Model Ordinance
II. Risk Assessment and Risk Management
Table of Contents
Requirements for the Authority
[Note: The Authority must meet the requirements of this
section even if the Authority does not formally adopt this section in
regulation.]
@.01 Outbreaks of Shellfish-Related Illness.
A. When shellfish are implicated in an illness outbreak
involving two (2) or more persons not from the same
household (or one or more persons in the case of paralytic shellfish
poisoning [PSP]), the Authority shall
determine whether an epidemiological association exists between
the illness and the shellfish consumption by
reviewing:
- (1) Each consumer’s food history;
- (2) Shellfish handling practices by the consumer and/or
retailer;
- (3) Whether the disease has the potential or is known
to be transmitted by shellfish; and
- (4) Whether the symptoms and incubation period of the
illnesses are
consistent with the suspected etiologic agent.
NOTE: For additional guidance refer to the International Association
of Milk, Food, and Environmental Sanitarians’ Procedures to Investigate
Food Borne Illness.
B. When the Authority has determined an epidemiological association
between an illness outbreak and
shellfish consumption, the Authority shall conduct an investigation
of the illness outbreak within 24 hours to
determine whether the illness is growing area related or is
the result of post-harvest contamination or
mishandling.
C. When the investigation outlined in §.02B. does not indicate a
post-harvest contamination problem, or illegal
harvesting from a closed area, the Authority shall:
- (1) Immediately place the implicated portion(s) of the
harvest area(s) in the closed status;
- (2) Notify receiving states and the FDA that a potential
health risk is associated with shellfish harvested
from the implicated growing area;
- (3) As soon as determined by the Authority, transmit
to the FDA and receiving states information
identifying the dealers shipping the implicated
shellfish; and
- (4) Promptly initiate recall procedures consistent with
the Recall Enforcement Policy, Title 21 Code
of Federal Regulations Part 7.
D. When the investigation outlined in §.02B demonstrates that the
illnesses are related to post-harvesting
contamination or mishandling, growing area closure is not required.
However, the Authority shall:
- (1) Notify receiving states of the problem; and
- (2) Promptly initiate recall procedures consistent with
the Recall Enforcement Policy Title 21
Code of Federal Regulations Part 7.
E. When the investigation
outlined in §.02B. cannot be completed within 24 hours, the
Authority shall:
- (1) Follow the closure
procedure outlined in § .01C; and if the investigation does
not indicate a
growing area problem, the area shall be immediately
reopened and product recall terminated.
F. Upon closing an implicated area for problems other than natural
occurring pathogens and/or biotoxins,
the Authority shall review the growing area classification
and determine if a growing area
classification problem exists. The review shall
include at a minimum:
- (1) A review of the growing area classification file
records;
- (2) A field review of existing pollution sources;
- (3) A review of actual and potential intermittent pollution
sources, such as vessel waste discharge
and wastewater discharge from treatment plant collection
systems; and
- (4) Examination of
water quality subsequent to the illness outbreak.
G. Upon closing an implicated portion(s) of the harvest area(s)
for naturally occurring pathogens
and/or biotoxins, the Authority shall:
- (1) Follow an existing
marine biotoxin contingency plan, if appropriate.
- (2) Collect and analyze
samples relevant to the investigation, if appropriate.
- (3) Keep the
area closed until it has been determined that levels of naturally occurring
pathogens
and/or biotoxins are not a public health concern.
H. When the growing area is determined the problem, the Authority
shall:
- (1) Place the growing area in the closed status until:
- (a) The Authority verifies
that the area is properly classified, using current data,
in compliance with the
NSSP Model Ordinance; or
- (b) Shellfish from the growing
area are confirmed as the cause of illness but it
has been determined that
the event which caused the contamination no longer
exists;
- (2) Keep the area closed for a minimum of 21 days if
the illness is consistent with viral etiology; and
- (3) Develop a written report summarizing the findings
of the investigation and actions taken.
I. Whenever an Authority or dealer initiates a recall of shellfish
products because of public health concerns,
the Authority will monitor the progress and success of the recall.
The Authority will immediately notify the
FDA and the Authorities in other states involved in the recall.
Each Authority involved in a recall will
implement actions to ensure removal of recalled product from
the market and issue public warnings if
necessary to protect public health. FDA will decide whether
to audit or issue public warnings after
consultation with the Authority(s), and after taking into account
the scope of the product distribution and
other related factors. If the FDA determines that the Authority
in any state involved in the recall fails to
implement effective actions to protect public health, the FDA
may classify, publish and audit the recall,
including issuance of public warnings when appropriate.
Additional Guidance - IV Guidance Documents
J. The Authority shall assess annually Vibrio parahaemolyticus
illnesses associated with the consumption
of molluscan shellfish. The assessment will include a record
of all V. parahaemolyticus shellfish-associated
illnesses reported within the state and from receiving states,
the numbers of illnesses per event, actions taken
by the Authority in response to the illnesses, and a summary
description of the state’s shellfish illness reporting
procedures, from patient presentation through laboratory diagnosis
of food vehicle and etiological agent,
to final public health documentation and reporting of specific
illnesses to CDC. The initial assessment
should be made for the most recent three calendar years and
completed by March 1, 2002.
@. 02 Presence of Human Pathogens in Shellfish Meats.
Additional Guidance - IV Guidance Documents
A. Finding. Upon determination that human pathogens are present
in shellfish meats, the Authority
shall investigate the harvesting, the distribution, and the
processing of the shellfish.
B. Growing Area Investigation.
- (1) The Authority shall review the following factors:
- (a) The documentation to trace
the shellfish to its source;
- (b) The classification assigned
to the growing area and whether the sanitary
survey data supporting
that classification is current; and
- (c) The probability of illegal
harvesting from areas classified as restricted or
prohibited, or in the
closed status.
- (2) The Authority shall take no further action when the
Authority determines that:
- (a) The growing area is properly
classified;
- (b) No illegal harvesting is
taking place; and
- (c) There is no reason to believe
that the growing area is the source of the
pathogens.
- (3) When the Authority determines that the growing area
is not properly classified, the Authority
shall take immediate action to:
- (a) Change the existing classification
to the correct classification; or
- (b) Close the growing area
until the correct classification can be determined.
C. Distribution and Processing Investigation.
- (1) The Authority shall evaluate the distribution and
processing of the shellfish. This investigation
may include collection of additional meat samples.
- (2) The Authority shall take no further action when the
Authority determines that there is no
reason to believe a problem exists in the distribution
or processing of the shellfish.
- (3) When the Authority determines that a problem exists
in the distribution or processing
of the shellfish, the Authority shall take immediate
steps to correct the problem.
D. Risk Management and Tolerance Levels.
Additional Guidance - IV Guidance Documents
- (1) Pathogen Present. When a growing area continues
to demonstrate the presence of human
pathogen isolates in shellfish meats in the absence
of illness, the Authority shall perform a
risk assessment to determine the correct classification
for an area.
- (2) Established Tolerance Levels.
- (a) When the established tolerance
level for a particular pathogen isolate is
not exceeded, the Authority:
- (i) Shall
maintain a written summary of its finding and the data
supporting
its finding in its central file; and
- (ii) May
leave the growing area in its present classification.
- (b) When the established tolerance
level for a particular pathogen isolate is known
and there are no known
outbreaks of shellfish associated disease caused by that
pathogen in a particular
growing area, the Authority shall:
- (i) Leave
the area in the open status of its classification when the tolerance
level
is not exceeded; and
- (ii) Place
the area in the closed status of its classification when the tolerance
level
is exceeded.
- (c) When the tolerance level
is exceeded, the Authority may:
- (i) Maintain
the growing area in the closed status of its current classification;
- (ii) Reclassify
the growing area to the restricted or prohibited classification;
or
- (iii) Reclassify
the growing area to the conditionally restricted classification
and
establish a management plan.
- (d) Any management plan based
on shellstock exceeding established tolerance levels
shall:
- (i) Meet
all appropriate requirements for a management plan for the
conditionally
approved or conditionally restricted classification;
- (ii) Specify
the additional criteria associated with the particular pathogen
isolate
that the growing area must meet to be in the open status of its
classification;
- (iii) Document
the scientific basis for the additional criteria;
- (iv) Provide
for periodic retesting of the shellfish meats; and
- (v) Provide
for the growing area to be placed in the closed status if
the
criteria are exceeded.
- (3) Established Tolerance Levels Not Known.
- (a) When an established tolerance
level does not exist for the particular pathogen isolated,
the Authority shall assess
the public health significance of the levels of the pathogen
found in the growing
area shellfish meats. The Authority may consider FDA
recommended action levels
or levels of concern in this determination. When the
Authority determines
that:
- (i) The
levels are acceptable, the growing area shall remain in the open
status
of its classification; or
- (ii) The
levels are unacceptable, the growing area shall be
placed
in the closed status of its classification.
- (b) If a growing area is placed
in the closed status, the Authority may elect to:>
- (i) Maintain
that status indefinitely;
- (ii) Reclassify
the area to the restricted or prohibited classification; or
- (iii) Reclassify
the area to the conditionally restricted classification and
establish
a management plan. The management plan shall meet the
requirements
of §D.(2)(d).
@.03 Presence of Toxic Substances in Shellfish Meats.
Additional Guidance - IV Guidance Documents
A. Upon determination that toxic substances, including
heavy metals, chlorinated hydrocarbons, and
natural toxins are present in levels of public health significance
in shellfish meats, the Authority shall
investigate the harvesting, distribution, and processing of
shellfish and take necessary corrective
action in accordance with the procedures described in §.02.
B. When a growing area continues to demonstrate the presence of
toxic substances in the absence of illness,
the Authority shall perform a risk assessment to determine
the correct classification of the area. The risk
assessment and subsequent risk management shall follow the
procedures outlined in §.02D., Risk
Management and Tolerance Levels.
@.04 Vibrio vulnificus Risk Management for Oysters.
Additional Guidance - IV Guidance Documents
A. For states having 2 or
more etiologically confirmed shellfish-borne Vibrio vulnificus
illnesses since
1995 traced to the consumption of commercially harvested raw
or undercooked oysters that originated
from the waters of that state (Source State), the Authority
shall develop and implement a Vibrio vulnificus
management plan.
B. The Source State’s Vibrio vulnificus management
plan shall define the administrative procedures and
resources necessary to accomplish (i.e. establish and maintain)
involvement by the state in a collective
illness reduction program. The goal of the Vibrio vulnificus
Management Plan will be to reduce the rate
of etiologically confirmed shellfish-borne Vibrio vulnificus
septicemia illnesses reported collectively by
California, Florida,Louisiana, Texas, from the consumption
of commercially harvested raw or undercooked
oysters by 40 percent, for years 2005 and 2006 (average) and
by 60 percent for years 2007 and 2008
(average) from the average illness rate for the years 1995
-1999 of 0.306/million. The list of states
(California,Florida, Louisiana, Texas) used to calculate rate
reduction may be adjusted if after a thorough
review, epidemiological and statistical data demonstrates that
it would be appropriate. The illness rate
shall be calculated as the number of illnesses per unit of
population. The goal may be reevaluated prior to
the year 2006 and adjusted in the event that new science, data,
or information becomes available.
C. The Source State’s Vibrio vulnificus management
plan shall include, at a minimum:
- (1) The ISSC Consumer Education Program targeted toward
individuals who consume raw oysters
and whose health condition(s) increase their
risk for Vibrio vulnificus illnesses;
- (2) A process to collected standardized information for
each Vibrio vulnificus illness: including
underlying medical conditions; knowledge of disease
status; prior counseling on avoidance of
high risk foods, including raw oysters; existence
of consumer advisories at point of purchase
or consumption; and, if possible, whether consumer
was aware and understood the advisories;
- (3) A standardized process for tracking products implicated
in Vibrio vulnificus illnesses;
- (4) Identification and preparation for achieving a goal
of post harvest processing capacity of 25
percent of all oysters intended for the raw, half-shell
market during the months of May through
September harvested from a Source State by the end
of the third year (December 31, 2004).
The percentage of post harvest processing will include
the capacity of all operational plants and
the capacity of plants under construction;
- (5) Identification and preparation for implementation
of required post harvest processing capacity
of 50% of all oysters intended for the raw, half-shell
market during the months of May through
September, harvested from a Source State, which
shall be implemented should the 40 percent illness
reduction goal not be achieved by December 31, 2006.
The percentage of post harvest processing
will include the capacity of all operational plants
and the capacity of plants under construction.
In the alternative, the state may utilize the control
measures, or equivalent control measures,
listed in .04, (C), (6) (a), (b), (c), and (d)
below for such periods of time which, in combination
with post harvest processing, will provide equivalent
outcomes. This portion of the plan shall be
completed no later than December 31, 2005;
and
- (6) Identification and preparation for implementation
of one or more of the following controls,
or equivalent controls, which shall be implemented
should the 60 percent rate of illness reduction
goal not be achieved collectively by 2008. The
control measures identified in the plan shall be
appropriate to the state and reflect that state’s
contribution to the number of Vv illnesses and the
controls that have been implemented by each state.
This portion of the plan shall be completed no
later than December 2007. The temperature and month-of
the-year parameters identified in the
following controls may be adjusted by the ISSC Executive
Board as recommended by the Vibrio
Management Committee (VMC) on a state by state basis,
as needed to achieve the established
illness reduction goal.The adjustment to the State’s
plan can take into account the illness rate
reduction that has occurred since the last review
of the plan.
- (a) Labeling all oysters, “For
shucking by a certified dealer”, when the Average
Monthly Maximum Water
Temperature exceeds 75°F;
- (b) Subjecting all oysters
intended for the raw, half-shell market to an Authority-
approved post harvest
processing that reduces the Vibrio vulnificus levels to
3MPN/g or less,”
when the Average Monthly Maximum Water Temperature
exceeds 75°F;
- (c) Closing shellfish growing
areas for the purpose of harvest of oysters intended
for the raw, half-shell
market when the Average Monthly Maximum Water
Temperature exceeds 75°F;
- (d) Labeling all oysters, “For
shucking by a certified dealer”, during the months
of May through September,
inclusive;
- (e) Subjecting all oysters
intended for the raw, half-shell market to a post harvest
processing that is both
approved by the Authority and reduces the Vibrio vulnificus
levels to 3MPN/g or less
during the months of May through September, inclusive;
and
- (f) Closing shellfish growing
areas for the purpose of harvesting oysters intended
for the raw, half-shell
market during the months of May through September,
inclusive.