How risk assessors and risk managers have utilized available data to support decision making Listeria and Vibrio Risk Assessment Examples Risk Assessment Consortium Data Collection and Utilization in Risk Assessment and Management Decisions Richard Whiting CFSAN

 A risk assessment is what you do when the data are less than ideal

 Finding data for a risk assessment is a lot like a scavenger hunt

Ideal solution for data quality and utility  Conduct preliminary quantitative risk assessment  Identify critical data gaps (quality, utility)  Collect data  Complete risk assessment

 Relevancy ~ Data Utility  Uncertainty

Relevancy  How pertinent is this data to this particular risk assessment? Survey studies  Place  Time

Geographic and temporal factors for V. parahaemolyticus LocationSeasonHarvest pathogenic V.p/g oyster Percentage pathogenic V.p. Gulf Coast-- Louisiana Winter (n=5) Summer4.5 Mid-AtlanticWinter0.0061N.D. (TDH+ like GC, n=1) Summer1.5 NE-AtlanticWinter0.006N.D. (TDH+ like GC, n=1) Summer0.42 Pacific NWWinter (n=2) Summer0.022

CDC FoodNet and NFPA Contamination Data NFPA 2003 (% positive retail) FoodNet 2002 (cases per 100,000 people per year) Seafood Salad Soft Cheese StateL. m.Campy.E.c. O157:H CA MD GA OR MN

Treatment of Lm Contamination Data  Weight by number of samples  Weight by year (≤1993, 94-98, ≥ 99: 0.4, 0.7, 1.0)  Weight by country US, developed countries, importing countries vs others (1.0, 0.3)  No recent data Adjust by total food supply data Food Category % positive pre-1999/ % all years High fat dairy 0.9 Soft ripened cheese 1.8 Deli meats3.4

Relevancy of microbial data  Always a question Strains used, selectivity/specificity of methods Lab/pilot plant ~ commercial Composition of product 17 growth in deli meat data sets included Corned beef Cooked ham Vacuum packed ham Bologna Sliced chicken/turkey Turkey loaf Cooked chicken Roast beef Growth in franks with lactate-diacetate not included

Uncertainty  Should be added to data Home storage time (d) FoodMinimumMost likelyMaximum Smoked Seafood Soft ripened cheese Dry, ferm. sausages

Home storage times for refrigerated frankfurters and deli meats —AMI survey, 2001 Average timeFraction 1 to 3 days to to to to to to > Storage time

Three dose-response models for V. p. fitted to data Mean Ingested Dose (cfu) Probability of Gastroenteritis Human Feeding Trials Data Probit Gompertz Beta-Poisson

Uncertainty for V.p. Dose-response Beta Poisson Model Probability of Illness Mean Dose (log cfu per Exposure)

Uncertainty and Data Quality  2-way Risk assessment

Low variation, low uncertainty

High variation, low uncertainty

Low variation, high uncertainty

High variation, high uncertainty

Data Quality and Utility  Are data good enough for the RM to use the RA to reach a conclusion or are the uncertainties too great? Total Cases Listeriosis per Annum (log scale) DM PM HFDFNR SUC P CRUM SS F FR V DFS FSC SSC SRC DS RS PF IC PCCDHC Listeriosis cases per year