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Keyword: risk assessment
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Cyclospora and Related Parasitic Protozoa: Detection and Viability Assessment
Objective:Parasitic protozoa such as Cyclospora cayetanensis, Cryptosporidium parvum and Microsporidium spp. have emerged as important human pathogens and are closely associated with food and waterborne illness. This project will pursue three (3) aspects of research as they relate to food safety: continued development of sensitive detection methods and better sampling of food and water sources; in vitro cultivation and animal modeling development and risk evaluation; intervention strategies.
More Info: Within the last several years, the protozoan parasites Cyclospora cayetanensis, Cryptosporidium parvum and Microsporidium spp. have become increasingly recognized as important, rapidly emerging human pathogens in immunocompromised and immunocompetent individuals alike. Outbreaks of enteric infections caused by these microorganisms have been associated with food- and waterborne contamination.

Since the spring and early summer of 1996, major outbreaks in North America attributed to Cyclospora cayetanensis have been epidemiologically-linked to the consumption of spring crop raspberries from Guatemala. Smaller outbreaks of cyclosporiasis in the United States during the 1990s have been associated with the consumption of other fresh produce-mesclun lettuce and basil. Unpasturized apple cider has been a source for Cryptosporidum parvum infections; scallions have also been implicated. Contaminated water sources are also suspected as a major route in the transmission of all three parasitic protozoa.

The difficulties in assessing and controlling possible foodborne contamination and infections with these coccidia are many. There is a general lack of knowledge concerning life cycles (Cyclospora cayetanensis, Microsporidia spp), animal vectors and/or reservoirs, biochemistry,and the inability to efficiently culture the parasite either in an animal model (Cyclospora cayetanensis) or a tissue culture-based system (Cyclospora cayetanensis and Cryptosporidium parvum). An inadequate supply of Cyclospora cayetanensis also contributes to our general lack of understanding.

Neither a means for assessing their pathogenicity and survival after exposure to potential intervention treatments nor sufficient infectious dose information is available. Current methods to detect foodborne contamination lack the necessary sensitivity and reliability.

In this 3-yr plan, improved sampling and detection methods will be pursued to include fast, reliable, and highly sensitive PCR methodologies that can be applied to a variety of food and water sources. The development of systems for evaluating intervention strategies will include in vitro cultivation of oocysts and identification of model hosts. Development of animal models that mimic human illness caused by these protozoa will be attempted and dose-response studies in normal and immunocompromised animals will then be conducted to provide data for developing risk assessment models. Alternate protozoa such as Eimeria spp. will also be evaluated as research models in the absence of adequate supplies of Cyclospora cayetanensis.

The results of this project will provide for an improved ability to detect and reduce the risk of food and water-borne illness attributed to parasitic protozoa.

Agency:Department of Health and Human Services (DHHS)
Food and Drug Administration (FDA)
Center For Food Safety and Applied Nutrition (CFSAN)
Type:Cooperative Agreement
Start Date:1999 End Date:2002
Project Number:FSI-06-RSVP-39770T
Keywords:models and support systems; protozoal infections; dose response; risk assessment; protozoa; disease detection; in vivo studies; waterborne diseases; food products; Cyclospora; Cryptosporidum parvum
Institution:DHHS/FDA - Center for Food Safety & Applied Nutrition
Food Safety Categories:Sanitation and Pathogen Control
Methodology and Quality Standards
Human Health and Epidemiology
Cyclospora Detection and Viability Assessment
Objective:For Cyclospora cayetanensis improved methods for recovery from raw produce and detection identification by microscopy and PCR. Use mammalian tissue culture to grow the parasite and assay the effects of anti-Cyclospora treatments. Explore animal models to serve as Cyclospora hosts and other parasitic protozoa to serve as experimental substitutes. Develop risk analysis.
Agency:Department of Health and Human Services (DHHS)
Food and Drug Administration (FDA)
Center For Food Safety and Applied Nutrition (CFSAN)
Type:Grant
Start Date:2000 End Date:2000
Project Number:39770
Keywords:Cyclospora; detection; risk assessment; animal models; produce; protozoa; risk analysis;
Institution:Not Available
Food Safety Categories:Sanitation and Pathogen Control
Methodology and Quality Standards
Defining Genomic Sequences Specific to Virulent Vibrio vulnificus Strains to Assess Risk (1998-02757)
Objective:Vibrio vulnificus is the leading cause of reported human death in the U.S. caused by the consumption of sea foods. Since its discovery, v. vulnificus has had a significant impact on public health policy, food regulations, and industry practices.

Currently, there is no practical test to determine if seafood products contain hazardous strains of v. vulnificus. We propose to solve this problem by defining DNA sequences specific to virulent strains, and then developing simple DNA probe test(s) that can be used by industry and public health organizations to assess risk. We will use two techniques to identify segments of DNA that are unique to virulent strains, 1) by "subtracting" DNA of non-virulent strains from virulent strains, thereby identifying virulent-specific DNA sequences, and 2) by allowing the mouse model to directly select for strains that have acquired DNA sequences from virulent V. vulnificus strains that are randomly cloned into non-virulent strains.

More Info:These approaches will produce virulence-specific gene probe(s) that can be widely used to assess v. vulnificus hazards in seafood products. We anticipate that this information will be integrated in ongoing CDC-FDA-State efforts to determine the epidemiology of V. vulnificus infections and to develop effective interventions to reduce risk of v. vulnificus disease.
Agency:United States Department of Agriculture (USDA)
Cooperative State Research, Education, and Extension Service (CSREES)
National Research Initiative (NRI)
Type:Grant
Start Date:1998 End Date:1999
Project Number:FLA-HEC-03719
Keywords:genomics; genomic imprinting; Vibrio vulnificus; sequence analysis; epidemiology; methodology; risk assessment; seafoods
Institution:University of Florida
Food Safety Categories:Human Health and Epidemiology
Pathogen Biology
Designing Effective Risk Communication Messages Based on Microbial Risk Assessment
Objective:Generate data and quantitate charactertics pertaining to demographic, socioeconomic, health, food handling and prepartation practices, and food safety knowledge, by means of consumer research. Using the results from objective 1 in conjunction with two existing microbial risk assessments and input from regulatory agencies (USDA and FDA), develop a comprehensive model of the consumer phase of the farm-to-table continuum. Formulate, implement, and evaluate risk abatement messages targeted to at-risk populations and behaviors identified from the model developed in objective 2.
More Info:Using tools such as consumer focus groups, a web-enabled consumer panel, Monte Carlo simulation and sensitivity/importance analysis, this project will develop a formal approach for including risk communication into the farm-to-table chain for risk assessment, and for integrating the three components of risk analysis.
Agency:United States Department of Agriculture (USDA)
Cooperative State Research, Education, and Extension Service (CSREES)
Type:Grant
Start Date:2001 End Date:2004
Project Number:NCV-VMCG-0017
Keywords:risk assessment; risk management plan; risk communication
Institution:North Carolina State University
Food Safety Categories:Methodology and Quality Standards
Education and Training
Development of a HACCP-like Model for Home Prepared Chicken & Salad in a Puerto Rican Community
Objective:The specific objectives of this 24-month study are to:
  1. Develop a household-level HACCP-like model for home prepared chicken and salad using objective measurements such as direct observations and microbiological indicators.
  2. Test validity of food safety self-reported behaviors against direct home observations and microbiological outcomes.
  3. Develop and pre-test a Puerto Rican chicken and salad HACCPized recipe that incorporates kitchen sanitation principles.
More Info:One barrier for developing cost-effective food safety education targeting low-income consumers is the lack of objective and valid assessments of food safety risks at home. The objective of this study is to develop a HACCP-like model for the preparation of chicken and salad at the household level in a Puerto Rican community. Before delivery to the households, chicken breasts, lettuce, tomatoes, and other necessary ingredients will be tested for Campylobacter, Salmonella, Listeria, fecal coliforms and gram-negative indicators. Subjects (n=90) will be instructed to refrigerate the chicken overnight and then to prepare chicken and salad following a standard recipe but using their routine food handling and preparation techniques. A questionnaire will be applied before the food is actually prepared to be able to compute a self-reported food safety risk score. Subsequently, a research assistant will measure cold storage food temperature, observe and record the actual food preparation process, and take food, preparation areas, handles of refrigerator door, faucets, drawers, and cabinets, and utensils' samples for microbiological analyses before, during, and after food preparation. Results will help understand: a) if the home preparation of chicken and salad represents a food safety risk, b) the 'critical control points', and c) if self-reported risk for food contamination agrees with objective indicators.

Findings will be used to develop and pre-test with 10 subjects a chicken and salad HACCPized recipe that incorporates kitchen sanitation principles. Thus, project has major implications for effective delivery of Cooperative Extension System-based food safety education for low-income audiences.

One barrier for developing cost-effective food safety education targeting low-income consumers is the lack of objective and valid assessments of food safety risks at home. The aims of this study are to: A) Develop a household-level HACCP-like model for home prepared chicken and salad using objective measurements such as direct observations and microbiological indicators. B) Test validity of food safety self-reported behaviors against direct home observations and microbiological outcomes. C) Develop and pre-test a Puerto Rican chicken and salad HACCPized recipe that incorporates kitchen sanitation principles.

Agency:United States Department of Agriculture (USDA)
Cooperative State Research, Education, and Extension Service (CSREES)
Type:Grant
Start Date:2002 End Date:2004
Project Number:CONS2002-03934
Keywords:home food preparation; food handling; food preparation; food contact surfaces; cooking instructions; food safety education; HACCP; models; Critical control points; Storage temperatures; consumer education; consumer survey; educational materials; Cooperative State Research; Education; and Extension Service; extension education; risk assessment; chicken meat; prepared foods; salads; lettuce; tomatoes; validity; sanitation; Puerto Ricans; Low income households; Campylobacter; Salmonella; Listeria; Coliform bacteria; Fecal contamination; Gram-negative bacteria; HACCP-based models
Institution:University of Connecticut
Food Safety Categories:Sanitation and Pathogen Control
Education and Training
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Development of a Risk Assessment Dose-Response Model for Food Borne Listeria monocytogenes
Objective:The goal of this proposal is to develop a dose-response model of L. monocytogenes using pregnant rhesus monkey as surrogates for immunocompromised subpopulations. One of the objectives of the study is the development of an hepatocyte model to screen for relative virulence of different strains of this pathogen.
Agency:Department of Health and Human Services (DHHS)
Food and Drug Administration (FDA)
Center For Food Safety and Applied Nutrition (CFSAN)
Type:Grant
Start Date:2000 End Date:2002
Project Number:FD-U-001622-01
Keywords:dose response; models; Listeria monocytogenes; virulence; strain differences; immunosuppression (physiological); hepatocytes; screening; risk assessment
Institution:University of Georgia
Food Safety Categories:Methodology and Quality Standards
Human Health and Epidemiology
Development of Computer Models for Ranking the Public Health Impact of Foodborne Hazards
Objective:To develop a model to rank the relative public health impact of specific pathogen- food combinations. This objective will: - Provide a widely available decision tool for policy makers; and - Highlight data needs for ongoing development of an integrated understanding of the food safety system and a more science- and risk-based approach to reducing foodborne illness.
More Info:This work will build on the work that has already been done on our prototype risk-ranking model. To enhance and disseminate the existing model, we will undertake the following specific tasks: Task 1: Incorporate Economic Valuation of Additional Pathogens Task 2: Incorporate the Health Utility Index (HUI) into Health Valuation Task 3: Incorporate Uncertainty into Model Inputs and Outputs Task 4: Develop a Shorthand Risk-Based Food Attribution Method Task 5: Facilitate Consensus Development for Food Categories Task 6: Establish Web-based Interface.

Illness caused by foodborne pathogens remains an important cause of illness and death in the United States, with significant economic costs. In order to prioritize how available funds should be spent, it is critical that we know where the problems are: i.e., that we know which combinations of pathogenic microorganism and food have the greatest impact on public health. This is not an easy task: the food production system is complex, and major problems have been encountered in trying to create the models and databases needed to address this question. The Food Safety Research Consortium (FSRC), a group of seven leading universities and institutes, was established to conduct and encourage multi-disciplinary research to build an integrated "system" understanding of foodborne illness and decision tools for prioritizing risk reduction opportunities. As part of this process, the FSRC has developed a prototype mathematical model for ranking the public health impact of specific pathogen-food combinations. The current proposal will allow further development of the FSRC prototype mathematical model for ranking the public health impact of specific pathogen-food combinations. This will include incorporation of additional economic parameters; the inclusion of estimates of uncertainty; further work on a shorthand risk-based food attribution method; facilitation of consensus development for food categories; and establishment of a web-based interface for the model.

The expected outcome is a scientifically valid, computer-based risk ranking model that will be readily accessible to decision makers in government and industry, and that will have utility in policy analysis and priority setting, research, education, and extension activities. While the FSRC has make significant progress in this direction with its current Foodborne Illness Risk Ranking Model, it remains a prototype model with clear weaknesses that limit its utility; and, without a good web interface, its accessibility is also limited. Design elements of the model will be presented for discussion and critique at workshops (early spring 2005 on posthoc evaluation of food safety interventions) and the final national conference (June or September 2005) currently planned by Iowa State University/FSRC as part of the CSREES-funded project "Prioritizing Opportunities to Reduce Foodborne Disease." We anticipate that this material, as it is finalized, will also be submitted for publication in peer-reviewed journals. Once a web interface is in place, we will also be monitoring "hits" on the model web site: utility of the model can be gauged, at least in part, by the number of persons accessing the model.

Agency:United States Department of Agriculture (USDA)
Cooperative State Research, Education, and Extension Service (CSREES)
Type:Grant
Start Date:2004 End Date:2006
Project Number:MDW-2004-00780
Keywords:user interface; world wide web; mathematical models; risk reduction; risk assessment; predictive microbiology; decision support systems; expert systems
Institution:University of Maryland - Baltimore Professional School
Food Safety Categories:Methodology and Quality Standards
Human Health and Epidemiology
Development of Microbial Modeling Components for Use in Risk Assessments
Objective:
  1. Determine the variation between strains of a pathogen,
  2. Create models for the lag phase duration when environmental conditions change,
  3. Model growth and survival in modified atmosphere packaged foods, and
  4. Incorporate microbial models into a new version of the Pathogen Modeling Program (PMP) which can model a processing operation and conduct risk assessments.
More Info:Quantitative data will be collected on the growth and survival of E. coli 0157:H7, Salmonella, Listeria monocytogenes, and Shigella flexneri in broths and representative foods (particularly meats and meat products) under conditions of MAP and changing environments. Emphasis will be on the durations of the lag phase, growth rates and rates of death during storage. MAP will include CO2 and low 02 atmospheres. Additional factors will be incorporated into existing models (acid anions, other humectants besides NaCl). Descriptive models will be developed from these results which will be incorporated into the existing PMP. The PMP will be further developed to permit linking a series of models that simulate a multi-step processing operation and by using Monte Carlo techniques to estimate the likely distribution of pathogens in the product and probability of illness from consuming a particular food.
Agency:United States Department of Agriculture (USDA)
Agricultural Research Service (ARS)
Type:Appropriated
Start Date:1997 End Date:2000
Project Number:1935-42000-032-00D
Keywords:Escherichia coli 0157:H7; Salmonella; Listeria monocytogenes; Shigella flexneri; predictive microbiology; microbial growth; microbial ecology; pathogen survival; risk assessment; modified atmosphere packaging; growth models; Pathogen Modeling Program
Institution:USDA/ARS - North Atlantic Area
Food Safety Categories:Pathogen Biology
Dose Response of Listeria Monocytogenes in Pregnant Guinea Pigs for Use in Risk
Objective:The overall objective of the research is to use pregnant guinea pigs to develop additional dose response information for L. monocytogenes-induced human stillbirths or abortions. The specific objectives are to: 1) conduct a range-finding experiment to determine the region of dose response overlap with the existing non-human primate study, 2) determine the dose response for adverse fetal effect after maternal exposure to L. monocytogenes, particularly low dose exposures resulting in 10-20% fetal illness or death, and determine endpoints that predict adverse pregnant outcome such as L. monocytogenes invasion of maternal liver, maternal spleen, placenta and fetus, and 3) compare the dose response curve developed in pregnant guinea pigs to mouse, primate and human dose response curves, and evaluate the guinea pig as a surrogate model for humans.
More Info:Preliminary experiments will determine the L. monocytogenes strain, dose range, and endpoints for the full dose response study. Pregnant guinea pigs will be treated with three outbreak strains of L. monocytogenes, having known virulence in mouse and non-human primate studies, by oral gavage. Animals will be handled in accordance with the National Institutes of Health and Animal Welfare Act guidelines. The strain that is the most virulent in the preliminary studies will be used for the range-finding study. Next, three different doses of the most virulent strain will be given to groups of three pregnant guinea pigs. The pregnancies will be monitored while enumerating levels of L. monocytogenes in fecal materials. The animals will be sacrificed, and tissues collected from maternal liver, maternal spleen, placentas, and fetuses. After examining fecal shedding data, pregnancy outcome and L. monocytogenes counts in maternal tissues, endpoints and doses will be chosen for the full dose response experiment. This experiment will be done by treating pregnant guinea pigs with L. monocytogenes at four doses plus a broth control. Experimental endpoints will include fetal viability or abortion, fetal weight, and culturable L. monocytogenes from maternal liver, spleen, placenta and fetus. The data collected for these experiments will be used to model a dose response curve for guinea pigs. This dose response curve will be compared to the dose response curve now being developed for a non-human primate study and to the dose response curves in the FSIS/FDA risk assessment. Several different dose response models will be used to determine the best fit for the guinea pig data including the Weibull-gamma, beta-Poisson and the log logistic.
Agency:United States Department of Agriculture (USDA)
Agricultural Research Service (ARS)
Type:Grant
Start Date:2003 End Date:2005
Project Number:1935-42000-041-07G
Keywords:dose response; Listeria monocytogenes; risk assessment; human health; transplacental transmission; guinea pigs; Primates; liver; spleen; placenta; fetus; fetotoxicity; fetal death
Institution:University of Georgia
Food Safety Categories:Human Health and Epidemiology
Dose-Response Modeling for Microbial Risk Assessment
Objective:
  1. To evaluate existing dose-response models for microbial risk assessment.
  2. To develop improved models for estimating probabilities of infection and disease.
  3. To develop methods for incorporating model uncertainty into microbial risk assessment.
More Info:FY 2000 Accomplishments:
  1. One paper on a new approach to incorporating model uncertainties for risk assessment was accepted for publication.
  2. One paper on statistical models for microbial risk assessment has been submitted for publication.
  3. An invited paper was presented at the Eastern North American Region (ENAR) of the International Biometric Society.
  4. An invited talk was presented at the Toxicology and Risk Assessment Approaches for the 21st Century.
  5. Recruited ORISE post doc.

FY 2001 Plans:

  1. Continue research on dose-response modeling of microbial risk assessment.
  2. Evaluate the approach to incorporating model uncertainties in risk estimation.
Agency:Department of Health and Human Services (DHHS)
Food and Drug Administration (FDA)
National Center For Toxicological Research (NCTR)
Type:Ongoing
Start Date:2000 End Date:2000
Project Number:E0704501
Keywords:dose response; risk assessment; mathematical models; dose response models; microbial risk assessment
Institution:DHHS/FDA - National Center for Toxicological Research
Food Safety Categories:Methodology and Quality Standards
Human Health and Epidemiology
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