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Listeria - compliance <strong>and</strong><br />

<strong>regulatory</strong> <strong>requirements</strong> <strong>for</strong> <strong>the</strong><br />

<strong>meat</strong> <strong>and</strong> <strong>poultry</strong> industries<br />

David Miles<br />

Senior Technical Officer<br />

Dealing with Listeria<br />

in <strong>the</strong> processed <strong>meat</strong><br />

& <strong>poultry</strong> industries<br />

8 July 2010


Regulatory approach to control of<br />

Listeria monocytogenes<br />

• Risk assessment – basing regulation on science<br />

– FDA/USDA<br />

– FAO/WHO<br />

• Risk management - Australian regulations<br />

– Food St<strong>and</strong>ards Code<br />

– Guidelines<br />

• Risk management – <strong>meat</strong> industry specific <strong>requirements</strong><br />

– Listeria management program<br />

• Risk communication<br />

– Advice to pregnant women<br />

• Codex – microbiological criteria in RTE foods


Science-based regulation<br />

• International risk assessments have examined <strong>the</strong> public<br />

health risk from Listeria monocytogenes in great depth<br />

• FDA/USDA risk assessment (2003)<br />

– examined 23 ready-to-eat (RTE) foods<br />

– consumption data <strong>and</strong> prevalence data were combined<br />

with <strong>the</strong> potential <strong>for</strong> <strong>the</strong> food to support <strong>the</strong> growth of <strong>the</strong><br />

organism<br />

– foods were ranked according to:<br />

• risk per serving<br />

• risk per annum


Deli <strong>meat</strong>s were ranked<br />

as <strong>the</strong> highest risk food,<br />

estimated to cause over<br />

1500 (90% of total)<br />

listeriosis cases in <strong>the</strong><br />

USA each year<br />

Dry/semi dry fermented<br />

sausages were ranked<br />

as one of <strong>the</strong> lowest risk<br />

food - estimated to<br />

cause less than one<br />

case of listeriosis every<br />

10 years


International risk assessments<br />

• FAO/WHO (2004) - Risk assessment of Listeria<br />

monocytogenes in ready-to-eat (RTE) foods was developed to<br />

answer three specific questions:<br />

1. Estimate <strong>the</strong> risk of illness in food when <strong>the</strong> number of<br />

organisms ranges from ND - 1000 cfu/g, or does not exceed<br />

specified levels at <strong>the</strong> point of consumption<br />

2. Estimate <strong>the</strong> risk of illness in different susceptible population<br />

groups (elderly, infants, pregnant women <strong>and</strong><br />

immunocompromised patients) relative to <strong>the</strong> general<br />

population<br />

3. Estimate <strong>the</strong> risk of illness in foods that support its growth <strong>and</strong><br />

foods that do not support its growth at specific storage <strong>and</strong><br />

shelf-life conditions.


Q3 - Estimate <strong>the</strong> risk of illness in foods that support its growth<br />

<strong>and</strong> foods that do not support its growth at specific<br />

storage <strong>and</strong> shelf-life conditions.<br />

Risk estimates of <strong>the</strong> risk per serving <strong>for</strong> 4 RTE foods <strong>and</strong> estimated number of<br />

illness per 100 million people per year<br />

Food<br />

Milk<br />

Cases of listeriosis per<br />

1 million serves<br />

0.005<br />

Cases of listeriosis per<br />

10 million people per year<br />

9.1<br />

Ice cream<br />

0.000014<br />

0.012<br />

Smoked fish<br />

0.021<br />

0.46<br />

Fermented <strong>meat</strong>s<br />

0.0000025<br />

0.00066


Q2 - Estimate <strong>the</strong> risk of illness <strong>for</strong> consumers in<br />

different susceptible population groups<br />

Relative susceptibilities <strong>for</strong> different sub-population groups (based on French data)<br />

Condition<br />

Relative susceptibility<br />

Transplant<br />

2584<br />

Cancer-blood<br />

1364<br />

AIDS<br />

865<br />

Dialysis<br />

476<br />

Cancer-pulmonary<br />

229<br />

Cancer-gastrointestinal <strong>and</strong> liver<br />

211<br />

Non-cancer liver disease<br />

143<br />

Cancer-bladder <strong>and</strong> prostrate<br />

112<br />

Cancer-gynaecological<br />

66<br />

Diabetes, insulin dependent<br />

30<br />

Diabetes, non-insulin dependent<br />

25<br />

Alcoholism<br />

18<br />

Over 65 years old<br />

7.5<br />

Less than 65 years old, no o<strong>the</strong>r condition<br />

1


Q1 - Estimate <strong>the</strong> risk of illness in food when <strong>the</strong> number of<br />

organisms ranges from ND - 1000 cfu/g, or does not exceed<br />

specified levels at <strong>the</strong> point of consumption<br />

• Nearly all cases of listeriosis result from <strong>the</strong> consumption of high<br />

numbers of <strong>the</strong> pathogen<br />

• Vast majority of listeriosis cases associated with <strong>the</strong> consumption of<br />

foods not meeting current st<strong>and</strong>ards <strong>for</strong> Listeria monocytogenes in<br />

foods, whe<strong>the</strong>r that st<strong>and</strong>ard is zero tolerance or 100 cfu/g<br />

• Control measures that reduce <strong>the</strong> frequency <strong>and</strong> levels of<br />

contamination will have a proportional reduction in <strong>the</strong> rates of illness


Food St<strong>and</strong>ards Code<br />

• St<strong>and</strong>ard 4.2.2 - Primary Production <strong>and</strong> Processing St<strong>and</strong>ard <strong>for</strong><br />

Poultry Meat (to commence on 20 May 2012)<br />

A <strong>poultry</strong> processor must<br />

1. systematically examine all of its processing operations to identify<br />

potential hazards <strong>and</strong> implement control measures to address those<br />

hazards.<br />

2. have evidence to show that a systematic examination has been<br />

undertaken <strong>and</strong> that control measures <strong>for</strong> those identified hazards<br />

have been implemented.<br />

3. must verify <strong>the</strong> effectiveness of <strong>the</strong> control measures.<br />

4. operate according to a food safety management statement that sets<br />

out how <strong>the</strong> <strong>requirements</strong> are being complied with.<br />

St<strong>and</strong>ard 4.2.3 – Primary Production <strong>and</strong> Processing St<strong>and</strong>ard <strong>for</strong> Meat <strong>and</strong> <strong>meat</strong><br />

products currently under development


Australia New Zeal<strong>and</strong> Food St<strong>and</strong>ards Code<br />

St<strong>and</strong>ard 1.6.1 - Microbiological Limits <strong>for</strong> Foods<br />

• Lists <strong>the</strong> maximum permissible levels of microorganisms<br />

in certain foods at any stage of <strong>the</strong>ir manufacture or sale<br />

• M<strong>and</strong>atory microbiological st<strong>and</strong>ards set where:<br />

– risk assessment has shown that <strong>the</strong> risk of foodborne<br />

illness associated with <strong>the</strong> consumption of certain foods<br />

is relatively high; <strong>and</strong><br />

– that a st<strong>and</strong>ard could contribute to <strong>the</strong> management of<br />

<strong>the</strong> identified risk.


St<strong>and</strong>ard 1.6.1 – limits <strong>for</strong> Listeria<br />

Meat products<br />

Food<br />

Microorganism<br />

n<br />

c<br />

m<br />

M<br />

Packaged cooked cured/salted <strong>meat</strong><br />

Listeria monocytogenes/25g<br />

5<br />

0<br />

0<br />

Packaged heat treated <strong>meat</strong> paste <strong>and</strong><br />

Listeria monocytogenes/25g<br />

5<br />

0<br />

0<br />

packaged heat treated <strong>meat</strong> pâté<br />

n = minimum number of sample units to be tested<br />

m = <strong>the</strong> acceptable microbiological level in a sample unit<br />

c = maximum allowable number of defective units<br />

M = is <strong>the</strong> level, if exceeded, that would cause <strong>the</strong><br />

lot to be rejected


Packaged cooked cured/salted <strong>meat</strong><br />

• FSANZ user guide states “Cooked cured <strong>and</strong> cooked<br />

salted <strong>meat</strong> products include <strong>meat</strong>s such as ham, bacon<br />

<strong>and</strong> emulsion-style sausages (e.g. frankfurters)”<br />

• Some products may have natural or liquid smoke applied<br />

to <strong>the</strong>m.<br />

• The st<strong>and</strong>ards apply to packaged product as<br />

contamination of unpackaged product can occur as a<br />

result of poor h<strong>and</strong>ling <strong>and</strong> this should not be mistakenly<br />

attributed to <strong>the</strong> manufacturing process.


St<strong>and</strong>ard 1.6.1 – limits <strong>for</strong> Listeria<br />

Food<br />

Microorganism<br />

n<br />

c<br />

m<br />

M<br />

Packaged cooked cured/salted <strong>meat</strong><br />

Listeria monocytogenes/25g<br />

5<br />

0<br />

0<br />

Packaged heat treated <strong>meat</strong> paste <strong>and</strong><br />

Listeria monocytogenes/25g<br />

5<br />

0<br />

0<br />

packaged heat treated <strong>meat</strong> pâté<br />

n = minimum number of sample units to be tested<br />

m = <strong>the</strong> acceptable microbiological level in a sample unit<br />

c = maximum allowable number of defective units<br />

M = is <strong>the</strong> level, if exceeded, that would cause <strong>the</strong><br />

lot to be rejected


Packaged heat-treated <strong>meat</strong> paste <strong>and</strong><br />

packaged heat-treated pâté<br />

• Meat paste <strong>and</strong> pâté (including terrine) include all spreads<br />

made from a variety of <strong>meat</strong>s <strong>and</strong> <strong>poultry</strong>, which may be<br />

flavoured with herbs, spices, nuts, fruits or alcohol. Fishbased<br />

paste or pâté is not covered by this st<strong>and</strong>ard.<br />

• The st<strong>and</strong>ards apply to packaged product, as<br />

contamination of unpackaged product can occur as a<br />

result of poor h<strong>and</strong>ling. This should not be mistakenly<br />

attributed to <strong>the</strong> manufacturing process.


What about foods not listed in St<strong>and</strong>ard 1.6.1?<br />

• The absence of microbiological st<strong>and</strong>ards <strong>for</strong> o<strong>the</strong>r foods has been a<br />

problem <strong>for</strong> State <strong>and</strong> Territory food regulators when confronted with <strong>the</strong><br />

isolation of Listeria monocytogenes……<br />

what is <strong>the</strong> risk to <strong>the</strong> consumer??<br />

• FSANZ has also developed advisory microbiological guidelines <strong>for</strong> various<br />

foods that are additional to <strong>the</strong> st<strong>and</strong>ard:<br />

• User guide to St<strong>and</strong>ard 1.6.1 – Microbiological limits <strong>for</strong> foods with<br />

additional guideline criteria<br />

• Guidelines <strong>for</strong> <strong>the</strong> microbiological examination of ready-to-eat foods<br />

• Recall guidelines <strong>for</strong> packaged ready-to-eat food found to contain<br />

Listeria monocytogenes at point of sale


Microbiological guidelines<br />

• Listeria monocytogenes may on occasion be found in a wide variety of<br />

packaged foods sampled at <strong>the</strong> retail level <strong>for</strong> which <strong>the</strong>re are no st<strong>and</strong>ards<br />

or guidelines in St<strong>and</strong>ard 1.6.1.<br />

• Additional microbiological guideline criteria<br />

• Applicable where a st<strong>and</strong>ard is not justified based on risk <strong>and</strong><br />

occurrence<br />

• These guideline criteria are intended to complement o<strong>the</strong>r riskmanagement<br />

strategies undertaken by government <strong>and</strong> industry<br />

– (e.g. Food Safety Program, GMP, GHP)<br />

• Exceedance of <strong>the</strong> guideline levels generally indicates a failure in <strong>the</strong> food<br />

production process or hygiene procedures.<br />

• Action should be taken to identify <strong>and</strong> remedy <strong>the</strong> problem.


Microbiological guidelines<br />

• Provide industry <strong>and</strong> government with in<strong>for</strong>mation on<br />

benchmark levels to assist with interpreting results<br />

• The maximum levels of microorganisms specified apply at<br />

any point in <strong>the</strong> shelf life of a product, from manufacture to<br />

retail.<br />

• If exceeded, investigation recommended <strong>and</strong> action take to<br />

remedy <strong>the</strong> problem<br />

• While guidelines are not legally en<strong>for</strong>ceable <strong>the</strong> Food Act<br />

requires all food to be safe <strong>and</strong> suitable <strong>for</strong> human<br />

consumption.


Guidelines <strong>for</strong> <strong>the</strong> microbiological examination of ready-to-eat foods<br />

Listeria monocytogenes<br />

St<strong>and</strong>ard Plate Count<br />

Test Satisfactory Marginal Unsatisfactory<br />

not detected in 25g<br />

detected but<br />


Recall guidelines <strong>for</strong> packaged RTE foods found<br />

to contain L.monocytogenes at point of sale<br />

• Recall guidelines prepared by FSANZ in 2001 to assist State <strong>and</strong><br />

Territory food <strong>regulatory</strong> authorities determine when <strong>the</strong><br />

presence/level of Listeria monocytogenes in packaged RTE foods<br />

presents a risk to public health.<br />

• In <strong>the</strong> past, <strong>the</strong> detection of L. monocytogenes in any food product<br />

would often lead to a recall without any evaluation of <strong>the</strong> actual risk<br />

• Similar guidelines exist in <strong>the</strong> UK, Canada, Denmark <strong>and</strong> <strong>the</strong> EU.<br />

• These guidelines have been developed specifically <strong>for</strong> use <strong>for</strong><br />

packaged product at retail level.


Recall guidelines <strong>for</strong> packaged RTE foods<br />

• A concentration of L. monocytogenes


Recall guidelines <strong>for</strong> packaged RTE foods<br />

• Food processed correctly <strong>and</strong> protected from contamination after<br />

processing should normally be able to comply with a not detected in 25g<br />

criterion.<br />

• The presence of L. monocytogenes in products produced by a process<br />

which is capable of achieving a Listeria-free product may indicate that<br />

<strong>the</strong> process is not totally under control (i.e. an indication of ei<strong>the</strong>r<br />

inadequate processing or post-process contamination that should be<br />

investigated by <strong>the</strong> manufacturer)<br />

• Manufacturers must still strive <strong>for</strong> nil tolerance in <strong>the</strong>ir packaged<br />

ready-to-eat products.


Foods where a Listeria tolerance may apply<br />

• For a food to be truly considered as not allowing <strong>the</strong><br />

growth of Listeria monocytogenes, it would have to be:<br />

• held below -1°C; or<br />

• have a pH less than 4.5; or<br />

• a water activity of 0.92; or<br />

• be demonstrated through reliable scientific evidence:<br />

– challenge tests<br />

– changed <strong>for</strong>mulations to inhibit growth<br />

– organic acids or o<strong>the</strong>r chemicals that exhibit inhibitory activity<br />

(e.g. nisin)<br />

– predictive modelling


Specific industry <strong>requirements</strong><br />

• The NSW Food Authority may require additional testing to<br />

that specified in <strong>the</strong> Food St<strong>and</strong>ards Code, as a condition<br />

of licence<br />

• This normally applies to those foods that have been<br />

identified as “high risk”


Testing <strong>and</strong> notification of results<br />

Analysis of samples<br />

• Must be carried out in a laboratory approved by:<br />

– <strong>the</strong> National Association of Testing Authorities (NATA - www.nata.asn.au) or<br />

– <strong>the</strong> NSW Food Authority (www.foodauthority.nsw.gov.au )<br />

Reporting of failures<br />

• The Authority must be notified if any sample analysed<br />

fails to meet <strong>the</strong> st<strong>and</strong>ard<br />

– orally within 24 hours after <strong>the</strong> licence holder becomes aware of <strong>the</strong> results<br />

of <strong>the</strong> analysis (eg by phone), <strong>and</strong><br />

– in writing within 7 days after becoming aware of <strong>the</strong> result of analysis (eg by<br />

fax, email, letter).


Food Safety Schemes Manual testing<br />

<strong>requirements</strong><br />

Licensed <strong>meat</strong> businesses must comply with <strong>the</strong> sampling <strong>and</strong> analyses provisions of<br />

<strong>the</strong> Meat food safety scheme of Food Regulation 2010<br />

Product to be tested<br />

Test<br />

Limit<br />

Frequency<br />

RTE <strong>meat</strong> <strong>and</strong> <strong>poultry</strong><br />

Listeria monocytogenes<br />

Not detected<br />

/25g<br />

Every 10 batches<br />

Sliced or whole packaged<br />

RTE <strong>meat</strong> products<br />

Listeria monocytogenes<br />

Not detected<br />

/25g<br />

Every 10 batches<br />

Environmental <strong>and</strong> work surfaces<br />

testing <strong>for</strong> Listeria spp.<br />

No detection<br />

Every month<br />

(5 samples collected pre <strong>and</strong> post<br />

operations)<br />

Whole packaged RTE<br />

<strong>meat</strong> product that<br />

receives a post pack<br />

pasteurisation step<br />

Listeria monocytogenes<br />

Not detected<br />

/25g<br />

Every 10 batches


Moving to a preventative approach<br />

Zone 1 sites are those that are typically contaminated with L. monocytogenes<br />

contamination<br />

Zone 2 sites are those that can harbour Listeria in a RTE processing environment.<br />

Samples shall be taken from Zone 1 <strong>and</strong> Zone 2 surfaces.


Zero tolerance vs 100 cfu/g as a safe level<br />

• Dose response still not clearly defined - Infectious dose remains<br />

problematic<br />

• susceptibility of individuals<br />

• variation in strain virulence<br />

• Current data suggest that greater than 1000 cfu/g may be needed to<br />

cause listeriosis<br />

• Epidemiology of disease is changing<br />

• > numbers elderly with underlying medical conditions<br />

• more sporadic cases, not large outbreaks


Risk communication


Codex - – microbiological criteria in RTE foods<br />

• In 2007 Codex published <strong>the</strong>:<br />

• Guidelines on <strong>the</strong> application of general principles of food hygiene to <strong>the</strong><br />

control of Listeria monocytogenes in ready-to-eat foods (CAC/GL 61-<br />

2007)<br />

• Since <strong>the</strong>n, in 2009 an annex was released on Microbiological criteria <strong>for</strong><br />

Listeria monocytogenes in ready-to-eat foods


Codex …<br />

• Because different types of food present different risks from<br />

Listeria monocytogenes, different microbiological criteria can<br />

be applied <strong>for</strong> <strong>the</strong> following categories of foods:<br />

(a) ready-to-eat foods in which growth of L. monocytogenes will not<br />

occur, <strong>and</strong><br />

(b) ready-to-eat foods in which growth of L. monocytogenes can occur.<br />

• Align with existing policies around <strong>the</strong> world.


When is growth….not growth?<br />

• To define a product in which growth of L. monocytogenes<br />

can occur.<br />

• “A ready-to-eat food in which <strong>the</strong>re is greater than an<br />

average of 0.5 log cfu/g increase in L. monocytogenes<br />

levels <strong>for</strong> at least <strong>the</strong> expected shelf life under reasonably<br />

<strong>for</strong>eseeable conditions of distribution, storage <strong>and</strong> use”<br />

Practical issues to resolve<br />

• “Plus a safety margin” – what is a realistic safety margin?<br />

• Is <strong>the</strong> cold chain always at 5°C ?<br />

• How do we evaluate if L. monocytogenes can grow or not?


How to demonstrate?<br />

• Ready-to-eat foods in which growth of L. monocytogenes will not occur<br />

would be determined based on scientific justification , including <strong>the</strong><br />

inherent variability of factors controlling L. monocytogenes in <strong>the</strong><br />

product. Factors such as pH, aw, are useful in preventing growth.<br />

• For example, L. monocytogenes growth can be controlled in foods that<br />

have:<br />

– a pH below 4.4,<br />

– a water activity < 0.92,<br />

– a combination of factors (pH, aw ,), e.g. <strong>the</strong> combination of pH < 5.0<br />

with aw < 0.94,<br />

– are stored frozen,<br />

– or o<strong>the</strong>r interactive factors (preservatives etc.)


Codex st<strong>and</strong>ards<br />

Point of application<br />

Microorganism<br />

n<br />

c<br />

m<br />

M<br />

Microbiological criterion <strong>for</strong> ready-to-eat foods in which growth of L. monocytogenes will not occur<br />

Ready-to-eat foods from <strong>the</strong> end of<br />

manufacture or port of entry (<strong>for</strong><br />

imported products), to <strong>the</strong> point of<br />

sale<br />

Listeria<br />

monocytogenes<br />

5<br />

0<br />

100 cfu/g<br />

Microbiological criterion <strong>for</strong> ready-to-eat foods in which growth of L. monocytogenes can occur<br />

Ready-to-eat foods from <strong>the</strong> end of<br />

manufacture or port of entry (<strong>for</strong><br />

imported products), to <strong>the</strong> point of<br />

sale<br />

Listeria<br />

monocytogenes<br />

5<br />

0<br />

Absence in<br />

25g (


In summary – Australian <strong>requirements</strong><br />

• Food St<strong>and</strong>ards Code<br />

– Primary production <strong>and</strong> processing st<strong>and</strong>ards<br />

– Nil tolerance in product<br />

• Recall guidelines<br />

– Up to 100 cfu/g in product that does not support <strong>the</strong> growth<br />

– Not detected in product prepared <strong>for</strong> ‘at risk’ groups<br />

• Listeria management plan<br />

– Product / environmental testing<br />

– Food service to vulnerable persons

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