Multipathogen quantitative risk assessment in raw milk soft cheese

We propose a multipathogen Quantitative Microbiological Risk Assessment (QMRA) model to estimate the risk of foodborne illness from bacterial pathogens in raw milk soft cheese. Our work extends an existing QMRA model for pathogenic Shiga toxin-producing Escherichia coli (STEC) (Basak et al.,under review; Perrin et al., 2014) by incorporating the effects of Salmonella and Listeria monocytogenes. This multipathogen model integrates microbial contamination of raw milk at the farm level, as well as the growth and survival of these bacteria during cheese fabrication, ripening, and storage. The public health impact of multipathogen risk associated with raw milk cheese consumption is assessed using Disability-Adjusted Life Years (DALYs). The model evaluates intervention strategies at both pre- and post-harvest stages to estimate intervention costs. Furthermore, it tests various scenarios of these strategies and optimizes intervention parameters to minimize multipathogen risk and associated costs. This article discusses challenges in QMRA model validation, emphasizes model limitations, and explores future perspectives for improvement.