Dietary exposure for risk assessment of GM foods. Ad hoc meeting with industry representatives Parma,

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Dietary exposure for risk assessment of GM foods Ad hoc meeting with industry representatives Parma, 24.10.2018

- Dietary exposure in the risk assessment of GM foods - How to estimate dietary exposure - Human dietary exposure: current situation - Future 2

- Dietary exposure in the risk assessment of GM foods - How to estimate dietary exposure - Human dietary exposure: current situation - Future 3

DIETARY EXPOSURE AS PART OF THE RA OF GM FOOD LEGAL IR 503/2013 GMO DIETARY EXPOSURE ASSESSMENT 4

DIETARY EXPOSURE AS PART OF THE RA OF GM FOOD SCIENCE SAFETY of newly expressed proteins (NEP) Risk characterization using toxicological studies Comparative dietary exposure assessment Comparative dietary exposure frame: dietary exposure of similar/identical proteins in different foods & dietary exposure to NEPs. e.g. XXXX protein in GM-crop & XXXX present in different conventional foods (oat, maize, wheat, rice, barley). Absolute dietary exposure frame: dietary exposure to NEPs & health based guidance values (risk characterization). 5

- Dietary exposure in the risk assessment of GM foods - How to estimate dietary exposure - Human dietary exposure: current situation - Future 6

GMO DIETARY EXPOSURE ASSESSEMENT Field trials DOSSIER - Food Terminology FOODEX EFSA Comprehensive European food consumption database Concentration values* Hazard Dietary exposure (EXTERNAL) Food consumption Scenario 100% replacement 7

CONCENTRATION DATA Substances are analysed in raw primary commodities and consumption data refers to blended (processed) commodities. In most of the cases, very (very) small number of samples available.representative?? Which values should be used for dietary exposure estimations? Chronic dietary exposure and acute dietary exposure 8

CONCENTRATION DATA Which values to estimate dietary exposure to GMO components? FIELD CONSUMPTION When using NEP concentrations from RPC the most realistic scenario is to always* use MEAN CONCENTRATIONS for both ACUTE and CHRONIC EXPOSURE 9

WHICH CONCENTRATION DATA TO BE USED (FROM THE RPC) Appropriate material at the representative growth stage (e.g. maize: grains R6/senescence) Representative of cultivation conditions (crops treated with the intended herbicide). Mean values (acute and chronic dietary exposure). *Possibility of differentiating among areas (sites) if significant differences reported Values expressed in fresh weight LOD/LOQ to be used for left-censored data (undetected/unquantified) when estimating mean values. 10

FROM RPC DATA TO PROCESSED COMMODITIES Factors and recipes linked to processed commodities are also considered. o o Recipes = dilution effect Reverse yield factors: conservative approach* o no NEP losses (e.g. due to fermentation) o No effect of processing (ph, temperature) as related to the potential hazard of the NEP Protein content 11

FROM RPC DATA TO PROCESSED COMMODITIES Factors and recipes & Protein content - More accurate when covering processed commodities made of different foods. - On-going work on recipes & factors (RPC model) - Harmonised approach across EFSA 12

FROM RPC DATA TO PROCESSED COMMODITIES Identify relevant commodities that may contain our compound of interest (e.g. NEP) Bread Maize, popped Popcorn Corn flour Corn syrup Rosehip soup Corn semolina Corn oil Blueberries soup Corn starch Whisky Cornmeal Gin Corn flakes Grain soup Maize grain Sweet corn Mashed vegetables Mixed vegetables, grilled Prepared mixed vegetable salad Prepared pasta salad Mixed vegetables fried, Mexican Mixed vegetables boiled, Mexican Sweet corn (Zea mays var. saccharata) 13

FROM RPC DATA TO PROCESSED COMMODITIES MAIZE CONSUMPTION Standard recipe for maize bread (Mintel database) Maize flour (74%), sunflower oil (3%), tap water (20%), salt (2%) and yeast (1%) Milling= 1,22 Mean value (n=15) 10 µg NEP/kg fresh weigh 122 grams 100 grams 0,74 X 1.22 Factor BREAD 0.92 74 grams 100 grams 14

FROM RPC DATA TO PROCESSED COMMODITIES FOODEX LEVEL FOODEX CODE FOOD Amount of raw agricultural commodity to produce 100 grams of processed food (grams) Comments 4 6220 Corn grain 100 100% grain 3 8074 Popcorn 100 Puffing=1,08 92,9% grain 4 6268 Corn flour 122 Milling= 1,22 100% Corn flour 4 6383 Corn flakes 260 100% Corn flakes 4 6384 Corn flakes and nuts 190 73% Corn flakes 4 6385 Corn flakes with honey and nuts 156 Flaking = 2,6 60% Corn flakes 4 6386 Corn flakes with honey and sugar 190 73% Corn flakes 4 6387 Corn flakes with sugar 161 62% Corn flakes 4 6445 Cornmeal porridge 18 15% corn grain (cornmeal) 4 6271 Cornmeal 122 Milling= 1,22 4 6269 Corn semolina 122 Milling= 1,22 4 6352 Corn bread 91 Milling= 1,22 Corn flour 74,3% 3 6336 Multigrain bread and rolls 3 Milling= 1,22 Corn flour 2,4 % 3 6407 Muesli bars 26 Flaking = 2,6 10% cornflakes 4 6422 Maize, popped 108 Puffing=1,08 100% grain 4 6423 Maize, popped, with sugar 100 67% corn flour + 33% sugar 15

CONSUMPTION DATA Two main sources of consumption data used in the past in GM applications: Pesticide Residues Intake MOdel (PriMo) model FAO's Food Balance Sheets (FBSs) It allowed a direct link of the levels of particular constituents measured in RPCs with the consumption data of RPCs 16

CONSUMPTION DATA Some drawbacks associated to the use of PriMo model and/or FBS: FBSs are not appropriate for acute exposure Primo model - different methodology to disaggregate the consumption data - no possibility to exclude particular foods EFSA statement in 2015 on the use of the EFSA Comprehensive Consumption database in GMO area 17

EFSA COMPREHENSIVE CONSUMPTION DATABASE DATA The contains data: 24-hour recall or dietary record method data collected at individual level most recent data within each country random sample at national level different age classes, from infants to elderly special population groups 18

EFSA COMPREHENSIVE CONSUMPTION DATABASE Number of Member States 25 Dietary surveys 60 Population groups 132 Subjects 119,458 Consumption records 12,076,637 Last update in Aprile 2018 19

EFSA COMPREHENSIVE CONSUMPTION DATABASE -AGE CLASSES- * In parenthesis only surveys with more than one day per subject 20

CONSUMPTION DATA SUMMARY- Chronic/acute dietary exposure Average population and high consumers Estimated in different age classes across Europe Special population groups: vegetarians, lactating women and pregnant women. 21

- Dietary exposure in the risk assessment of GM foods - How to estimate dietary exposure - Human dietary exposure: current situation - Future 22

CURRENT SITUATION Dietary exposure to NEP thoroughly addressed and reported in SO from AP-121 onwards.* Information reported in the SO: acute and chronic dietary exposure, only high consumers. Information provided by the applicants: very diverse Inconsistency between scope and assessment; indistinct use of expression of results (fresh weight/dry weight); chronic exposure/acute dietary exposure not provided; missing information on high consumers; inadequate use of summary statistics on consumption Preparation of a document providing guidance to harmonise data needed on exposure estimations. 23

FOOD CONSUMPTION EFSA Comprehensive European food consumption database SUMMARY STATISTICS Summary food consumption statistics (chronic and acute) available per country, survey, age group (from infants to elderly) codified in FoodEx in g/day and g/kg bw per day. - Use of the most recent dietary surveys per country and age class - Use of appropriate FoodEx levels 24

USE OF SUMMARY STATISTICS EFSA Comprehensive European food consumption database Chronic dietary exposure in the average population Sum the exposure of all relevant foods obtained by multiplying the average consumption of each food in the whole population by the mean value reported in the GM crop for the compound of interest (e.g. NEP). Chronic dietary exposure of high consumers Sum the high percentile (e.g. 95 th ) of the most consumed food among consumers only and the average consumption of all the other foods in the whole population, using the mean value reported in the GM crop for the compound. Overview of the procedures currently used at EFSA for the assessment of dietary exposure to different chemical substances (EFSA, 2011) Food additives intake model (FAIM) Template (2012) David R. Tennant (2016) Comprehensive European dietary exposure model (CEDEM) for food additives, Food Additives & Contaminants: Part A, 33:5, 772-781, DOI: 10.1080/19440049.2016.1166898 25

USE OF SUMMARY STATISTICS EFSA Comprehensive European food consumption database Acute dietary exposure for the average population and high consumers. As we talk about acute exposure, the consumption refers to the amount of food commodity consumed in only one day so the summary statistics for acute consumption should be used. For the rest, same approach as for chronic exposure. 26

CONSUMPTION DATA Use of EFSA Comprehensive Consumption database (summary statistics) allows o o o o o Assessment chronic and acute dietary exposure (screening tool) Average and high consumers Extensive coverage of European population Selection of food commodities relevant for exposure Possibility of looking at vulnerable population groups (based on age, consumption habits, life status) 27

- Dietary exposure in the risk assessment of GM foods - How to estimate dietary exposure - Human dietary exposure: current situation - Future 28

DOCUMENT ON HUMAN DIETARY EXPOSURE AIM: To provide guidance on how human dietary exposure to GM constituents should be estimated making the best use of the available information. Description of the information needed for the RA (standardisation) Presentation based on the ongoing document; your feedback is very welcome! Publication first quarter of 2019 29

DOCUMENT ON HUMAN DIETARY EXPOSURE Concentration data to be used (mean values, fresh weight, use LOD/LOQ, etc.) How to best use summary statistics on consumption data Recipes and factors provided in EFSA website Information to be provided as part of the submission dossier 30

RAW PRIMARY COMMODITY MODEL (RPC MODEL) Raw Primary Commodities (RPCs) Food as consumed Reverse yield factors Individual ingredients List of ingredients and proportions 31

GMO DIETARY EXPOSURE ASSESSEMENT Field trials DOSSIER - Food Terminology FOODEX EFSA Comprehensive European food consumption database Concentration values* Hazard Dietary exposure (EXTERNAL) Raw Primary Commodities (RPC MODEL) Food consumption Scenario 100% replacement 32

TAKE HOME MESSAGES ON DIETARY EXPOSURE Dietary exposure to be used on concluding on the safety of the endogenous/new constituents = representative and accurate levels needed!! Dietary exposure estimations today could be different tomorrow: need of monitoring different outcome of the RA still SAFE? 33

TAKE HOME MESSAGES ON DIETARY EXPOSURE There are uncertainties surrounding dietary exposure estimations Assumptions introduce uncertainty Overall: conservative estimations Realistic and representative Where can the uncertainty be reduced? - Consumption: 100% replacement - Improve representativity of samples?? - Accuracy of the measurements?? - Appropriate use of the available data (mean, fresh weight, etc.) - Concentration data on processed foods?? - Processing studies at the moment only DILUTION due to recipes 34

THANKS!! QUESTIONS? 35