National Food Incident Response Protocol National Food Incident Response Protocol A guide for the coordination of Australian government agencies responsible for food safety and food issues in the event of a national food incident Version: August 2014 1 National Food Incident Response Protocol TABLE OF CONTENTS 1. INTRODUCTION ........................................................................................ 3 1.1. Background ............................................................................. 3 1.2. Aim .......................................................................................... 3 1.3. Scope ...................................................................................... 3 1.4. Review and maintenance ........................................................ 4 2. DEFINITIONS ............................................................................................ 4 3. ACTIVATION OF THIS PROTOCOL.......................................................... 6 3.1. Activation ................................................................................. 6 3.2. Statutory responsibilities .......................................................... 6 3.3. Confidentiality .......................................................................... 6 3.4. Consultation with industry ........................................................ 6 3.5. Communication activities ......................................................... 7 3.6. Consensus and agreement ...................................................... 7 3.7. Documentation requirements ................................................... 8 4. RESPONDING TO NATIONAL FOOD INCIDENTS ................................... 8 4.1. Alert phase .............................................................................. 8 4.2. Action phase ............................................................................ 9 4.3. Stand Down phase .................................................................11 5. APPENDICES ...........................................................................................13 Appendix 1 Responsibilities by function........................................14 Appendix 2 National Food Incident Notification template..............16 Appendix 3 Draft Emergency Risk Profile .....................................17 Appendix 4 National Food Incident Situation Report template......20 Appendix 5 Post Incident Activity log template .............................21 Appendix 6 National Debrief Reporting template ..........................22 2 National Food Incident Response Protocol 1. INTRODUCTION 1.1. Background Food incidents can result in public health and safety risks among consumers as well as widespread consumer concern and significant disruption to domestic and international trade. To minimise their impact, a timely and coordinated response is required. In October 2003, the then Food Regulation Standing Committee (ISC) now Implementation Sub Committee for Food Regulation1 (ISFR) recognised that this can best be achieved through an agreed protocol that formalises the current response approaches. 1.2. Aim The aim of the National Food Incident Response Protocol (NFIRP) is to provide clear guidance to member agencies of ISFR for responding to a range of national food incidents in a timely, appropriate, consistent and coordinated manner. The NFIRP embraces a graduated response to managing national food incidents and provides for a logical and smooth escalation and de-escalation of activities and agency involvement as appropriate to the nature and seriousness of the incident. For example, some national food incidents will require more urgent consideration than others and require specific response actions at the national level. Other national food incidents may only require information exchange and communication between agencies (no action required at the national level). The NFIRP does not override existing response protocols of individual agencies or jurisdictions. 1.3. Scope The NFIRP provides guidance on the response to national food incidents linked to microbiological, chemical, radiological, physical or unknown hazards. In the event of an incident and under the auspice of the NFIRP, the Food Surveillance Network may facilitate surveillance activities and sharing of relevant information and data in response to a food incident. In the case of outbreaks of foodborne illness, health and food regulatory authorities along with the Australian Health Protection Committee are responsible for managing the outbreak investigation, while the NFIRP will aid the response of food regulatory agencies in those incidents in which there has been a potential or confirmed link to food. The Guidelines for the Epidemiological Investigation of Multi-Jurisdictional Outbreaks that are Potentially Foodborne describe processes to facilitate finding the source of outbreaks through epidemiological investigation, and for referring multi1 The Implementation Sub-Committee for Food Regulation (ISFR) was established to develop guidelines on food regulations and standards implementation and enforcement activities. ISFR comprises representatives from the Commonwealth, each State and Territory jurisdiction and New Zealand and includes representation from the Australian Quarantine and Inspection Service, Food Standards Australia New Zealand and a representative of Australian local government. ISFR members are responsible for food safety and food issues and include the government agencies in each jurisdiction with statutory responsibility for food safety. 3 National Food Incident Response Protocol jurisdictional outbreaks to food regulatory authorities for risk assessment and management, possibly under the NFIRP. The NFIRP does not cover controlling animal or human illness and disease outbreaks. These are covered by other national and Australian Government arrangements. 1.4. Review and maintenance The ISFR Incident Response Working Group is responsible for reporting back to ISFR on the effectiveness and efficiency of the response to a national food incident and for recommending any changes to the NFIRP based on agency debriefs. Significant changes to the NFIRP are referred to the Implementation Sub-committee for Food Regulation and the Legislative and Governance Forum on Food Regulation. In the absence of any critical evaluation of the NFIRP after a food incident or the absence of any food incidents that activate the NFIRP, ISFR should initiate a review of the NFIRP every three years. Any changes to the NFIRP must be endorsed by ISFR. 2. DEFINITIONS For the purposes of the NFIRP, the following definitions apply: Food incident means any situation within the food supply chain where there is a risk or potential risk of illness or confirmed illness or injury associated with the consumption of a food or foods. The foodborne hazard causing such illness or injury may be microbiological, chemical, radiological, physical or unknown. The food incident can occur at any stage of the food supply chain, including activities at the primary production sector that have the potential to, or are perceived to impact on, the safety of the end food product. The food incident may or may not have attracted media or political interest. National food incident means a food incident that could, or is expected to, impact on multiple government jurisdictions and response action is required at the national level. An ‘impact’ can include media or political interest in a particular food incident regardless of whether the jurisdiction is directly affected. Incident situation report provides information describing the national food incident and outlines the proposed response strategies and action taken to date. The incident situation report should be accurate, timely, relevant, concise and comprehensive. The incident situation report should be reviewed and updated during the national food incident as appropriate Incident objective is a goal statement indicating the desired outcome of the incident and guides the development of the response. All factors affecting the incident and potential impact these have must be considered when determining the objectives and they must reflect the policies and needs of the Affected Agencies. 4 National Food Incident Response Protocol Notifying Agency is the agency that notifies a national food incident to the Central Notification Point i.e. activates the Protocol. Any food regulatory agency with legislative responsibility for food safety can notify an incident. Central Notification Point receives all notifications of national food incident, disseminates that information to the other jurisdictions and coordinates the initial communications between jurisdictions. FSANZ is the Central Notification Point. Food Incident Contact Officer is the first point of contact within each agency for all national food incidents. These officers are not necessarily those that are involved in the response process, but are responsible for passing on the initial communications to the relevant officer(s) within their agency. Affected Agencies are the Government agencies in those jurisdictions directly affected by the incident with statutory authority for making decisions or whose involvement in coordinating activates undertaken by jurisdictions is vital to achieve a consistent response. Affected agencies are responsible for developing risk management options for the incident that achieve the incident objective within each affected jurisdiction. National Food Incident Coordinator is a senior FSANZ officer responsible for coordinating the organisation of a national food incident under this Protocol. The National Food Incident Coordinator is also responsible for determining tasks and assigning roles and responsibilities. Agency Food Incident Controller is the officer designated by each agency to represent that agency or that State or Territory during a specific national food incident. The person may vary depending on the incident or may change if the response to the incident escalates or de-escalates. The Agency Food Incident Controller has the approval to make decisions on behalf of their agency. If the person cannot make decisions on behalf of their agency, or if there is an agency change to the decision, the Agency Food Incident Controller must respond with the agency’s decision (or revised decision) within 2 hours of the Affected Agencies’ and/or Participating Agencies teleconference and/or meeting. Participating Agencies include all agencies participating under this Protocol in the response to the national food incident. Risk Assessor is responsible for coordinating the evaluation of the risk to public health and safety. FSANZ is the risk assessor. The risk evaluation process may involve a team or panel of people or of experts. The risk assessment team should include the home jurisdiction. Communications Controller is the agency responsible for coordinating all communication activities during the response. FSANZ is the Communications Controller. 5 National Food Incident Response Protocol 3. ACTIVATION OF THIS PROTOCOL 3.1. Activation Any food regulatory agency with legislative responsibility for food safety can activate the NFIRP. It is the responsibility of those agencies to notify the Central Notification Point within FSANZ of a food incident that will, or has the potential to, impact on multiple jurisdictions. A national food incident should be notified early in its course, even before the extent of the problem is really known, so that all jurisdictions are aware of events as they occur and can be prepared if the problem were to spread, or media interest were to suddenly peak. In addition, pre-emptive information sharing, coordination and early action may prevent the incident escalating and help reduce the potential impact. The responsibilities for functions under the NFIRP are summarised in Appendix 1. 3.2. Statutory responsibilities Emergency powers with respect to food are detailed in the jurisdiction’s food legislation (commonly the Food Act). Other required actions during a national food incident may be able to be enacted under the relevant health, quarantine, agriculture, trade practices or environmental legislation. The police have statutory responsibility for incidents of intentional interference (e.g. tampering, extortion) 2. 3.3. Confidentiality Sensitive information may need to be shared between government agencies, independent experts and, where appropriate, industry during an incident. It is critical that this information sharing is undertaken on the condition that the information remains confidential until an official public announcement is made or the Participating Agencies agree to its release more widely. Confidentiality is particularly important in incidents of food tampering or extortion. All documentation regarding a national food incident should have ‘GOVERNMENTIN-CONFIDENCE’ clearly marked, with the exception of those documents agreed as suitable for wider dissemination by the Participating Agencies. 3.4. Consultation with industry Although the decision-making is the responsibility of the Participating Agencies, it is important that where consultation is required, it occurs with the companies that may be affected by the national food incident (or, where an incident may have widespread impacts on the food industry or sectors of industry, with peak bodies as appropriate) as soon as practicable and throughout the response. This ensures that decisions are fully informed and that the implementation of decisions or industry initiated actions, designed to protect consumers, occur as rapidly as possible. It should also be noted that specific commodity groups and industries have developed their own 2 The police must be contacted in all incidents of suspected or confirmed tampering and extortion. 6 National Food Incident Response Protocol emergency/incident situation reports. The NFIRP should link with these plans wherever appropriate. Consultation with a specific industry group may occur at a national level or jurisdictional level depending on the situation and the response to the incident. However, to achieve maximum efficiency and consistent messages, the communication process should be centrally coordinated wherever possible. 3.5. Communication activities During a national food incident, there is potential for considerable public interest. An effective communication strategy is therefore essential in each case. In some cases, communications will be the only action required in response to an incident. The communication strategy should be included as part of the incident situation report and it is the responsibility of the Communications Controller to ensure a communication strategy is developed. All communication messages or advice to industry or consumers will be developed by the Communications Controller in consultation with the Government Food Communicators' Group for consideration and uptake nationally. Coordination of communications is done centrally to ensure consistency in messages and facilitate timely and accurate provision of information to the media for dissemination to the public as required. Communication and information sharing networks that already exist and could be used to disseminate information include the Recall Action Officers and the Retail and Manufacturers Liaison Committee. It is expected that these networks and the expertise within other groups such as SAFEMEAT, Communicable Diseases Network Australia, OzFoodNet, Food Surveillance Network, Department of Agriculture, Department of Fair Trading and Department of Health will be utilised as necessary. 3.6. Consensus and agreement The NFIRP has been developed in a spirit of cooperation with the aim of facilitating a consistent national response wherever it is considered desirable and appropriate. However, it must be recognised that because food regulation in Australia is implemented through State and Territory legislation there may be occasions where a consistent outcome is not possible or appropriate. This may be due to a variety of factors including: legislative differences between State and Territory agencies; differences in opinion on the level of risk posed; or differences in opinion on the appropriate response measures in light of the evidence available at the time. In the case of disagreement on the response, the very best endeavour should be made to form a common position by involving the most senior representatives of the Affected Agencies and Participating Agencies. 7 National Food Incident Response Protocol 3.7. Documentation requirements The National Food Incident Coordinator is responsible for ensuring any documentation regarding the coordination of the response generated during the course of the national food incident is retained. The primary document that should be retained is the incident situation report(s). 4. RESPONDING TO NATIONAL FOOD INCIDENTS There are three main phases in responding to a national food incident: 1. Alert phase 2. Action phase 3. Stand-down phase The extent of the response activities required will depend on the nature of the incident. This may range from no action at the national level (notification is for information) to some or significant action required. 4.1. Alert phase The primary focus during the ‘Alert phase’ is on involving all agencies so that all jurisdictions are fully informed and aware of the national food incident. It is the responsibility of jurisdictions to ensure other relevant government agencies within their state/territory are informed of the incident and, as required, kept up-to-date with its progress. It is the responsibility of all food regulatory agencies with legislative responsibility for food safety to notify the Central Notification Point of a food incident that will, or has the potential to, impact on multiple jurisdictions. The National Food Incident Notification template is at Appendix 2. A ‘head’s up’ email will be sent to the Central Notification Point from the notifying agency to precede triggering of the Protocol where possible. Upon notification of the incident, the Central Notification Point will circulate the notification to the Food Incident Contact Officers. It is important that jurisdictions ensure their Food Incident Contact Officer is available out of normal business hours, or ensure that an appropriate alternate officer is designated, as some national food incidents may occur during these times. The Food Incident Contact Officer must advise FSANZ within 24 hours of being notified under the Protocol, who the nominated Agency Food Incident Controller will be. A Draft Emergency Risk Profile is prepared by FSANZ in consultation with the Notifying Agency for consideration at the first teleconference. A core scientific group (the Risk Assessment Advisory Group) may be convened to provide rapid input and advice into the process. This document should provide all available risk assessment and risk management information known at the time including the nature of, and exposure to, the hazard; potential adverse health effects, and the risk management 8 National Food Incident Response Protocol options identified to date. Within this initial scoping the potential for other products and distribution channels to be affected should be considered. The Draft Emergency Risk Profile template is at Appendix 3. 4.2. Action phase During the Action Phase, FSANZ may convene a teleconference with Participating Agencies where the risk management decisions that need to be made or implemented are agreed to. This requires that: the Affected Agencies are identified. Participating Agencies provide any updates and confirm Agency Food Incident Controller. the Draft Emergency Risk Profile is considered, gaps identified, and the need for further risk assessment determined. the incident objective is identified. risk management options discussed. actions are assigned to relevant agencies. the situation report is developed and participating agencies are advised of the frequency of circulation (the Incident Situation Report template is at Appendix 4). frequency of subsequent teleconference/ is determined. Participating Agencies will ensure their Agency Food Incident Controller for the national food incident has the authority to make decisions on behalf of the agency and have appropriate knowledge of the skills, expertise and resources available in their agency to support the response (this can be, but does not have to be, the Food Incident Contact Officer). As the incident progresses, an incident summary should be commenced to document any operational issues and key steps (incident chronology). The need for a summary, and any subsequent action should be determined periodically by the National Food Incident Coordinator. 4.2.1. Incident objective established and roles and responsibilities are allocated The outcomes of the Draft Emergency Risk Profile are used to define the incident objective/s. The incident objective may change during the progress of the incident, as further information becomes available or the situation changes, and should be clearly confirmed at each meeting. Where no action is required at a national level, the incident objective may simply be information sharing. 4.2.2. Risk Assessment In many situations, the Draft Emergency Risk Profile, including preliminary risk assessment advice, may be all that is required to inform response actions. However, it may be determined that further risk assessment is required to determine the risk to public health and safety risk. 9 National Food Incident Response Protocol FSANZ is the agency responsible for coordinating risk assessments and will undertake this role in consultation with the Affected Agencies. Where required, a Draft Rapid Risk Assessment report should be completed within an agreed timeframe for circulation to Participating Agencies. The risk assessment process taken may involve a team or panel of people or experts (including the Risk Assessment Advisory Group), utilising the resources, skills and expertise available in each jurisdiction. To enable a robust assessment of the risk to public health and safety, it is important that all relevant information is made available to the risk assessors. Depending on the nature and extent of the incident, this may include information from industry (detailed process flow diagrams, food safety controls), jurisdictions (trace-back, environmental investigations) and epidemiologists (study design/methodology, case reports) and include industry familiarisation visits. Affected Agencies will respond within 24 hours of receipt of the Draft Rapid Risk Assessment if there is any disagreement on the conclusions. A non-response would be considered to be agreement with the Draft Rapid Risk Assessment which would then be a Final Rapid Risk Assessment. Time constraints are necessary as risk assessment is an important piece of information for Affected Agencies to progress their risk management approach. Participating Agencies will be advised if the Draft Emergency Risk Profile is sufficient to inform response actions (i.e. no further risk assessment is required) to ensure Affected Agencies respond within 24 hours if there is any disagreement on the conclusions of the work. Disagreement by a single or multiple jurisdictions on the conclusions of the risk assessment can be an issue in reaching nationally consistent actions. The Risk Assessment Advisory Group will also select expert peer reviewers in situations where there is disagreement on the risk assessment conclusions. In these cases, the affected jurisdiction should offer a nominated expert in the relevant field to participate in this process. 4.2.3. Risk management Affected Agencies will convene to consider the available information, including risk assessment work; identify and evaluate possible response actions; and decide on the most appropriate response to the food incident. Affected Agencies will report back to Participating Agencies within 48 hours on the response actions. In the case of disagreement on the response, the very best endeavour should be made to form a common position by involving the most senior representatives of the agencies or groups in disagreement. Critical pieces of information required by Affected Agencies prior to undertaking enforcement action are: Traceback - evidence that the majority of people ill have consumed the same brand or batch of food, or that traceback of specific foods leads back to a common source of food or ingredient. Epidemiological evidence - an epidemiological association between a person becoming ill after consuming a specific type or brand of food (usually expressed in terms of the risk relative to that for a person who has not consumed the food). 10 National Food Incident Response Protocol Laboratory analysis - isolation of the organism from the food or food production and processing environment. The above factors plus a legislative breach is required for action to be possible. Information on the above factors should be updated as appropriate, including identifying gaps in the existing knowledge base which may impact on the appropriate course of action. Information, data, experiences and management approaches of international regulatory agencies may also assist in this process. Affected Agencies should consider taking enforcement action when two of the above three elements clearly pointed to a source of risk to health and there is noncompliance with legislation. It is acknowledged that acting without information, or adequate information, on traceback could be problematic as it is necessary to identify the product that is the source. The risk assessment work provides an overall level of risk to human health and is therefore another important part of the evidence base. Actions that may be considered range from a ‘watching brief’ or a communications strategy to a mandatory recall of food accompanied by an active food safety campaign. In many national food incidents, the response actions will be obvious but this is not always the case. The development of “decision trees” can be helpful in guiding risk management actions. Implementation occurs under the relevant state or territory legislation, response plan or Protocol. As previously stated, it is essential that during the development of the incident situation report, jurisdictions have ensured they are able to implement any actions. 4.3. Stand Down phase The response will conclude when it has been agreed by the Participating Agencies that a nationally coordinated response is no longer required and the national food incident is deemed to be over. It is recommended that participating agencies undertake a final teleconference to determine whether the incident should enter Stand Down and agree on post-incident actions. Even though activities at a national level may no longer be required, jurisdictions may still be active or still be implementing the agreed response actions. At stand down, the National Food Incident Coordinator, in consultation with participating agencies, will coordinate the documentation of any resulting post incident activities in a Post Incident Activity Log, including agency responsibilities, timeframes for action and process for reporting. The Post Incident Activity Log template is at Appendix 5. The Post Incident Activity Log will be circulated to participating agencies as part of the final situation report that notifies agencies that the incident has been stood down. All Participating Agencies will undertake a ‘debrief’ or ‘after action review’ as part of the Stand Down phase to assess the effectiveness of the response and the guidance provided by the NFIRP. 11 National Food Incident Response Protocol Participating Agencies will also review the effectiveness of the response taken in meeting the required outcome(s) i.e. incident objectives. The National Debrief Reporting template is at Appendix 6. The outcomes of these debriefs will be considered by the ISFR Incident Response Working Group who are responsible for recommending any changes or enhancements for ISFR consideration. 12 National Food Incident Response Protocol 5. APPENDICES Appendix 1: Appendix 2: Appendix 3: Appendix 4: Appendix 5: Appendix 6: Responsibilities by function National Food Incident Notification template Draft Emergency Risk Profile template National Food Incident Situation Report template Post Incident Activity Log template National Debrief Reporting template 13 National Food Incident Response Protocol Appendix 1 Responsibilities by function Function Function description/elements Responsible parties Supporting parties Coordination Circulate Food Incident Notification to Food Incident Contact officers Coordinate response phases and actions under the NFIRP FSANZ (Central Notification Point) Notifying Agency completes Food Incident Notification. Affected Agencies FSANZ (National Food Incident Coordinator) Participating Agencies Convene, and chair, national teleconferences Ensure incident objective is identified and reviewed, as required Ensure situation report/s are developed, updated and circulated to Participating Agencies Risk assessment Prepare Draft Emergency Risk Profile (nature of the hazard, exposure, adverse health effects) FSANZ (Risk Assessment Coordinator) Notifying Agency As required, Risk Assessment Core Scientific Group Where required, prepare Draft Risk Assessment FSANZ (Risk Assessment Coordinator) Affected Agencies As required, Risk Assessment Core Scientific Group Agreement on risk assessment conclusions Affected Agencies FSANZ (Risk Assessment Coordinator) Risk management Prepare Draft Emergency Risk Profile (risk management options identified at notification ) Notifying Agency As required, Risk Assessment Core Scientific Group may select peer reviewers in situations where there is disagreement FSANZ (Central Notification Point) incorporates information into Draft Emergency Risk Profile 14 National Food Incident Response Protocol Function Communications Function description/elements Responsible parties Appoint Agency Food Incident Controllers Participating Agencies Identify and evaluate potential response actions Affected Agencies Implement response actions Develop communication strategy Affected Agencies FSANZ (Communication Controller) 15 Supporting parties Government Food Communicators’ Group Affected Agencies National Food Incident Response Protocol GOVERNMENT-IN-CONFIDENCE Appendix 2 National Food Incident Notification template FOOD INCIDENT NOTIFICATION Incident No: [INSERT NUMBER] [NAME OF INCIDENT] Location/Jurisdiction: Imported food YES (if yes, list country) Time/Date Incident Notified: [INSERT DATE] Describe the issue: Relevant Food Standards Code limit (if applicable): Food(s) affected: [Provide details on the description and quantity of product, including Brand name, Lot identification, type and size of package, identification of premises where last packed or processed. Use-by, ‘packed-on’ or ‘Best before’ date where relevant] Distribution of the food: Interstate NSW QLD ACT Exported VIC SA NT WA TAS New Zealand Other (list countries) Other information provided by Notifying Agency/Company: [Does it have acute/chronic effect?Does it affect sub-populations?Can it be treated?What is the outcome of the exposure?What is the severity of the outcome, is it reversible?How is the hazard transmitted to humans?What is the likelihood of exposure?] [is there a recall in progress? if so what is the recall number? has any action been taken as yet? what action is proposed (e.g. teleconference etc)? when will the next communications be?] Action required on notification: [State whether the notification is for information only or if jurisdictions are expected to respond with their opinion or acceptance of proposed teleconference etc] Contact person(s) for further information: [Full contact details including name, address, telephone, fax number and email address of persons or organisations who can supply further information.] Prepared by: Cleared by: 16 National Food Incident Response Protocol Appendix 3 Draft Emergency Risk Profile3 (Interim and incomplete in nature) An example of information that may be included in a Draft Emergency Risk Profile. Incident No: [Insert Number] [NAME OF INCIDENT] Time/Date Meeting: Version: Present: Information and background available: [Include summary information on the hazard-food combination and background to the current food incident] Hazard information Information on the hazard Exposure to the hazard [Microbiological: e.g. general description and key attributes such as virulence factors, thermal and antimicrobial resistance. Outcomes of exposure, availability and nature of treatment] [Chemical: cite reference health standard if available such as ADIs for food additives and agricultural/veterinary chemicals, TDIs for contaminants and natural toxicants, and ULs for nutrients. For other chemical classes (e.g. pharmaceutical drugs) provide information on doses associated with human toxicity] [Microbiological: – Data/information 3 Note: A risk profile comprises a systematic collection of information needed to make a decision regarding future action, and whether resources should be allocated to a more detailed assessment, and if so the format that assessment should take, i.e. whether qualitative, semi-quantitative or quantitative. Creation of a risk profile is the responsibility of the risk manager although aspects of the work may be commissioned out to appropriate parties. The principles of risk profiling have been outlined by WHO/FAO and Codex in the context of microbiological food incidents. FSANZ considers that risk profiling concepts and processes can also be applied to food incidents involving chemicals. This Draft Emergency Risk Profile is based on the best information available at the time and, due to time constraints, may be incomplete in nature. It should not be regarded as setting a precedent or used as a basis for any other decision making outside the current incident or for later in the same incident if further information makes previous decisions obsolete or inappropriate. 17 National Food Incident Response Protocol Hazard information from outbreak investigations; characteristics of implicated foods; production practices, food use and handling that influences exposure] Information on adverse human health effects Risk management options [Chemical: If resources permit, estimate dietary exposure to the chemical of concern by combining information on (i) levels of the chemical in the food(s) of concern and (ii) consumption levels of these foods by various population groups. Alternatively, indicate food consumption required to reach the relevant reference health standard. Consider oral exposure from other sources (e.g. complementary medicines)] [e.g. outline the nature and severity of adverse health effects, subsets of populations at increased risk (differing susceptibility, food intake, socioeconomic status, geographical location), prevalence and incidence data from public health surveillance, consideration of dose-response relationship (where available)] [Describe the risk management options that have been identified to date. Is action required at a national level: - Was the initial notification for information only? - Could this issue be discussed at the jurisdictional forum? Is some, or significant action required at a national level? Routes of Exposure: Could there be other ingredients? Is there the potential for other products to be affected? Are there other distribution channels?] Other information relevant to risk management decision-making [e.g. discuss adequacy of the available data, perceptions of the food safety issue by interested parties, practical considerations (economic, technical, political, legal), possible actions and expected consequences; approaches taken by other countries (and proposed 18 National Food Incident Response Protocol Hazard information Risk assessment need, feasibility and questions Recommendations need to confer with international food safety colleagues)] [Assessment of need and benefit to be gained from requesting a risk assessment. Feasibility that such an assessment could be accomplished within the required time frame. Recommended questions to be posed to the risk assessor] [Recommendations for future activities e.g. immediate risk management action, a decision to conduct a quantitative risk assessment, or a programme to gather more data] 19 National Food Incident Response Protocol Appendix 4 National Food Incident Situation Report template Incident No: [NAME OF INCIDENT] Plan current as at:[INSERT TIME] [INSERT DATE] Plan No: Affected Agencies [INSERT AFFECTED AGENCIES] [Record the dates of any changes to the Affected Agencies] Participating Agencies: [Record the dates of any changes to the Participating Agencies] Overview [A summary of the situation as it stands when alert phase triggered – ensure that a summary of activities prior to triggering the NFIRP is included] Current Situation [updates shown in blue]: [A statement of the current situation, to be updated as the situation progresses] Incident Objective: [to be updated as appropriate] 1. 2. Risk to public health and safety: [Name of Risk Assessor, outline of risk assessment process, main conclusions, time of reporting, time of expected updates] Response: [Identify the strategies, who is responsible and timeframes] Action taken to date Future Action: Completed? YES/NO Communications: [Including all appropriate contact detail and the message that is to be disseminated] Issues and comments: Action required: Stand-down: YES/ NO (if yes, list time) Other plans/protocols activated: Distributed to: [In addition to Participating Agencies] Contact person(s) for further information: ATTACHMENTS Cleared by: 20 National Food Incident Response Protocol Appendix 5 Post Incident Activity Log template Post Incident Activity Log Stand down date: Date of Log update: Agencies engaged in post incident activities: ☐ ☐ ☐ ☐ NSW QLD NT FSANZ ☐ ☐ ☐ ☐ VIC ☐ SA ☐ ACT ☐ OzFoodNet WA TAS Customs ☐ Dept. Ag Action Agency Responsible Timeframe Status / Comments [insert agreed action] [insert agency responsible] [insert agreed timeframe] [insert any additional comments] 21 National Food Incident Response Protocol Appendix 6 National Debrief Reporting template Reporting Template NAME OF INCIDENT Agency: Contact: <insert agency name and jurisdiction> <insert details of appropriate agency representative/s> 1. Agency role during the incident: <insert comment on the roles and responsibility of your agency during this response e.g. were you an “Affected Agency”> 2. Response considerations: a. What worked well during the response <insert comment on the aspects of the response that worked well and could be retained or included for future response/incident management.> b. What could be improved for future responses <insert comment on aspects of the response that could be improved.> (This does not need to be agency specific and may include broader aspects of the national response). 3. National Food Incident Response Protocol (General Comments): <insert comment on the National Food Incident Response Protocol (this should be general in nature as specific items are covered in #4 below). It may be phrased in terms of what worked well and what could be improved.> 4. National Food Incident Response Protocol (Specific Comments) <Insert comment on specific aspects of the National Food Incident Response Protocol. Please provide comment on4: The timeliness of the response Effectiveness of communication Risk assessment approaches Agreed actions Clarity of roles and responsibilities Other aspects that comment is sought on include notification arrangements, documentation and information management.> 5. Recommendations: <insert recommendations that you would like considered for future responses (these recommendations should be consistent with, and supported by, the detail provided above).> This information is to enable assessment of ISFR performance indicators 3.2 – Rating of organisational effectiveness of incidents where the National Food Incident Response Protocol is used. 4 22