats and contain outbreaks of foodborne illness. In this process, U.S. agencies have issued new industry guidance on security measures, and have encouraged specific additional industry security measures in response to the increased threat level. These guidances help food producers, warehouses, importers, stores, restaurants, and other food establishments minimize the risk that their food will be subject to intentional contamination or tampering.
Intelligence gathering/Information sharing – The Strategic Partnership Program Agroterrorism (SPPA) initiative is a close collaboration between the partners I just highlighted. One of its goals is to gather information to enhance existing tools that both USG and industry employ as well as provide stakeholders with comprehensive reports including warnings and indicators, key vulnerabilities, and potential mitigation strategies.
In addition to this work within the U.S. , we have also begun raising the issue of Food Defense internationally. In my international travels, I often hear skepticism about U.S. perceptions of the threat of bioterrorism or of the needed actions. The degree to which bioterrorism is seen to be a significant security threat affects our individual and collective willingness to invest resources in biodefense. And the nature of each other's threat assessment will help structure the kinds of programs put in place to defend against bioterrorism.
But, we have found that Food Defense is often the exception to this international skepticism. When raising food defense and agroterrorism issues, officials overseas seem to “get it” and often indicate that they share the same concerns, probably because of the potential widespread consequences to an economy and the supporting infrastructure.
For example, in 2004, the U.S. introduced bioterrorism onto the agenda for the G8 leaders, leading to the G8 leaders' statement that year covering the issue of “Defending Against Bioterrorism.” One component of that work articulated by G8 leaders was to increase protection of the global food supply. In 2005, G8 nations built on this policy foundation and put together some of the first-ever international technical and policy events looking at initial steps in food defense.
Taking this work even further, a t U.S. initiative, the Asia Pacific Economic Cooperation (APEC) forum has enthusiastically embraced the Food Defense issue. This year, for the first time ever, all 21 APEC economies signed onto a U.S.-Australia-Chile co-sponsored Food Defense Initiative to “Mitigate the Terrorist Threat to the APEC Food Supply.” Earlier this month, technical and policy officials from 17 APEC economies, as well as the private sector, met in Bangkok to review food defense vulnerability assessment methodologies. And less than two weeks ago, the APEC leaders statement welcomed new U.S.-led APEC initiatives to protect our food supply systems from deliberate contamination. We view the APEC Food Defense Initiative as extremely promising work, but it is only a first step. We are planning for APEC economies to further share strategies and work next year to develop Food Defense best practices or recommendations for the region.
Challenges to International Food Defense-Related Discussions
We face several key challenges when discussing food defense internationally: looking at increased awareness, and at international collaboration in response to an event (real or a hoax).
Overall, I have found international colleagues, for the most part, to be receptive and enthusiastic to collaborate on food defense. At the same time, even among close allies, I have been surprised by some of the questions and concerns that international colleagues have raised. For example, proposing food defense collaboration can lead to the question “What do you know that I don't?” The U.S. must often explain that, even in the absence of a specific threat to a particular food or area, we believe that putting the time, energy, and resources into food defense represents a prudent contribution to all of our efforts to combat bioterrorism as well as protect against unintentional food contamination, simultaneously helping strengthen overall protections for the global food supply system.
Additionally, sometimes international partners voice concerns (or, more often, hint at concerns) that collaborative work on Food Defense will affect cross-border trade somehow inadvertently creating unexpected trade restrictions or barriers. In these international discussions, it is important to recognize the ways that implementing new or enhanced food defense measures might affect various components of the food industry, especially small and medium enterprises. At the APEC Food Defense workshop in Bangkok earlier this month, for example, some participants representing both the public and private sectors were concerned about ways that possible enhanced regulation and oversight could affect the global trade in food and agriculture. It is clear, though, that some multinational companies as well as the largest exporters are already paying attention to the political landscape in countries to which they are exporting and understanding that Food Defense is a legitimate concern for governments. For example, some representatives from Australia have indicated that they have modified some Australian practices in responses to the U.S. ' 2002 Bioterrorism Act and its food import screening measures. Small and medium enterprises must begin to address these same concerns to remain competitive in the global marketplace.
In the event of a terrorist attack (or even a hoax), the international challenges could be different. As we all know, internal coordination for any government may often be particularly difficult in the midst of a crisis, especially if multiple ministries or sectors are involved as would be the case in the event of an attack on the food supply. Now imagine having to coordinate not one, but multiple countries in response or mitigation. Bans on food imports, and the potentially permanent loss of markets, could be immediate impacts of such a situation. Furthermore, not being able to effectively coordinate a food defense response among multiple nations has the potential to create, in the short term, tension among trade partners, and over the longer term, lasting diplomatic tensions.
Prevention of and response to an international food contamination event in Europe poses challenges different from those in any other region of the world, due to the role of the European Union in cross-border coordination. The EU's role has been rigorously tested by real-life events such as BSE and others as mentioned previously. On some issues, the added layer of coordination and regulation by the EU can save lives and protect economic interests. Perhaps there are lessons for the rest of the world to learn from the EU's ability to coordinate food defense work across borders. It is also possible that there are ways that the EU can leverage its ability to coordinate across nations to be even more effective on food defense issues.
One final challenge to stimulating and continuing this international dialogue is that of competing priorities. Food Defense, prudent as it may be, is simply not high on the agenda for some nations. For some countries, food safety issues are perceived as a more significant concern enough that it makes it difficult to get some countries to look beyond food safety concerns to protecting the food supply from deliberate contamination. Identifying the synergies, then, between food defense and food safety are critical to helping nations identify ways in which the needs may not be competing but may instead be interdependent -- helping strengthen mechanisms for both national protection and international cooperation.
Key Recommendations
There are a number of ways that nations and the international community can work together to address the challenges of food defense and international cooperation:
Strengthen public-private partnerships to address food defense. Much of the expertise and relevant infrastructure for food defense is in the private sector. Thus, their buy-in, leadership, and partnership are key to hardening the soft targets. In the context of the recent APEC Food Defense workshop in Bangkok , for example, the participation of the private sector was vital to the meeting's success -- illuminating some of the ways in which governments and private industry are interdependent, and that it is in their mutual interest to develop cooperative strategies to protect the food supply.
Multi-sectoral engagement is essential. Many government agencies, many different disciplines, many parts of society all play critical roles in defending against the terrorist threat to the food supply. Food defense efforts in the U.S. include coordination and collaboration among Agriculture, Health, Homeland Security, Intelligence, Environment, and Law Enforcement -- and also include substantial involvement by the private sector. In addition to working with national entities within the U.S. , systems must also ensure that local authorities such as law enforcement or public health are equally involved.
“Translate” this multi-sectoral engagement into cross-border cooperation. In the event of an attack on the food supply requiring an international response, it will be imperative that all sides -- and all nations involved -- are equally coordinating their efforts. In order to improve multi-sectoral interoperability, we need to be working now to develop, promote, and conduct regular transnational, multi-sectoral training courses and exercises on preventing, preparing for, containing, and responding to attacks on the food supply. Due to the existence of the EU, in some respects Europe is ahead of the world on this issue.
Communication is key. There are two parts to this recommendation. The first is the need for creating and enhancing effective risk communication to the general public (consumers), both domestically and internationally. Without such communication, governments and private industry will have great difficulty mitigating the impact of a deliberate attack on the food supply. People need to make sense of random and terrifying events, but attacks on food may elude quick and easy explanation – presenting an unprecedented challenge for policymakers both nationally and internationally. Frank, open, and transparent dialogue between nations will also be critical addressing any potential impact on trade, as well as handling the crisis as it unfolds.
Information sharing particularly when a nation suspects a potential threat to the food supply and distribution system. Thus, we need to be working now to strengthen national and international abilities to identify and quickly detect unusual disturbances in the farm to fork continuum which could indicate a bioterrorist attack and the ability to rapidly share that information with appropriate national and international policymakers.
Fortunately, if I may use an agricultural metaphor, we are starting to see international food defense cooperation efforts bear fruit. Thanks to food defense initiatives like those within the G8 and APEC, nations are talking to each other in a productive manner about protecting the food supply from deliberate contamination -- and are working to identify ways to collaborate. As governments, we are also starting to see the private sector -- at least the very largest multi-national firms -- begin to incorporate food defense practices around the globe.
Finally, I'd like to leave you with three sets of questions for your consideration in this morning's discussion.
First, what are ways to help motivate and develop international collaboration on food defense issues? Where are the natural synergies between nations? What are the obstacles to enhanced global cooperation, and what should we collectively be doing to address those obstacles? Can the EU serve as a leader and a model in these efforts?
Second, what are the best ways to involve the private sector in the ongoing discussion? Are there effective strategies to “incentivize” voluntary adoption of food defense practices? What are some of the lessons we may learn from similar endeavors in the past, from other security practices, or from collaboration with other industries?
And, finally, what are the implications of food defense strategies for international trade? There are clear linkages -- and potential impacts. How do we best ensure that enhanced food defense does not interfere with continued and growing global commerce? What are the ways to make these efforts complementary and not conflicting?
Thank you again for this opportunity to talk about our vision for international cooperation on food defense -- and I look forward to this morning's discussion.
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