Adulteration
To further explain the potential
public health threats from EMA, and to develop appropriate mitigation plan, it
is important to discuss adulteration methods. There are 8 major adulteration
types that are; dilution, substitution, artificial enhancement, mislabeling,
trans-shipment and origin masking, counterfeiting, theft and resale, and
intentional distribution of contaminated product. Dilution, substitution and
artificial enhancement involve altering the food itself. The other five methods
involve altering the exterior appearance, misrepresentation and/or violating
commercial regulations. Following are method of adulterations with an example
case available online.
Dilution
Dilution is achieved through the
addition of a cheaper ingredient to increase the overall weight or volume of a
product. For example, in the UK, curry sauces were found to contain peanuts,
despite their claims of being peanut-free. Tests confirmed that more expensive
almond powder, used as an ingredient in these sauces, was diluted with up to
50% of less expensive peanut powder. Three deaths linked to peanut allergies
triggered the investigation.
Substitution
Substitution is the replacement of
an authentic product with a fraudulent one. A common example is the
substitution of lower quality fish for a premium species. Public health
concerns come into play if a toxic fish species is surreptitiously substituted
for another ingredient or a different fish. Two examples highlight the public
health threat of substitution: 1) cheaper escolar, which can cause keriorrhea,
a form of fish poisoning that causes oily diarrhea, has fraudulently been sold
as tuna in restaurants in the United States; and 2) in the U.S., puffer fish
has been substituted and labeled as monkfish, despite strict importation and
sale restrictions. Improperly prepared puffer fish contains tetrodotoxin, which
is potentially lethal at ingestion levels of less than 2 mg.
Artificial Enhancement
Artificial Enhancement enhances a
product’s attributes by use of an unapproved additive. The most notorious case
occurred in 2008 melamine was used to fraudulently boost the protein levels in
diluted milk. Because melamine is high in nitrogen, adding it to milk makes it
appear higher in protein and increases its value. The melamine adulteration of
infant formula sickened thousands of infants in China and caused six deaths.
Adulterated milk was also added to many different foods including baked
products, chocolate and confections, and resulted in a massive recall spanning
47 countries. A more recent example occurred in 2015 when FDA India recovered
90 kg of rice granules, bran, lead chromate and Sudan dyes intended to be mixed
with turmeric powder to increase the quantity and the color. Sudan dyes are
known carcinogens and often used in industrial dyes and shoe polish. They are
banned from being added to food products around the world. Lead chromate is
also a carcinogen and known hazardous substance which can cause headaches,
anemia, muscle cramps and brain damage. The factory where FDA India seized the
products had been operating for 25 years without a license. As a result, it is
unknown how long adulteration occurred.
Mislabeling
Mislabeling occurs when quality,
harvesting, or processing techniques of a food product are misrepresented.
Examples include selling a product as Kosher or Halal, organic or cage-free
when it is not. Although these examples may not lead to public health harm,
mislabeling involving food safety issues also occurs. For example, altering
package expiration dates and reselling expired, mislabeled food creates public
health risk. In 2010, a mislabeling EMA incident occurred when a shipment of
imported, unpasteurized cheese was mislabeled as pasteurized. Because it had
not been pasteurized, the cheese was contaminated with Staphylococcus aureus,
which if ingested, can result in severe illness and even death. The mislabeling
was detected and the importing company was ordered to destroy the cheese or
send it back to its origin. However, the company tried to further defraud
authorities by making a fake shipment of packages filled with waste water to
imitate the weight of the cheese being returned.
Trans-shipment
Trans-shipment
Transshipment moves goods through an
intermediary country before shipping to its final destination thereby masking
its true origin. Motivations that include differences in regulatory oversight,
consumer perception and avoidance of tariffs lead to transshipment.
Transshipment can be an in-country issue as well. For example, a food company
specializing in shell eggs misled consumers into thinking its eggs originated
from California, even though they came from other states. This
misrepresentation could have caused significant public health harm, as
consumers, believing their eggs were from California, would not have worried about
a Salmonella outbreak in Idaho. Honey is often transshipped to avoid
both tariffs and to mask the use of hive treatments allowed in the producing
country but not allowed for public health reasons in the destination country.
Counterfeiting
Counterfeiting refers to the
mimicking of one food by replicating it out of different ingredients which can
be committed by fraudulently using a brand-name label on an inauthentic
product, thus selling one product as a different—often more valuable—product.
In 2005, for example, Turkish officials recalled millions of counterfeit raki
bottles, a traditional anise-flavored distilled alcohol, after 23 deaths and
numerous illnesses were reported. The counterfeit bottles contained over 200
times the legal limit of methyl alcohol. Approximately 500,000 genuine “Yeni
Raki” brand labels, including the tax hologram, had been stolen from a bottling
facility and then used to place counterfeit raki on the market.
Theft and Resale
This method comprises theft of food
products and their resale through unapproved channels. In 2011 and 2012,
approximately 6 million pounds of maple syrup, worth approximately $18 million,
was stolen from the Global Strategic Maple Syrup Reserve in Quebec, Canada to
be sold on the black market. The missing syrup was discovered as a result of a
routine inventory check in July 2012. Only a quarter of the maple syrup was
recovered. Public health concerns arise from theft and resale for a variety of
reasons, as it is a loss of supply chain control. The perpetrator may insert a
harmful adulterant, resell spoiled product with altered sell-by or expiration
dates, or fail to maintain temperature control thus allowing microbial growth
and toxin production.
Intentional
Distribution of Contaminated Product
Intentionally distributing a
contaminated product is another form of EMA. The deliberate distribution of
Salmonella-contaminated peanut products in 2008 and 2009 by the Peanut
Corporation of America (PCA) is the prominent example. PCA shipped product
before microbiological testing results had been received, and then did not
notify customers or recall the products when these tests came back positive for
Salmonella. In addition, many of the products were shipped with fake
certificates of analysis. The incident resulted
in Salmonella Typhimurium infections in 46 states and nine deaths.
The U.S. Centers for Disease Control and Prevention estimated that as many as
20,000 people may have been sickened by the contaminated peanut products.
Food
Defense and Food Safety
The food industry most commonly
integrates a food defense into an existing food safety system of the company.
Food defense involves documentation and written procedures of an already existing
food safety system. This refers to the documentation of the food safety system,
traceability, documentation and records of the management system, corrective
and preventive measures, internal audits, employee training, etc. The GFSI food
safety program covers most of FDA’s ‘‘Food Safety Modernization Act’’ (FSMA)
requirements but the issue of the program’s intentional adulteration still
needs to be addressed. The concepts are very similar whereby the threat and
vulnerability of the systems and facilities must be evaluated using the HACCP
concepts in order to guard against intentional adulteration.
The GFSI has defined the following
two concepts: VACCP (vulnerability/food fraud) and TACCP (threat/food defense).
The GFSI has defined the Food Safety Management as an ‘‘umbrella’’ that includes
HACCP (hazard/Food Safety), TACCP (threat/Food Defense) and VACCP
(vulnerability/Food Fraud). These three separate scopes should be addressed
individually. From the perspective of food companies, the main initiators of
the food defense implementation are the retail chains; who compliance the
producer’s certifications in accordance with one of the system standards in food
safety. The same conditions also apply in case of a cooperation between various
business partners who participate in the food supply chain, such as retail
chains, outsourcing or logistics services. Standards supported by the GFSI
Initiative are the prerequisite for business cooperation. These include
globally recognized certification schemes such as IFS, BRC, SQF, HACCP, GLOBAL
GAP, FSSC 22000, NSF, etc.
Food defense is a concern in almost
all business areas in the food industry, where intentional contamination and
food fraud can pose a serious threat to the consumers’ and public health as
well as damage company business (BSI 2014). The food industry implements food defense
mainly in agricultural production, processing, storage and transport, wholesale
and retail distribution and tracing systems and recalls (traceability being one
of the obligatory requirements). Depending on the size of a food company, food defense
can be implemented on the level of its management, human resources, purchasing
department, receipt and storage of raw materials, production, quality control,
packaging and labelling, storage of finished products, transport and
distribution (BSI 2014; USDA 2014). Regardless of the food safety standards,
they all imply that it is necessary to implement corrective measures in
accordance with the assessments of related risks. If a food company has
partnership agreements or exports products to certain countries, it is obliged
to apply the requirements for food defense defined by the food safety standards
and the legislation of certain countries.