WHO initiative to estimate the global burden of foodborne diseases: increasing impact through collaboration: foodborne disease stakeholder meeting, 20 November 2008, Geneva

WHO INITIATIVE TO ESTIMATE THE GLOBAL BURDEN OF FOODBORNE DISEASES INCREASING IMPACT THROUGH COLLABORATION Foodborne Disease Stakeholder Meeting 20 November 2008, Geneva © W H O / Tanja Kuchenm üller WHO/HSE/FOS/09.4 Table of contents Purpose of the meeting……….……….……….……….………….…2 Who are the stakeholders?…………….……….……….…………...2 The impact of foodborne diseases…….………...…….…………...3 Over to the stakeholders: communication, advocacy, and policy in the WHO Initiative.....5 Role of stakeholders in the Initiative…….………...…….………...7 Summary - Stakeholders' input to FERG 2..…..……..…….....…..8 Appendix 1 - FERG 2 Stakeholder Meeting Agenda .…..………..9 Appendix 2 - List of participants…………………………..……….10 List of tables and textboxes Box 1: Stakeholders attending the second meeting of the stakeholder community of the WHO Global Burden of Foodborne Disease Initiative…………………………..2 Box 2: Unsafe food kills - the victim's perspective…………………..….4 Table 1: Summary of stakeholder input from working groups………….7 List of acronyms CSPI Center for Science in the Public Interest DALY Disability-Adjusted Life Year EUFIC European Food Information Council FERG Foodborne Disease Burden Epidemiology Reference Group FERG 2 Second formal FERG meeting ICD Industry Council for Development IFAH International Federation for Animal Health IFIC International Food Information Council IFPRI International Food Policy Research Institute ILO International Labour Office IUF International Union of Food, Agricultural, Hotel, Restaurant, Catering, Tobacco and Allied Workers' Associations IUFoST International Union of Food Science & Technology MDGs Millennium Development Goals S.T.O.P. Safe Tables Our Priority WTO World Trade Organization 1 PURPOSE OF THE MEETING The second meeting of the stakeholder community of the World Health Organization’s (WHO) Initiative to Estimate the Global Burden of Foodborne Diseases was held on Thursday, 20 No- vember 2008. The purpose of the meeting was to: • Provide an opportunity for all relevant sectors of especially developing countries to actively engage with the research conducted through the Initiative; • Expand the current list of partners and open new channels for multi-sectoral technical cooperation, networking and fundraising; • Inform of the Initiative's progress and receive stakeholders' input on the Initiative as it moves into its second year. The meeting was chaired by Dr Arie Havelaar (RIVM, Bilt- hovan, the Netherlands) who is also chair of the Foodborne Disease Burden Epidemiology Reference Group (FERG). Dr David Heymann, the Assistant 2 Director-General for the Health Security and Environment cluster at the WHO, opened the meeting by welcoming stakeholders and FERG Members. Dr Heymann outlined the global threat to public health security posed by foodborne diseases. He emphasized the need to estimate the global burden of foodborne diseases to inform policy and perform cost-effectiveness analyses of food safety intervention and control measures. Dr Heymann under- lined the strong commitment of the WHO Director-General, Dr Margaret Chan, to this Initiative and to improving food safety world-wide. Dr Jørgen Schlundt, Director of the WHO Depart- ment of Food Safety, Zoonoses and Foodborne Diseases, de- scribed the history and structure of the Initiative and the FERG and summarized some of the Initiative’s achievements during its first year. “Governments need to give food safety just as much attention as they devote to the quality and safety of pharmaceutical products. Not everyone needs to take medicine every day, but all people need food, each and every day". Dr Margaret Chan, WHO Director-General The stakeholder community of the Initiative includes all constitu- encies with an interest in using foodborne disease burden data for decision making, research purposes, and advocacy. These are multi-sectoral and multi-disciplinary, and include WHO Mem- ber States, bi- and multilateral organizations, the UN and other WHO ARE THE STAKEHOLDERS? international organizations, foundations, scientific networks, research institutions, consumer groups, the food, agricultural and pharmaceutical industry, as well as the public and scien- tific media. Over 30 stakeholders and their umbrella organi- zations attended the meeting (see Box 1). Box 1: Stakeholders attending the second meeting of the stakeholder community of the WHO Global Burden of Foodborne Disease Initiative (including press conference attendees) International, bi-lateral and non-governmental organizations, consumer groups and networks Center for Science in the Public Interest (CSPI) European Commission European Food Information Council (EUFIC) Food Safety Network, University of Guelph, Canada Food Standards Agency of the United Kingdom GALVmed Industry Council for Development (ICD) International Federation for Animal Health (IFAH) International Food Information Council (IFIC) International Labour Office (ILO) International Food Policy Research Institute (IFPRI) International Union of Food, Agricultural, Hotel, Restaurant, Catering, Tobacco and Allied Workers' Associations (IUF) International Union of Food Science & Technology (IUFoST) Med-Vet-Net 3 Box 1 continued: Stakeholders attending the second meeting of the stakeholder community of the WHO Global Burden of Foodborne Disease Initiative (including press conference attendees) International, bi-lateral and non-governmental organizations, consumer groups and networks (continued) National Veterinary Institute, Norway Permanent mission of Canada, Geneva Permanent mission of The Netherlands, Geneva Permanent mission of Mexico, Geneva Permanent mission of Romania, Geneva Permanent mission of Italy, Geneva Permanent mission of Zimbabwe, Geneva Safe Tables Our Priority (S.T.O.P.) United States Department of Agriculture - Food Safety and Inspection Service United States Department of Agriculture - Foreign Agriculture Service World Trade Organization (WTO) Scientific & public media British Medical Journal Food Biotechnology International Journal of Food Microbiology Reuters The Lancet Infectious Diseases The New England Journal of Medicine Tribune de Genève Stakeholders recognized and emphasized the need to esti- mate the global burden of foodborne diseases. Attention is often given to the problem of foodborne diseases following high profile outbreaks or contamination events. These out- breaks generally attract a lot of media attention and can be a catalyst for changes in policy; however, outbreak- associated illnesses and deaths account for just a small proportion of the total burden of foodborne diseases annu- ally. The estimated 2.2 million deaths from diarrhoeal dis- eases reported by WHO in 2004 exclude those arising from outbreaks of intestinal diseases. Ms Nancy Donley, President and Spokesperson for Safe Tables Our Priority (S.T.O.P.) gave a testimony on behalf of victims of foodborne diseases (see Box 2). Foodborne diseases are often perceived as causing only mild illness, but serious and long-term consequences do occur. The cost of foodborne diseases includes the long-term medical costs to foodborne illness victims, the psychological toll and associated costs to victims and their com- munities, lost produc- tivity costs due to long-term effects of foodborne illnesses, and premature deaths as a result of complications of a foodborne illness. THE IMPACT OF FOODBORNE DISEASES Nancy Donley speaking at the Stake- holder Meeting. Many of the bacteria, parasites, and viruses that cause symptoms of acute diarrhoea and vomiting can lead to other long-term complications or sequelae with serious health effects, sometimes leading to premature death. For example, infection with Campylobacter can trigger Guillain-Barré syn- drome, an acute paralysis that can take weeks to months to recover from with some patients experiencing long-term neurological symptoms. Haemolytic uraemic syndrome, a leading cause of acute kidney failure in children, is often the result of infection with E. coli O157. Foodborne chemical contaminants often cause chronic conditions rather than acute problems; in Africa, exposure to aflatoxins, which are fungal toxins, is associated with liver cancer. In some parts of South East-Asia, a parasitic infection with liver fluke can lead to cancer of the bile duct which is invariably fatal. Long- term complications cause a substantial disease burden from foodborne diseases and need to be factored into estimates of the overall burden of disease. 4 Box 2: Unsafe food kills - the victim's perspective Safe Tables Our Priority (S.T.O.P.) is a non-profit grassroots organization devoted to victim assistance, public educa- tion, and policy advocacy for safe food and public health. S.T.O.P.'s mission is to prevent unnecessary illness and loss of life from pathogenic foodborne illness. More information can be found on their website www.safetables.org Nancy Donley's moving testimony of losing her young son poignantly illustrated the need for the WHO Initiative to Esti- mate the Global Burden of Foodborne Diseases: “We applaud the World Health Organization’s efforts on gathering foodborne disease mortality and morbidity data in order to understand its burden to society and to prioritize efforts in preventing foodborne disease. “ “Knowing and understanding the scope and toll of foodborne disease is imperative in order to ensure that the necessary governmental resources to prevent foodborne illness are made available.” “It is essential that [the cost associated with the long-term effects of foodborne illness] get factored into the esti- mated burden to society so that resources necessary for foodborne illness prevention are properly understood and put into place.” “One long-term after-effect that rarely, if ever, gets considered is the psychological toll of foodborne illness and its associated costs. “ “Food is a necessity of life. We all have to eat, there’s simply no option. And as borders disappear with the glob- alization of the world’s food supply, it’s crucial to keep the advancement of food safety and the prevention of foodborne illness a top priority in world affairs.” The FERG will estimate the global burden of foodborne dis- eases using a summary measure of health - the Disability Adjusted Life Year, or DALY - which takes into account acute illness and long-term complications, in addition to premature deaths. The psychological and social impact of foodborne diseases on family members and others in the community is important but more difficult to measure. Foodborne disease cause death and suffering even in the richest countries of the world. The true tragedy of foodborne diseases, however, is played out in poor countries where foodborne diseases are also a major obstacle to global devel- opment efforts. Foodborne disease burden estimates are important to demonstrate the impact of both unsafe and safe food on development. Without investment in food safety, the achievement of the Millennium Development Goals (MDGs) is jeopardized. At least four out of the eight MDGs are directly affected by foodborne diseases. 5 • In settings of poverty, food storage and preparation practices are often inadequate leading to food contamination. Poorer countries often have weak or no food regulatory systems and enforcement. While many foodborne diseases may have a short duration, the high frequency of episodes results in high rates of absenteeism and medical expenses. In hunger situations, people are less likely to discard contaminated food, leading to increased exposure to contaminated foods. MDG 1: Eradicate extreme poverty and hunger - Foodborne diseases are diseases of poverty MDG 3: Reduce child mortality - Foodborne diseases contribute significantly to child mortality • Children are particularly vulnerable to contaminated environments, including food. An estimated 2.2 million deaths oc- curred from diarrhoeal diseases in 2004. Diarrhoeal diseases exacerbate malnutrition leading to a vicious cycle of morbid- ity and mortality. Children living with HIV/AIDS are especially at risk of foodborne opportunistic infections. • Listeriosis and toxoplasmosis in pregnant women, for example, can lead to miscarriages, premature birth and stillbirth, all of which increase the risk of maternal mortality. Infected children who are born healthy may develop severe complications later in life, such as meningitis and blindness. MDG 5: Improve maternal health - Some foodborne diseases have direct impact on maternal health MDG 6: Combat HIV/AIDS, Malaria and other diseases Foodborne diseases impact trade and many industries and their workers at all levels. An outbreak of foodborne disease or the identification of a single contaminated food ingredient can lead to the recall of tons of food products with considerable monetary losses from decreased production and trade embar- goes, as well as damage to the tourist industry. Outbreaks or contamination events may also lead to business closures re- sulting in temporary or permanent job losses for workers, events that can affect not only households but whole commu- nities. Food workers may become victims of foodborne diseases from consuming contaminated food at their workplace or from direct contact with infected food animals or a contaminated working environment. Training of food workers in safe food practices is an important step in the prevention of foodborne disease. However, food workers also need a work environment that promotes the production and preparation of safe food. Work- ers, particularly in developing countries, often lack sanitary and other services (e.g. appropriate toilet and hand-washing facilities) that would improve the safety and quality of the foods they produce. OVER TO THE STAKEHOLDERS: COMMUNICATION, ADVOCACY, AND POLICY IN THE WHO INITIATIVE During the meeting, stakeholders formed working groups where detailed views and suggestions were voiced and docu- mented, with specific focus on: (1) further developing the Initiative’s communications and advocacy strategy and (2) ensuring that the findings of the Initiative are useful to and feed directly into policy. Stakeholders suggested developing a communication plan which includes (a) raising awareness about the Initiative, (b) disseminating interim results, and (c) sharing results with pol- icy-makers at the earliest possible opportunity. It was noted that a variety of different strategies will be needed to communi- cate effectively with different stakeholder groups. • All persons affected by HIV/AIDS are more likely to have opportunistic infections, and will develop more severe disease including increased mortality. Raising awareness about the Initiative -- the internet and newslet- ters were seen as important tools for communicating information about the Initiative and raising awareness. It was suggested that the WHO submit summary articles to organizations with pre-existing newsletters, such as food safety authorities, industry groups, and other stakeholder organizations. It was suggested that the WHO may want to consider producing a newsletter specifically for the Initiative. Press releases directed at the Ministries of Health or Agriculture may be a good way to disseminate information in developing countries. It was recommended that the Initiative raise awareness about its pur- pose and agenda among institutions that may be in a position to fund future research recommended by the FERG, such as the European Commission. Providing information about the Initiative to businesses that promote and advertise agro-business and 'green food’ issues may forge closer links with industry, and in turn, increases in funding. In these communications it would be useful to focus on the wider picture and interconnected nature of food and food production in the global economy. For example, one could communicate the global nature of food and the fact that a single food product eaten in one country may contain ingre- dients from many other countries. Disseminating interim results -- stakeholders strongly recom- mended that the Initiative communicate interim findings rather than waiting for the final product to be complete. Information on the impact of foodborne diseases and the food commodities implicated should be shared with a broad audience in an open and transparent way. Stake- holders would welcome the dissemination of interim results in peer reviewed journals; however, it was suggested that the Initiative ex- plore other ways in which professionals obtain this information. When appropriate, systematic reviews and other work commissioned by the WHO Initiative should also be made available to stakeholders on the Initiative’s website and in hardcopy. The early engagement of stake- holders was very welcome and this open dialogue should continue, with face-to-face meetings in addition to any other communications. WHO should rely, in part, on umbrella stakeholder groups to help disseminate information to other stakeholders; however, simple mes- sages developed by WHO on the Initiative’s findings would be useful and could be disseminated more widely. Messages regarding the burden of foodborne disease should be formulated very carefully es- pecially when raised in the context of food insecurity. There was some debate about whether consumers would be inter- ested in hearing about the Initiative and the resulting estimates of the burden of diseases, or whether the subject would be too technical for consumers. The group concluded that any messages could be used to inform consumers about the Initiative and its findings; however, care will be needed when formatting the messages. Scientists cur- rently communicate that "food has never been safer" - this could generate confusion and anxiety among the public. Consumer groups offer a way of channelling the Initiative's messages out to consumers, and expressed strong interest in playing a role in this. Sharing results with policy-makers -- policy-makers are the key group that needs to be specifically targeted by WHO and a sepa- rate communications strategy should be developed to ensure that the Initiative’s findings are turned into public health action. There was some disagreement about the timing of involving policy-makers in the Initiative with some advocating involvement at the current, others at a later stage. Stakeholders stressed that the burden information provided by WHO should include the long-term complications suffered by vic- tims and the larger societal impact to adequately demonstrate the overall human health impact from foodborne diseases. Policy- makers and other stakeholders should be made aware of how food- borne diseases impact the industry and its workers. Moreover, information on demonstrated ways to reduce foodborne diseases should also be disseminated to policy-makers, wherever possible. A clear definition of foodborne disease is needed when communicat- ing with policy-makers. Data on the overall burden of foodborne diseases will help prioritize food safety and the design and implementation of prevention and control measures for foodborne diseases. However, food safety interventions will be more focused and more successful if the spe- cific food commodities causing foodborne diseases are identified. Source attribution information - that is, information on the specific food causing illness - will be vital for informing policy. Moreover, information is needed on where in the food supply chain contamina- tion occurs. Intervention studies which can demonstrate the effec- tiveness of different interventions are desirable, but are difficult to implement for foodborne diseases. These comments were followed by a discus- sion endors- ing the de- tailed source a t t r i b u t i o n a p p r o a c h being em- ployed by the FERG. WHO should not just per- form analy- sis of the data but also make policy recommendations as this will ensure a nonbiased and balanced view. Ranking of countries on important food safety indicators was suggested, though some thought this would be counter-productive. Stakeholders recom- mended that WHO map out the next steps of the Initiative. The 5- year term of the Initiative was considered short and continued ef- forts to monitor burden of foodborne diseases will be needed. 6 © O liver O 'H anlon Stakeholders expressing views at the Stakeholder Meeting. © O liver O 'H anlon Stakeholders expressing views at the Stakeholder Meeting. a target for this new information. The ongoing work on the Initia- tive will be strengthened through capacity building in and with countries, including training on burden of disease methods and the use of these estimates for conducting cost-effectiveness analyses of food safety intervention and control measures. Re- search institutes and universities in WHO Member States should be engaged so that appropriate training can be provided. Ad-hoc teams should continue to provide technical assistance for coun- tries during foodborne outbreaks. The Initiative should engage all relevant policy actors ranging from civil society groups (such as consumer groups and labour unions), to the private sector, to governments, and international organizations. WHO regional offices should also be informed and the Initiative should consider reporting to the World Health As- sembly. The Codex Alimentarius Commission should take note and consider the results of the Initiative. Consumer groups and other grassroot organizations were thought to play a critical role in advocating changes in food safety policy and should therefore be 7 Communications/Advocacy WHO should circulate information on the Initiative to umbrella stakeholder groups by means of newsletters, websites etc. The Initiative should raise awareness among funding institutions WHO should evaluate how certain stakeholder groups access information to target them more specifically WHO should provide interim results to stakeholders The messages provided by WHO need to be simple and clear WHO should continue to actively involve consumers groups, industry and other grassroot organizations in communications and advocacy Policy WHO should use this Initiative to build capacity within countries The Initiative should estimate the burden due to specific food sources WHO should provide policy recommendations based on burden data WHO should involve regions and report to the World Health Assembly Table 1: Summary of stakeholder input from working groups Stakeholders welcomed their early engagement in this Initiative and gave suggestions on how they would like to interact with the Initiative in the future. Having an opportunity to review materials prior to stakeholder meetings or in-between meetings, as appro- priate, was seen as essential in facilitating a greater level of involvement with stakeholders. It was suggested that information on the Initiative and its progress could be shared in a newsletter or on a website specifically designed to share information with stakeholders. Stakeholders said they would also like more detail on the meth- ods employed by the FERG and on the specific work that has been conducted. Presentations on both the methods and the results of work reviewed by FERG would be welcome at the next stakeholders meeting in order to get a more complete under- standing of and comment on the word conducted. Stakeholders would like to receive more detail on the country burden studies as they are developed and have an opportunity to provide input on how these studies could provide information that would be useful to them. ROLE OF STAKEHOLDERS IN THE INITIATIVE 8 8 The FERG Members reviewed the suggestions made by the stakeholders which found wide acceptance particularly with regard to the following points: SUMMARY - STAKEHOLDERS' INPUT TO FERG 2 1. The Initiative needs to highlight the long-term impact of foodborne diseases on indi- viduals as well as security and development issues in developing countries. 2. Attributing foodborne illnesses to specific food commodities is important for policy and intervention efforts. 3. The next stakeholder meeting should include a presentation of methods and results of work completed to date. 4. WHO should circulate information on the Initiative to umbrella stakeholder groups by means of newsletters, websites etc. 5. WHO should involve regions and report on the Initiative to the World Health Assembly. 9 Appendix I — FERG 2 Stakeholder Meeting Agenda 8 Appendix II — List of participants - Stakeholders Dr Carole BUTEAU Manager, Food Safety Network University of Guelph 43 McGilvray Street Guelph, ON N1G 2W1 Canada Tel: +1 519 824 4120 x 52907 Email: cbuteau@uoguelph.ca Prof. Geoffrey CAMPBELL-PLATT President International Union of Food Science and Technology (IUFoST) PO Box 61021 No. 19, 511 Maple Grove Drive Oakville, Ontario Canada L6J 6X0 Tel: +1 905 815 1926 Fax: +1 905 815 1574 Email: geoffrey@campbell-platt.co.uk Dr Luca COCOLIN International Journal of Food Microbiology Editor in Chief International Journal of Food Microbiology Email: lscocolin.ijfm@unito.it Daria CIBRARIO TNC Research Officer Beverages and Meat Sector Co-ordinator IUF 8 Rampe du Pont Rouge, CH-1213 Petit Lancy, Switzerland Tel: +41 22 87 90 506 Fax: +41 22 79 32 238 Email: daria.cibrario@iuf.org Ms Nancy DONLEY S.T.O.P.-Safe Tables Our Priority President and Spokesperson Safe Tables Our Priority 3149 Dundee Road #276 Northbrook, Il 60062 United States of America Tel: +1 847 831 3032 Email: president@safetables.org Dr Chiek ER Norwegian Zoonosis Centre Department for Health Surveillance National Veterinary Institute PO Box 750 Sentrum, N-0106 Oslo, Norway Email: chiek.er@vetinst.no Dr Claudius GRIESINGER European Commission Joint Research Centre (JRC) Institute for Health & Consumer Protection (IHCP) In Vitro Toxicology Unit European Centre for the Validation of Alternative Methods (ECVAM) Via E. Fermi 2749, I-21027 ISPRA (VA), Italy Tel: +39 0332 78 6726 Fax: +39 0332 78 5336 Email: claudius.griesinger@jrc.it Dr Michael L. HAUSER DVM, GALV MED 63 Grand Rue- 3 1180 Rolle, Switzerland Email: mikehauser@usa.net Ms Marlynne HOPPER World Trade Organization, STD Facility Economic Affairs Officer Agriculture and Commodities Division World Trade Organization Centre William Rappard 154, rue de Lausanne 1211 Geneva 21, Switzerland Tel: +41 22 739 5111 Fax: +41 22 731 4206 Email: Marlynne.Hopper@wto.org Dr Julie R. INGELFINGER New England Journal of Medicine Deputy Editor, The New England Journal of Medicine Professor of Pediatrics, Harvard Medical School Senior Consultant in Pediatric Nephrology Mass General Hospital for Children Massachusetts General Hospital Tel: +1 617 487 6508 Email: jingelfinger@nejm.org Ms María Antonieta JAQUEZ Permanent Mission of Mexico Avenue de Budé 16 PO Box 433 1211 Geneva 19 Switzerland Tel: +41 22 748 0707 Fax: +41 22 748 07 08 Email: hibarra@delegamexoi.ch 10 8 Appendix II — List of participants - Stakeholders Guido MARINGHINI Permanent Mission of Italy Geneva, Switzerland Email: guido_maringhini@hotmail.com Robert MARTIN UK Food Standards Agency Foodborne Disease Strategy and Egg Hygiene Policy Food Standards Agency Area 3B Aviation House, 125 Kingsway, London WC2B 6NH United Kingdom of Great Britain and Northern Ireland Tel: +44 20 72 76 8945 Email: Robert.Martin@foodstandards.gsi.gov.uk Dr Yasmine MOTARJEMI INDUSTRY COUNCIL FOR DEVELOPMENT (ICD) Corporate Food Safety Manager Quality Management, Nestlé 55 Avenue Nestlé CH-1800 Vevey, Switzerland Tel: +41 21 924 4246 Fax: +41 21 924 3056 Email: Yasmine.Motarjemi2@nestle.com Dr Clare NARROD IFRPI Senior Research Fellow Markets, Trade, and Institutions Division International Food Policy Research Institute United States of America Tel: +1 202 862 8127 Fax: +1 202 468 4439 Email: C.Narrod@CGIAR.ORG Ms Katherine C. NISHIURA FAS/USDA Senior Agricultural Attache U.S. Mission to the World Trade Organization Geneva, Switzerland Tel: +41 22 749 52 23 Fax: +41 22 749 53 33 Email: Katherine.Nishiura@fas.usda.gov Ms Petronellar NYAGURA Counsellor Permanent Mission of Zimbabwe Chemin William Barbey 27 CH-1292 Chambésy, Geneva, Switzerland Tel: +41 22 758 3011 Fax: +41 22 758 3044 Email: mission.zimbabwe@ties.itu.int Peter A. OLDHAM Counsellor Canadian Permanent Mission, Geneva, Switzerland Tel: +41 22 919 9222 Fax: +41 22 919 9227 Email: Peter.Oldham@international.gc.ca Mr Flavio PIRONEA Second Secretary Permanent Mission of Romania Villa "La Perriere", no.6 Chemin de la Perriere 1223 Cologny, Geneve, Switzerland Tel: +41 22 752 1090; +41 22 752 5555 Fax: +41 22 752 2976 Email: mission.romania-cd@ties.itu.int; mpgeneva@romaniaunog.org Ms Donna ROSENBAUM Executive Director S.T.O.P. -Safe Tables Our Priority 3149 Dundee Road #276 Northbrook, Illinois 60062 United States of America Tel: +1 847 831 3032 Email: director@safetables.org Mr David B. SCHMIDT President and CEO International Food Information Council 1100 Connecticut Avenue, NW, Suite 430 Washington, DC, 20036, United States of America Tel: +41 202 296 6540 Fax: +41 202 296 6547 Email: schmidt@ific.org Dr Dieter SCHILLINGER IFAH Head of Public Affairs Europe, Middle East, Africa Merial SAS 29, avenue Tony Garnier F-69348 Lyon, France Tel: +33 4 7272 3170 Email: dieter.schillinger@merial.com 11 8 Appendix II — List of participants - Stakeholders Dr Carl SCHROEDER Deputy Director Risk Assessment and Residue Division Office of Public Health Science Food Safety and Inspection Service US Department of Agriculture 1400 Independence Ave SW Room 333 Aerospace Center Washington DC 20250-3700, United States of America Tel: +1 202 690 6189 Fax: +1 202 690 6337 Email: Carl.Schroeder@fsis.usda.gov Dr Kalidas SHETTY Food Biotechnology Jefferson Science Fellow at US State Department & Professor of Food Biotechnology Department of Food Science Chenoweth Laboratory University of Massachusetts Amherst, MA 01003, United States of America Tel: +1 413 545 1022 Fax: +1 413 545 1262 Email: kalidas@foodsci.umass.edu Ms Laura SMILLIE Communications Manager European Food Information Council - EUFIC Rue Guimard 19 1040 Brussels, Belgium Email:laura.smillie@eufic.org Professor John THRELFALL Med-Vet-Net Project Manager Med-Vet-Net Health Protection Agency Centre for Infections GEZI Admin Team 61 Colindale Avenue London NW9 5EQ, United Kingdom of Britain and Northern Ireland Tel: +44 20 8327 6117 Fax: +44 20 8905 9929 Email: John.Threlfall@hpa.org.uk Ms Amanda TIAN Center for Science in the Public Interest Research Associate-Food Safety Center for Science in the Public Interest 1875 Connecticut Ave., NW, Suite 300 Washington DC 20009, United States of America Tel: +1 202 777 8377 Fax: +1 202 265 4594 Email: atian@cspinet.org Ms Fatima YAAGOUB Permanent Mission of the Netherlands 13-33 Avenue Giuseppe Motta CH-1202 Geneva Switzerland Tel: +41 22 748 1800 Fax: +41 22 748 1818 Email:gev@minbusa.nl Erick J. ZEBALLOS Sector Specialist Food, Drink & Tobacco Industries Sectoral Activities Department International Labour Office (ILO) Geneva, Switzerland Tel: +41 22 799 6479 Email: zeballos@ilo.org 12 Appendix II — List of participants - FERG Members, Resource Advisers and Observers Dr Gabriel ADEGOKE Professor, Dept. Food Technology University of Ibadan Ibadan, Nigeria Tel: +234 8023 391 029 Email: goadegoke@yahoo.com or go.adegoke@mail.ui.edu.ng Dr Reza AFSHARI Head, Development of Research and Education Development Mashhad University of Medical Sciences Iman Reza Teaching Hospital Mashhad, 913 791 3316, Iran (Islamic Rep of) Tel: +98 511 859 8973 Fax: +98 511 768 3925 Email: afsharir@mums.ac.ir or afsharireza@yahoo.com Dr Frederick J. ANGULO Lead, FoodNet/NARMS Enteric Diseases Epidemiology Branch Foodborne, Bacterial and Mycotic Diseases National Center for Zoonotic, Vectorborne and Enteric Diseases Centers for Disease Control and Prevention 1600 Clifton Road, Mailstop D-63 Atlanta, Georgia 30333, United States of America Tel: +1 404 639 3315 Fax: +1 404 639 3535 Email: fja0@cdc.gov Dr David BELLINGER Professor of Neurology Harvard Medical School Children’s Hospital Boston Farley Basement Box 127 300 Longwood Avenue Boston, MA 02115, United States of America Tel: +1 617 355 6565 Fax: +1 617 730 0618 Email: david.bellinger@childrens.harvard.edu Dr Wan Mansor BIN HAMZAH Kelantan State Health Dept Level 5, Wisma Persekutuan, Jalan Bayam, 15590 Kota Bharu, Kelantan, Malaysia Email: drwemaso2@yahoo.com or wan_mansor@moh.gov.my Dr Mike BOLGER Chemical Hazards Assessment Team, HFS-301 Food and Drug Administration (US FDA) Harvey W. Wiley Building 5100 Paint Branch Parkway College Park, MD 20740, United States of America Tel: +1 301 436 1941 Fax: +1 301 436 2632 Email: Mike.Bolger@fda.hhs.gov Dr Nilanthi DE SILVA Professor of Parasitology Faculty of Medicine University of Kelaniya P. O. Box 6, Talagolla Road Ragama, Sri Lanka Tel: +94 1 958 219 Fax: +94 1 958 337 Email: nrdes@sltnet.lk Dr Dörte DÖPFER Farm Animal Production Medicine Group Department of Clinical Medicine School of Veterinary Medicine University of Wisconsin - Madison, United States of America Tel: +1 608 263 1186 Fax: +1 608 262 8595 Email: dopferd@vetmed.wisc.edu Mr Aamir FAZIL Risk Assessment Specialist Public Health Agency of Canada 160 Research Lane, Suite 206 Guelph, Ontario N16 5B2, Canada Tel: +1 519 826 2370 Fax: +1 519 826 2367 Email: aamir_fazil@phac-aspc.gc.ca Dr Neyla GARGOURI Medical Officer Hikma Pharmaceuticals P. O. Box 182400 Amman, 11118, Jordan Tel: +962 797 221188 Email: neylagd@yahoo.com or darwazan@hikma.com Dr Herman GIBB President, Sciences International Inc. 1800 Diagonal Road, Suite 500 Alexandria, VA 22312, United States of America Tel: +1 703 684 0123 Fax: +1 703 684 2223 Email: hgibb@sciences.com 13 Appendix II — List of participants - FERG Members, Resource Advisers and Observers Dr Tine HALD Head of Section Danish Zoonoses Centre The National Food Institute Ndr. Byvej 12, DK-2680 Solrød, Denmark Tel: +45 7234 7094 Fax: +45 7234 7001 Email: tiha@food.dtu.dk Dr Gillian HALL Senior Lecturer National Centre for Epidemiology and Population Health College of Medicine / Health Sciences Australian National University Canberra, ACT 0200, Australia Tel: +61 2 6125 5604 Fax: +61 2 6125 0740 Email: gillian.hall@anu.edu.au Dr Arie HAVELAAR Professor of Microbiological Risk Assessment Laboratory for Zoonoses and Environmental Microbiology National Institute for Public Health and the Environment P. O. Box 1 NL-3720 Bilthoven, The Netherlands Tel: +31 30 274 2826 Fax: +31 30 274 4434 Email: Arie.Havelaar@rivm.nl Dr Fumiko KASUGA Section Chief National Institute of Health Sciences Ministry of Health, Labour and Welfare 1-18-1 Kamiyoga, Setagaya-ku Tokyo 158-8501, Japan Tel: +81 3 3700 9169 Fax: +81 3 3700 9527 Email: kasuga@nihs.go.jp Dr Karen KEDDY Senior Consultant and Head Enteric Diseases Reference Unit National Institute for Communicable Diseases Private Bag X4 Sandringham 2131, South Africa Tel: +27 11 386 6269 Fax: +27 11 555 0431 Email: karenk@nicd.ac.za Ms Krista KELLER Ross University Veterinary Medicine PO Box 334 West Farm, St Kitts and Nevis Tel: +869 669 6365 Email: kkeller@rossvet.edu Mr Martyn KIRK Coordinating Epidemiologist OzFoodNet Office of Health Protection Department of Health & Aged Care & ANZFA GPO 9848 / MDP 14 Canberra 2601, Australia Tel: +61 2 6289 9010 Fax: +61 2 6289 7100 Email: martyn.kirk@health.gov.au Melissa MAGNOTTA Ross University Veterinary Medicine PO Box 334 West Farm, St Kitts and Nevis Email: mmagnotta@rossvet.edu.kn Dr Shannon MAJOWICZ Epidemiologist, Centre for Foodborne, Environment, and Zoono- tic Infectious Diseases Public Health Agency of Canada 255 Woodlawn Road West, Unit 120 Guelph, Ontario N1H8J1, Canada Tel: +1 519 826 2201 Fax: +1 519 826 2244 Email: shannon_majowicz@phac-aspc.gc.ca Dr George NASINYAMA Head, Dept. Veterinary Public Health and Preventive Medicine, and Director i/c Research, Innovations, Knowledge Transfer Makerere University, P. O. Box 7062 Kampala, Uganda Tel: +256 41 530983 Fax: +256 41 533809 Email: nasinyama@vetmed.mak.ac.ug Dr Steven OLUWOLE Department of Medicine College of Medicine, University of Ibadan Ibadan, Nigeria Tel: +234 803 438 4463 E-mail: osaoluwole@hotmail.com Dr John PITT Honorary Research Fellow Food Science Australia P. O. Box 52 North Ryde, NSW 1670, Australia Tel. +61 2 9490 8525 Fax: +61 2 9490 8499 Email: john.pitt@csiro.au 14 Appendix II — List of participants - FERG Members, Resource Advisers and Observers Appendix I — List of participants - Secretariat Ms Natalie RAGLAND Ross University Veterinary Medicine PO Box 334 West Farm, St Kitts and Nevis Email: nragland@rossvet.edu.kn Dr Mohammed Bagher ROKNI Associate Professor Dept. Medical Parasitology/ Mycology School of Public Health Teheran University of Medical Sciences P.O. Box 6446 Teheran 14155, Iran (Islamic Rep. of) Tel: +98 21 8895 0184 Email: mbrokni@gmail.com Dr Elaine SCALLAN Independent Consultant/Foodborne Disease Epidemiologist Scallan-Walter Research LLC. 48 W Ellsworth Ave, Denver, CO 80223 United States of America Tel:+1 404 405 0773 Email: elaine.scallan@gmail.com Dr Paul TORGERSON Professor of Epidemiology and Public Health Ross University School of Veterinary Medicine PO Box 334 St Kitts and Nevis Tel: +1 869 465 4161 Email: ptorgerson@rossvet.edu.kn Dr Maria de Lourdes COSTARRICA Senior Officer Food Quality Liaison Group Nutrition and Consumer Protection Division Food and Agriculture Organization of the United Nations (FAO) Viale delle Terme di Caracalla 00100 Rome, Italy Tel: +39 06 57 05 60 60 Email: Lourdes.costarrica@fao.org Dr Desiree M. NARVAEZ Programme Officer Mercury and Other Metals Programme UNEP Chemicals DTIE 11-13 chemin des Anémones 1219 Chatelaine, Switzerland Tel: +41 22 9178865 Fax: +41 22 7973460 Email: DNarvaez@chemicals.unep.ch Dr F. X. Rolaf VAN LEEUWEN Professor in Food Toxicology Center for Substances and Integrated Risk Assessment National Institute for Public Health and the Environment (RIVM) P. O. Box 1 3720 BA Bilthoven, The Netherlands Tel: +31 30 274 3753/2670 Email: FXR.van.Leeuwen@rivm.nl Dr Arve Lee WILLINGHAM Deputy Director, WHO/FAO Collaborating Centre for Parasitic Zoonoses Faculty of Life Sciences, University of Copenhagen Dyrlaegevej 100 1870 Frederiksberg, Denmark Tel: +45 3528 3397 Fax: +45 3528 2774 Email: awi@life.ku.dk Ms Sommer WILD Research Assistant Department of Mathematics, Statistics and Computer Science St. Olaf's Avenue 1520, Northfield, MN 55057, United States of America Tel: +1 507 786 35 Fax: +1 507 786 3116 Email: wilds@stolaf.edu Dr Mohamed ELMI Regional Adviser for Food and Chemical Safety WHO Regional Office for the Eastern Mediterranean Abdul Razzak Al Sanhouri Street P.O. Box 7608 Nasr City Cairo 11371, Egypt Tel: +202 27 65 384 Fax: +202 670 2492 / 202 67 2494 Email: elmim@emro.who.int Mrs Françoise FONTANNAZ Communication and Advocacy Officer Department of Food Safety, Zoonoses and Foodborne Diseases World Health Organization Avenue Appia 20 1211 Geneva 27, Switzerland Tel: +41 22 79 13697 Fax: +41 22 791 48 07 Email: fontannazf@who.int 15 Appendix II — List of participants - WHO Secretariat Ms Rosie GREEN Volunteer Department of Food Safety, Zoonoses and Foodborne Diseases World Health Organization Avenue Appia 20 1211 Geneva 27, Switzerland Fax:+41 22 791 48 07 Email: greenro@who.int Dr David L. HEYMANN Assistant Director-General Health Security and the Environment World Health Organization Avenue Appia 20 1211 Geneva 27, Switzerland Email: heymannd@who.int Ms Susan HIRD Technical Officer Department of Food Safety, Zoonoses and Foodborne Diseases World Health Organization Avenue Appia 20 1211 Geneva 27, Switzerland Tel:+41 22 791 3816 Fax: +41 22 791 4807 Email: hirds@who.int Ms Tanja KUCHENMÜLLER Technical Officer Department of Food Safety, Zoonoses and Foodborne Diseases World Health Organization Avenue Appia 20 1211 Geneva 27, Switzerland Tel: +41 22 791 5095 Fax: +41 22 791 4807 Email: kuchenmullert@who.int Dr Danilo LO-FO-WONG Scientist Department of Food Safety, Zoonoses and Foodborne Diseases World Health Organization Avenue Appia 20 1211 Geneva 27, Switzerland Tel: +41 22 791 3882 Fax: +41 22 791 4807 Email: lofowongd@who.int Dr Seongsoo PARK Scientist Department of Food Safety, Zoonoses and Foodborne Diseases World Health Organization Avenue Appia 20 1211 Geneva 27, Switzerland Tel: +41 22 791 3364 E-mail: parks@who.int Dr Enrique PÉREZ-GUTIÉRREZ VPH/PANAFTOSA Health Surveillance, Disease Prevention and Control (HSD) Pan American Institute for Food Regional Office of the World Health Organization Rio de Janeiro, Brazil Tel: +55 21 3661 9030 Fax: +55 21 3661 9027 Email: perezenr@fos.ops-oms.org Dr Jørgen SCHLUNDT Director Department of Food Safety, Zoonoses and Foodborne Diseases World Health Organization Avenue Appia 20 1211 Geneva 27, Switzerland Tel: +41 22 791 3445 Fax: +41 22 791 4807 Email: schlundtj@who.int Ms Sari SETIOGI Media Relations Officer World Health Organization Avenue Appia 20 1211 Geneva 27, Switzerland Tel: +41 22 791 3576 E-mail: Setiogis@who.int Dr Claudia STEIN Medical Officer (Epidemiologist) Department of Food Safety, Zoonoses and Foodborne Diseases World Health Organization Avenue Appia 20 1211 Geneva 27, Switzerland Tel: +41 22 791 3234 Fax: +41 22 791 4807 Email: steinc@who.int Dr Mariela VARAS Animal Health Information Department World Organisation for Animal Health (OIE) 12, rue de Prony, 75017 Paris, France Tel: +33 1 4415 1897 Fax: +33 1 4267 0987 Email: varas@oie.int 16 © World Health Organization 2008. All rights reserved. For further information, please contact: Dr Claudia Stein Medical Officer (Epidemiologist) Food Safety, Zoonoses and Foodborne Diseases World Health Organization ℡+41 22 791 3234 : +41 22 791 4807 : steinc@who.int