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TRANSCRIPT
University of Maryland –JIFSAN-
University of Maryland –JIFSAN- Laboratory Capacity Building Needs at FSSAI.
Janie Dubois, PhD
University of Maryland, JIFSAN June 15, 2017
University of Maryland –JIFSAN-
Table of Contents
Objectives of Laboratory Capacity Building ......................................................................................................................... 3Methodology .......................................................................................................................................................................... 3FSSAI Laboratory Capacity Building Prioritization ............................................................................................................. 6
1- Information Dossier ....................................................................................................................................................... 62- Capacity Building Choice Set ....................................................................................................................................... 93- Define Decision Criteria and Weights ......................................................................................................................... 104- Information Cards ........................................................................................................................................................ 105- Selection of Priorities .................................................................................................................................................. 10
Conclusions .......................................................................................................................................................................... 13Appendix 1: Participants in discussions for prioritization ................................................................................................... 14Appendix 2: Information Cards ........................................................................................................................................... 15
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LaboratoryCapacityBuildingNeedsatFSSAI
ObjectivesofLaboratoryCapacityBuildingTheobjectiveoftheGFSPprogramforlaboratorycapacitybuildingistodeveloptrainingresourcesforlong-termimpact.Weaimtodevelopskillswheretheyareneededandverifythattheskillsareacquiredthroughproficiencytesting.Finally,wewanttosupportthereproductionoftrainingworkshopandtheimplementationofsustainabletrainingresourcestoensureimpactinthelongterm.
MethodologyInordertodesignahumanresourcescapacitybuildingplanwithFSSAI,weneededtounderstandthestructureofthefoodcontrolsystemandtheplaceoflaboratories.Furthermore,weconsideredtheexpansionofinfrastructurearoundthecountrythatisongoingaresultofagapanalysisperformedinternallyin2015(outcomesreportedinthe16thMeetingofCentralAdvisoryCommitteeofFSSAIonFebruary3rd,2016)following(largely)the“Maggienoodle”problem.Thisevaluationneededtobeperformedwithina2-monthperiodandwithoutvisitsinIndia.Toolsused:
• AnonlinesurveyofparticipantsinGFSPtraining• Mediasurvey(deskwork)• InformalinterviewsparticipantsinGFSPtraining(facetofacemeetings)• Additionalinformalinterviewswithstakeholders(facetoface)• ThelistofpersonsinvolvedanddatesofmeetingsisavailableinAppendix1.
ThemethodologyusedforprioritizationwasdevelopedaspartofanAsiaPacificEconomicCooperation(APEC)projectundertheFoodSafetyCooperationForum'sPartnershipTrainingInstituteNetwork(PTIN)in2013.ThelaboratorycollaborationprograminAPECconsistsoffivecriticalcomponents:
1. Accreditation.EstablishingorleveragingexistingLabAccreditation/QualityAssurancemeasures.ThisincludessharingSOPs,bestpractices,identifyingscopeofaccreditationandrecommendingsourcesforgapanalysis.Laboratoriescanrangefromnoqualityassurancesystemtohighlyrigoroussystems(forexample,ISO10725accredited).Currentlaboratorystatuswilldictateneedsassessment.
2. ProficiencyTesting(PT).Thisincludestheidentificationofprogramsandleveragingofavailableresourcesandreferencematerials.Whileusuallyincludedunderlaboratoryaccreditation/qualityassurance,itisseparatedtoemphasizetheimportanceofparticipationinaPTprogram.PTsamplesareadirectmeasurefordemonstratingtestingcompetency.
3. Training.Utilizingcurrentprograms,includinggovernmentsponsoredtrainingcourses,andinternationaltraininglaboratories,amongothers.Trainingwillcoverscreeningandconfirmatorytesting.Prerequisitescanbesatisfiedbydevelopingweb-basedmodulesorthroughexistingtrainingmaterialavailablefromgovernmentagenciesandotherorganizations.
4. LaboratoryInfrastructure.Thisincludesrecommendationsforcurrentandnewtechnologiesandequipmentutilizedbyregulatorylaboratories.Basedoncurrenttestingmethodologies,guidancecanbeprovidedastowhatequipment,standardsandreagentsaremostsuitablefortestmethods.Althoughflexibilityinmethodselectionexists,eventually,equipmentplatformsfortestingwillharmonize.
5. Methods.Thisincludessharingcurrentfoodtestingmethods(microbiologicalandchemical)andmethodvalidationprotocols,aswellasparticipationincollaborativestudies.Methodvalidationcriteriacanalsobecapturedunderlaboratoryaccreditation/qualityassurancebutisincludedheretohighlighttheimportanceofmethods,theirintendeduseandperformance.
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APEC Food Safety Cooperation Forum Tool Facingthechallengeofinvestinginasingleactivityeachyear,itwasobviousthatthetaskofselectingsuchactivitydemandedanevaluationofmanyfactorsthatwerenotseenasequallyimportantbydifferentstakeholdersandacrosstheregion.Tothiseffect,aScientificandTechnicalAdvisoryGroup(STAG)wasgatheredintheSpring2013todevelopatoolfortheprioritizationoflaboratorycapacitybuildingactivitiesthatcouldbeusedindependentlybynationalorregionalgovernmentsorstakeholdersgroupstodecidetheirownprioritiesforinvestments.A“mini-STAG”reflectedthepublic-privatepartnershipmodelofthePTINandwascomposedofexpertsfromUSDA(Dr.CharlesPixleyandDr.EmilioEsteban,Mrs.CathyMcKinnel,Ms.KellyMcCormickandMrs.FaniaYangarber),U.S.FDA(Dr.ElizabethCalvey,Dr.PalmerOrlandi,Mr.CarlSciacchitano),academia(Dr.JanieDubois,UniversityofMarylandJIFSAN),andindustry(Dr.DeAnnBeneshof3M,Dr.WayneWargoofAbbottNutrition).Theteamdevelopedacapacityassessmenttooltoenableabetterunderstandingofcurrentanddesiredcapacity.ThedrafttoolwaspresentedanddiscussedataSTAGmeetinginNovember2012inWashingtonDC.Itwasagreedthateconomieswouldvolunteertoconductapilotapplicationoftheprioritizationtooltosupportfurtherdevelopment.ChileandChinawereannouncedasthepiloteconomiesattheAPECSOMIImeetinginIndonesiainApril2013.Therewerestrongimperativestoavoidduplicatingexistingresourcesinthisproject,soassessmentandprioritizationtoolsusedbyinternationalorganizationwereinvestigatedbyJIFSAN(UniversityofMaryland’sJointInstituteforFoodSafetyandAppliedNutrition),theprogramimplementationorganization.TheWorldOrganizationforAnimalHealthToolfortheEvaluationofPerformanceofVeterinaryServices(OIEPVS)toolwasselectedasagoodmodelforassessment,andtheMultiCriteriaDecisionAnalysisdevelopedtoprioritizeSanitaryandPhytoSanitarycapacitybuildingneedsattheStandardsandTradeDevelopmentFacility(STDF)couldbetailoredtofitthepurposeofprioritizationforlaboratorycapacity.Moreinformationmaybefoundusingtheselinks:OIEPVS1andSTDFP-IMA2.FrameworkforPrioritizationTheobjectiveofthedecisionframeworkistoprovideatransparenttooltoprioritizelaboratorycapacitybuildingactivitiesandtheunderlyingfoodsafetyissues.ThedevelopmentisbasedonworkbyHensonandMasakuredetailedinthedocument“EstablishingPrioritiesforSPSCapacity-building:AGuidetoMulti-CriteriaDecision-Making”3fromnowonreferredtoas“theGuide”.AsexplainedintheGuide,“theframeworkisdesignedforapplicationtochoicesbetweenrelativelylargenumbersofoptionsthatcandiffermarkedlyintheircharacteristicsandtheassociatedflowofcostsandbenefitsovertime,includingvariouselementsoffoodsafety,(…).Further,itpermitsprioritiestobedefinedonthebasisofmultiplecriteriawhichmightbemeasuredinadisparatemannerandassigneddifferingweights.”Theframeworkisdesignedusingsevenstages.Stage1:CompileInformationDossierTheinformationdossierisacollectionofinformationthatshouldbeusedtodefinecapacitybuildingoptionsandrankthem.Itincorporateseconomic,trade,healthandotherrelevantdata.Forthissection,
1 http://www.oie.int/support-to-oie-members/pvs-evaluations/oie-pvs-tool/ 2 http://www.standardsfacility.org/sites/default/files/P-IMA_Guide_EN.pdf 2 http://www.standardsfacility.org/sites/default/files/P-IMA_Guide_EN.pdf 3 http://sasec.asia/uploads/events/2014/tfweek-2014/am/stdf-establishing-priorities.pdf
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thelistofindicatorsdevelopedbyregulatorsandindustryfortheAPECworkwasusedhereasthebasisforcomparisonofoptions.ThehierarchyoffactorsandcriteriausedforcomparisonisillustratedinFigure2andbrieflydescribedbelow.
Publichealthimpactisanindicatorthatwillbemeasuredusingtwocriteria:Thepotentialtopreventillnessandtheneedtoaddressanoutbreak.Thedatausedtoevaluatethesecriteriashallinclude
• Aquantitative,orsemi-quantitativeevaluationofthediseaseburdenthatmaybeaddressedbytheoption(i.e.isthereahealthproblem?)
• Datafromtheregion(ideally)abouttheimpactoftheoptionondiseaseburden(i.e.hasthisshownanimpactondiseaseburdensomewhere?)
• Dataontheextentofacurrentoutbreakandthelikelihoodthatitwillberesolvedwithouttheapplicationoftheoption(i.e.willthisoptionatleastpositivelyinfluencetheresolutionoftheoutbreak)Difficultyofimplementationisanindicatorofthelikelihoodthattheoptionwillactuallybeappliedifitisfoundtobeapriority.Criteriaforthisevaluationaddressmanagementbuy-in,availabilityofpersonnel,aqualitativeevaluationofthechancesthattheoptionwill
notyieldthedesiredoutcome(i.e.solvethefoodsafetyissueitismeanttoaddress),andaqualitativemeasureofalignmentwiththeoverallstrategy.Thelattercriterionisessentialtoensurethattheresourcesneededfortherealizationofthecapacitybuildingoptionwillbeavailableandforlongenoughtobeabletoreachthedesiredoutcome.Tradeimpactisanindicatorthatcanbemeasuredwithtwocriteria:Tradeexpansionpotential(openingnewmarkets)andtradelossthatwillberegainedasaresultofthisoptionbeingappliedandsuccessful.Thesecriteriaarebestrepresentedbyquantitativedata(inU.S.dollarstofacilitatediscussionsacrosseconomies).Inthecaseofthisactivity,weusedtradelossinformationfromstatisticspublishedbytheUSandEUonimportrejection.Finally,thecostsassociatedwiththeoptionaremeasuredquantitativelyanddividedintothetwocategoriesofinitialinvestmentandimplementation(andcontinuousapplication)oftheoption.Thesecondcategoryshallbeevaluatedonaper-yearbasisconsideringtheloadofsamplesnowandinthefuture,thesavingsresultingfromswitchingtothisoptionifitreplacesanotheroptionandothersimilarfactors.Inthisparticularactivity,theongoinginfrastructuredevelopmentofFSSAIwasconsideredanimportantfactorandthecostsassociatedwiththisplanwereperceivedasalreadyincurred.Stage2:DefineChoiceSetThesecondstageoftheprioritizationactivityistodefineasetofcapacitybuildingoptions.Inthecurrentexercise,onlylaboratorycapacitybuildingoptionsrelatedtodevelopinghumanresources(i.e.training).ThecompletesetdevelopedintheAPECprojectwasproposed,buttheparticipantsrefinedtheoptions.Duringtheconversations,participantswereaskedquestionsaboutthedifferentoptionsandweregiventheopportunitytodiscussthemcasually.
Figure1:Indicatorsandcriteriatocompareoptions.
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Stage3:DefineDecisionCriteriaandWeightsDecisioncriteria,indicatorstheimportanceofeach,whichwilltranslateintotheirweights,wereorganicallyselectedthroughthepilotworkinAPECandappliedherewithconsiderationofthecontext,especiallyasitrelatestoFSSAIinfrastructureexpansionplans.Stage4:ConstructionofInformationCardsTheinformationcardsarethegatheringplaceforalltheinformationbrieflyintroducedbefore,whereeachindicatorandcriteriaareevaluatedforeachoption.Thecriteriaencompassbothquantitativeandqualitativedata,andthediscussionsthatledtotheinformationincludedinthecardsalsoconsideredthelevelofconfidencefeltabouttheinformationbytheimplementer(JIFSAN).Stages5-7concerntheanalysisofthisinformation,eithermanuallyofusingstatisticalsoftware,anddecisions.Statisticalsoftwareismoreappropriatewhendetailedinformationabouthealthimpact,availableresources,costsandtradevaluesareconsidered.Theshortperiodallocatedforthisprioritizationactivitydidnotpermitacompilationofdetailedinformationthereforeasimplemanualanalysiswaspreferred.
FSSAILaboratoryCapacityBuildingPrioritization
1-InformationDossier 1.1FoodControlSysteminIndiaThestructureofthefoodcontrolsystemisbasedontheFoodSafetyandStandardsActof2006.TheFoodSafetyandStandardsAuthority(FSSAI)isresponsibleforthecontrolofdomesticandimportedfoods.ItsCommissionerofFoodSafetyappointsfood-testinglaboratories,whichplayrolesinathree-levelsystem.BothpublicandprivatelyownedlaboratoriesmaybecomeFSSAInotifiedlaboratories,butReferralLaboratoriesarepartoftheFSSAI.TypesofFSSAINotifiedLaboratories:
Level1:FoodProductsStandardsandFoodAdditivesLevel2:Contaminants,ToxinsandResiduesReferral:R&Dcapabilities,trainingfacilities,analyticalcapacityandinvestigation
Finally,allFSSAInotifiedlaboratoriesmustbeaccreditedbytheNationalAccreditationBoardforTestingandCalibration(NABL)accordingtothestandardISO17025.1.2RecurringProblemsatExportasanIndicatorThisprioritizationislargelybasedonopinionsfromanalysts.However,beyondinterviewswithanalystsintheFSSAIjurisdiction,itisusefultolookattradedatatoevaluatethetypesoflaboratoryteststhatwouldrespondtothegreatestsourcesofimportrejections.Rejectionofexportedcommoditiesistypicallyindicativeofproblemsthatarewidespreadinthedomesticproductionaswell.ExportrejectionsfromtheEuropeanUnionwereusedtoprioritizethefirststepoftheprojectinIndia,wherepesticideresidues,veterinarydrugsandmycotoxinswereselected.USFDAimportrejectiondatafrom2005to2013wasevaluatedbytheUSDAEconomicResearchServiceandtheyidentifiedthatthemainproblemswithIndianfoodcommoditiespresentedforimportationintotheUnitedStateswereSalmonellacontamination,pesticideresiduesandthepresenceoffilth.Thisdatadoesnotincludemeatandpoultry,forwhichthereisessentiallynotradebetweenthetwocountries.SimilarinformationwascompiledbyUNIDOfortheUSandEUfor2002-2008inaworkingpaperentitled" WhatdoBorder
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RejectionstellusaboutTradeStandardsComplianceofDevelopingCountries?"4andreproducedinFigures1and2.
Figure1:LargestsourcesofimportrejectionsofIndiancommoditiesbytheEU2002-2008.
Figure2:LargestsourcesofimportrejectionsofIndiancommoditiesbytheUS2002-2008.Acloserlookatrejectionsandimportalertsfrom2016indicatesthatspices,processedfoodandfeed,rice,seafoodandproduceshowthemostproblems(table1).Shipmentrejectionsindicatetherejectionofindividualconsignments,whileimportalertsindicatethattheFDAsuggeststhatparticularcommoditiesimportedbyspecificfirmsnotbeacceptedforimportwithoutevidenceprovidedbythefirmthattheproductscomply.Soanimportalertmaylist1firm,or50firms.Putsimply,importalertsareindicativeofrecurringproblems,asopposedtorejectedshipmentswhichconcernonlyoneshipmentatatime.
4https://www.unido.org/fileadmin/user_media/Services/Industrial_Competitiveness/Trade_Capacity_Building/rejection_analysis.PDF
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Table1:ImportalertsandrejectiondataforIndiancommoditiesbyUSFDA(2016).Notethattherewerenoimportalertsonrice.1.3RelevantIssuesIdentifiedin2015ThereviewofthefoodcontrolsystemconductedinternallyinFSSAIin2015islargelyreportedintheminutesofthe16thMeetingofCentralAdvisoryCommitteeofFSSAIonFebruary3rd,2016.Theobservationsrelatedtolaboratories,whileintheprocessofbeingaddressed,arestillrelevant:
• Lackofadequatehumanresources• Outdatedinfrastructure• Shortageofreagentsandsuppliestocarryouttests• Moststatelaboratoriesarenotfullyfunctionalandcannotperformallthreewingsofmandate
(chemical,microbiologicalandheavymetalsanalyses)• Financialconstraintsinmostofthestatelaboratories
Highsampleload Lackofappropriateequipmentforcontaminantsandsampleload StatelabshavelittletonocapacityinmicrobiologyFirst,laboratorieslacksufficientnumbersoftrainedanalystsandscientiststoreviewthedata.Theyoftenoperateininadequateinfrastructurethatcannotsupporttheinstallationofthelaboratoryequipmentneededtotestagainstmodernstandards.ThemediawidelyreportedthatmostlaboratoriesattheStatelevelcannotperformalloftheirfunctionsduetotheinfrastructureandstaffshortcomings.Statelaboratories(especially)arenotadequatelyfundedtopurchasethesuppliestheyneedtohandlethesamplethroughputexpectedfromthem.Itisnotclearthatthenewpartialcentralcontroloffundswillresolvethisissuebecauseofanoverallunderfundingofthefunctions.Finally,themediaalsoreportsthatfocusofmostlaboratorieshasbeenchemicalcontaminants,butthechangingdemographics(moreready-to-eatfoodsinurbancenters,lesstimetocook,lesstraditionalfoodsthatareboiledforlongperiods)willveryrapidlyemphasizethedeficienciesinthecapacitytotestformicrobialpathogensinfood.1.4OpinionsofAnalystsandManagers
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JIFSAN,onbehalfoftheGFSP’sLaboratoryCapacityBuildingProgramconductedashortreviewofprioritycapacitybuildingneedsinfoodcontrollaboratoriesinthe3monthsbetweenthefirstGFSP-sponsoredtraininginSingapore,andthismeeting.
a. PerceptionofSupportWefirstaskedanalystshowtheyfeltabouttheirworkandtheirlaboratories.Mostanalysts(theexceptionbeinginreferrallabs)feelisolatedintheirlaboratory;theyfeelthattheydonothaveagroupofpeersthattheycanreachouttowhentheyneedsupport.Analystsalsofeelthattheworkloadisdisproportionalwiththeinfrastructureandequipment.Longhours,farbeyondthe“normalworkday”areneededtomeetthesamplethroughputdemand.
b. PerceptionofSkillsIntermsoftechnicalskills,wefoundanalystsconfidentabouttheirskillsandalsorealisticaboutthescopeoftheirtechnicalskills.Adifferenceitseenbetweenhighlyskilledanalystsandnewerrecruitsintermsoftheirpriorities.Lowerskilledanalystsshowastrongdesiretolearnandincreaseboththebreadthskillsandtheirnetworkofpeers,whilethe(oftenmoresenior)highlyskilledanalystsfeelsomewhatfrustratedbyalackofinclusionofscientistsinmanagementdecisions.Theyalsofocustheirconcernsonthemissionoftheirlaboratorywhenaskedaboutgrowthandfeelthatthelackofinfrastructureandlatesttechnologiesispreventingthemfromachievingtheirgoals.Thisindicatesthatthedesirefortrainingisaverypersonaloneamongneweranalystsandlackoftrainingopportunitiesfortheirstaffnotperceivedasaroadblockbythemanagerswhoaremoreconcernedwithinfrastructures.Managersfeelthatprovidedtheinstruments,theywillbeabletotraintheiranalysts.Thereviewdidnotdiveintotheindividuallaboratoryneedsinmicrobiologyinlargepartbecausetheintervieweesinpubliclabswereallchemists.Nevertheless,wewishedtolookintotheneedsinmicrobiologyinordertoplancapacitybuildingactivitiesinthemediumterm,soweinitiateddiscussionsinthegroupsandaninterviewwithanAdvisortoFSSAI.Wealsousedthetradedata,morespecificallythereasonsforimportrejectionsrelatedtomicrobiology.
2-CapacityBuildingChoiceSetThesecondstageoftheprioritizationactivityistodefineasetofworkforcecapacitybuildingoptionstoprioritize.ThelistcompiledbytheAPECgroupforgeneralusewasconsideredadequate:
• Screening(rapid)methodsformycotoxins• Confirmationmethodsformulti-mycotoxins• Methodsformulti-residuesofveterinarydrugs• Methodsformulti-residuetestingofpesticides• Non-targetedcontaminantsanalysis• Screeningmethodsforindustrialchemicals• Advancedmassspectrometry(forcontaminants)• Validationofchemicalmethods(includingmatrixextension)• Generalfoodmicrobiologytraining• Rapid(molecular)methodsforfoodmicrobiology(rtPCR-based)• WholegenomesequencingtoreplacePFGE(PulseNetforoutbreaks)• Screeningmethodsinfoodmicrobiology• Methodsforthedeterminationoffilth• MethodsforthedeterminationofSalmonella• MethodsforthedeterminationofE.coli(STEC)• Validationofmicrobiologicalmethods
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3-DefineDecisionCriteriaandWeightsThecriteriaofpublichealthimpact,easeofimplementation,tradeimpactandcostsasdefinedintheAPECprojectwereusedwithoutchanges.Weightsforthecriteriawerenotpredefinedandallcriteriawereconsideredequal.
4-InformationCardsAninformationcardisthecollectionofdata,discussionpointsandrelevantinformationabouteachoptiononthechoiceset.Theinformationisbydefinitionbiasedbytheparticipantsinaconsultation,whominthiscasewerealmostexclusivelychemicalanalysts.ThetradeimpactinformationwasalsolimitedtotradewiththeEUandUS.Finally,thecostandeaseofimplementationwereapproachedfromaGFSPperspective,whereweconsideredbothin-countryresourcesandaccesstoGFSPpartners.TheinformationcardsforeachoptionareavailableinAppendix2.
5-SelectionofPriorities PhaseofthelaboratorycapacitybuildingprojectattheGFSPfocusedonchemicalanalysisandaddressedthetopicsofmethodsofdeterminationforpesticides,mycotoxinsandveterinarydrugsinfood.TheyareidentifiedinTable2.PrioritiesforPhase2ofLaboratoryCapacityBuilding:1-Chemistry
• Screeningmethodsforindustrialchemicalresiduesinfood• Advancedtraininginmassspectrometry(forcontaminantresiduesinfood)• Trainingonmethodvalidation,includingmatrixextension
2-Microbiology• Traininginrapid(focusonmolecular)methodsformicrobialcontaminantsinfood• MethodsofdeterminationofSalmonellainfood• Standardmethodsforthedeterminationoffilth
Theseprioritiesweredeterminedbasedonthescoresobtainedusingthemulti-criteriadecisionanalysisdescribedabove.Table2summarizesthescores.
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Table2:Scoreandselectionofprioritiesforphase2oftheGFSPproject.
LaboratoryCapacityBuildingOptionsTotalscore
ProposedPhase1-2
"Chemistry" Screeningmethodsformycotoxins 10-$ Confirmationmethodsformulti-mycotoxins 14-$ Phase1Methodsformulti-residuesofveterinarydrugs 12-$ Phase1Methodsformulti-residuetestingofpesticides 15-$ Phase1Non-targetedcontaminantsanalysis 6-$ Screeningmethodsforindustrialchemicals 12-$ Phase2Advancedmassspectrometry(forcontaminants) 12-$ Phase2Validationofchemicalmethods(incl.matrixextension) 11-$ Phase2
"Microbiology" Generalfoodmicrobiologytraining 9-$ Rapid(molecular)methodsforfoodmicrobiology(rtPCR-based) 11-$$ Phase2WholegenomesequencingtoreplacePFGE 8-$ Screeningmethodsinfoodmicrobiology 11-$$ Methodsforthedeterminationoffilth 12-$ Phase2MethodsforthedeterminationofSalmonella 13-$ Phase2MethodsforthedeterminationofE.coli(STEC) 11-$ Validationofmicrobiologicalmethods 5-$
RationalefortheSpecificTrainingNeedsinChemistryThescoresobtainedintheevaluationofoptionsareusedtodeterminepriorities.ThethreeprioritiesaddressedinthefirstphaseoftheGFSP-FSSAIprojectareindicatedinthetableandcorrespondtosomeofthehighestscoringoptions.Theadditionaltrainingneedsemphasizedbytheparticipantsincludedbothanalyticalmethodsandskillstousethedatageneratedbythesemethods,atopicthatwasraisedaspartofthemethodvalidationoption.Thereisadesiretobeabletoreviewdataforconformanceasameansofaccessingpromotions,butalsoadesirebyhigher-levelmanagerstousethedatainriskanalysistodevelopIndianstandardsfordomesticfoods.Theseaspectswerenotpartofthecriteriaforselection,butareworthmentioninghere.Analystsalsoindicatedthattheydidnotknowof,orcompletelyunderstand,thesamplingplansthatleadtothesamplestheyreceiveinthelaboratories,whichinturnleadsthemtoquestionhowrepresentativethesamplesare.Methodsvalidationwouldincludethesubjectofsampling.Finally,benchanalystsdonotfeelconfidentaboutwritingStandardOperatingProceduresandwishtorelyonSOPswrittenbyothers.WhilethisprocessworkswellinhighlyhierarchicalorganizationssuchasFSSAIanditsreferrallabs,itisasignificanthurdleforsmallerorganizationslikeStatelaboratories.PrivatesectorlaboratoriesdidnotsharetheneedfortraininginQAorscientificprinciples.Thesetopicsweredeemedpartofthemethodsvalidationoption.Theprinciplesoftheanalyticaltechniquesaswellasthebiochemistryofthecommoditiesandfoodsthemselveswereconsideredaneedthatmaybefulfilledwithliterature,butanalystsdon’tknowwheretofindit.Weincludedthesetopicsintheoptionofadvancedmassspectrometrytraining.
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Asameansofcomparisonforthedemandplacedontheanalysts,wecanlookattheUSandEUsystems.IntheUS,regulatorylaboratoriesalmostexclusivelytestagriculturalcommodities…CommoditiesarerelativelysimplerwitheitherhighwaterORhighfatcontent,acidoralkalinepH,andaneedtotestforeitherpesticidesorveterinarydrugsforexample.IntheEU,alargenetworkofreferencelaboratoriesisheavilyfundedtodevelopandseetothevalidationanddeploymentoffit-for-purposemethods.TheIndiansystem,whichhasalargecomponentoftestingonfinishedfoods,requiresanalyststotestcomplexfoodproductscombiningmanyagriculturalcommoditiesandconsequentlyrequiringtestingformanyclassesofcontaminants.AnalystsfeltthattheIndiansystemwassimilartotheEUwhentheFSSAImethodsmanualwasprescriptiveandverydetailed,butthatthecurrentmanualdoesn’tprovidethemwiththemethodsthattheyneed.SinceWesternscientistswholargelydonotdealwithfinishedfoodspublishmostanalyticalmethodsinthepeer-reviewedliterature,thereisverylittleinformationavailableonmethodsadaptationforcomplexmatrices.Thishadalargeinfluenceonthedesiretoseetheoptionofmethodsvalidationgetimplemented.SpecificTrainingNeedsinMicrobiologySimilarlytotheobservationinchemistry,microbiologicallabsfeelthatthefoodcontrolsystemwillnotbeabletomeetthesamplethroughputneedswithtraditionalmicrobiologicalmethods,supportingthehigherscoreobtainedfortheoptionoftraininginrapidmolecular-basedmethods.ThisprivatelaboratoriesmentionedalreadybeingequippedwithmolecularmethodsandlooktomoveintowholegenomesequencinginthefuturetomatchthedataavailableintheWestforoutbreakinvestigation(asafee-for-servicetoexporters).ThepublichealthlaboratoriesseetheglobalPulseNetsystemmovingtoWholeGenomeSequencing,butitisstillnotperceivedasessential(amongthegroupinterviewed).Interestingly,filthanalysiswasatopreasonforimportrejection,butintervieweesdidnotbelievetheseanalysesaredoneintheirlaboratories.FilthanalysisandSalmonellascoredhighbecauseofthetradeconcernsandeaseofimplementation,whilethisgroupdidnotrecognizeahighpublichealthimpact.Theneedsidentifiedwere:1.Screening(rapid)methodsbasedonmoleculartesting2.Adaptedconfirmationmethods,probablyusingtraditionalselectiveculturemethods(tokeepcostslow)andtheorganismofgreaterinterestforinitialtraining:Salmonella -WholegenomesequencinginReferralLabsforoutbreakinvestigation3.FilthanalysistoreducetradeimpactSpecificNeedsinLaboratoryOperationsSupportLastbutnotleast,analystsraisedtheissuesassociatedwithmoderninstrumentmaintenance.Whileanalystsdonotfeelitshouldbetheirjobtomaintaininstruments,theydowishtohaveaccesstotrainedengineerswhowouldperformthismaintenanceforthem.Skillsforbasictroubleshootingshouldbedevelopedateachlaboratory,andanalystsfeelthatcentrallylocatedresourcescouldsupportformorecomplexissues.Tobeclear,analystsrealizethatinternalsupportcannotreplaceserviceengineersfromthevendorsforrepairs,buttheyfeelthatthein-houseserviceshoulddealwithwhatisperceivedinWesternlabsasin-housemaintenance.FinallyStatelabsespeciallyfeelthatthedevelopmentandmaintenanceofasourcingsystemforreagentsandkitswouldhelpmeetworkloadrequirementbyavoidingdowntime.Amongthemanyadvantagesperceivedbyanalysts,avoidingdowntimeduetodelaysindeliveries,loweringcostsandalsoaligningmethodswithotherlabsthroughthedecision-makingprocessofselectingwhattokeepininventorywereveryimportanttothem.
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ConclusionsLaboratorytrainingneedsarebroadinscope,butanalystsnowfeelthattheexpertiseisavailableinIndiainmanyareasofneed(especiallythoseaddressedinphase1oftheGFSP-FSSAIproject),andonlyrequirestobemanagedforeffectivedeploymentacrossagenciesandlaboratoriesthroughtrain-the-trainerprograms.Asetofthreeadditionaltrainingtopicswasselectedtoproposeforthesecondphaseoftheprojectbasedontherelevancetobothtradeandhealth,andingeneral,thedifficultyofimplementationwasnotperceivedasahurdle.Therewasnotanequivalentconfidenceintheavailabilityoftrainersinmicrobiology,butitcouldbeduetotheinterviewpoolthatwascomposedlargelyofchemistsandafewlaboratorymanagers.Discussionsindicatedthatanalystswantmorenetworkingopportunitiesandmoderninstrumentstomeetthedesiredsampleload.Analystswantmorestandardmethodsfitforthecommoditiestheyaregiven(especiallyforprocessedfoods).Finally,asupportsystemintermsofinstrumentmaintenanceandprocurementwassuggestedthatcouldfacilitatetheexpansionoftheFSSAIportfolioofanalyses.
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Appendix1:Participantsindiscussionsforprioritization
Date:December9,2016 GroupdiscussionMr.M.A.Sreenivasa CSIR-CentralFoodTechnologicalResearchInstitue,MysoreMrs.ArunaBandil FoodSafety&StandardsAuthorityofIndia,DelhiMr.SurenderSinghRaghav FSSAI,GhaziabadMr.HemantKulkarni StatePublicHealthLaboratory,PuneDr.Rajesh.R ExportInspectionAgency,KolkotaDr.PritiAmritkar EnvirocareLabsPvtLtd,ThaneDr.ArchnaTiwari FoodSafety&StandardsAuthorityofIndia,Delhi
Dr.AparnaPharandeAshwamedhEngineers&Consultants-LaboratoryServicesDivision,Nashik
Dr.DebaduttaMishra CentralFoodLaboratory(FSSAI),KolkataDr.CherukuriSreenivasaRao Director,NationalInstituteofPlantHealthManagement,Hyderabad
Date:April27,2017 GroupdiscussionDr.SatyenKumarPanda IndianCouncilofAgriculturalResearch,CochinDr.AnoopA.Krishnan ExportInspectionAgency,KolkataDr.PrasannaKumarPatil CentralInstituteofBrackishWaterAquaculture,ChennaiAnupamGogoi Govt.ofAssam,StatePublicHealthLaboratory,GuwahatiMs.KanikaAggarwal FoodSafety&StandardsAuthorityofIndia,NewDelhDr.RakeshKumarTirpude FoodandDrugLaboratory,Mumbai
Date:April28,2017 Privatemeeting
Dr.BhaskarNarayanADVISOR,FOODSAFETY&STANDARDSAUTHORITYOFINDIA(FSSAI),NEWDELHI
Dr.ShrinivasJoshi WatersPvtLtd,Bangalore
Date:June1,2017 GroupdiscussionMr.ZavierT.V. SpiceBoardQualityEvaluationLaboratory,KochiDr.PrasannaVasu CFTRI,MysoreMs.Vanajakshi CFTRI,MysoreSri.ChabungbamSanajaobaMeitei StatePublicHealth,ManipurDr.ChetanT.P. StateFoodLaboratory,BangaloreMs.SharadaH.Roddammanavar StateFoodLaboratory,BangaloreMs.AjiniA.S. CEPCILaboratory,KollamDr.JayrajsinhSarvaiya GujaratForensicScienceUniversity,GandhinagarMs.KavithaM. FSSAI,NewDelhiSri.BalamuraliKrishnaKondapalli IntertekPvtLtd,HyderabadMs.ElizabethM.Gomes BangaloreTestingLaboratoryPvtLtd,BangaloreDr.D.P.Gurumoorthi ScientificFoodTestingServices(P)Ttd,ChennaiManoranjanKumar StateFoodandDrugTestingLaboratory,RudrapurDr.SagarUtture TUVSUDSouthAsia,Bangalore
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Appendix2:InformationCardsEachoptionwasdiscussedandprosandconswerenoted.Ascore,between1and5,wasassignedbasedonthecomments,where1islowand5ishighpriority."Chemistry"Option1:Screeningmethodsformycotoxins
Criteria Information Score
PublicHealthImpact
-Low:Foundinspices,butreducedbycooking(presumably)-Manydeathsin1970sbutnorecentoutbreaks-Lowinstaplefoodrice
2
EaseofImplementation
Screeningnotcommoninlabs,mostlyconfirmationandquantitationWouldnotbeveryexpensivetostartscreening,trainingpartnersandfacilitiesareavailable.
5
TradeImpact
-PrioritycauseofrejectsinEU,butscreeninginsufficientintrade,requireconfirmation-Couldhelpprioritizeuseofresourcesforconfirmation
3
Costs(trainingonly)
-Lowbecauseofeaseandkitsarecheap low
Option2:Confirmationmethodsformycotoxins
Criteria Information Score
PublicHealthImpact
-Sameasscreening 4
EaseofImplementation
EasybecausepartofFSSAIinfrastructureplanandtrainingpartnersandfacilitiesavailable
5
TradeImpact
-PrioritycauseofrejectsinEU 5
Costs(trainingonly)
-Lowbecauseofeaseandinfrastructureresourcesalreadyallocated low
University of Maryland –JIFSAN-
Option3:Methodsformulti-residueofveterinarydrugs
Criteria Information Score
PublicHealthImpact
-Unknown,althoughfearsofantimicrobialresistancewarrantbettercontrolofveterinarydruguse
2
EaseofImplementation
-EasybecausepartofFSSAIinfrastructureplanandtrainingpartnersandfacilitiesavailable-Mediumbecausemethodsnotcommonforprocessedfoods
5
TradeImpact
-PrioritycauseofrejectsinEU 5
Costs(trainingonly)
-Lowbecauseofeaseandinfrastructureresourcesalreadyallocated low
Option4:Methodsformulti-residueofpesticides
Criteria Information Score
PublicHealthImpact
-Veryhighforapplicators,farmingfamilies-Greatfearofmisuseduetolackofeducation-Greatfearduetocasualmarketingpractices(unlabeledcontainers,dosageunspecified,etc)
5
EaseofImplementation
-EasybecausepartofFSSAIinfrastructureplanandtrainingpartnersandfacilitiesavailable-Mediumbecausemethodsnotcommonforprocessedfoods
5
TradeImpact
-PrioritycauseofrejectsinEU 5
Costs(trainingonly)
-Lowbecauseofeaseandinfrastructureresourcesalreadyallocated low
University of Maryland –JIFSAN-
Option5:Non-targetedcontaminantsanalysis
Criteria Information Score
PublicHealthImpact
-Medium:Importantfearfromeducatedpopulationbut"over-rated"-Lowdon'tfeelthatpeoplegetsickfromunknowns
2
EaseofImplementation
-DifficultbecausenoFSSAIfacilityisequipped,buttrainingcouldbeeasybecausetrainingpartnersandfacilitiesareavailable-Difficultbecauseofmatrixvarietypresentedtolabs,methodsnotadapted
1
TradeImpact
-LowbecausecompletelyunexpectedsubstancesarenotsuchabigconcerninIndia-Alsobecauseweknowwhatwewanttolookforsowecouldusetargetedtests-Highbecausefeellikeitwouldhelpbuildtrust
3
Costs(trainingonly)
-Lowbecauseofavailabletrainingpartnersandfacilities low
Option6:Screeningmethodsforindustrialchemicals
Criteria Information Score
PublicHealthImpact
-Low,notperceivedaslargeproblem(likeChina)-High,wouldliketoknowifitisaproblem-Highbecausetechniquesreallyincludesallchemicalcontaminants,notjustindustrial
4
EaseofImplementation
-Easybecausepartofinfrastructureplan-Hardbecausenotmanylaboratorieshavespecialistsinindustrialchemicals(analystsdon'tknowwhattheyshouldlookfor)-Easybecauseitalsoworksforpest.,vet.drugs,additives,etc.
5
TradeImpact
-LowinEUandUS-Highbecauseoffearthatifsomeonestartslooking,theymayfindit-Highbecausemayreduceproblemswithagric.contaminants
3
Costs(trainingonly)
-Lowbecauseofavailabletrainingpartnersandfacilities low
University of Maryland –JIFSAN-
Option7:Advanced mass spectrometry (for contaminants)
Criteria Information Score
PublicHealthImpact
-Mediumbecausemethodscanbeappliedalready 3
EaseofImplementation
-Easybecausepartofinfrastructureplan-Easybecauseaccesstotrainingpartners
5
TradeImpact
-MediumsincetouchesonproblemsinEUandUS-Highbecauseoffearthatunknownproblemmayexist
4
Costs(trainingonly)
-Lowbecauseofavailabletrainingpartnersandfacilities low
Option7:Validationofchemicalmethods(includingmatrixextension)
Criteria Information Score
PublicHealthImpact
-Lowbecausewecanusevalidatedmethods
2
EaseofImplementation
-Easy,justclassroomtrainingandmanytrainingpartnersavailableforvalidationpart-Mediumbecauseneedtoaddressdifferentmatrices,buteasybecauseexpertiseisavailable
5
TradeImpact
-Lowbecausewecanusevalidatedmethods-Highbecausevalidatedmethodsdon'tworkforallmatrices,especiallyprocessedfoods
4
Costs(trainingonly)
-LowbecauseofavailabletrainingpartnersandinfrastructurewithinFSSAIdevelopmentplan
low
University of Maryland –JIFSAN-
"Microbiology":Option1:GeneralFoodMicrobiology
Criteria Information Score
PublicHealthImpact
-Lowforgeneralfoodmicrobiology-Notsurewhatitmeans-Feelthereareplentyoffoodmicrocoursesinuniversities
1
EaseofImplementation
-Highbecauseverybasicandplentyoftrainingpartnersavailable-Lowbecausetoogeneraltogettimefortraining
3
TradeImpact
-Low,toobasictohaverelevancewithtrade-HighbecauselotsofrejectionsinUSandEUbecauseofmicrobiology-HighifindustrywasthetargetinsteadofFSSAI
5
Costs(trainingonly)
-Lowbecauseofease low
Option2:Rapid(molecular)methodsforfoodmicrobiology
Criteria Information Score
PublicHealthImpact
-Medium,don'tfeelsomanypeoplegetsickinIndia 3
EaseofImplementation
-Hard,veryfewlabshaveequipment,notsureitisininfrastructureplan-Easybecausetrainingpartnersareavailable
3
TradeImpact
-HighbecauseofEUandUSrejections-Hightoacceleratereleaseofexports
5
Costs(trainingonly)
-Lowbecauseofavailabilityoftrainingpartners medium
University of Maryland –JIFSAN-
Option3:WholegenomesequencingtoreplacePFGE(PulseNetforoutbreaks)
Criteria Information Score
PublicHealthImpact
-Highwhenanoutbreakhappens-Notsurehowoftenoutbreakshappen-Currenttoolsmaybeenough(?)(notrightgrouptodiscuss)
4
EaseofImplementation
-LowbecauseinstrumentationnotavailableandnotpartofFSSAIinfrastructureplan-Trainingpartnersavailable,butfacilitiesabroadonly
2
TradeImpact
-Norightgrouptoask-Perceivedashighifcan"clear"Indiaascauseofoutbreak...-Perceivedasmediumtocreatetrustinsystem
2
Costs(trainingonly)
-Highbuthastobeabroad,facilitiesnotavailableforreproductions
high
Option4:Screeningmethodsinfoodmicrobiology
Criteria Information Score
PublicHealthImpact
-Highasapreventativemeasure,especiallyforcities-Lowbecauseallfoodiscooked-Lowbecausepeopledon'tseemtogetsickfromfoodinIndia
4
EaseofImplementation
-Highbecausemanylabshavefacilitiesforscreeningmethods-Highbecausemanytrainingpartnersavailable-Lowbecausereferencestrainsnotavailable
4
TradeImpact
-Unknown,seemstovaguetohavemeasurableimpact-Notrightaudienceforthisquestion-CouldbehighifaddressesUSandEUrejections
3
Costs(trainingonly)
-Lowbecausemanylabsandtrainingpartnersavailable-Highbecausereferencestrainsarenotavailableandaredifficulttoimport
medium
University of Maryland –JIFSAN-
Option5:Methodsfordeterminationoffilth
Criteria Information Score
PublicHealthImpact
-Low,peopledon'tknowwhatfilthis-Indiansareusedtowashingcommodities,expectphysicalcontaminants
2
EaseofImplementation
-Highbecausetrainingpartnersavailable-Highbecauserequires"usual"equipmentlikemicroscopes
5
TradeImpact
-HighbecauseofrejectionsfromUS 5
Costs(trainingonly)
-Lowbecauseofavailabilityoftrainingpartnersandnorequirementforspecialequipment
low
Option6:MethodsfordeterminationofSalmonella
Criteria Information Score
PublicHealthImpact
-Highforcitieswherepeopleeachdifferently-Highforchildren-Lowbecausemosttraditionalfoodiscooked
4
EaseofImplementation
-Highbecauselabsexistwhodothesetests-Lowbecauselabsareoverloaded,notimefortraining-Highbecausetrainingpartnersareavailable-Lowifweneedalotofreferencestrains
4
TradeImpact
-HighbecauseofrejectionsfromUS 5
Costs(trainingonly)
-LowbecauseofavailabilityoftrainingpartnersandfacilitiesavailableinIndia
low
University of Maryland –JIFSAN-
Option7:MethodsfordeterminationofE.coli
Criteria Information Score
PublicHealthImpact
-Highforcitieswherepeopleeachdifferently-LowbecausemanyIndiansarevegetarian-Lowbecausetraditionalfoodiscooked
2
EaseofImplementation
-Highbecauselabsexistwhodothesetests-Lowbecauselabsareoverloaded,notimefortraining-Highbecausetrainingpartnersareavailable-Lowifweneedalotofreferencestrains
4
TradeImpact
-HighbecauseofrejectionsfromUS-High,wethinkitisagrowingprobleminaquaculture
5
Costs(trainingonly)
-LowbecauseofavailabilityoftrainingpartnersandfacilitiesavailableinIndia
low
Option8:Validationofmicrobiologicalmethods
Criteria Information Score
PublicHealthImpact
-Lowbecausewecanusevalidatedmethods 1
EaseofImplementation
-Highbecauseclassroomtrainingandtrainingpartnersavailable-Lowbecauselabsdon'thavestatisticiansonstaff
3
TradeImpact
-Lowbecausewecanusevalidatedmethods-(Notrightgrouptoask,notawareoflackofmethods)
1
Costs(trainingonly)
-Lowbecauseonlyclassroom
low