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Quantitative Risk

Assessment

Don Schaffner, Ph.D.


Rutgers, The State University
of NJ

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Overview
- How does risk analysis relate to risk
assessment?
- How is risk assessment applied to
food microbiology?
- A very simple example of a
quantitative risk assessment
- Web links and more information
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Risk Analysis Components
- (Quantitative) Risk Assessment
• How big is the risk, what factors control the risk?
• Scientific process
- Risk Communication
• How can we talk about the risk with affected individuals?
• Social and psychological process
- Risk Management
• What can we do about the risk?
• Political process

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Cartoon

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Step in Risk Assessment
- Hazard Identification
• What microbe, food(s) and people are involved?
- Exposure Analysis
• What is the chance of exposure?
• How many cells?
- Dose-Response Analysis
• What is the human health effect of the exposure?
- Risk Characterization
• Complete picture of the assessed risk

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Hazard Identification
- Epidemiological data linking
• Foods
• Pathogens
• Human illness
- Special considerations
• Disease complications
• Acute vs. chronic disease
• Specific sensitive consumer populations
• Characteristics of the organism
• Organisms mode of action
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Exposure Analysis
- Estimate
• likelihood of consumption
• likely number (dose) of the
pathogen
- If “quantitative” assessment
• Modeling
• Simulation
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Exposure - Simple Example
- Initial number of organisms follows a
Poisson distribution
- Growth rate is normally distributed
- Product composition and storage
temperature are fixed
- The product becomes unsafe when it
contains 100,000 organisms/gram
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Initial number - Poisson

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Growth rate is normal

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Simulation Results

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Dose-Response Analysis
• Translates exposure analysis
output in to a measure of human
health
• If “quantitative”
• Use dose-response curve
• Estimate probability of infection
and illness from dose
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Dose response curve

Cassin et al.
Quantitative risk
assessment for
Escherichia coli
O157:H7 in
ground beef
hamburgers.
Int.J.Food
Micro. 41
(1):21-44, 1998.

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Dose-Response factors
- Statistical model(s) to analyze or
quantify dose- response relationships
• Threshold vs. non-threshold models
- Dose response data
• Human
• Animal
• Outbreak or intervention data

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Dose-Response factors
- Source and preparation of challenge
material or inoculum
- Organism type and strain
• Virulence factors or other measures of
pathogenicity
- Characteristics of the exposed
population
• Age, immune status, etc.
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Risk Characterization
- Final task in risk assessment
- Combines the information from
• Hazard identification
• Exposure analysis
• Dose-response analysis
- Produces a complete picture of
the assessed risk
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A good risk assessment…
- Is…
• Transparent
• Iterative
- Includes…
• Variability and uncertainty
• Management input into problem
formulation
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A hot-air balloon floats overhead…

RM: I’m lost, can you tell me where I am?


RA: Sure, you are 30 feet off the ground
RM: Aha, you must be a risk assessor
RA: Why yes, how did you know?
RM: Because what you told me was technically
correct, but of absolutely no use.

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A hot-air balloon floats overhead…

RA: Aha, you must be a risk manager?


RM: Why yes, how do you know?
RA: That’s easy, you don’t know where you
are, what you want or where you are going…
and you are in the same position now as you
were before you asked for my help, but
now it’s my fault!

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Importance of risk assessment

- Teaching
• Students can see “what if...”
- Research
• Pinpointing uncertainties or knowledge gaps
- Industry
• Optimizing safety while retaining quality
- Government
• Designing regulations for the greatest benefit
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For more information
- Annotated bibliography on Food Safety
Risk Assessment, Management and
Communication
• http://www.nal.usda.gov/fnic/foodborne/risk.htm

- Food Safety Risk Analysis Clearinghouse


• http://www.foodriskclearinghouse.umd.edu/welcome.h

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For more information
- Revised Framework for Microbial Risk
Assessment – ILSI
• http://www.ilsi.org/file/mrabook.pdf

- WHO/FAO microbial risk analysis


page
• http://www.who.int/fsf/mbriskassess/index.h

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Software
- USDA Pathogen Modeling
• http://www.arserrc.gov

- @risk
• http://www.palisade.com/

- Crystal ball
• http://www.decisioneering.com/

- Analytica
• http://www.lumina.com
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Books
- T. A. McMeekin, et al. Predictive
microbiology: Theory and application,
Somerset, England:Research Studies Press
Ltd., 1993.
- C.H. Haas, et al. Quantitative microbial risk
assessment, Ny, NY: John Wiley & Sons,
1999.
- D. Vose. Risk Analysis: A Quantitative
Guide, Chichester:John Wiley & Sons,
2000.

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Published risk assessments
- S. enteritidis in eggs
• http://www.fsis.usda.gov/OPHS/risk/index.htm

- Listeria in RTE foods


• http://www.foodsafety.gov/~dms/lmrisk.html

- Fluoroquinolone Resistant
Campylobacter in Chicken
• http://www.fda.gov/cvm/antimicrobial/Risk_asses.htm

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Published risk assessments
- Vibrio in shellfish
• http://www.cfsan.fda.gov/~dms/vprisk.html

- E.coli O157:H7 in ground beef


• http://www.fsis.usda.gov/OPHS/ecolrisk/home.htm

- Campylobacter in chicken
• http://www.who.int/fsf/mbriskassess/studycourse/an

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Cartoon

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