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Consumers expect and demand all food handlers to have the knowledge and
insight required to supply safe food of high quality. As a
food producer you should read and understand relevant
national guidelines on food allergy . You need to gain
insight on what you can do to supply safe food to allergic
consumers.
If you change the allergens in a product or the production process, you need to
re-examine the procedures in the checklist in order to ensure that no mistakes
occur.
Risk assessment
The purpose of an allergen risk assessment is to determine the risks due to
unintentional presence of allergens. Based on the result of the risk assessment you
can decide whether or not allergen advisory labelling is appropriate.
In practice it is difficult to assess the risk with our current knowledge. Recent
research has concluded that there exist lower limits under which food allergens
will not cause any symptoms (called a threshold). Researchers use data from the
diagnostic method double blind placebo controlled food challenge (DBPCFC) to
obtain knowledge on thresholds for individuals. However, current available data
do not permit estimation of population thresholds with adequate certainty. The
amount of food allergen that may trigger allergic reactions visible for others range
from a tenth of milligram in rare cases up to grams, and sometimes tens of grams,
with considerable variability between individuals as well as between allergens.
The data also indicate that, at the level of the allergic population, the lower the
dose of food, the less severe symptoms, and the lower the proportion of allergic
people with symptoms. However, in diagnostic challenges with milk, egg, peanut,
soy and wheat patients who experienced more severe reactions tended to react to
a lower dose than those experiencing milder reactions. A review of diagnostic
DBPCFCs conducted since the 1970s found that the majority of food-allergic
individuals tested needed to eat more than 500 mg of the offending food to
provoke allergic reactions, but a significant minority responded to lower doses.
To date, the most reliable data on individual threshold levels come from studies
performed in peanut allergic patients. Sufficient DBPCFC data do likely exist for
cows’ milk, eggs and peanuts to be able to make a statistical evaluation to predict
a dose of those foods that it will be safe for the majority of allergic individuals to
eat. However, it is only recently that scientists and regulatory authorities have
started discussions on what is the best way to make statistical evaluations of the
individual data. So it still remains a matter of debate how to use the individual
threshold data to predict the amount of food safe to eat for most allergic
patients. The Australian Food and Grocery Council is to our knowledge the first
organisation to develop and recommend the use of an allergen risk assessment tool
to harmonise the application of allergen precautionary labelling.
Even though the risk is difficult to assess you can decrease it if you decrease how
likely it is for allergen cross-contact to happen on your premises. That is one of
the major objectives of allergen risk management.
Risk management
Risk management is about eliminating or reducing the
risk of unintentional presence of allergens including
cross-contact and of wrong labelling. Allergens need to
be managed from the very beginning with product
design all way through the production process to the
finished product. The following are important areas to
consider in risk management of food allergens:
The checklist may help you as a food producer to evalutate your procedures for
allergen control and to improve them.
FARRP (Food Allergy Research and resource Program) have together with Silliker
Inc. created commercial training material for employees in food production
facilities. This material consists of a video, and different written material.
The advantages of such training are obvious. It is interactive and not in a classical
class-room model. It is highly flexible and can even be done during production
interruptions, planned or unplanned. On the other hand, it is an instrument to find
out which issues are understood and accepted by our collaborators and which ones
need further attention.
This project called "Denkpause" was initiated by the German operational company
of Nestlé.
The German package on food allergens and allergy has been slightly adapted
and translated into English by Nestlé Quality Management to be available for a
broader audience. EuroPrevall has made minor changes to the version provided by
Nestlé. The 3 training sessions, each with 5 or 6 tasks, the feedback-sheets and a
short instruction how to perform the training sessions are attached as pdf-files.
More information
National Guidelines
More information
National guidelines
Example questionnaire:
If it is not possible to separate products with and without allergens adequately you
need to assess the risk of allergen cross contact and if appropriate use advisory
labelling.
More information
National guidelines
Cleaning
Documented and validated cleaning procedures are critical to avoid allergen cross
contamination. You need to seek out and inspect all the trouble spots. Cleaning
practices that are satisfactory for hygiene purposes may not be adequate to
remove all allergens. Equipment may for example need to be dismantled to
remove allergen residues. A tool you can use to validate your cleaning is to test
for allergen residues.
If it is not possible to clean your production line adequately you need to assess the
risk of allergen cross contamination and if appropriate use advisory labelling.
More information
National guidelines
Analytical Methods:
Jackson LS, Al-Taher FM, Moorman M, DeVries JW, Tippett R, Swanson KMJ,
Fu T-J, Salter R, Dunaif G, Estes S, Albillos S, Gendel SM (2008). Cleaning
and other control and validation strategies to prevent allergen cross-contact
in food-processing operations. J Food Prot 71, 445-458.
More information
National guidelines
Risk communication
After you have assessed the risk of cross
contact with allergens, and where
possible eliminated or reduced the risk,
you need to decide whether or not
precautionary labelling is appropriate.
You should only use precautionary
labelling where there is a demonstrable
and significant risk of allergen cross-
contact. You should never use
precautionary labelling as a substitute
for Good Manufacturing Practice.
Several of the national guidelines provide detailed advice on how you can
communicate the allergen risk to you consumers via the product label. Allergic
consumers need ingredient information, which is easy to find, read and understand
and where any allergen cross contact, which has proved impossible to control, is
made clear. Most of the guidelines recommend to use simple phrases such as “May
contain X” or “May be present: X” for precautionary labelling.
In addition to communicating with your consumers via the label you may choose to
provide additional information via a consumer careline. You are welcome to print
out and use the pdf file: Food allergy guidance notes for consumer careline staff .
More information
National guidelines
“Approaches to Establish Thresholds for Major Food Allergens and for Gluten in
Food” is a 108-page report which gives an overview of food allergy and celiac
disease with a focus on approaches that could be used to establish thresholds for
food allergens.
Top 10 Links
Throughout the website you can find links to
more information related to the specific area
you are reading about. In this section we have
made a collection and description of the 10
most important links where you can find
additional information.