5205Technical University of Denmark, Kongens Lyngby, Denmark.
Food Nutr Bull. 2020 Dec;41(2_suppl):104S-124S. doi: 10.1177/0379572120953047.
Despite increased political attention, foodborne diseases still cause a substantial public health, economic, and social burden worldwide. Children younger than 5 years, people living in developing regions, and in the poorest areas of the world are disproportionally affected, bearing a large proportion of the global burden of foodborne disease. Yet, food safety is a prerequisite to ensuring food security globally: Foods that are responsible for important food safety problems are also crucial to ensure food security in some regions and are essential sources of nutrition. Moreover, together with calls for action to meeting international sustainable development goals, global efforts to promote food security and healthy diets have now highlighted the need to modify food systems globally. This article therefore explores the food safety dimensions of transitions toward food systems that promote sustainable healthy diets. The current body of evidence points to the combined health and environmental benefits of shifting toward a more plant-based diet, including vegetables and fruits, nuts, pulses, and whole grains. As a shift toward more plant-based diets may also lead to higher exposures to chemicals or pathogens present in these foods, an evaluation of food safety implications of such transitions is now imperative. We conclude that several synergies between public health, environmental, and food safety strategies can be identified to support dietary transitions.
尽管政治关注度有所提高，但食源性疾病仍在全球范围内造成重大公共卫生、经济和社会负担。5 岁以下儿童、生活在发展中地区和世界最贫困地区的人受到的影响不成比例，承担着食源性疾病全球负担的很大一部分。然而，食品安全是确保全球食品安全的前提：导致重要食品安全问题的食物对于确保某些地区的食品安全也至关重要，并且是营养的重要来源。此外，随着呼吁采取行动实现国际可持续发展目标，促进粮食安全和健康饮食的全球努力现在强调需要在全球范围内调整粮食系统。因此，本文探讨了促进可持续健康饮食的粮食系统转型的食品安全层面。目前的证据表明，转向更以植物为基础的饮食，包括蔬菜和水果、坚果、豆类和全谷物，对健康和环境都有好处。由于转向更以植物为基础的饮食也可能导致接触这些食物中存在的化学物质或病原体的风险增加，因此现在必须评估这种转变对食品安全的影响。我们的结论是，可以确定公共卫生、环境和食品安全战略之间的几个协同作用，以支持饮食转变。
