A GLOBAL PERSPECTIVE ON FOOD ALLERGENS Steve L. Taylor, Ph.D. Food Allergy Research & Resource Program University of Nebraska [email protected] www.farrp.org Perspectives Require Historical Context For the worldwide food industry, the allergen (cid:122) issue emerged slowly at first beginning in late 1980s in several countries but had become a major public health focus in several countries by the late 1990s Awareness in the public health agencies (cid:122) began to emerge also in the late 1980s Food Allergy Research and Resource Program © 2011 U.S. – Chaos (1988-late 1990s) 8 deaths reported from food allergies by Mayo (cid:122) Clinic group in 1988 – JAMA FAAN formed in 1991 (cid:122) 12 deaths and near-deaths reported by Johns (cid:122) Hopkins group in 1992 – NEJM FDA recalls for undeclared allergensbegin in (cid:122) earnest in 1992 FDA Notice to Manufacturers in 1996 (cid:122) FDA Compliance Policy Guide in 2001 (cid:122) FDA Guide to Inspections in 2001 (cid:122) Food Allergy Research and Resource Program © 2011 International Chaos Canada leads the way from late 1980’s (cid:122) – Severe reaction at food industry party Industry group produces Allergy Beware video – Several highly publicized deaths from peanuts Sabrina’s Law in Ontario – CFIA begins to initiate recalls – CFIA institutes “may contain” labeling – Schools ban peanuts Food Allergy Research and Resource Program © 2011 International Chaos Several deaths occur in U. K. (cid:122) – D. Reading’s daughter leading to Anaphylaxis Campaign Sweden develops allergy death reporting system (cid:122) FAO initiates development of Big 8 (cid:122) Codex Alimentarius Commission adopts Big 8 in (cid:122) 1999 New regulatory approaches pending in Japan, EU, (cid:122) and Canada Food Allergy Research and Resource Program © 2011 Why Are Allergens Now a Key Issue? Increased Awareness (cid:122) Medical Journal Publications 1988, 1992 – Advocacy Support Groups – Trend toward “Value Added” Products (cid:122) Improvements in Detection (cid:122) Company Liability (cid:122) Negative Publicity/Financial Impact – Food Allergy Research and Resource Program © 2011 From Early Chaos Came Concern Followed by Commitment and Control Food Allergy Research and Resource Program © 2011 1990 Industry Status on Food Allergens Lack of knowledge and awareness (cid:122) Lessons from the sulfite issue of 1980’s (cid:122) Resistance to change (cid:122) Complex web (cid:122) Lack of recognition of vulnerability (cid:122) Focus on the minutiae (cid:122) Food Allergy Research and Resource Program © 2011 Key Food Industry Lessons Major company recalls (cid:122) – Rework – Inadequate cleaning of shared equipment – Line cross-overs – Packaging errors – Ingredient suppliers – Custom processors Food Allergy Research and Resource Program © 2011 U.S. FDA Food Allergen Recall Incidents 1988-2011 140 * *includes FDA recalls and alerts 120 * * 100 * 80 60 40 20 0 '88 '90 '92 '94 '96 '98 '00 '02 '04 '06 '08 '10 Food Allergy Research and Resource Program © 2011
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