建立基于风险的食品卫生流行病学控制(监测)模式

N.V. Zaitseva, I.V. May, N.V. Nikiforova, D.А. Kiryanov
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引用次数: 0

摘要

本研究的相关性源于产品在法律上被固定为国家卫生流行病学控制的独立对象。当代阶段的公共管制涉及以下方面:对经济实体的行政压力应该减轻,但应尽可能保护公民的生命和健康。在这项研究中,我们的目的是测试开发基于风险的模型的方法,以控制该国消费市场上的食品。这项研究依赖于使用俄罗斯卫生服务局使用的基于风险的控制模型的基本方法。潜在的健康风险被确定为下列因素的组合:可能违反某一产品的法律要求、这种违反行为造成的健康后果的严重程度以及描述不良后果规模的系数。根据健康风险,将食品分为以下几类:极高风险、高风险、相当风险、中等风险、中等风险或低风险。我们提出了一个基本方案,描述如何组织基于风险的食品控制作为一个独立的控制对象。它包括几个基本要素,即建立消费者食品登记册;根据联邦一级的风险标准确定食品的优先类别;确定区域优先事项。考虑到卫生违规的特定频率、不同地区消费某种食品的规模以及消费者的优先需求,我们为对每个群体的食品进行深入风险评估的可行性提供了证据。我们的建议是将产品的风险概况和基于风险的实验室控制支持整合到一般模型中。我们想强调建立一个统一数据库的重要性,以保存所有控制和监督活动的结果,包括与制造商、分销商和销售商绑定的产品的实验室测试获得的数据。将数据集的科学密集分析的算法和数学方法纳入Rospotrebnadzor统一信息系统的软件模块也是非常相关的。
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Developing model of risk-based sanitary-epidemiological control (surveillance) over food products in consumer market
The relevance of this study arises from products being fixed as an independent object for state sanitary-epidemiological control in law. The contemporary stage of the public regulation involves the following: administrative pressure on economic entities ought to be easer but the best possible protection of citizens’ life and health should be provided. In this study, our aim was to test approaches to developing the risk-based model for control of food products on the consumer market in the country. The study relied on using the fundamental methodical approaches to the risk-based control model used by the Sanitary Service of Russia. A potential health risk was determined as a combination of likely violations of legal requirements to a certain product, severity of health outcomes due to such violations, and coefficients that described a scale of undesirable consequences. Food products were assigned into one of the following categories as per health risks: objects of extremely high risk, high risk, considerable risk, moderate risk, medium risk, or low risk. We suggest a fundamental scheme describing how to organize risk-based control of food products as an independent control object. It includes several basic elements, namely, creating a register of consumer food products; identifying priority groups of food products as per risk criteria at the federal level; identifying regional priorities. We provide substantiation for advisability of profound risk assessment performed for food products in each group considering specific frequency of sanitary violations, scales in which a certain food product in consumed in different regions, and priority consumer demands. Our suggestion is to integrate risk profiles of products and risk-based laboratory support for control into the general model. We’d like to highlight the relevance of creating a unified database to keep the results of all the control and surveillance activities including data obtained by laboratory tests of products bound to manufacturers, distributors, and sellers. It is also quite relevant to include algorithms and mathematical methods of science-intensive analysis of the data sets into software modules of the Rospotrebnadzor’s Unified Information System.
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来源期刊
Health Risk Analysis
Health Risk Analysis Medicine-Health Policy
CiteScore
1.30
自引率
0.00%
发文量
38
审稿时长
20 weeks
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