Rieu Emilie, Duhem Koenraad, Vindel Elisabeth, Sanaa Moez
Epidemiology and Risk Analysis Unit, National Veterinary School of Alfort, Maisons Alfort, Frame, France.
Risk Anal. 2007 Apr;27(2):373-86. doi: 10.1111/j.1539-6924.2007.00888.x.
The World Trade Organization introduced the concept of appropriate level of protection (ALOP) as a public health target. For this public health objective to be interpretable by the actors in the food chain, the concept of food safety objective (FSO) was proposed by the International Commission on Microbiological Specifications for Foods and adopted later by the Codex Alimentarius Food Hygiene Committee. The way to translate an ALOP into a FSO is still in debate. The purpose of this article is to develop a methodological tool to derive a FSO from an ALOP being expressed as a maximal annual marginal risk. We explore the different models relating the annual marginal risk to the parameters of the FSO depending on whether the variability in the survival probability and in the concentration of the pathogen are considered or not. If they are not, determination of the FSO is straightforward. If they are, we propose to use stochastic Monte Carlo simulation models and logistic discriminant analysis in order to determine which sets of parameters are compatible with the ALOP. The logistic discriminant function was chosen such that the kappa coefficient is maximized. We illustrate this method by the example of the risks of listeriosis and salmonellosis in one type of soft cheese. We conclude that the definition of the FSO should integrate three dimensions: the prevalence of contamination, the average concentration per contaminated typical serving, and the dispersion of the concentration among those servings.
世界贸易组织引入了适当保护水平(ALOP)的概念作为公共卫生目标。为使这一公共卫生目标能被食物链中的各方所理解,食品微生物标准国际委员会提出了食品安全目标(FSO)的概念,随后食品法典委员会食品卫生委员会予以采纳。将ALOP转化为FSO的方法仍在讨论中。本文的目的是开发一种方法工具,以便从以最大年度边际风险表示的ALOP中推导出FSO。我们探讨了根据是否考虑生存概率和病原体浓度的变异性,将年度边际风险与FSO参数相关联的不同模型。如果不考虑,FSO的确定很简单。如果考虑,我们建议使用随机蒙特卡罗模拟模型和逻辑判别分析,以确定哪些参数集与ALOP兼容。选择逻辑判别函数以使kappa系数最大化。我们通过一种软奶酪中李斯特菌病和沙门氏菌病风险的例子来说明这种方法。我们得出结论,FSO的定义应整合三个维度:污染发生率、每份受污染典型份量的平均浓度以及这些份量中浓度的离散度。