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大会成果文件:《营养问题罗马宣言》








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    Booklet
    Technical report
    Food safety indicator pilot project in China – Final report 2021
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    Food safety and food security have significant impact on public health and they influence the stability and sustainability of the whole society. With the largest population in the world, China is simultaneously one of the largest food exporters and importers. These years, dozens of approaches were implemented to improve food safety in China, to address the critical food safety issues and concerns, including contaminations in food, obesity and malnutrition, antimicrobial resistance, food fraud and so forth. China launched the food safety indicator pilot project in 2019. During the kick-off workshop, six indicators were selected from a proposed set of areas to be piloted, and five technical working groups were established to work on these pilot indicators. Data and information were collected to analyse and evaluate leading food safety agencies, legal and regulatory framework, risk analysis competence, notification mechanism, foodborne illness report and accessibility of potable water. A concrete progress was observed with the established and measured data, indicating that China improved its food safety control system from 2009 to 2019. More efforts and interventions made to the national food control system will further contribute to the improvement, including implementation of better organizational structures, integration of working mechanism in regulation development and implementation, risk assessment, risk management, risk communication, as well as activities to control and prevent foodborne diseases, and improving safety of potable water. Various follow-up activities were suggested and included in the plan of actions to verify and pilot other indicators in the next few years.
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    Technical book
    Risk profile - Group B Streptococcus (GBS) –​ Streptococcus agalactiae sequence type (ST) 283 in freshwater fish 2021
    In Singapore during 2015, Group B Streptococcus (GBS) sequence type 283 (ST283) caused the only reported foodborne outbreak of invasive GBS disease. Over 20 percent of cases were healthy adults without comorbidities, which is unusual for GBS. The outbreak was linked to the consumption of raw freshwater fish. Subsequent investigations found that ST283 GBS has been common among GBS causing disease in humans and in tilapia across Southeast Asia for at least 20 years, whereas it was almost non-existent outside this region. Given the novelty of the outbreak, this risk profile consolidates the current knowledge to identify data gaps about GBS ST283 along the freshwater fish supply chain in Southeast Asia. Although GBS fish infection can present with few clinical signs of disease, outbreaks of GBS in high intensity tilapia aquaculture can result in severe infection with mortalities of up to 80 percent. These outbreaks are largely undocumented but likely have a wide effect on aquaculture, given its economic and social importance across Southeast Asia. There is also a lack of data on patterns of fish consumption, including frequency, amount, preparation and consumer demographics. Nevertheless, consumption of non-heat-treated freshwater fish is common in Southeast Asia. Given the multitude of data gaps, the risk posed by GBS ST283 from consumption of freshwater fish remains highly uncertain. Potential risk management options start with the application of good aquaculture practices and good food safety measures throughout the supply chain.