Quantitative Risk
Assessment
    Don Schaffner, Ph.D.
Rutgers, The State University
           of NJ
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                Overview
- How does risk analysis relate to risk
  assessment?
- How is risk assessment applied to
  food microbiology?
- A very simple example of a
  quantitative risk assessment
- Web links and more information
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   Risk Analysis Components
- (Quantitative) Risk Assessment
   • How big is the risk, what factors control the risk?
   • Scientific process
- Risk Communication
   • How can we talk about the risk with affected individuals?
   • Social and psychological process
- Risk Management
   • What can we do about the risk?
   • Political process
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        Cartoon
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    Step in Risk Assessment
- Hazard Identification
   • What microbe, food(s) and people are involved?
- Exposure Analysis
   • What is the chance of exposure?
   • How many cells?
- Dose-Response Analysis
   • What is the human health effect of the exposure?
- Risk Characterization
   • Complete picture of the assessed risk
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      Hazard Identification
- Epidemiological data linking
  • Foods
  • Pathogens
  • Human illness
- Special considerations
  •   Disease complications
  •   Acute vs. chronic disease
  •   Specific sensitive consumer populations
  •   Characteristics of the organism
  •   Organisms mode of action
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      Exposure Analysis
- Estimate
  • likelihood of consumption
  • likely number (dose) of the
    pathogen
- If “quantitative” assessment
  • Modeling
  • Simulation
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 Exposure - Simple Example
- Initial number of organisms follows a
  Poisson distribution
- Growth rate is normally distributed
- Product composition and storage
  temperature are fixed
- The product becomes unsafe when it
  contains 100,000 organisms/gram
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Initial number - Poisson
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Growth rate is normal
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Simulation Results
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Dose-Response Analysis
• Translates exposure analysis
  output in to a measure of human
  health
• If “quantitative”
  • Use dose-response curve
  • Estimate probability of infection
    and illness from dose
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Dose response curve
                                               Cassin et al.
                                               Quantitative risk
                                               assessment for
                                               Escherichia coli
                                               O157:H7 in
                                               ground beef
                                               hamburgers.
                                               Int.J.Food
                                               Micro. 41
                                               (1):21-44, 1998.
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    Dose-Response factors
- Statistical model(s) to analyze or
  quantify dose- response relationships
  • Threshold vs. non-threshold models
- Dose response data
  • Human
  • Animal
  • Outbreak or intervention data
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    Dose-Response factors
- Source and preparation of challenge
  material or inoculum
- Organism type and strain
  • Virulence factors or other measures of
    pathogenicity
- Characteristics of the exposed
  population
  • Age, immune status, etc.
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    Risk Characterization
- Final task in risk assessment
- Combines the information from
  • Hazard identification
  • Exposure analysis
  • Dose-response analysis
- Produces a complete picture of
  the assessed risk
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  A good risk assessment…
- Is…
  • Transparent
  • Iterative
- Includes…
  • Variability and uncertainty
  • Management input into problem
    formulation
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A hot-air balloon floats overhead…
RM: I’m lost, can you tell me where I am?
RA: Sure, you are 30 feet off the ground
RM: Aha, you must be a risk assessor
RA: Why yes, how did you know?
RM: Because what you told me was technically
 correct, but of absolutely no use.
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A hot-air balloon floats overhead…
RA: Aha, you must be a risk manager?
RM: Why yes, how do you know?
RA: That’s easy, you don’t know where you
 are, what you want or where you are going…
 and you are in the same position now as you
 were before you asked for my help, but
 now it’s my fault!
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 Importance of risk assessment
- Teaching
  • Students can see “what if...”
- Research
  • Pinpointing uncertainties or knowledge gaps
- Industry
  • Optimizing safety while retaining quality
- Government
  • Designing regulations for the greatest benefit
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     For more information
- Annotated bibliography on Food Safety
  Risk Assessment, Management and
  Communication
  • http://www.nal.usda.gov/fnic/foodborne/risk.htm
- Food Safety Risk Analysis Clearinghouse
  • http://www.foodriskclearinghouse.umd.edu/welcome.h
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     For more information
- Revised Framework for Microbial Risk
  Assessment – ILSI
  • http://www.ilsi.org/file/mrabook.pdf
- WHO/FAO microbial risk analysis
  page
  • http://www.who.int/fsf/mbriskassess/index.h
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                      Software
- USDA Pathogen Modeling
  • http://www.arserrc.gov
- @risk
  • http://www.palisade.com/
- Crystal ball
  • http://www.decisioneering.com/
- Analytica
  • http://www.lumina.com
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                        Books
- T. A. McMeekin, et al. Predictive
  microbiology: Theory and application,
  Somerset, England:Research Studies Press
  Ltd., 1993.
- C.H. Haas, et al. Quantitative microbial risk
  assessment, Ny, NY: John Wiley & Sons,
  1999.
- D. Vose. Risk Analysis: A Quantitative
  Guide, Chichester:John Wiley & Sons,
  2000.
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 Published risk assessments
- S. enteritidis in eggs
  • http://www.fsis.usda.gov/OPHS/risk/index.htm
- Listeria in RTE foods
  • http://www.foodsafety.gov/~dms/lmrisk.html
- Fluoroquinolone Resistant
  Campylobacter in Chicken
  • http://www.fda.gov/cvm/antimicrobial/Risk_asses.htm
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 Published risk assessments
- Vibrio in shellfish
  • http://www.cfsan.fda.gov/~dms/vprisk.html
- E.coli O157:H7 in ground beef
  • http://www.fsis.usda.gov/OPHS/ecolrisk/home.htm
- Campylobacter in chicken
  • http://www.who.int/fsf/mbriskassess/studycourse/an
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        Cartoon
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