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Food Safety and Public Health

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FOOD SAFETY AND POLICY
PROF. SHAH MONIR HOSSAIN
SENIOR NATIONAL ADVISOR ,FAO

Food safety situation in Bangladesh
WHAT IS OUR CONCERN
1. FOOD ADULTERATION

2. NATURALLY OCCURING TOXINS
3. PESTICIDE RESIDUES 4. MYCOTOXINS 5. MICROBIOLOGICAL CONTAMINATION 6. VETERINARY DRUG RESIDUES 7. HEAVY METALS

Burden on public health
• Diarrhoea
– 3 million cases reported (DGHS; 2005-09) – Responsible for 15% of mortality in children under 5 years (2011)

• Long term health effects
– Renal failure – Liver damage – Cancer

• Large scale adulteration
– 40-60% food samples found adulterated in Dhaka (IPH) – Extent and severity of food-borne illnesses unknown
Daily Star, October 12, 2012

Changes in food consumption pattern
• • • • Rapid urbanization Globalization of food trade Lack of food safety knowledge and practice Low food security leads to consumption of unsafe food

Risk Factors associated with unsafe food
Consumption of safe and quality food needs quality control from “Firm to Fork”
• • • • Production Storing Marketing Consumption

Issue of public concern
• Contamination
– Along the supply chain from producer to consumer – By adulteration as an unethical business practice

• Health burden
– 3 million cases of diarrhoea (2005-09) – Severe effects include cancer, liver and renal failure
Daily Star, October 12, 2012

Food control in Bangladesh
• Reactive approach to food safety
– End product inspection – Emphasis on food quality

• Outdated laws
– Pure Food Amendment Act, 2005 – Pure Food Rules, 1967

• Fragmented sectorial oversight
– Multiple Ministries/Agencies involved – Lack of co-ordination

Food safety framework
• A science-based policy

• Inter-Ministerial co-ordination
• Strengthening national technical capacity • Preventive measures across the food chain • Consumer education

Strengthening risk analysis capacity
Capacity development activities (DGHS) – Developing a risk analysis framework – Establishing a risk assessment unit – Training assessors – Surveying hazards affecting some food commodities
*Directorate General of Health Services

Target Produce detailed risk assessment of selected foods to aid standards formulation

Dissemination of food safety messages
– Sustained and intensive behavior change campaigns – Use of traditional media (folk music, theatre), print and electronic media
– Targeting of special groups
• Food chain participants such as producers, processors • Consumers such as women, school children
Global Handwashing Day 15 October

Strengthening advocacy
– Supporting civil society organizations
– Sensitizing policymakers – Awareness building within media on food safety issues – Supporting food safety as a culture
Formalin free shop

Target : Run campaigns throughout the 3 programme years.

Food-borne disease surveillance
• Capacity building activities (IEDCR)
– – – – – Setting up hotline/SMS service Reporting food related illness Developing surveillance protocols Investigating outbreaks Collecting suspected food samples

• Analysis of risk factors (NFSL)
– Pathogens
• E. coli, Salmonella, Campylobacter, Listeria

– Chemical contamination
• Pesticides, vet. drugs, heavy metals • Additives, adulterants

• Finalizing the Food Safety Emergency Response Plan

Target : Develop baselines on occurrence of FBDs

The challenge of food inspection
IMPORTS

STRATA: - City Corporations …8 - Municipalities ….308 - Districts - Upazila
IMPORTS

IMPORTS

……64 ….>480

IMPORTS

IMPORTS

INSPECTORS: - Local Govt. ..…. ~70 - DGHS …. ~580 - BSTI - Customs
IMPORTS

….. ~50 ……. Few

Target : Enhance interagency co-ordination

Policy Outcomes
• Stronger food safety and quality control across the food chain resulting in confidence in the food supply.

• An increased visibility of food safety related matters • An increased capacity to deal with food safety issues at all levels across the food chain in Bangladesh.

A modern food control system
POLICY framework

• • • •

National control and regulatory system is in place Roles and responsibilities clearly defined Recognition that hazards may arise at any stage Preventative risk-based approaches are applied

Institutional Framework
A Food Safety Authority to be established to carry out the following tasks: • To provide scientific underpinning to food safety measures, including the development of new food safety regulations and standards
• Coordinate food safety activities undertaken by various Ministries and institutions including food inspection and laboratory services;

Institutional Framework contd.
• Prioritize food safety issues to be addressed nationally • Provide secretarial support to NFSAC and its subsidiary committees, and monitor the implementation of their decisions • Act as focal point in the country for communication with the consumers and other stakeholders • Serve as focal point for national, regional and international enquiries regarding food safety

Institutional Framework contd.
• Coordinate with the National Codex Focal Point and Committee • Coordinate food safety emergency preparedness and response • Review and update the National Food Safety and Quality Policy on a regular basis • Prepare and issue annual reports on the state of food safety in the country

Co-ordination mechanisms
Other countries
Production Storage and transportation Processing Consumption

Food and Agriculture ministries & agencies

Health & Family Welfare, Local Government Agriculture, Fisheries, Livestock Industries, Commerce, Urban Development and other agencies

Enforcement agencies, civil society, mass media



Selection of a lead ministry for food safety o India, Malaysia, Thailand, Australia– Public Health



Multiple agency system o Bangladesh – NFSAC o Sri Lanka – Food Advisory Committee



Integrated agency system o USA – Food and Drug Administration (Dept. of Health and Human Services) o India – Food Safety & Standards Authority of India (Ministry of Health and Social Welfare)

Current food control in Bangladesh
 Reactive approach to food safety
 End product inspection  Emphasis on food quality, rather than safety

 Old laws not complying recent agenda
    Pure Food Ordinance, 1959 Pure Food Rules, 1967 Pure Food (Amendment) Act, 2005 Different sector based purpose oriented legislative instruments

 Fragmented sector based oversight
 Multiple Ministries/Agencies involved  Inadequate coordination
21

Strategies of Policy
Multi-sectoral involvement All stakeholders participate actively in the decision making process related to the development and implementation of the national food safety programme Food chain approach The Policy embraces the preventive “food chain” approach through the use of regulatory and non-regulatory interventions at the point where they are most effective Risk Analysis Risk analysis will be used to carry out science-based evaluations and for reaching sound, consistent solutions to food safety problems.

Strategies of policy
Monitoring and Evaluation Monitoring of contaminants in foods to be conducted in evaluation of effectiveness of the measures for food safety Scientific Research and Data Effort will be made to build partnerships with relevant academic and research institutions to conduct research and to generate information and data Harmonization of International Standards and Regulations Codex standards, guidelines and recommendations, in line with the requirements under the World Trade Organization Agreements (SPS, TBT) to harmonized as per requirement

Website

www.bdfoodsafety.org

Thank you…

25

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