World Health Organization 14 April 2017 INFOSAN International Food Safety Authorities Network In cooperation with Food and Agricultural Organization

World Health Organization 14 April 2017 Que es INFOSAN? INFOSAN es una red mundial de autoridades de inocuidad de los alimentos que: • difunde información importante de inocuidad de los alimentos a nivel mundial. • responde a los sucesos internacionales de contaminación de los alimentos. Con una meta de prevenir la propagación internacional de alimentos contaminados. INFOSAN (International Food Safety Authorities Network) is a global network of food safety authorities for the world-wide dissemination of important food safety information. INFOSAN was developed to promote the exchange of food safety information and to improve collaborations among food safety authorities at the national and international level. The INFOSAN network provides a mechanism for the exchange of information on both routine and emerging food safety issues with the goal of preventing the international spread of contaminated food and foodborne disease.

World Health Organization 14 April 2017 Mandato para INFOSAN Conferencias alimentarias internacionales señalan la necesidad de intercambio de información de inocuidad de los alimentos a nivel mundial. Resoluciones de la Asamblea Mundial de la Salud. Directrices del Codex. A number of international conferences, World Health Assembly resolutions and the Codex guidelines have called for a coordinated approach for the effective management of public health emergencies caused by contaminated food.

Conferencias Internacionales World Health Organization 14 April 2017 Conferencias Internacionales FAO/WHO Global Forum for Food Safety Regulators, January 2002, FAO/WHO Pan-European Conference on Food Safety and Quality, February 2002 FAO/WHO Regional Conference on Food Safety for Asia and the Pacific, May 2004 Second FAO/WHO Global Forum for Food Safety Regulators, October 2004 Among the international food safety conferences have called for a coordinated approach for the effective management of public health emergencies cause by contaminated food. The Second FAO/WHO Global Forum for Food Safety Regulators and the FAO/WHO Pan-European Conference on Food Safety and Quality referred specifically to the need for effective sharing of food safety emergency information, with emphasis on developing countries

World Health Organization 14 April 2017 WHA Resoluciones 53.15: Mejore la comunicación entre la OMS y sus Estados Miembros sobre los asuntos de la inocuidad de los alimentos. "teniendo en cuenta la revisión actual de del `Reglamento Sanitario Internacional` The World Health Assembly (WHA), which is the governing body of the WHO, has adopted a number of resolutions calling for improved communication among WHO and its Member States on matters of food safety. In particular, in May 2002, the WHA, expressed serious concern about health emergencies posed by natural, accidental and intentional contamination of food, and requested that WHO provide tools and support to Member States to increase their capacity to respond to such emergencies (WHA 55.16)

Resoluciones 55.16: Proporcione las herramientas y el apoyo a los Estados Miembros para aumentar su capacidad de responder las emergencias. fortalezca la vigilancia mundial de las enfermedades infecciosas y la inocuidad de los alimentos. coordine la recopilación y la difusión de información. efectúe una contribución fuerte a cualquier la respuesta humanitaria internacional.

World Health Organization 14 April 2017 Directrices CODEX Cada país debe designar un punto de contacto oficial primario para las situaciones de urgencia de inocuidad de los alimentos, que pueden actuar como el punto focal nacional de enlace para el intercambio de información en tales situaciones. Una lista de los puntos de contacto oficiales primarios para el intercambio de información en emergencias de inocuidad de los alimentos estará disponible y una actualización distribuida a los gobiernos en forma periódica. In July 2004, the Codex revised a text entitled Principles and Guidelines for the Exchange of Information in Food Control Emergency Situations. The document specifies that each country should designate a primary official contact point for food safety emergency situations, to act as the national contact point for information exchange in these situations. The Codex text also states that communication during a food safety emergency is essential to minimize the potential adverse public health effects and to avoid unwarranted action with respect to trade. In the document, WHO is identified as being responsible for maintaining the list of primary official contact points for the exchange of information in food safety emergency situations.

Directrices del Codex Es la responsabilidad de todos los países suministrar regularmente información actualizada sobre sus puntos de contacto oficiales del país a la Organización Mundial de la Salud (OMS) para que la lista de los contactos pueda mantenerse actualizada. Aunque el punto de contacto oficial primario es el primer contacto, se entiende que los gobiernos quizá deseen designar un punto de contacto específico para una emergencia.

World Health Organization Estructura de la Red INFOSAN 14 April 2017 INFOSAN Secretariado WHO's Redes de Vigilancia Puntos Focales Nacionales de Infosan Punto de contacto de INFOSAN Emergency The INFOSAN Network of composed of the INFOSAN Secretariat housed at the WHO, National INFOSAN Focal Points and National INFOSAN Emergency Contact Points. INFOSAN is designed to complement national food control systems. The INFOSAN focal points are primarily responsible for routine information sharing to strengthen their National Food Control System as a basic means of preventing and controlling food contamination. INFOSAN Emergency is designed to rapidly respond to public health events involving the presence of contaminated food in international commerce. As of March 2007, 154 countries are members of the INFOSAN network. Each member country has one or several INFOSAN Focal Points and one officially designated INFOSAN Emergency Contact Point. Informacion Diseminacion Respuesta de Emergencia

INFOSAN Puntos Focales World Health Organization INFOSAN Puntos Focales 14 April 2017 Recibe, Examina y Difunde los documentos Informacion de INFOSAN: Notas y mensajes en topicos importantes en IA Encuestas y documentos de orientación importantes Proveer comentarios a INFOSAN Contacte INFOSAN El desarrollo de una nota de información La difusión de los documentos Asesoramiento de IA Comunicarse con otros miembros de la red The INFOSAN Focal Points are government officials in an agency related to the regulation of food. They are expected to receive, review and disseminate INFOSAN information and disseminate it to the appropriate counterparts in their country. The information disseminated through the INFOSAN network is designed to help national authorities strengthen their food control systems. The INFOSAN Focal Points need to have a good working knowledge of their counterparts so that can circulate the INFOSAN documents to the appropriate parties. The network is also use to obtain technical comments on surveys and guidelines, For example, the Codex guideline for the preparation of powered infant formula to decrease the risk of infection with E. sasksaki was disseminated to the INFOAN Focal Points for comments. In some cases, the INFOSAN focal points need to consolidate comments from several counterparts into a single response. In other cases several responses may be desired. The INFOSAN Focal Points should contact the INFOSAN Secretariat to request, 1) the development of INFOSAN informational notes on a specific topic, or 2) the dissemination of materials for comment. Through the INFOSAN network these requests can be answered directly or routed to the appropriate national Focal Point. In many circumstances, the INFOSAN Focal Points also communicate directly with other members of the network. Working through this mechanism, developing countries are able to learn and benefit from the experiences of more developed countries.

INFOSAN: Notas de Informacion World Health Organization 14 April 2017 INFOSAN: Notas de Informacion Información sobre temas importantes de inocuidad de los alimentos Hechas para fortalecer capacidades y tomar acciones Fortalecer sistemas nacionales de IA Ejemplos: About 6 to 8 times a year, the INFOSAN Secretariat or INFOSAN members develop INFOSAN Information Notes on important food safety topics. These informational notes are translated into the 6 official UN languages and sent to the network. The INFOSAN Information notes are designed for capacity building and specifically to help members develop effective food control systems. The INFOSAN Focal Points are expected to disseminated these notes to appropriate partners in the food safety control system. The INFOSAN network is used to disseminate INFOSAN information notes on a number of important food safety topics including avian flu, acrylamide and food allergy. The Informational note on food allergy was written in collaboration with EUROprevail and the INFOSAN network was used to disseminate their questionnaire world wide.

http://www.who.int/foodsafety/fs_management/infosan_archives/en/ 2008 No. 2 - 7 Mar, Antimicrobial Resistance in Food Animals No. 1 - 7 Feb, Nanotechnology 2007 No. 7 - 12 Dec, Foodborne Disease Outbreaks - Guidelines for Investigation and Control Revision - Sept 07 No. 6 - 20 Oct 05, WHO Global Salm-surv: A surveillance network for foodborne diseases No. 6 - 28 Sept, Global Early Warning System for Major Animal Diseases, including Zoonoses (GLEWS) No. 5 - 4 Sept, Use of Microbiological Risk Assessments in Risk Management No. 4 - 10 May, The identification, assessment and management of food safety events under the International Health Regulations (2005) No. 3 - 4 May, Salmonella control at the source No. 2 - 13 Apr, Biomonitoring of Persistent Organic Pollutants (POPs) No. 1 - 12 Feb, Escherichia coli O157:H7 outbreak in spinach 2006 No. 6 - 8 Dec, Total Diet Studies: A Recipe for Safer Food No. 5 - 18 Oct, Prevention of Foodborne Disease: the Five Keys to Safer Food No. 4 - 14 Aug, Successful strategies in controlling Avian Influenza No. 3 - 09 Jun, Food Allergies No. 2 - 31 Mar, Nutrient Risk Assessment for Upper Levels of Intake No. 1 - 17 Feb, Control of neglected zoonotic diseases: challenges and the way forward 2005 No. 7 - 4 Nov, Highly pathogenic H5N1 avian influenza outbreaks in poultry and in humans: Food safety implications No. 6 - 20 Oct, WHO Global Salm-surv: A surveillance network for foodborne diseases See revision September 2007 No. 5 - 13 Sept, Food Safety in Natural Disasters No. 4 - 23 Jun, Biotechnology No 3 - 13 Apr, Antimicrobial-resistant Salmonella No 2 - 1 Mar, Acrylamide in food is a potential health hazard No 1 - 13 Jan, Enterobacter Sakazakii in powdered infant formula 2004 No 2 - 17 Dec, Avian Influenza No 1 - 14 June, Unusual sources of Salmonella

World Health Organization 14 April 2017 INFOSAN International Food Safety Authorities Network INFOSAN punto focal En Inocuidad alimentos INFOSAN punto focal En salud INFOSAN punto focal En Otros sectores INFOSAN punto focal En agricultura INFOSAN punto focal En comercio While it may be desirable to have a single INFOSAN Focal Point in each country, several focal points have been identified in countries where food safety authorities are located in several agencies. In this context, food safety authorities are broadly defined and include authorities involved in food legislation, risk assessment, food control and management, food inspection services, laboratory services for monitoring and surveillance, food safety information, trade officials, veterinary services and education and communication, across the entire farm-to-table continuum. Currently, INFOSAN Focal Points are located in several ministries, including ministries of health, food, agriculture and trade. When there is more than one focal point in a country, coordination between the focal points is important to ensure that the roles are undertaken effectively. Contrapartes en el cadena alimenticia, salud y academia

Que es INFOSAN-Emergency? World Health Organization 14 April 2017 Que es INFOSAN-Emergency? INFOSAN Emergency une al punto focal nacional con la red Brotes de ETA y eventos de contaminacion de alimentos de significancia internacional INFOSAN Emergency provee intercambio rapido y confidencial de informacion recomendada por Codex INFOSAN Emergency tiene soporte en las redes de vigilancia de OMS y programas de respuesta. Esta integrad al RSI As described by in the Codex guidelines, communication during a food safety emergency is essential to minimize the potential adverse public health effects and to avoid unwarranted action with respect to trade. INFOSAN Emergency is designed for the exchange of information in a food safety emergency (as described by the Codex Alimentarius Commission) and operates under the general public health umbrella of WHO's International Health Regulations (IHR). INFOSAN EMERGENCY is used to alert food safety authorities about foodborne disease outbreaks or food contamination events of international significance, i.e., international food safety incidents involving an imminent risk of serious injury or death to consumers. Each country participating in INFOSAN has one INFOSAN EMERGENCY Contact Point.

World Health Organization 14 April 2017 Reglamento Sanitario Internacional Incluye todas las emergencias de preocupación internacional incluyendo las relacionadas a alimentos Entró en vigencia en junio 2007 Todos los Estados Miembros estan obligados a declarar emergencias de preocupacion internacional a la OMS In 1969, the Member States of WHO adopted International Health Regulations (IHR) in agreement with the international community. These regulations represent the only regulatory framework for global public health. The IHR help prevent the international spread of infectious diseases by requiring national public health measures that are applicable to travellers and products at the point of entry. The current IHR require Member States to notify WHO of only three diseases, cholera, plague, and yellow fever. However, the revised IHR (2005), which will go into effect in June 2007, will require that all WHO Member States notify the WHO of any public health threat constituting a significant risk to other States through the global spread of disease[i]. In the event of such a threat, the IHR enable a coordinated international response as well as specific assistance to the affected countries. The IHR (2005) set out the basic public health capacities that a Member State must develop, strengthen and maintain in order to detect, assess, notify and respond to events that may constitute a public health emergency of international concern. International emergencies caused by contaminated food will fall within the scope of these regulations.

INFOSAN Emergency: Puntos de contacto World Health Organization 14 April 2017 INFOSAN Emergency: Puntos de contacto Son la union entre la autoridad nacional e INFOSAN Notifican a INFOSAN las emergencias en IA dando informacion de la distribucion, significancia a la salud publica e impacto Incluso cuando una accion de INFOSAN no es requerida Aprueban los mensajes de INFOSAN Emergency a ser enviados a la red Responden a INFOSAN Emergency los mensajes Coordinan con INFOSAN for international las accones de respuesta Provee a INFOSAN con detalles del seguimento Each country participating in INFOSAN has one INFOSAN Emergency Contact Point who is expected to notify INFOSAN of international food safety problems and facilitate the communication of urgent messages during food safety emergencies. During a food safety emergency, the INFOSAN Emergency Contact Point is the authoritative source for information disseminated within the INFOSAN system. INFOSAN Emergency generally responds to information about food contamination incidents by sending INFOSAN alert messages to the INFOSAN Emergency Contact points in the affected countries. INFOSAN Emergency alerts include 1) microbiological, chemical, physical or other food contamination or 2) health events associated with the consumption of contaminated food. Some international emergencies caused by contaminated food will fall within the scope the IHR, therefore the INFOSAN Emergency Contact Point needs to establish a link with their national IHR focal point. INFOSAN Emergency is specifically designed for the rapid exchange of information in a food safety emergency as described by the Codex Alimentarius Commission.

World Health Organization 14 April 2017 Ejemplos de Alertas July 2005 Salmonella in Powdered infant formula from France to 13 countries Most countries reported that they received official info from INFOSAN only August 2006 Norovirus in Korean oysters shipped to Japan and New Zealand Japan received information only from INFOSAN September 2006 E.coli 0157:H7 in fresh spinach from US Secondary and tertiary distribution could not be traced rapidly All INFOSAN members notified. March 2007 Salmonella contamination of peanut butter from US Nearly 70 countries and territories affected Internet sale made product tracing difficult All INFOSAN members notified This slide presents some examples of INFOSAN Emergency Alerts and the impact of the notification of the event In July 2005 Salmonella was discovered in Powdered infant formula that was shipped from France to 13 mostly African countries All 13 countries received the ALERT message and most countries replied to the request for follow up information and reported that they received official information only from INFOSAN, In August 2006 Norovirus in Korean oysters were shipped to New Zealand. Working with New Zealand it was determine that the contaminated oysters were also shipped to Japan. INFOSAN notified Japan and Japan reported that it received information only from INFOSAN In September 2006 E.coli 0157:H7 contamination was discovered in fresh bagged spinach in the US. Follow up investigation show that not only was the fresh spinach shipped internationally but that the product was use to prepare other food product and that there was international distribution of these products. This secondary and tertiary could not be traced rapidly and so all INFOSAN members notified. In March 2007, the US determined that a major brand of peanut butter was contaminated with Salmonella. The product had been shipped to almost 70 countries and territories. In addition, the product had been sold on the internet, making product tracing very difficult. Again, All INFOSAN members very notified

International Health Regulations and INFOSAN World Health Organization 14 April 2017 International Health Regulations and INFOSAN Disseminate Public Health Information Others sources Informal/Unofficial Information National IHR Focal Point and INFOSAN Emergency Contact Point IHR Reports Verification WHO Initial screen Public Health Emergency of International Concern (PHEIC) Assessment Event Risk Assessment It is important that the National IHR Focal Point and the INFOSAN Emergency Contact Point work in close collaboration to ensure national and international public health security and the fulfilment of the requirements under the IHR(2005), including the detection, assessment, notification, reporting, consultation and dissemination processes discussed in this Information Note. INFOSAN recommends that these collaborative agreements be documented. Notification and reporting One of the primary obligations for countries under IHR(2005) is to detect and assess events occurring within their territories by following the Decision Instrument and additional provisions provided in Annex 2 , and then to notify WHO of all such ‘events which may constitute a public health emergency of international concern’, within 24 hours of assessment, through their National IHR Focal Point. Some events relating to food safety will meet the criteria of the Decision Instrument and require notification to WHO under the IHR(2005). Such food safety events may relate to any of the three hazards which can occur in food; chemical, physical (sometimes know as foreign matter) and microbiological. Notification is the beginning of the assessment dialogue involving the country and WHO to determine the nature of the event and the appropriate response. The notification of an event must occur through the National IHR Focal Point. Surveillance and Verification WHO is mandated under the IHR(2005) to continue to carry out its surveillance activities taking into consideration information from sources other than notifications, assess events for international significance and to seek verification from the countries involved of unofficial reports or communications (e.g. the media) of potential events within their territories which may constitute a public health emergency of international concern. Countries must respond to WHO with an initial reply or acknowledgement within 24 hours and the public health information on the status of the event. Verification becomes the starting point for collaborative risk assessment and response. International Response After the assessment of public health information gained through surveillance activities, notification, consultation, other reports and verification processes, WHO is mandated to disseminate relevant information to National IHR Focal Points, including information necessary to enable countries to respond to a public health risk. The different provisions of the IHR(2005) relating to the identification and management of public health risks and events have application across a wide range of situations, the vast majority of which will never be determined to constitute a public health emergency of international concern (PHEIC). National Response The approach the IHR(2005) is for early detection and efficient communication in respect of public health events so that a timely assessment can be made regarding necessary response measures. The IHR(2005) require countries to develop and maintain their own response capacities24 and in addition, places obligations upon WHO to provide support to national response activities when required to do so. The nature of such support will vary considerably depending on a wide range of factors including the existing capacity of the national agencies, the level of international threat and the availability of expertise and resources. Additional technical and operational assistance to support national authorities may be coordinated through the Global Outbreak Alert and Response Network (GOARN) mechanism. GOARN is a technical collaboration of existing institutions and networks that pool human and technical resources to support the rapid identification, confirmation and response to outbreaks of international importance. The IHR(2005) calls upon WHO to work with its sister organizations, including FAO and OIE. FAO has an ongoing technical assistance programme to build capacity in the field of food safety and quality at national and regional level. FAO has also strengthened its capacity to react to emergency situations and support response at national and regional levels through the establishment of the Crisis Management Centre (CMC). Assistance / Response Slide concept courtesy of R.Slattery, WHO

World Health Organization 14 April 2017 contacto: infosan@who.int Reportar contaminacion: EmergencyInfosan@who.int Mas informacion: visite http://www.who.int/foodsafety Countries interested in joining INFOSAN or members that want information or to update contact details can send an email to infosan@who.int. If you want to report a national recall or a food contamination event of international concern, please sent the mail to You can learn more about INFOSAN by visiting the website at INFOSAN is supported by extrabudgetary Funds donated by Members States to the WHO department of Food Safety, Zoonoses and Food bourne diseases.