H&L Transport Managerial Control Manual March 2014 | Page 43

RMED HIGH COST OF FOOD-BORNE ILLNESS Reported and estimated annual cases and costs of food-borne disease in North America Country Reported Cases Estimated Cases Annual Cost Canada 6 – 10 Thousand 2 Million $1 Billion SOURCE: Buzby et al. PREVENTION OF FOOD-BORNE DISEASES Food-borne diseases present public health challenges related to food-handling practices, as described by Diane Roberts, who analyzed causal factors in over 1,400 outbreaks, including;       Globalization of the food supply, resulting in rapid, international distribution of raw and processed foods. Economic pressures to provide products as cheaply as po ssible, requiring large scale production and distribution processes. Traditional food production and handling practices that may be inappropriate in the modern production and retailing environment. Public and political expectations about the safety of the food supply. Population-health factors that may increase risk of illness, including age (the young and elderly), existing illness (e.g., cancer), inherited traits (e.g., sickle cell disease; HLA B-27 susceptibility to reactive arthritis), and depressed immunity (from AIDS, cancer treatment, transplants, pregnancy, and poor nutrition). New pathogens and antibiotic-resistant strains possibly related to environmental factors and changes in farming and husbandry practices. The response to these challenges involves government, the food industry, the public health community, and the public. Government action encompasses legislation to regulate the conditions under which foods are produced, distributed, and retailed, and the development of codes of good practice. Governments may collect statistics to monitor the incidence and causes of food-borne disease, and they may act to protect the public by investigating disease outbreaks and withdrawing unsafe products from sale. Modern processors and manufacturers generally adopt procedures to minimize risks of contamination, (e.g., the Hazard Analysis Critical Control Point [HACCP] approach) and to ensure product quality and safety through quality control procedures. The public health community is concerned with the development and enforcement of standards in manufacturing, processing, and retailing. Finally, the public, by becoming educated about food safety, can protect themselves by adopting appropriate hygiene practices in food preparation, and by ensuring food retailers maintain high standards of hygiene by reporting poor practices to public health authorities. Roberts, D. (1986). "Factors Contributing to Outbreaks of Food Poisoning in England and Wales 1970–1979." In Proceedings of the World Congress of Foodborne . Infections and Intoxications 1. Berlin: Institute of Veterinary Medicine 41