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Report on the circumstances leading to the 1996 outbreak of infection with E.coli 0157 in Central Scotland, the implications for food safety and the lessons to be learned.
 
ANNEX II
(Para 1.5 refers)
 
THE PENNINGTON GROUP
 
INTERIM REPORT AND PRIORITY RECOMMENDATIONS: SUMMARY OF RECOMMENDATIONS
 
1. Research
 
Early research should be funded a) into the prevalence/incidence of E.coli O157 in Scottish cattle and other animals and the biology of its carriage; b) to help forecast its likely future incidence/prevalence; and c) to improve the current DNA-based methods for its identification.
 
2. Surveillance
 
The Management Executive of SODoH and SCIEH should consider urgently the practicalities, costs and benefits of improvements to the arrangements for surveillance and data collection/analysis for pathogenic organisms and foodborne disease.
 
3. Enforcement and Measures to Recognise and Minimise Public Health Risk
 
A range of measures should be taken to enforce food safety measures and ensure the recognition and minimisation of the risks to public health from foodborne disease. These should include:-
  • changes to food safety legislation to reflect the importance of public health considerations and, in particular, to permit the introduction of selective licensing for food premises;
  • the physical separation, within premises, of raw and cooked meat products using separate counters, equipment and staff;
  • reviewing guidelines and Codes of Practice to help improve communications and to promote the recognition and assessment of risk and, again, public health considerations; and
  • accelerating the implementation of HACCP for high risk premises.
 
4. The Handling and Control of Outbreaks of Foodborne Disease
 
Local authorities and health boards should ensure that there are in place joint local outbreak management plans setting out mechanisms and procedures for dealing with food poisoning outbreaks; and that they are backed up by training and exercises as appropriate.
 
Local outbreak control teams should be free to take decisions and act as necessary to investigate and control outbreaks.
 
The Scottish Office should review the guidelines relating to the investigation and control of food poisoning outbreaks and its internal arrangements for dealing with outbreaks when they occur.
       
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