Adequate: Results of targeted surveillance on Listeria monocytogenes in ready-to-eat food in Hong Kong

The Centre for Food Safety (CFS) of the Food and Environmental Hygiene Department today (March 1) announced the results of a recently completed targeted food surveillance project on Listeria monocytogenes in ready-to-eat food, which showed that all samples passed the test.

listeria4About 450 samples of ready-to-eat food, including various types of high-risk food, such as cheese, frozen confections, cold cuts, fruit, salad, sashimi, smoked salmon and other smoked seafood, were collected from different retailers, including online retailers, for testing for Listeria monocytogenes.

“Listeria monocytogenes may continue to grow slowly at refrigerated temperatures as low as zero degrees Celsius. Refrigerated ready-to-eat food with a long shelf life is a potential high-risk item for

Listeriosis as prolonged storage in a refrigerator (excluding the freezer) may allow Listeria monocytogenes to have sufficient time to grow and thus increase the consumers’ risk of contracting Listeriosis,” a spokesman for the CFS said.

Listeriosis is usually caused by eating food contaminated with Listeria monocytogenes. Most healthy individuals do not develop symptoms or only have mild symptoms like fever, muscle pain, headache, nausea, vomiting or diarrhoea when infected.

However, severe complications such as septicemia, meningitis or even death may occur in newborns, the elderly and those with a weaker immune system. Although infected pregnant women may just experience mild symptoms generally, the infection of Listeria monocytogenes may cause miscarriage, infant death, preterm birth, or severe infection in newborns.

Despite the fact that the test results of the samples were all satisfactory, the spokesman reminded the trade and the public not to take the risk lightly. They should always maintain good personal and food hygiene to ensure food safety.

Safest food in the world – Canadian edition; US says clean up

The Globe and Mail is reporting that the U.S Agriculture Department has given the Canadian Food Inspection Agency until mid-March to fix significant food safety and sanitation concerns found during an audit of Canada’s meat, poultry and egg inspection systems.

Chicago_meat_inspection_swift_co_1906CFIA met the “core criteria” for overall food inspection, but American officials identified “operation weaknesses related to government oversight, plant sanitation and microbiological testing” for listeria, salmonella and E. coli, according to a final report submitted to CFIA on Jan. 14.

Failure to fix the deficiencies could lead the U.S. government to delist Canadian plants that were audited from exporting their products to the United States.

CFIA issued a statement to The Globe and Mail late Monday insisting that food safety was not compromised and steps are being taken to improve the inspection system.

“It is important to note that none of the audit findings posed a food safety risk to consumers, including the identified sanitation issues,” CFIA said. “At the time of the audit, the CFIA inspectors were already addressing the sanitation findings outlined in the audit report and the establishments were already taking the required steps to fix the issues in question.”

The U.S. Food Safety and Inspection Services (FSIS) conducted the audit between May 28 and June 13, 2014, of slaughter and processing plants in Ontario and Quebec.

The audit found CFIA does not conduct ongoing environmental sampling and testing in food-production plants for Listeria monocytogenes (Lm), the bacteria that contaminated cold cuts produced by Maple Leaf Foods in 2008 that resulted in the death of 22 Canadians.

Food-plant employees test the surfaces where ready-to-eat meat and poultry is packaged but “does not collect samples or test for the presence of Lm on non-food contact surfaces,” the audit said.

XL.foodsU.S. auditors also raised concerns that plant inspectors are not checking for the presence of manure, ingesta or milk contamination on carcasses prior to the final wash. Tests are only done once the meat or poultry is in refrigeration units.

“FSIS considers this sanitary measure to not be equivalent [to U.S. standards]. Because this is a significant finding that will impact the overall equivalency of the CFIA inspection system,” the audit said, “CFIA must respond with either correcting the location at which zero tolerance verification occurs or providing an appropriate rational for implementing an alternative inspection procedure within 60 days or FSIS will deem the inspection system to not be equivalent.”

The audit discovered serious sanitation problems in food-processing plants where meat is packaged before being shipped to stores in Canada and the United States. Auditors observed open ceilings, leaking condensate and rust that could contaminate food.

These are the type of sanitation problems that led to the largest meat recall in Canadian history in 2012 when E. coli was found in meat exported to the U.S. from a Brooks, Alta., plant, now owned by JBS Food Canada.

U.S. food inspectors detected the meat before it ended up on U.S. food shelves, but 18 people in Canada got sick from eating the tainted meat. CFIA blamed unsanitary conditions, poor hygiene and the Brooks plant’s failure to immediately disclose E. coli tests.

Canada's Agriculture minister Gerry Ritz attends a meeting of the G8 and G5 agriculture ministers on April 18, 2009 at Castelbrando castle in Cison di Valmarino, northern Italy. Farm ministers from the world's leading industrialised and developing nations meet in Italy this weekend for the first time to find ways of overcoming a global food crisis. AFP PHOTO / ANDREAS SOLARO  (Photo credit should read ANDREAS SOLARO/AFP/Getty Images)

Canada’s Agriculture minister Gerry Ritz attends a meeting of the G8 and G5 agriculture ministers on April 18, 2009 at Castelbrando castle in Cison di Valmarino, northern Italy. Farm ministers from the world’s leading industrialised and developing nations meet in Italy this weekend for the first time to find ways of overcoming a global food crisis. AFP PHOTO / ANDREAS SOLARO (Photo credit should read ANDREAS SOLARO/AFP/Getty Images)

The U.S. audit includes written responses from CFIA that strongly objected to the findings, saying the report “paints an inaccurate picture of the actual situation” and insisting the agency was in the process of addressing the food-safety concerns.

Terrence McRae, the director of CFIA’s Food Import and Export division, even tried but failed to persuade the U.S. Agriculture Department to give the agency a better grade.

CFIA did update their manual to require improved testing for listeria, but said it’s unclear if companies are doing the inspections or CFIA. He was unaware of any plans to set up inspection stations before the final wash.

Good on ya: National Zoo temporarily closes kids’ farm due to E. coli

The National Zoo says it’s had to temporarily close its Kids’ Farm exhibit—essentially a petting zoo—because of E. coli.

In a release issued on Monday afternoon, the Smithsonian facility explains that on Feb. 18, a “routine fecal screening process” for goats showed signs of the bacteria. Although the goats were then removed from public view, follow-up tests confirmed E. coli in four goats and one cow last Friday.

“Based on these results, the Kids’ Farm was immediately quarantined and staff started appropriate protective measures, including treating all the farm animals with antibiotics,” the zoo says. The exhibit will reopen after zoo vets get “three consecutive weeks of negative test results.”

“As most people know, E. coli is everywhere in our environment,” Brandie Smith, an associate director at the zoo, explains in the release. “Because it is so common, we routinely test our animals. It’s unfortunate that we have to close the Kids’ Farm temporarily, but we’re taking the right preventative measures for our guests, staff and the animals.”

A table of petting zoo outbreaks is available at https://barfblog.com/wp-content/uploads/2014/04/Petting-Zoo-Outbreaks-Table-4-8-14.xlsx.

Best practices for planning events encouraging human-animal interactions

G. Erdozain , K. KuKanich , B. Chapman  and D. Powell. 2015. Zoonoses and Public Health 62:90-99.

http://onlinelibrary.wiley.com/doi/10.1111/zph.12117/abstract?deniedAccess

Educational events encouraging human–animal interaction include the risk of zoonotic disease transmission. It is estimated that 14% of all disease in the US caused by Campylobacter spp., Cryptosporidium spp., Shiga toxin-producing Escherichia coli (STEC) O157, non-O157 STECs, Listeria monocytogenes, nontyphoidal Salmonella enterica and Yersinia enterocolitica were attributable to animal contact. This article reviews best practices for organizing events where human–animal interactions are encouraged, with the objective of lowering the risk of zoonotic disease transmission.

petting.zoo_.guidelines

Minnesota’s bad year of Salmonella, great year of surveillance

In 2015, Minnesota counted 973 people with state-confirmed Salmonella, the most since health officials started tracking in the early 1990s. Cases were up 35 percent over 2014, according to the Minnesota Department of Health, with 115 people affected by the outbreak linked to Chipotle.

tomato.traceability“It was a huge outbreak, the biggest salmonella outbreak [in this state] since 1994,” said Kirk Smith, the health department’s head of foodborne disease investigations.

The Chipotle case, along with a huge national outbreak last year involving cucumbers, highlights a growing problem: the spread of foodborne disease through produce.

Tomatoes connected to the Chipotle outbreak were traced back to a farm in Virginia, a big tomato-growing area linked to several salmonella outbreaks in the past 15 years.

Chipotle, hit by a series of foodborne illness outbreaks last year, did not return calls for comment.

Chipotle was cooperative in Minnesota’s investigation, Smith said, and analyzed its own supply chain data to determine that tomatoes linked to the outbreak likely came from a farm in Virginia.

According to the health department, the tomatoes were sold by Lipman Produce, an Immokalee, Fla.-based company that on its website bills itself as North America’s largest open field tomato grower.

Lipman’s CEO didn’t respond to requests for comment, but in a response to a lawsuit, the company denied that it was the source of the outbreak in Minnesota.

The Virginia tomatoes were sold to a produce wholesaler that packed or repacked them, and then moved on to a distributor that delivered them to Chipotle. Where exactly the tomatoes were tainted has not been identified, and the U.S. Food and Drug Administration (FDA) says it’s investigating.

Smith and other foodborne illness experts say contamination of produce usually occurs in unsanitary packing houses or in the fields, particularly through contaminated water.

From 1990 to 2010, there were 15 multistate salmonella outbreaks linked to raw tomatoes; four were traced to farms or packing houses in Virginia.

post-tomatocoverVirginia’s tomato industry is centered on its eastern shore, a peninsula framed by Chesapeake Bay and the Atlantic Ocean. Its gull and geese populations have been fingered as possible carriers of salmonella, as have chicken farms and processors to the north.

Whatever the reason, surface water and sediment in the area appear to be “long-term reservoirs of persistent and endemic contamination of this environment,” according to a study published last year in Frontiers in Microbiology.

The largest U.S. foodborne incident in 2015 was a Salmonella Poona outbreak that sickened 888 people nationwide, killing six. That outbreak included 43 illnesses in Minnesota, though no deaths.

The culprit: cucumbers imported from Mexico. It was the third significant U.S. outbreak of salmonella linked to cucumbers in three years.

Spices have twice the Salmonella of other FDA-regulated imports

In an effort to curb the number of foodborne illness outbreaks in America, the Food and Drug Administration is taking a harder look at packaged spices that are typically found on grocery store shelves.

pepperFDA has announced it is analyzing a recently completed two-year, nationwide study to collect data on the presence of Salmonella in retail packages.

The FDA has introduced new rules, as part of the Food Safety and Modernization Act, to “establish preventative controls in the food supply chain.” Through a “risk profile,” the agency determined the presence of pathogens, such as Salmonella, and filth in spices is “a systemic challenge,” and the problem relates in part to poor or inconsistent use of appropriate controls to prevent contamination. Once full analysis of the study has been completed, the FDA will post the results online.

The draft risk profile released in Oct. 2013 determined that the presence of pathogens, such as Salmonella, and filth in spices is a systemic challenge and that the problem relates in part to poor or inconsistent use of appropriate controls to prevent contamination. Spice shipments from 79 countries were examined for Salmonella, and we found that 37 of the 79 countries had Salmonella-contaminated shipments, indicating that contamination of spice shipments with Salmonella is not limited to just a few source countries. Spice shipments offered for entry into the U.S. had an overall prevalence for Salmonella of approximately 6.6 percent during the 2007 to 2009 fiscal years, about twice the average prevalence of all other imported, FDA-regulated foods. We also found that approximately 12 percent of the spice shipments offered for entry to the U.S. during a three-year period (FY 2007 to FY 2009) were adulterated with filth such as insects and animal hair, which can result from inadequate packing or storage conditions.

However, we noted in the study an important data gap in that we were missing key information about the level of contamination of spices at retail in the U.S. When we began conducting the risk profile, we asked the public for any data but did not receive information about contamination rates at retail. Because many imported spices are treated after entry to the U.S. to reduce contamination before they are sold to consumers, we knew that the 6.6 percent contamination rate found at the import level did not reflect what was actually reaching consumers. We needed retail data to better evaluate the true risk to consumers.

Steaming hot: Campylobacter reduction in UK

Still no mention of thermometers which makes this Agency not so-science based.

chicken.thermThe Food Standards Agency reports results for the second quarter of testing, from October to December 2015, continue to show a decrease in the number of birds with the highest level of contamination from the same months last year. These most heavily contaminated birds, carrying more than 1,000 colony forming units per gram (cfu/g), are the focus of the current target agreed by industry, which is equivalent to no more than 7% of chickens at retail having the highest levels of contamination. Research has shown that reducing the proportion of birds in this category will have the biggest positive impact on public health.

The latest data show 11% of chickens tested positive for the highest level of contamination, down from 19% in October to December 2014. Campylobacter was present on 59% of chicken samples, down from 74% in the same months of the previous year.

In this second quarter of the FSA’s second survey, 966 samples of fresh whole chilled UK-produced chickens and packaging have been tested. The chickens were bought from large UK retail outlets and smaller independent stores and butchers. The survey commenced sampling in July 2015.

The data continue to show an improvement from the previous year. Interventions, including improved biosecurity, SonoSteam, and the trimming of neck skins, introduced by some retailers to reduce levels of campylobacter, may be helping to deliver the improved results. The trimming of the neck skin, the most highly contaminated skin area, means chickens are carrying less campylobacter. The results of this intervention, while making chickens safer, mean comparisons to the first year’s survey may potentially be more difficult in future quarters as most samples from the previous year will have analysed more neck skin. The FSA will review the impact of this successful intervention to ensure the survey results remain robust.

The FSA has been testing chickens for campylobacter since February 2014 and publishing the results as part of its campaign to bring together the whole chicken supply chain to tackle the problem. Campylobacter is the most common cause of food poisoning in the UK, making an estimated 280,000 people ill every year.

camp.reduction.uk.feb.16The FSA is pressing the industry to play its part in reducing the levels of campylobacter contamination at each production stage to as low a level as possible before raw chicken reaches the consumer. Chicken is safe as long as consumers follow good kitchen practice:

Cover and chill raw chicken: Cover raw chicken and store on the bottom shelf of the fridge so juices cannot drip on to other foods and contaminate them with food poisoning bacteria such as Campylobacter.

Don’t wash raw chicken: Cooking will kill any bacteria present, including Campylobacter, while washing chicken can spread germs by splashing.

Wash hands and used utensils:  Thoroughly wash and clean all utensils, chopping boards and surfaces used to prepare raw chicken. Wash hands thoroughly with soap and warm water, after handling raw chicken. This helps stop the spread of Campylobacter by avoiding cross contamination.

Cook chicken thoroughly:  Make sure chicken is steaming hot all the way through before serving. Cut in to the thickest part of the meat and check that it is steaming hot with no pink meat and that the juices run clear.

Year 2 of a UK-wide survey of campylobacter contamination on fresh chickens at retail (July 2015 to July 2016)

This 12-month survey investigates the prevalence and levels of campylobacter contamination on fresh whole chilled chickens and their packaging. The survey aims to examine more than 4,000 samples of whole chickens bought from UK retail outlets and smaller independent stores and butchers. The two sets of results from quarter 1 and 2 (sampling period July to December 2015) are available.

Food is getting safer, but still might make you sick

Scott Canon of The Kansas City Star writes in a good food safety feature, go ahead and eat out. Or eat in (edited excerpts below).

produceWhether you dig into Mom’s casserole, feast on the local diner’s daily special or snarf up something from a mega-corporation’s drive-through, America’s meals may arrive as safe now as mankind has ever known.

Just not 100 percent.

Government rules continue to tighten. Various industries, fearful of lawsuits and the lost business that follows bad publicity, put more muscle into keeping things clean.

Yet experts also describe an increasingly elaborate system that tests the power to keep a meal safe.

“The marketplace is probably more complex,” said Charles Hunt, the Kansas state epidemiologist. “The produce that you get in the store today was in Mexico or someplace else just a few days before.”

The Chipotle chain saw multiple, high-profile problems last year. An E. coli outbreak traced to its restaurants in October. In December, the company also was tied to a norovirus incident in Boston, following outbreaks of the pathogen earlier in the year at outlets in California and Minnesota.

In the Kansas City area, more than 600 people got sick after attending shows at the New Theater Restaurant in January, and tests confirmed infections of the norovirus in at least some. It also struck at least 18 staff and patients at the University of Kansas Hospital’s Marillac Campus that month. And about a dozen people were hit with the same vomiting and diarrhea shortly afterward at a Buffalo Wild Wings in Overland Park.

Upticks in detections of outbreaks of food-borne illness, analysts say, likely reflect our increasing powers to spot them — not a growing danger.

In 1998, the U.S. Food and Drug Administration traced an outbreak of salmonella agona to a Malt-O-Meal processing plant in Minnesota. Ten years later, the same plant again shipped out cereal tainted with salmonella, sickening at least 33 people.

With the two incidents separated by a decade, any link seemed coincidental.

But a few years later, the FDA built a powerful tool for analyzing bacterial strains — Whole Genome Sequencing. It can identify down the lineage of any bacterium in its database. In this case it showed the new salmonella was the direct descendant of the earlier one.

barfblog.Stick It InIt turned out that the first outbreak stemmed from contaminated water used to clean the plant during a renovation. That same water was mixed in with mortar for the construction. Dangerous salmonella had been preserved in that mortar. Over the years, the surface of the mortar turned to dust, got wet and gave new life to that distinct family of salmonella.

Imagine the implications. The plant could prevent repeats by painting a sealant over the unlikely culprit — mortar in its walls.

But think of the child who becomes sick down the road with salmonella. The source could be any of thousands of ingredients consumed by an American kid in a normal day. But what if a doctor shares the salmonella sample with federal disease trackers? By looking at the particular genetic line, scientists can spot the family tree and the likely source.

“It tells you who’s related to who even over many years,” said Eric Brown, the director of the Division of Microbiology at the FDA’s Center for Food Safety & Applied Nutrition.

Technology, food safety experts say, only goes so far.

The bigger payoffs come from diligence. That means, foremost, avoiding contamination from feces.

“Our food safety starts on the farm,” said Doug Powell. A former Kansas State University professor of food safety, he’s now the chief author of barfblog.

“It has to be systemic, repeated and relevant.”

For starters, farmers should not use manure on fresh produce. They need to know where their irrigation supply comes from and whether runoff during heavy rains travels from feedlots or other places where livestock or farm workers defecate. Washing those fruits and vegetables later down the line is necessary, but that often can’t overcome massive exposure to E. coli and other potentially fatal bacteria that thrive in poop.

Bill Marler, a Seattle attorney who’s made a high-profile career filing lawsuits in food-borne illness cases, speaks with less alarm about the direction of Big Meat.

After years of restaurants and meat packers weathering expensive lawsuits and public relations disasters, he said, they’ve changed.

Take the slaughterhouse. Cattle arrive splattered with barnyard waste. For years, that created problems because the tainted hides would inevitably taint the skinned carcasses. But now, packing operations routinely steam-clean or treat the carcasses with an acid wash.

“You started to see an amazing turnaround and recalls linked to hamburger have fallen like a stone,” Marler said.

Meantime, he said, restaurants better recognize the business risk of not killing pathogens that cling to meat. Marler said big chains, in particular, devote increasing effort to thoroughly cooking beef, pork and poultry.

And federal rules on the required temperature for cooked meat have increased. Some chains, such as Taco Bell, now cook meat at centralized locations before shipping it to franchises. The local teenager preparing that food for customers still needs to be wary of temperature control, but much of the responsibility for safety has been standardized by corporate operations.

Produce, he and others say, poses a more difficult problem. Food that’s not cooked lacks the critical “kill step” to render harmless the bacteria that do slip through.

That, goes the critique, sets up a corporate culture that valued freshness over safety.

The company has responded by shutting down its restaurants repeatedly for special training days and saying its redoubled efforts to track the practices of its suppliers.

(Many have noted that much of Chipotle’s problems related to contamination from sick workers, not from its pursuit of freshness. More on that later.)

food-handler-card-skillsBut consumers have shown an increasing interest in the source of their food, preferring fresh over processed and local or organic over cheaper commodity ingredients. That’s tied, analysts say, to the belief that food made on a smaller scale and without the use of antibiotics in livestock or pesticides in crops is safer.

Some evidence suggests that such methods provide a more nutritious meal that may avoid long-term health risks. Yet they can pose new challenges in dodging food-borne pathogens in the short term, said barfblog’s Powell and others.

“Natural, organic, sustainable, dolphin-free — those are lifestyle choices,” Powell said. “There’s been no study that has conclusively said one way or another if it’s more likely to make you barf more.”

He worries it might. Smaller farms might not have the resources, or the sophistication, to keep soiled rain runoff from their vegetable patches. The farmer’s market customers or restaurants drawn to their farm-to-plate marketing, he said, might be less inclined to question safety.

“McDonald’s has it covered,” Powell said. “At the boutique places, I say I want my meat cooked to 165 degrees and they look at me like I just came off the turnip truck.”

 

One goes up, one goes down: Swiss surveillance

Clinical isolates of Campylobacter spp. and Salmonella spp. are notifiable in Switzerland. In 1995, Campylobacter replaced Salmonella as the most frequently reported foodborne pathogen. We analysed notification data (1988–2013) for these two bacterial, gastrointestinal pathogens of public health importance in Switzerland.

campylobacterNotification rates were calculated using data for the average resident population. Between 1988 and 2013, notified campylobacteriosis cases doubled from 3,127 to 7,499, while Salmonella case notifications decreased, from 4,291 to 1,267. Case notifications for both pathogens peaked during summer months. Campylobacter infections showed a distinct winter peak, particularly in the 2011/12, 2012/13 and 2013/14 winter seasons. Campylobacter case notifications showed more frequent infection in males than females in all but 20–24 year-olds. Among reported cases, patients’ average age increased for campylobacteriosis but not for salmonellosis.

The inverse trends observed in case notifications for the two pathogens indicate an increase in campylobacteriosis cases. It appears unlikely that changes in patients’ health-seeking or physicians’ testing behaviour would affect Campylobacter and Salmonella case notifications differently. The implementation of legal microbiological criteria for foodstuff was likely an effective means of controlling human salmonellosis. Such criteria should be decreed for Campylobacter, creating incentives for producers to lower Campylobacter prevalence in poultry.

Inverse trends of Campylobacter and Salmonella in Swiss surveillance data, 1988–2013

Eurosurveillance, Volume 21, Issue 6, 11 February 2016

C Schmutz, D Mäusezahl, M Jost, A Baumgartner, M Mäusezahl-Feuz

http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=21375

Whole-genome-sequencing and the longest run-on sentence in abstract history: And who’s we?

As we are approaching the twentieth anniversary of PulseNet, a network of public health and regulatory laboratories that has changed the landscape of foodborne illness surveillance through molecular subtyping, public health microbiology is undergoing another transformation brought about by so-called next-generation sequencing (NGS) technologies that have made whole-genome sequencing (WGS) of foodborne bacterial pathogens a realistic and superior alternative to traditional subtyping methods.

runonsRoutine, real-time, and widespread application of WGS in food safety and public health is on the horizon. Technological, operational, and policy challenges are still present and being addressed by an international and multidisciplinary community of researchers, public health practitioners, and other stakeholders. Expected final online publication date for the Annual Review of Food Science and Technology Volume 7 is February 28, 2016. Please see http://www.annualreviews.org/catalog/pubdates.aspx for revised estimates.

Genomic epidemiology: Whole-genome-sequencing-powered surveillance and outbreak investigation of foodborne bacterial pathogens

Deng X, et al. Annu Rev Food Sci Technol. 2016.

http://www.ncbi.nlm.nih.gov/m/pubmed/26772415/

 

Denmark represent: Global figures for the burden of foodborne disease

My friend Miriam Meister, along with Heidi Kornholt, write that every year, one-in-ten people around the world gets sick from food they eat and 420,000 die as a result.

vomit.toiletThis is the finding of a report from the World Health Organization, WHO, which uncovers the global burden of foodborne disease. Researchers from the National Food Institute, Technical University of Denmark, have contributed considerably to the project.

Knowledge about the burden of foodborne disease is crucial when setting public health targets, prioritizing resources and assessing the impact of these diseases on public health and the economy.

Statistics on foodborne disease only show the tip of the iceberg because few people go to the doctor when they get sick from something they have eaten. Over the past decade, WHO has worked to produce data that can correct for underreporting and underdiagnosis and thereby reveal the true burden of foodborne disease. This work has been carried out with the help of researchers from around the world, including researchers from the National Food Institute, who have contributed with significant input.

The project shows that within one year, one in ten people globally get sick from food they eat and of these, 420,000 end up dying.

Foodborne diseases affect people of all ages, but children are particularly at risk. WHO’s new figures show that a third of deaths related to unsafe food occur among children under five, although this age group is less than one tenth of the world’s population.

The report also shows regional differences and reveals that both cases of foodborne disease and mortality rates as a consequence thereof are higher in Africa and Southeast Asia.

Researchers from the National Food Institute has been part of an international research team, that has calculated the number of cases of disease and deaths caused by nine bacteria, viruses and parasites, which are commonly transmitted through food and typically cause diarrhea.

Researchers from the National Food Institute have also led a global study to estimate, how big a proportion of these diseases that is directly linked to food consumption. Results are presented at both global and regional level.