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V Vol. 22, No.

9 September 2000

CE Refereed Peer Review

Food Safety:
FOCAL POINT Antimicrobial Residues
★Food animal producers and National Pork Producers Council
veterinarians share an interest in
Des Moines, Iowa
supplying packers with residue-
free animals to maintain
Paul Sundberg, DVM, PhD
consumer and government
confidence in the safety of food
ABSTRACT: Animal health products are management tools used by food animal producers
supplies.
and veterinarians to provide for their animals’ health and welfare. These products can also
help to minimize production costs and economically enhance production performance. To en-
sure public health, regulatory bodies have developed methods of determining the maximum
KEY FACTS concentration of compounds and chemical residues that are permissible in the food supply. In
the United States, the National Residue Program samples and tests the nation’s production of
■ Food animal producers and meat, poultry, and eggs to ensure that these limits are not violated. Commodity organizations
veterinarians need to assume have developed quality-assurance programs on the safe use of animal health products. These
responsibility for food safety. programs serve as an on-farm precursor of the packer’s hazard analysis and critical control
point plans addressing residue avoidance.
■ Violative tissue residues of
chemicals, antimicrobials, and

F
other potential contaminants are or the food animal production industry to be successful and continue to
a public health concern and the grow, producers need to continually improve their ability to provide cus-
object of a national monitoring tomers with safe products. Meat quality may vary according to various la-
and surveillance program. bels determined by consumers, such as tenderness, taste, or color. However,
meat safety is legally determined by whether products comply with chemical and
■ The education of anyone using antimicrobial residue limits. Without a basic assurance of food safety, consumers
animal health care products is a lose confidence in the safety of food products.
key to preventing violative tissue
residues in meat, milk, and eggs. MAXIMUM RESIDUE LIMIT
Residue is any compound present in edible or target tissues of an animal, ei-
■ Hazard analysis and critical ther from intentional or inadvertent introduction of the compound to the ani-
control point plans followed by mal. Residue includes the compound itself, its metabolite, and other substances
packers must address chemical that form in or on food after introduction of the compound.1 The maximum
hazards, such as violative tissue residue limit (MRL) is the maximum concentration of a substance allowed in a
residues of animal health care particular tissue or commodity (e.g., meat, milk, or eggs).
products and other potential Historically, MRLs have been set using toxicologic research that provides a bi-
contaminants. ologic no-observable-effect-level (NOEL) for each compound. The NOEL is
used to mathematically determine an acceptable daily intake (ADI) for the com-
pound. The ADI then serves as a basis for calculating the MRL in meat, milk,
and eggs in such a manner that the ADI (using estimated daily human food in-
take of all these commodities) is not exceeded.2 In 1996, the U.S. FDA pub-
lished a guideline for the microbiologic testing of antimicrobial drug residues in
food: The agency considers safe to be that level of antimicrobial residues in food
Compendium September 2000 Food Animal

with no meaningful effect on the intestinal microflora Food Safety Inspection Service (FSIS) is responsible for
of consumers.3 This guideline has led to an effort to ensuring that USDA-inspected meat and poultry prod-
evaluate in vitro and in vivo model systems that could ucts are safe, wholesome, and free of adulterating resi-
be used to establish new ADIs and MRLs for some an- dues and are accurately labeled.6
timicrobial drug residues in foods.
The Codex Alimentarius Commission, established in NATIONAL RESIDUE PROGRAM
1962, is the joint food standards program of the Food The USDA FSIS National Residue Program (NRP)
and Agriculture Organization (FAO) and the World is a multicomponent analytic testing program for
Health Organization (WHO), both programs of the residues in domestic and imported meat, poultry, and
United Nations. The commission was established to egg products. The program uses a variety of sampling
help protect the health of consumers and facilitate fair plans to verify that slaughter establishments are fulfill-
trade by establishing international food standards, ing their responsibilities in preventing violative residues
codes of practices, and other guidelines.4 Once they and develops national data on chemical residues to sup-
were developed, Codex standards (which include an port risk assessment, enforcement, and educational
MRL for particular veterinary drugs) are recommended activities. The range of chemical compounds is com-
to national governments by the FAO and WHO. Be- prehensive in scope and includes approved and unap-
cause these organizations cannot make appropriate proved pharmaceutical drugs and pesticides known or
rule- or law-making decisions, a Codex standard is not suspected to be present in food animals in the United
enforceable in a nation if it is not adopted by that na- States and in countries exporting products to this coun-
tion. Although a country can establish its own MRL for try.7
a compound, if that MRL differs from the Codex stan- Because thousands of chemicals and compounds
dard with the intent of acting as a nontariff trade barri- worldwide are used in food animal production, it is im-
er and therefore cannot be scientifically defensible, the practical if not impossible for the FSIS to test for every
action may be brought before the World Trade Organi- one. Each year, an agency surveillance advisory team
zation if the disputing countries are members. convenes to identify and discuss compounds of poten-
Therefore, despite attempts to harmonize food safety tial public health concern. An interagency residue pri-
standards, the possibility of country-specific MRLs ex- oritization committee then meets to allocate resources
ists and can lead to confusion during international trad- to test for compounds that are of greatest concern and
ing. For example, country A may set a withdrawal on a to develop a statistically based residue monitoring plan
product or compound with the intent of complying that provides defined levels of assurance of detecting
with its particular MRL for that product in meat. residue violations in meat, poultry, and eggs.7 Thus the
Country B may have a lower, more stringent MRL on list of prioritized compounds of concern is updated and
the same product in meat (perhaps even zero tolerance), may change on at least an annual basis.
which would mean the product would either have a Although special projects are possible, NRP plant
longer withdrawal time or perhaps a prohibition on use. procedures can be divided into two activities: monitor-
Thus even though the producers of country A follow ing and surveillance. Monitoring information is ob-
their product’s labeled directions, their meat products tained through a statistically based random selection of
may be condemned in country B for violating that specimens of normal-appearing tissue from inspection-
country’s MRL. International standards agreed on by passed carcasses (healthy animals). Generally, for a spe-
the Codex Alimentarius Commission have helped re- cific slaughter class or compound pair, the number of
solve some of these problems; however, the demands of randomly chosen specimens (300) provides a 95%
the growing global market require additional standards. probability of detecting at least one violation when 1%
In the United States, three federal government agen- of the animal population is violative.8
cies share responsibility for the regulation of pesticides, Surveillance or enforcement testing consists of the
antimicrobials, and other chemicals used during food analysis of specimens obtained from individual animals
animal production. The Environmental Protection or lots based on clinical signs, herd history, or post-
Agency approves the use of pesticides and sets toler- mortem findings. This testing detects individual ani-
ances if the use of that pesticide may result in residues mals with violative tissue residue, is emphasized in high
in or on food.5 The FDA sets residue limits for animal prevalence populations, and may also be used to follow
drugs and environmental contaminants and enforces up on producers who have had previous residue viola-
these and pesticide tolerances in domestically produced tions when marketing animals. The testing frequency is
or imported foods that may be shipped in interstate based on decisions by program employees using region-
commerce. The U.S. Department of Agriculture (USDA) al guidelines or direct observations.8

MAXIMUM RESIDUE LIMITS ■ MULTICOMPONENT TESTING PROGRAM ■ MONITORING AND SURVEILLANCE


Food Animal Compendium September 2000

In-Plant Screening Tests Producers’ Responsibilities for


Animal Health Care Products
■ SOS (Sulfa-On-Site): This test is used in
approximately 50 of the largest swine- ■ Identify and track animals to which drugs were
slaughtering facilities to check swine urine for administered.
sulfonamide residues. ■ Maintain a system of medication and treatment
■ CAST (Calf Antibiotic and Sulfonamide Test): records that, at a minimum, identify the animal(s)
This tissue microbial inhibition test is used on treated, date(s) of treatment, drug(s)
veal calves weighing less than 150 pounds or administered, who administered the drug(s),
younger than 3 weeks of age. Cultures with amount administered, and withdrawal time
inhibition zones greater than 18 mm are sent before slaughter.
to a laboratory for confirmation. ■ Properly store, label, and keep an account of
■ STOP (Swab Test On Premises): This all drug products and medicated feeds.
microbial inhibition test is used on kidney ■ Obtain and use veterinary prescription drugs
tissue to detect antibiotics and sulfonamides. only through a licensed veterinarian based on
■ FAST (Fast Antimicrobial Screen Test): A a valid veterinarian–client–patient relationship.
faster replacement of the CAST and STOP ■ Educate all employees and family members
tests, it screens kidney and liver tissue in involved in treating, hauling, and selling the
virtually all the larger bovine-slaughtering animals on proper administration techniques,
plants. observance of withdrawal times, and methods
to avoid marketing adulterated products for
human food.
IN-PLANT TESTS
Rapid screening tests are used in packing plants to
detect the presence of antimicrobial residue. Because tive concentrations of residues, which may include total
they are screening tests only, laboratory confirmation of absence. Some minute level of residue may be accept-
violations is required. USDA FSIS confirms samples able if scientific data show there is no risk to consumers
that test positive by using a bioassay procedure for an- through the food supply (i.e., residues below the MRL
tibiotic residue detection and quantification9 (see In- for that compound). For example, in 1997 only 101
Plant Screening Tests). (1%) of 7732 monitoring samples from all slaughter
Compounds tested during 1997 (the most current classes had nonviolative but detectable residues of an-
year for which statistics have been compiled and pub- tibiotics.8 This concept is easily misunderstood by con-
lished) included antibiotics (chlortetracycline, ery- sumers and is important to understand because of each
thromycin, gentamicin, neomycin, oxytetracycline, country’s right to set its own MRLs as long as they are
penicillin, streptomycin, tetracycline, and tylosin), sul- scientifically defensible and do not violate international
fonamides (sulfachlorpyridazine, sulfadimethoxine, sul- trading agreements.
famethazine, and sulfathiozole), arsenicals, chlorinated
hydrocarbons and chlorinated organophosphates, halo- By Food Animal Producers
fuginone, ivermectin, carbadox, and clenbuterol. The In 1993, the FDA published its Compliance Policy
results are reported in the FSIS Domestic Residue Data Guide (CPG), which provides regulatory guidance to
Book by compound for each class of animal. Of the its inspectors for the development of cases resulting
26,626 total monitoring analyses made, 72 showed vi- from the use of animal drugs contrary to label direc-
olative concentrations of residues (20 sulfonamides, 32 tions and resulting in violative tissue residue concentra-
antibiotics, 9 chlorinated hydrocarbons and chlorinated tions.10 CPG 7125.37, Proper Drug Use and Residue
organophosphates, 6 ivermectin, and 5 arsenic).8 Avoidance by Non-Veterinarians, outlines the producers’
responsibilities when using animal health care products
RESIDUE AVOIDANCE (see Producers’ Responsibilities for Animal Health Care
The goal of residue avoidance is not necessarily the Products). Following these guidelines ensures that
absence of residues. Rather, it is the avoidance of viola- food-producing animals are free of violative antimicro-

BIOASSAY PROCEDURES ■ ACCEPTABLE RESIDUE LEVELS ■ INSPECTION GUIDELINES


Compendium September 2000 Food Animal

bial and chemical residues and that they leave for the packing plant.
these animal health care prod-
10 Good Production Practices for These screening tests are general-
ucts will continue to be available Quality-Assured Pork Production ly available in multiple test kits
to the producer for use when that are economical enough to be
needed. Food Safety used for both spot-testing indi-
In 1996, the USDA published 1. Identify and track all treated animals. vidual shipments of animals and
the Final Rule on Pathogen Reduc- 2. Maintain medication and treatment periodic testing of animals and/
tion: Hazard Analysis and Critical records. or feeds to verify their compli-
Control Point (HACCP) Systems. 3. Properly store, label, and account for all ance with the production sys-
HACCP is designed to prevent drug products and medicated feed. tem’s plan for antimicrobial use
food safety problems resulting 4. Obtain and use veterinary prescription
and residue avoidance. Although
from microbial, chemical, or phys- these tests are useful for some an-
drugs only based on a valid
ical hazards in food instead of re- timicrobials, many of those used
lying on finding them after they veterinarian–client–patient relationship. in modern production systems
happen. Although HACCP does 5. Educate all employees and family do not have a specific ELISA-
not remove or diminish the regu- members on proper administration based on-farm test. Continuing
latory authority of the FSIS, it techniques and withdrawal times. research and product develop-
does increase the responsibility of 6. Use drug residue tests when appropriate. ment are needed to supply food
the packing plant to ensure that animal producers with economi-
their products are not adulterated Efficient Production of a Quality Product cal on-farm testing alternatives.
by the presence of residues above 7. Establish an efficient and effective herd
permitted levels when they enter health management plan.
By Food Animal
commerce. Because violative an- Practitioners
8. Provide proper swine care.
timicrobial and chemical residues Food animal veterinarians are
cannot be removed from the meat 9. Follow appropriate on-farm feed qualified to offer drug use and
once the animal is processed, pro- processing and commercial feed residue avoidance advice to pro-
ducers are responsible for supply- processor procedures. ducers. Thus practitioners serve
ing packers with animals that are 10. Complete the quality-assurance checklist as key educators in the com-
free from this HACCP-identified annually, and become recertified every modities’ quality-assurance pro-
hazard. 2 years. grams. Regardless of whether
Beef, veal, milk and dairy beef, they share legal responsibility for
and pork quality-assurance pro- residue avoidance from the ani-
grams involve good production and management prac- mal drugs they use, dispense, or prescribe, veterinarians
tices that serve as the on-farm precursor to the packers’ must maintain their professional knowledge of pharma-
residue avoidance HACCP plans. These programs are cology, anatomy, and physiology to be credible, expert
designed to provide the educational opportunity need- sources of information.
ed for producers to understand each of the CPG The Federal Food, Drug, and Cosmetic Act (FD&C
7125.37 points and implement them into their produc- Act) was amended in 1968 to create the mechanism for
tion systems. Although an individual commodity’s the approval of animal drugs. This amendment restrict-
quality-assurance program has specific practices that ed the use of animal drugs to only the species and usage
apply to their production systems, they each generally specified on the label. Strict interpretation of the
follow similar outlines to the Level III section of the FD&C Act, however, would have made it impossible to
National Pork Producers Council’s Pork Quality Assur- provide proper veterinary care in the food animal in-
ance Program and pork production’s 10 Good Produc- dustry.
tion Practices11 (see 10 Good Production Practices for The FDA recognized the dilemma for veterinarians
Quality-Assured Pork Production). They mimic the created by this 1968 amendment. Through two Com-
CPG 7125.37 and also offer a review of management pliance Policy Guides, the FDA adopted a policy of not
practices that help minimize antimicrobial use during ordinarily penalizing veterinarians who prescribe drugs
production. in an extralabel manner, providing the veterinarian
makes a professional judgment that the health of the
By On-Farm Testing animals to be treated is “immediately threatened and
Multiple companies offer ELISAs for on-farm testing suffering or death would result from failure to treat the
of the presence of antimicrobials in animals before affected animals.” In addition, criteria regarding diag-

QUALITY-ASSURANCE PROGRAMS ■ SPOT-TESTING SHIPMENTS ■ EXTRALABEL DRUG USE


Food Animal Compendium September 2000

nostic needs, product selection, animal identification, mented proper animal drug and pesticide use proce-
and safe product use must be met.10 dures, which may include periodically visiting pro-
An important distinction needs to be made when it ducer-suppliers or requiring third-party verification
comes to using products off-label (in a manner not de- of implementation of the procedures
scribed on the label). Off-label use by producers on • Requiring written assurances from producer-suppli-
their own initiative is illegal, and producers who do so ers that all animals meet the plant’s contract specifi-
are subject to regulatory enforcement action by the cations
FDA. Extralabel use refers to the off-label recommen- • Periodically using analytical tissue residue tests to
dations for use of a drug by a veterinarian under the verify that the supplier information is correct
conditions described in the FDA policy guide and in
accordance with the Animal Medicinal Drug Use Clari- Although each of these options has specific draw-
fication Act (AMDUCA) of 1994. AMDUCA codified backs and caveats for packers, they also have the poten-
the ability of herd veterinarians to use their professional tial to impact the economic viability of producers. Dis-
judgment and, when necessary, prescribe drugs in an cussions among government regulatory agencies,
extralabel manner. However, for drugs administered in packers, and food animal producers will need to ensure
the feed, there is no provision for extralabel uses by ei- that each understands their respective responsibilities
ther veterinarians or producers. and the implications of their actions and policies. It is
Extralabel use of drugs by food animal veterinarians imperative that producers and their veterinarians use
means that they accept additional responsibilities re- animal health products safely, according to labeled di-
garding the avoidance of violative tissue residues that rections unless indicated by the stipulations of AMDU-
could result from that use. The AVMA published its CA, and only when needed so that packers can contin-
Extra-Label Drug Use Algorithm that helps practitioners ue to have confidence that they are purchasing only
decide when extralabel use in food-producing animals safe, residue-free animals.
is permitted according to the AMDUCA regulations.12
Stipulations for such use include accepting added re-
sponsibility for food safety, establishing extended with- REFERENCES
drawal times, maintaining required records, and label- 1. Domestic Residue Data Book—National Residue Program
ing the extralabel use drugs appropriately. 1996. Washington, DC, USDA-FSIS, Office of Public Health
and Science, 1996.
2. Fernandez AH: Human Food Safety of Tetracyclines—Expert
THE FUTURE
Review. Washington, DC, HHS-FDA, Center for Veterinary
What the NRP of the future will look like because of
Medicine, 997.
HACCP is yet to be determined. Additional responsi- 3. Microbiological Testing of Antimicrobial Drug Residues in
bilities borne by packers could mean additional respon- Food, guideline #52, docket #93D–0398. Washington, DC,
sibilities transferred to producers and veterinarians. HHS-FDA, 1996.
Packer HACCP plans must address the chemical food 4. Codex Alimentarius Backgrounder. Washington, DC, USDA-
safety hazard of violative tissue residues. Because FSIS will FSIS, Congressional and Public Affairs Staff, 1999.
continue to conduct a comprehensive residue detection 5. Food and Drug Administration Pesticide Program—Residue
program, there will be increased pressure on packing Monitoring 1998. Washington, DC, HHS-FDA, 1998.
plants to verify that their products are not adulterated by 6. Domestic Residue Data Book—National Residue Program
residues because such a violation might be an indication 1996. Washington, DC, USDA-FSIS, Office of Public
of an HACCP plan failure and could lead to regulatory Health and Science, 1996.
action against the plant (in addition to the animal suppli- 7. 1999 National Residue Program—Blue Book. Washington,
er). Repeated residue violations could indicate an HACCP DC, USDA-FSIS, Office of Public Health and Science,
system failure that could result in suspension or with- Chemistry and Toxicology Division, Emerging Issues
Branch, 1999.
drawal of FSIS inspection.13 If that becomes the case,
8. Domestic Residue Data Book—National Residue Program
packers might resort to any of several options for ensuring
1997. Washington, DC, USDA-FSIS, Office of Public
that incoming animals do not bear violative residues13: Health and Science, 1997.
9. Microbiology Laboratory Guidebook, ed 3, vol 1 and 2. Wash-
• Rejecting animals assessed to be at risk for having vi- ington, DC, USDA-FSIS, Office of Public Health and Sci-
olative residues ence, Microbiology Division, 1998.
• Specifying the management conditions necessary for 10. Compliance Policy Guides. Washington, DC, HHS-FDA,
animals to be processed for human consumption Public Health Service, Office of Regulatory Affairs, Office of
• Purchasing from producer-suppliers that have imple- Enforcement, Division of Compliance, 1995.

OFF-LABEL DRUG USE ■ DRUG-USE ALGORITHM ■ ECONOMIC IMPACT


Compendium September 2000 Food Animal

11. Pork Quality Assurance Program™. Des Moines, IA, Nation-


al Pork Producers Council, 1997. About the Author
Dr. Sundberg is Assistant Vice President, Veterinary Is-
12. Extralabel drug use (ELDU), AMDUCA guidance brochure.
sues, National Pork Producers Council in Des Moines,
JAVMA 212(4):suppl, 1998.
Iowa. He is a Diplomate of the American College of Vet-
13. Stephan GE: How the residue monitoring program will erinary Preventive Medicine.
change. Proc 1998 Allen D. Leman Swine Conf:197–201, 1998.

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