Identifying, Addressing and
Overcoming Consumer Concerns
A Roundtable on Food
Irradiation
Convened by:
Public Voice for Food and Health Policy
National Food Processors Association
International Food Information Council
February 18-19, 1998
Resources for the Future
Conference Center
1400 16th Street, NW
Washington, DC
Acknowledgments
Public Voice for Food and
Health Policy wishes to thank all those who took time to participate in the
Roundtable on Food Irradiation. For most, participation meant a commitment of
at least 12 to 2 days.
Many traveled substantial distances in less-than-perfect weather to be
present. Their willingness to devote time and effort to this undertaking is
deeply appreciated.
Additional thanks go to many
others who helped with advice and assistance as the Roundtable took shape. This
group includes, at the National Food Processors Association, Rhona Applebaum,
Tim Willard, Brian Folkerts, Kelly Johnston and Adele Logan-Galen. At the
International Food Information Council, thanks go to David Schmidt, Robert Earl
and Sylvia Rowe. Also helpful at various stages were Terrie Dort of the
National Council of Chain Restaurants, Sara Lilygren of the American Meat
Institute, Dagmar Farr of the Food Marketing Institute, Kevin Burke of Food
Distributors International, Carol Tucker Foreman of Foreman, Heidepriem and
Mager, and Richard Frank, Dennis Johnson and Mazie Cobb of Olsson, Frank and
Weeda.
The taste test at the
conclusion of the first day would not have occurred without the help of Sharon
Beals of IBP Inc., Dennis Olson of Iowa State University, and John Masefield of
Isomedix, Inc. IBP supplied the ground
beef and coordinated the taste test conducted at D.C. Central Kitchen in
Washington, DC. The irradiation was performed by Iowa State University and
Isomedix.
Arthur S. Jaeger
Executive Director
Public Voice for Food and
Health Policy
Robert Hahn
Director of Legal Affairs
& Research
Public Voice for Food and
Health Policy
Introduction
On February 18-19, 1998,
Public Voice for Food and Health Policy, together with the National Food
Processors Association and the International Food Information Council, convened
a roundtable discussion at the Resources for the Future Conference Center in
Washington, DC. The goal of the
Roundtable was to address consumer concerns about food irradiation.
Approximately 40 individuals
participated in the Roundtable, with another 40 present as observers.
Participants included many of the top government and academic experts on irradiation,
representatives of consumer organizations with an interest in food irradiation,
and representatives of the food and irradiation industries. The group included
both critics and advocates of irradiation, and participants were encouraged to
ask tough questions of those on opposing sides. Facilitating the discussion was
George Strait, chief medical correspondent for ABC News in Washington.
The agenda for the
Roundtable included the capabilities of irradiation; current uses in this
country and worldwide; different irradiation technologies and their
application to various foods; safety, nutritional, and organoleptic issues; and
labeling, consumer acceptance and education. The Roundtable was held as an
invitation-only event to encourage a honest exchange of views.
The co-conveners hoped to
both initiate a dialogue among consumers, government, academia, and industry
and seek consensus. The ensuing discussion was frank and, at times, heated.
While no formal consensus was reached, there was common ground among many
participants on a variety of points. These included:
!
the
effectiveness of irradiation against the bacteria of greatest public health
concern
!
the
need for effective processing and handling of food before and after irradiation
!
the
need for labeling of irradiated foods in an informative, non-threatening way
!
the
limited impact of the approved uses of irradiation on the nutritional value and
taste of foods
!
the
need to address worker safety and environmental concerns before widespread use
of food irradiation
!
the
value of long-term studies on any effects of eating irradiated food
!
the
need to educate consumers about irradiation
Public Voice for Food and
Health Policy initiated this project in part because it felt it was uniquely
qualified to gather together a diverse group of stakeholders on the subject of
food irradiation. A 15-year-old research and advocacy organization, Public
Voice has a tradition of building bridges between consumers, industry and
government policy makers on difficult and often controversial food issues.
The Roundtable was conceived
after last summer=s E. coli
outbreak in ground beef, when irradiation received renewed attention as a way
to eliminate harmful bacteria. Despite extensive research and approval of
irradiation for a substantial list of food products, the volume of food being
irradiated in this country remains small. Consumer concerns are a key reason
for the limited use of this technology, which is both controversial and
potentially useful in combating food-borne illness. For this reason, Public
Voice titled the Roundtable Identifying,
Addressing and Overcoming Consumer Concerns.
Roundtable Participants
Rhona Applebaum
Executive Vice President,
Scientific Affairs
National Food Processors
Association
Richard Bender
Senior Legislative Assistant
Office of Senator Tom Harkin
Christine Bruhn
Director, Center for
Consumer Research
University of California,
Davis
Kevin Burke
Vice President
Food Distributors
International
James Clouser
President
SteriGenics International
Lester Crawford (former
Administrator, FSIS)
Director
Georgetown Center for Food
and Nutrition Policy
Susan Doneth
Safe Tables Our Priority
(STOP)
Raymond W. Durante
The Food Safeguards Council
Robert Earl
Director of Public Health
International Food
Information Council
Daniel L. Engeljohn
Chief, Standards Development
Branch, Food Safety and Inspection Service
U.S. Department of
Agriculture
Chester England
Chairman, Food Safety Task
Force
National Council of Chain
Restaurants
Sandra Eskin
American Association of
Retired Persons
Dagmar Farr
Vice President, Consumer Affairs
Food Marketing Institute
Carol Tucker Foreman
(former Assistant Secretary
of Agriculture for Food and Consumer Services)
President, Foreman,
Heidepriem & Mager, Inc.
Arnold Foudin
Assistant Director for
Scientific Affairs, Animal and Plant Health Inspection Service
U.S. Department of
Agriculture
Frank Fraser
Vice President of Market
Development
MDS Nordion
Edith Furst
Consumer Federation of
America
Nancy L. Glick
Director, Nutrition &
Consumer Affairs
Hill and Knowlton
Linda Golodner
President
National Consumers League
Dee Graham
Senior Adviser
The EPRI Food Technology
Center
Jan J. Groeneveld
Agricultural Counselor to
the
United States and Canada
Royal Netherlands Embassy
Robert Hahn
Director of Legal Affairs
& Research
Public Voice for Food and
Health Policy
Timothy Hammonds
President and CEO
Food Marketing Institute
Patricia A. Hansen
Consumer Safety Officer
Food and Drug Administration
James Hodges
Senior Vice President,
Regulatory Affairs
American Meat Institute
Kelly D. Johnston
Executive Vice President for
Government Affairs and
Communications
National Food Processors
Association
Beth Lautner
Vice President, Science and
Technology
National Pork Producers
Council
Richard Lechowich
Director, National Center
for Food Safety and Technology
Illinois Institute of
Technology
Donald Louria
Chairman, Department of
Preventive Medicine
and Community Health
New Jersey Medical School
John Masefield
Chairman and CEO
Isomedix, Inc.
Dennis Olson
Director, Utilization Center
for Agricultural Products
Iowa State University
Michael Osterholm
State Epidemiologist
Minnesota Department of
Health
Donna Porter
Specialist in Life Sciences
Library of Congress
Morris Potter
Centers for Disease Control
and Prevention
Sylvia Rowe
President
International Food
Information Council
David Schmidt
Vice President, Food Safety
International Food
Information Council
Jacob Steinberg
Professor of Pathology
Albert Einstein College of
Medicine
Spencer Stevens
President
APA, Inc.
Dennis Stolte
Senior Director,
Environment/Food Safety
American Farm Bureau
Federation
Irwin A. Taub
U.S. Army Natick RD&E
Center
Michael Taylor (former
Administrator, FSIS)
King and Spalding
Donald W. Thayer
Research Leader for Food
Safety
Agricultural Research
Service
U.S. Department of
Agriculture
John Woodhouse
Food Distributors
International
Stephen A. Ziller, Jr.
Vice President, Scientific
and Regulatory Affairs
Grocery Manufacturers of
America, Inc.
Summary of the Roundtable
Capabilities and Limitations of Irradiation
Foodborne illness is a serious public health problem in the United
States. Irradiation is effective against the bacteria currently of greatest
public health concern in the United States, including E. coli O157:H7, Campylobacter, Salmonella and Listeria. Irradiation at pasteurizing doses effectively controls harmful
bacteria and parasites in foods. Irradiation is not effective against viruses,
toxins or prions.
Dr. Donald Thayer, U.S.
Department of Agriculture, summarized the effectiveness of irradiation against
foodborne pathogens. He observed that the biological effect of radiation is due
to inactivation of DNA. The effectiveness of irradiation against a particular
organism depends upon the following factors: composition of the product being
treated (including its water content, pH and the presence of certain food
additives), irradiation dose, temperature during and after irradiation,
atmosphere, packaging, and the sensitivity of the organism in question. The
sensitivity of an organism to radiation, in turn, depends upon the organism=s size and complexity, its
growth phase and its past history. Generally, smaller and simpler organisms are
less sensitive to radiation. The following is a list of organisms in descending
order of sensitivity: metazoa, protozoa, vegetative bacteria, spores, viruses,
prions. Existing research suggests that radiation has no effect on prions, the
term given to the infectious agents that cause bovine spongiform encephalopathy
(>mad cow disease=) and other transmissible spongiform
encephalopathies. Organisms are most sensitive to radiation in their log phase,
less so in the stationary phase, and most resistant in the spore phase. Past
history of an organism may also increase its resistance. For example, exposure
to an acidic environment may trigger repair mechanisms that increase an
organism=s resistance to radiation.
Looking at some common
foodborne pathogens, E. coli bacteria
are highly sensitive to radiation. In one experiment, ground beef inoculated
with 104.8 CFU/gram of E. coli
O157:H7 irradiated at 1.5 kGy had no detectible E. coli O157:H7 bacteria or toxin even after temperature abuse.[1]
Campylobacter is somewhat more
sensitive, and Salmonella and Listeria are somewhat less sensitive,
than E. coli O157:H7. However,
irradiation at the FDA-approved doses is highly effective against all four
bacteria, and the D-values are very close for all four pathogens in all meats.
Among protozoa, irradiation is highly effective against both Cyclospora and Toxoplasma gondii oocysts. A dose of 0.5 kGy is sufficient to
render either parasite non-infective. Irradiation is generally ineffective
against viruses.
Surviving pathogenic
organisms are injured by radiation and do not multiply faster in irradiated, as
opposed to non-irradiated, foods. Because of a synergistic effect between
radiation and heat, surviving bacteria are likely to be killed by mild cooking
temperatures, assuming the product has been properly refrigerated prior to
cooking.
Regarding the need for
irradiation to combat foodborne illness, Dr. Morris Potter, Centers for Disease
Control and Prevention, stated that virtually all raw agricultural products
that will not be cooked by consumers need pasteurization, whether by
irradiation or some other treatment. Given the sporadic occurrence and low
levels of pathogens in these foods, he concluded that irradiation is an
appropriate pasteurization method for all such foods, except for those in which
irradiation produces unacceptable quality changes. Michael Osterholm, Minnesota
Department of Health, emphasized the increasing seriousness of foodborne
illness in the United States, noting that there were 78,000 hospitalizations
for foodborne disease in Minnesota alone last year. He said we are not able to
effectively control many of the vectors for pathogens in the natural
environment, such as birds, insects and rodents. We are also learning that
pathogens may contaminate the interior as well as the surfaces of some foods;
for example, Salmonella on the flower
of a tomato plant may enter the tomato. Viruses, which are associated with
human fecal contamination, may be spread through the increased use of
composting in agriculture.
Current and Potential Uses of Irradiation
The Roundtable participants expressed the greatest interest in uses of
irradiation that would: (a) improve food safety; and (b) replace fumigants or
pesticides currently in use.
Most participants felt that
the first logical major application of irradiation should be to eliminate E. coli O157:H7 and other pathogens in ground beef. As Donald Thayer
pointed out, ground meat products pose special problems, because a small amount
of contaminated meat can potentially contaminate a huge volume of product and
thereby make a large number of people sick. He also suggested irradiating
tenderized meat cuts, because the pins used to tenderize meat can inoculate the
internal surfaces of the meat with bacteria.
There was less agreement
about the possible use of irradiation to pasteurize fresh fruits and
vegetables. Less research has been done on uses of irradiation to pasteurize
produce. Irradiation has been approved for fruits and vegetables up to a dose
of 1 kGy, primarily for disinfestation. While a dose of 1 kGy may control some
pathogens (the average D-value for most vegetative bacteria is about 0.5 kGy),
it would not kill most spores and would provide an inadequate margin of safety
for vegetative cells. Moreover, irradiation at the doses likely to be used for
produce is generally ineffective against viruses, such as Norwalk viruses and hepatitis A, that may contaminate
produce. Finally, although manipulating temperature, atmosphere and dose may
alter the effects of radiation to some extent, irradiation at pasteurizing
doses is likely to cause unacceptable organoleptic damage to some fruits and
vegetables. Alternative treatments, such as ozone, may offer better ways to
pasteurize fresh produce.
Irradiation may also be used
for control of pathogens in herbs and spices, its most common application
worldwide, and for insect disinfestation of fresh fruits and vegetables and
grains. It could replace methyl bromide, a highly toxic and ozone-depleting
fumigant used to disinfest certain foods in international trade. Dr. Arnold
Foudin, USDA, observed that, although the Environmental Protection Agency has
proposed a ban on methyl bromide, it may not implement the ban until there is a
viable alternative.
Finally, some participants
expressed interest in irradiation of livestock feed. Irradiation is already
widely used to sterilize feed for laboratory animals. It is also permitted in
the treatment of poultry feed. Whether irradiation of livestock feed would be
practical depends on economic considerations and whether post-irradiation
handling of the feed would undo the effects of irradiation.
Some consumer and academic
participants favored a Ago slow@ or gradual approach to the
introduction of irradiated foods in the marketplace. A targeted use of
irradiation and a gradual introduction of irradiated foods would make it easier
to recognize any adverse effects and would be less threatening to consumers.
Some participants felt that irradiation should be introduced as soon as
possible where the need is great and the application is practical.
Dr. Thayer and Jan
Groeneveld of the Royal Netherlands Embassy provided brief overviews of current
uses of food irradiation in the United States and Europe. In the United States,
a significant and growing volume of spices, about 11 percent, are irradiated
although ethylene oxide is still used on some spices. A limited volume of
chicken, fruits and vegetables are irradiated and sold in certain supermarkets
and restaurant chains. Irradiation is also used to sterilize certain foods fed
to the astronauts and hospital patients with weakened immune systems. In
Europe, several countries have their own national regulations ranging from the
United Kingdom, which is the most liberal, to Germany, which banned
irradiation. Vocal consumer opposition in some countries has limited government
approvals and use. The Netherlands permits irradiation of several minor
productsCincluding fruits, dried vegetables, herbs and
spices, shrimp, frog legs and thickenersCbut no Abasic products.@ Because of the patchwork of
regulations, trade limits the extent to which any nation can use irradiation.
The European Union has thus far only approved irradiation of spices.
Comparison with Other Food Safety Technologies
Irradiation is one of many technologies that can provide an added
measure of food safety for certain foods. Irradiation should be viewed as one
food safety tool, albeit a particularly effective one, that would co-exist
with, rather than replace, other technologies.
The Roundtable did not have
time to fully discuss the many other new food safety technologies currently
available or being developed for various foods. An industry scientist mentioned
some of the many anti-microbial technologies available or being studied for
beef including competitive exclusion, chemical de-hairing of carcasses,
trisodium phosphate and other rinses, and steam pasteurization. It was noted,
however, that these treatments occur at earlier stages of production and
processing and, unlike irradiation, do not pasteurize the final product. Dr.
Potter argued that, with respect to many foods, we may have reached the limit
of the food safety benefit provided by good sanitation. Several consumer group
participants expressed a preference for combinations of treatments that
cumulatively result in effective elimination of pathogens and expressed
reservations about too great a reliance on any single food safety technology.
Food irradiation itself
encompasses two different technologiesCgamma sources (cobalt-60 and
cesium-137) and machine sources (x-rays and electron beam)Ceach of which involves
exposing food to ionizing radiation. Frank Fraser, MDS Nordion, discussed the
advantages and disadvantages of cobalt-60. It has deep penetration, so it is
possible to irradiate food in its shipping packaging. It is also possible to
increase throughput simply by increasing the strength of the source. Its
disadvantage is that it cannot be turned off when it is not in use. Spencer
Stevens, APA, Inc., said that, while electron beam does not penetrate as deeply
as cobalt-60 radiation, it can penetrate to a depth of 3.5 inches if both sides
of the product are exposed. Electron beam accelerators can be placed in a food
processing plant as part of an on-line operation, and they can be turned off
when not in use.
Irradiation Not a Cure-All
Irradiation does not obviate the need for effective processing controls
before irradiation nor safe handling practices after irradiation.
Roundtable participants agreed
that irradiation would not eliminate the need for, and might actually increase
the importance of, effective processing controlsCincluding sanitation, good
manufacturing practices, HACCP (Hazard Analysis and Critical Control Points)
plans, and performance standardsCbefore irradiation.
Irradiation at approved doses was not intended to, and will not, clean up foods
that have unacceptably high bacterial loads.
Likewise, there was
agreement that irradiation would not obviate the need for safe handling
practicesCincluding proper temperature control, handwashing,
avoidance of cross contamination and cooking at proper temperaturesCafter irradiation. Even
foods irradiated at pasteurizing doses might retain some pathogenic bacteria
that could multiply and cause illness if the food is subjected to temperature
abuse or is otherwise improperly handled. Irradiated foods, like any other
foods, may be contaminated by food handlers or by cross contamination.
There was disagreement,
however, on the issue of inspection. Carol Tucker Foreman and the consumer
groups were worried that some policymakers might mistakenly assume that
irradiation obviates the need for strong government food safety inspection
programs. The consumer representatives feared that the introduction of HACCP
and irradiation might be used by budget-cutting members of Congress to justify
a drastic reduction in federal inspection. To counter this temptation, the
consumer groups called on the food industry to speak out publicly in favor of
strong federal inspection.
Safety of Irradiated Foods
Irradiation has been approved as safe by the Food and Drug
Administration and the U.S. Department of Agriculture for a number of foods
including meat, poultry, produce and spices.
At present, irradiation has
been approved by FDA for several uses including pathogen control in meat and
poultry, microbial disinfection of dry spices and seasonings, and insect
disinfestation of other foods. A list of current FDA-approved uses is attached
to this Summary as Appendix I. In addition, Dr. Patricia Hansen, FDA, noted
that the FDA has received a petition filed by the University of Rhode Island to
allow irradiation of shell eggs to eliminate Salmonella enteriditis. Also pending are two petitions to allow
irradiation of seafood: one for irradiation of shellfish up to a maximum dose
of 1 kGy, the other for irradiation of both shellfish and finish up to a
maximum dose of 3 kGy. Both are under review, although FDA is awaiting
additional information it has requested from one of the petitioners.
Dr. Patricia Hansen
explained the basis for FDA=s determination that irradiated foods are
safe. FDA=s analysis considers both toxicological and
microbiological safety, as well as nutritional value. Dr. Hansen used FDA=s review of the petition for
irradiation of meat and meat products as an example.
FDA=s toxicological review
included both an analysis of the chemical changes induced by irradiation and a
review of lab animal feeding studies. The agency concluded that the radiolytic
products created in irradiated meat are identical or very similar to those in
other foods and that their concentrations are so small as to present no
toxicological hazard. In its review of the red meat petition, FDA also
considered the data from a large number of animal feeding studies, including
chronic feeding studies, reproduction studies and teratology studies, among
others. These studies included all those in which irradiated flesh foods (red
meat, poultry or fish) had been fed to various animal species. In addition, FDA
considered data from genetic toxicity studies conducted with irradiated flesh
foods. Many of these studies had been previously considered within the context
of prior FDA reviews (such as the review of irradiation of poultry up to 3 kGy
and the irradiation of certain broad food categories up to 1 kGy), but were
re-examined in light of the specifics of the meat petition. FDA concluded that
no toxicologically significant adverse effects were observed in any of these
studies. FDA further concluded, based on the results of chemical analyses and
toxicity studies, that the irradiation of meat does not present a toxicological
hazard.
FDA=s microbiological analysis
included an extensive review of the literature on the effects of irradiation on
microorganisms in raw meat. The agency paid particular attention to spores of Clostridium botulinum, because the spores are radiation-resistant
(with D-values ranging from approximately 2 to 4 kGy) and the illness caused by
botulinal toxin is so severe. In addition, irradiated meats are likely to be
packaged in reduced oxygen or vacuum packaging, and such anaerobic conditions
favor the growth of C. botulinum. FDA
concluded that the risk of significant growth and toxin production by C. botulinum in irradiated meat stored
at proper temperatures is extremely remote. First, C. botulinum spores typically occur at low frequency and at low
levels in meat, and their numbers would be further reduced by irradiation at
the approved doses. Second, most strains of C.
botulinum found in meat do not grow and produce toxin at normal refrigeration
temperatures. Even if irradiated and vacuum-packaged meats were subjected to
temperature abuse, FDA concluded that the meat would become noticeably spoiled
before any surviving C. botulinum
spores could multiply and produce toxin. The various species of spoilage
bacteria commonly found on meat would generally survive irradiation in
sufficient numbers to grow and inhibit growth and toxin production by C. botulinum bacteria.
According to Dr. Hansen,
radiation-resistant strains of bacteria have been shown to develop only where
bacteria are subjected to repeated, closely spaced sublethal doses of
radiation. She said it is highly improbable that such conditions would be
created during food processing. It is conceivable that bacteria might be
subjected to more than one dose of radiation during food processing. For
example, spices might be irradiated at 20 kGy and then incorporated into a meat
product that is irradiated at 7 kGy, receiving a total dose of 27 kGy (total
dose is cumulative) which would still be below the maximum allowed dose of 30
kGy. In that case, bacteria present in the spices might be subjected to two
doses of radiation. However, this scenario would not duplicate the conditions
of repeated, closely spaced doses that have been found to induce radiation
resistance in the lab.
While most Roundtable
participants accepted FDA=s determination of safety, Dr. Jacob
Steinberg of the Einstein College of Medicine and Dr. Donald Louria of New
Jersey Medical School questioned whether existing research conclusively proved
that irradiated foods are not mutagenic. Dr. Steinberg expressed concern with
the genotoxicity assays relied upon by FDA to conclude that irradiated foods
are not genotoxic. Yet, while arguing that additional genotoxicity studies should
be done, he conceded that they are not likely to uncover any problems. Dr.
Irwin Taub, Department of Defense, noted that the Joint FAO/IAEA/WHO Expert
Committee on the Wholesomeness of Irradiated Food (JECFI) at its 1997 meeting
discussed a large number of genotoxicity studies that have been conducted in
many countries and concluded that irradiated foods are not genotoxic. Other
participants observed that the Paterson Institute for Cancer Research, Christie
Hospital and Holt Radium Institute in Manchester, UK has fed radiation
sterilized feed to at least 160 generations of lab mice without any evidence of
ill effects.
Dr. Donald Louria raised the
issue of polyploidy and chromosomal damage caused by consumption of irradiated
foods. He said he was aware of only two studies that had examined this question
in human subjects. The first, a study conducted at the National Institute of
Nutrition in Hyderabad, India found a higher incidence of polyploidy in
lymphocytes of malnourished children fed freshly irradiated wheat.[2]
The second, a Chinese study, he claimed, found increased incidence of
polyploidy at a Aborderline statistical level.@ He argued there is still a
need for a well-controlled study in humans to prove that eating irradiated
foods does not cause polyploidy. Most other panelists, however, strongly
disagreed with his assessment. Referring to the discussion of this issue in
J.F. Diehl=s book Safety
of Irradiated Foods, they said
that the Hyderabad study was poorly conducted; the researchers only examined
100 cells from each of five subjects. They also took issue with Dr. Louria=s characterization of the
Chinese study. One participant observed that the authors of the Chinese study,
which examined 1,000 cells from each of 70 subjects, interpreted their results
as indicating no increased incidence of polyploidy.[3]
Another participant noted that several studies in animals have been unable to
confirm increased polyploidy.
In response to these doubts
about safety, Dr. Hansen also said that FDA reviewed a tremendous volume of
literature on irradiated foods and found the weight of the evidence was heavily
in favor of their safety.
Robert Hahn and some of the
other consumer group representatives said they had faith in FDA=s determination of safety.
Even though existing evidence indicates that irradiated foods are safe, they
felt it is still possible that safety problems might be discovered at a later
date. The consumer participants proposed that scientists continue to study
irradiated foods and that USDA and FDA consider some form of post-marketing
surveillance of irradiated foods.
Studies of Long-Term Health Effects
Despite the large body of research on the safety of irradiated foods,
there have been few, if any, controlled long-term studies in humans on the
health effects of eating irradiated foods. Many participants felt it would be
prudent to collect such data if proper studies can be designed.
Several participants noted
that some human populations have been consuming irradiated foods for years with
no evidence of adverse health effects. These include Japanese consumers who eat
irradiated potatoes, Israeli soldiers who eat irradiated chicken, French and
Dutch consumers who eat irradiated shrimp and other foods, and South African
soldiers who eat irradiated rations. A government participant said that a list
of places where irradiated foods have been eaten over time will appear in a WHO
study group report to be published later this year. However, participants were
unaware of any controlled long-term studies of human populations that eat
irradiated foods.
It was suggested that some
follow-up of populations eating irradiated foods on a long-term basis would be
prudent. Other participants, however, pointed out that it would require many
person-years of follow-up to detect any statistically significant effect. One
participant also noted that, in most countries where irradiated foods have been
introduced, it would be hard to differentiate cases (persons who eat irradiated
foods) from controls (persons who do not eat irradiated foods). Nevertheless,
if proper studies could be designed, many participants felt it would be
worthwhile to do so.
Nutritional Value of Irradiated Foods
Research indicates that FDA-approved uses of irradiation have a limited
impact on the nutritional value of foods. Certain vitamins, including Vitamins
A, B1 (Thiamin) and E, are sensitive to irradiation under certain
circumstances. Some Roundtable participants expressed concern abut vitamin
depletion where:
!
The food being irradiated is
a significant source of the vitamin affected; and
!
Irradiation, either by
itself or in combination with other treatments, would produce a significant
depletion of the vitamin affected.
Dr. Patricia Hansen
discussed FDA=s review of the nutritional adequacy of irradiated
foods, using the meat approval as a model. FDA=s review focused on the B
vitamins and particularly vitamin B1 (thiamin), because it is sensitive to
radiation and because one meat, pork, is a significant source of thiamin. FDA
concluded that irradiation of meat would not adversely affect nutritional
status. The agency determined that, even if all the pork in the United States
were to be irradiated, this would produce at most an eight percent loss in
thiamin in the U.S. diet. Since all segments of the U.S. population currently
receive the Recommended Dietary Allowance (RDA) for thiamin, an eight percent
loss would not cause a thiamin deficiency among any segment of the population.
Dr. Hansen said that FDA also considered exaggerated reductions in thiamin
levels in irradiated poultry and seafood in assessing the potential
consequences of high consumption of irradiated flesh foods on the nutritional
quality of the diet. FDA concluded that, even assuming such exaggerated
reductions, irradiation would not result in an adverse effect on the total
dietary intake of thiamin. FDA also concluded that macronutrients and minerals
were not affected by irradiation.
Dr. Hansen said that, when
FDA considers whether to approve a petition to allow a new use of irradiation,
FDA=s nutrition review takes into account all existing approved uses of
irradiation. As it does with other food additives, FDA considers cumulative
exposure, assuming a hypothetical person who eats irradiated versions of all
food approved for irradiation. Although the issue has yet to be raised, if FDA
found that a petitioned use of irradiation would result in a major vitamin
loss, the agency would consider that petition, and possible regulatory
restrictions, Avery carefully.@
Some Roundtable participants
expressed serious concerns about vitamin depletion caused by irradiation. One
academic participant noted that acute foodborne illness which irradiation is
intended to prevent afflicts a small percentage of the population, while any
nutritional loss caused by irradiation potentially affects everyone. Some
participants also expressed concern about the effect of any vitamin loss on
special subpopulations, especially low-income Americans. Fortification was
suggested for consideration where vitamin loss is a concern. One participant
proposed that labeling on irradiated foods should declare the amount of
nutrient loss.
With regard to specific
foods, Dr. Louria questioned FDA=s determination that
depletion of thiamin in meat would not adversely affect the nutritional status
of any population groups. He said that studies done by his medical school had
found vitamin deficiencies, including thiamin deficiency, in elderly persons.[4]
Dr. Hansen maintained that FDA=s data show that average thiamin intakes for
all segments of the U.S. population are at or above the RDA. The RDAs include a
safety factor to take into account variations in intake. In addition, most
dietary thiamin comes from cereal grains.
One academic participant
also inquired whether irradiation of fish would impact omega-3 fatty acids. Dr.
Thayer said that he was only aware of a limited amount of research into
irradiation of fish, since FDA has not approved irradiation of seafood and
since some fish species cannot be irradiated because they are too fatty.
Irradiation of talapia had no effect on omega-3 fatty acids. Dr. Taub also
pointed out that the pattern of effects of radiation on fatty acids is well
established and that no significant impact on omega-3 fatty acids would be
expected.
One consumer group
participant questioned whether irradiation of fruits and vegetables, especially
at doses above 1 kGy, would cause significant loss of vitamins. Dr. Thayer said
that relatively little research has been done on the nutritional effects of
irradiating produce at doses above 1 kGy. Dr. Louria argued that, while the
consumption of fruits and vegetables is known to prevent certain cancers, it is
not known which of the many substances in fruits and vegetables are
cancer-preventive. Therefore, it is not possible to measure the effect of
radiation on those substances.
Finally, some participants
expressed concern about the possibility of irradiating nuts and grains, which are
important sources of vitamin E, another vitamin known to be sensitive to
radiation. Some studies have found a synergy between the effects of irradiation
and other treatments, such as cooking, on vitamin E loss.[5]
Dr. Thayer said that nuts are unlikely to be irradiated, because they do not
pose a food safety hazard and because irradiation of foods with such a high fat
content causes rancidity. Dr. Hansen noted that foods that are significant
sources of vitamin E typically have a relatively high fat content and therefore
are unlikely candidates for irradiation. If they were irradiated, it would most
likely be at a low dose or in a reduced-oxygen atmosphere in order to avoid
undesirable organoleptic changes, and both of these conditions tend to minimize
vitamin loss.
Organoleptic Effects of Irradiation
Research indicates that irradiation at FDA-approved does has a minimal
impact on the organoleptic properties of foods. A blind taste-test among
Roundtable participants found no discernible taste differences between
irradiated and non-irradiated ground beef.
Dr. Dennis Olson, Iowa State
University, spoke about the effect of irradiation on the organoleptic
properties of meat and poultry. He said the organoleptic effects were generally
minimal. Irradiation at approved doses produces no changes in texture or
juiciness. Changes in smell are dependent on the dose and the conditions under
which the product is irradiated, he said. These conditions include packaging,
atmosphere, temperature, and fat and water content. Irradiated ground beef is
initially darker, but lightens during display.
At the end of the first day
of the Roundtable, participants were invited to take part in a taste test
comparing irradiated and non-irradiated ground beef. Ground beef (75 percent lean)
was provided on request by IBP, Inc. Participants were offered four different
types of ground beef: non-irradiated ground beef, ground beef irradiated at 3.6
kGy using an electron beam accelerator, ground beef irradiated at 1.8 kGy using
an electron-beam accelerator, and ground beef irradiated at 1.8 kGy using a
cobalt-60 source. These doses approximate those that might be used to
pasteurize ground beef for commercial sale. Irradiation was conducted by
Isomedix, Inc. (cobalt-60 sample) and by the Meat Lab at Iowa State University
(e-beam samples). All ground beef was irradiated in a refrigerated state, held
for two weeks, made into patties, frozen, and thawed two weeks later for the
Roundtable. The ground beef patties were then cooked on a griddle at D.C.
Central Kitchen before being served; cooking times and temperatures were not
strictly controlled. Participants were offered samples of each type of ground
beef on unmarked color-coded plates. Participants were then asked to complete a
questionnaire ranking each sample on a scale from 1 to 4 in the following
categories: raw appearance/odor, cooked appearance/odor, flavor, and overall
palatability. Nineteen of the Roundtable participants took part in the taste
test.
As a group, those who
participated in the taste test reported no differences between irradiated and
non-irradiated ground beef. In terms of overall palatability, the ground beef
irradiated at 1.8 kGy by electron beam received the highest rating, although
the difference in the ratings was not statistically significant. A copy of the
results of the taste test, including representative comments by participants,
is attached to this Summary as Appendix II.
Worker Safety in Irradiation Facilities
Roundtable participants agreed that workers safety and environmental
concerns must be addressed prior to widespread commercialization of food
irradiation. Irradiators must obtain federal, state and local regulatory
approvals and adhere to good irradiation practice guidelines.
Linda Golodner, National Consumers
League, raised the issue of worker safety. All participants agreed that
procedures to ensure worker safety are essential. James Clauser of SteriGenics
International stated that workers in his company=s plants are exposed to no
irradiation and wear dosimeters to ensure zero exposure.
It was noted that
irradiation plants using gamma ray sources, such as cobalt-60, must be licensed
by the Nuclear Regulatory Commission, but electron-beam accelerators in food
processing plants are regulated by the radiologic health divisions of state
health departments. Ms. Golodner stated that the poultry industry has a dismal
worker safety record and will require a great deal of oversight if E-beam
machines are ever to be installed in its processing plants. She also questioned
the record of the NRC and argued that not all safety violations are reported to
the NRC. She proposed that workers in both irradiation facilities and food
processing plants that use irradiation equipment should be given whistle-blower
protection.
Consumer Acceptance of Irradiated Foods
The Roundtable discussed recent research suggesting that most consumers
are willing to accept irradiated foods if they are educated as to the purpose
and safety of irradiation. There was general agreement that additional consumer
research and education is needed.
Dr. Christine Bruhn
presented an overview of research on consumer attitudes toward irradiated food.
Annual surveys conducted by the Food Marketing Institute have found a shift in
concern among consumers from chemical and pesticide contamination to
microbiological contamination; bacteria now ranks highest among consumers= food safety concerns and is
increasing. When asked about irradiated foods, FMI=s 1997 Trends survey found about 33 percent of consumers surveyed felt
irradiation was a Aserious concern,@ and about 56 percent
expressed Asome concern@ or Aserious concern.@ The FMI surveys have found
consumers are less concerned about irradiation than about bacteria or
pesticides, while an AMI/Gallup survey found about the same level of concern
for irradiation as for chemicals and preservatives.
Consumers= concerns about irradiated
foods center on their safety, their quality and worker and environmental
safety. According to FMI=s 1996 Trends
survey, consumer acceptance of irradiated foods may depend upon the purpose for
which the foods are being irradiated. That survey found that consumers were
more likely to say they would buy irradiated foods if the purpose was to Akill germs@ than if the purpose was to
extend shelf life. Not all consumers will accept irradiated foods. Consumers
likely to reject irradiated foods are those who are risk-averse, have
anti-nuclear views or are distrustful of the government.
When surveyed consumers are
educated about irradiation, levels of acceptance increase. In one study, when
consumers were shown an educational video, acceptance went from 54 percent
before the video to 90 percent after.[6]
Educational messages that work include those that describe irradiation=s benefits, emphasize the
safety of the process, address worker safety and environmental concerns,
compare irradiation to more familiar technologies (such as pasteurization of
dairy products), and list endorsements by health authorities. Endorsements that
appear to carry the most weight with consumers are those by groups that have
technical expertise but no vested interest in irradiation, such as the American
Medical Association, The American Dietetic Association, and other professional
societies and universities.
Some marketing studies have
found that consumers favor irradiated over non-irradiated foods and that some
consumers may even pay a higher price for irradiated foods when given a choice.
A recent unpublished Kansas State University study found that about 60 percent
of consumers bought irradiated instead of non-irradiated chicken when both were
sold at the same price. When consumers were provided with educational material,
80 percent of consumers chose the irradiated chicken.[7]
Nevertheless, several participants felt that consumer research findings need to
be corroborated by actual marketing experience. A relatively small number of
supermarkets and restaurants in the United States currently offer irradiated
foods on a regular basis. A supermarket in the Chicago area has successfully
been selling irradiated chicken and produce labeled as such for several years.
The fact that irradiated food is being sold in the market is, in itself,
considered an endorsement by many consumers.
Dr. Timothy Hammonds, Food Marketing Institute, presented his
conclusions from FMI=s many consumer surveys on irradiation. He
said that the Acollective wisdom of the public@ on issues of this kind is
impressive, and educators should not Atalk down@ to consumers. The
introduction of irradiated foods must be done Awith consumers.@ Dr. Hammonds said that
grocers are willing to play their part, provided that irradiated foods are
clearly labeled and consumers are educated about the benefits of irradiation.
He called for a public education campaign on food irradiation and invited
consumer groups to participate, but he said that the educational campaign
should not be overdone. For example, information should be offered to shoppers
in the grocery store, not mailed to them at home.
Robert Earl, International
Food Information Council, summarized the preliminary findings of six focus
groups conducted by Axiom Research Co. of Cambridge, Massachusetts for the
International Food Information Council. The focus groups were held in New York
City, Dallas and Los Angeles in January
and February 1998 and included men and women representing a mix of ages, races,
and educational and socio-economic levels. During the focus groups,
participants were asked to read an editorial from USA Today. IFIC=s research expands upon earlier consumer
attitude surveys and research presented by Dr. Bruhn and is the first focus
group research to evaluate specific messages on food irradiation that could be
used in future education campaigns.
IFIC found that most consumers
will accept irradiation along with other measures to improve food safety. Most
are willing to try irradiated foods, but they will not compromise on taste.
Consumers are far more accepting if irradiation is being used to improve food
safety than if it is used to extend shelf life, and some consumers said they
did not want produce with longer shelf lifes. Many consumers were willing to
pay a premium up to several cents per pound for irradiated foods that are
safer. A small minority of the focus group participants were Aholdouts,@ those who said they would
not eat irradiated foods under any circumstances.
According to IFIC, consumers
want a choice between irradiated and non-irradiated foods, and they want
irradiated foods to be labeled. Consumers liked the radura symbol which they
found appealing, but consumers felt the symbol alone was insufficient. As for
the text to accompany the radura,
consumers liked Airradiated for your safety,@ Airradiated to eliminate
harmful bacteria,@ and Acold pasteurization
(irradiation).@ Consumers also want to be educated about
irradiation.
Some industry participants
were less sanguine about consumer acceptance of irradiated foods, especially
when anti-irradiation groups take out full-page ads attacking irradiated foods
or picket stores or restaurants selling irradiated foods. One participant said
the key question to ask survey respondents and focus group participants is Awould you feed irradiated
food to your children?@ David Schmidt, International Food
Information Council, said that the IFIC focus groups included parents who said
they would provide their children with irradiated foods because of concerns
about foodborne illness. He felt that most consumers are able to see through
extreme language on both sides, both fear-mongering by irradiation opponents
and exaggerations by irradiation proponents.
On the issue of consumer
education, most participants agreed that food processors, distributors and
retailers, as well as food service employees and consumers, would need to be
educated about the continuing need for safe handling and cooking practices.
While some industry participants proposed that government be involved in
consumer education and one participant proposed the Surgeon General publicly
affirm the public health benefits of irradiation, the consumer groups argued
that the federal government should not be part of an educational campaign. They
argued that the government should not promote one food safety technology over
others and that the limited federal food safety budget would be better spent
elsewhere.
Labeling of Irradiated Foods
Roundtable participants generally agreed that irradiated foods should
continue to be labeled, subject to existing exceptions. However, participants
were open to variations on existing label languageCsuch as Acold
pasteurization (irradiation)@Cthat would provide an informative, truthful and non-threatening way to
notify consumers that a particular product has been irradiated.
Dr. Patricia Hansen reviewed
the FDA=s labeling requirements for irradiated foods. FDA
requires that the retail packaging of irradiated product bear the radura symbol
and a statement Atreated with radiation@ or Atreated by irradiation.@ The label may add certain
additional statements such as Ato reduce bacteria@ provided such statements
are truthful and non-misleading. For products not in packaged form, the
labeling must appear on signage. The FDA labeling requirement does not apply to
Asecond generation@ products, products that contain an
irradiated ingredient but are not themselves irradiated. FDA does not mandate
any color or type size for the labeling. The requirement of labeling language
originally had a sunset clause, and FDA intended to discontinue the text once
consumers became familiar with the radura symbol. However, since few irradiated
foods have been marketed, this has not been possible and FDA has made the
labeling language a permanent requirement. Dr. Hansen showed a table of other
countries= labeling requirements for irradiated foods and
noted that no country uses a symbol alone. The Food and Drug Administration
Modernization Act of 1997 states that no provision of the Federal Food, Drug
and Cosmetic Act shall be construed to require that a separate irradiation
disclosure statement be more prominent than the declaration of ingredients.
Although FDA=s current labeling regulation does not require that
the irradiation disclosure statement be more prominent than the declaration of
ingredients, the agency plans to amend its regulations to clarify this point.
Dr. Hansen said that FDA has been and still is open to specific suggestions for
label improvements provided the label remains truthful and non-misleading.
Dr. Hansen said FDA
initially decided to require labeling of irradiated foods, because the agency
deems irradiation to be a material fact that might not be apparent to the
consumer without such labeling. It is deemed material, because irradiation may
alter such properties as the organoleptic qualities or the shelf life of foods,
and, in the absence of labeling, consumers would not expect these differences.
Dr. Daniel Engeljohn, USDA,
noted that FSIS has separate regulations governing the labeling of irradiated
poultry. For poultry, FSIS requires a green radura symbol and the words Atreated by irradiation@ to be prominently displayed
on the principal display panel. There is currently no labeling regulation for
pork, because no irradiated pork is being marketed, but an FSIS policy states
that meat products containing irradiated pork may need to be labeled depending
upon how much irradiated pork they contain. In this, FSIS policy and FDA policy
diverge, since FDA does not require labeling of irradiated ingredients. FSIS
intends to issue a proposed labeling rule for meat shortly.
All Roundtable participants
who addressed the issue supported labeling of irradiated foods, with the
exception of the National Food Processors Association which questioned the
legal and scientific basis for requiring labeling of irradiated foods and felt
that the current labeling requirement would deter some consumers. Most
participants felt that labeling should be required to inform those who seek
to purchase irradiated foods as well as for those who want to avoid them.
Eliminating the label, they felt, would eliminate consumer choice. It would
also likely raise a Ared flag@ for consumers. Carol Tucker
Foreman commented that, where there are already doubts in the public mind about
something, altering established practices will only strengthen those doubts.
She suggested that food manufacturers embrace the label and use it in
competitive advertising. One industry participant, however, argued that
promotion of irradiated foods as safer would improperly imply that
non-irradiated foods may be less safe or unsafe.
On the contents of the
label, most participants agreed that the word Airradiation@ or some variant thereof
should appear on the label. Brian Folkerts, National Food Processors
Association, felt strongly that use of the word Airradiation@ alone has negative
connotations for many consumers. He and a few other participants favored the
term Acold pasteurization@ by itself. He also felt it was unclear
whether the radura symbol may be seen as a warning by some consumers.
Some participants felt the
labeling language could be altered to sound less threatening while continuing
to use the word Airradiation.@ Dr. Taub suggested that the
label should distinguish between irradiated foods that are pasteurized and
those that are sterilized. He suggested Airradiation pasteurized@ and Airradiation sterilized@ or some variation of these
terms. Other participants favored Acold pasteurization
(irradiation)@ or Acold pasteurized (irradiated).@ Other cold pasteurizing
technologies, such as ozone or high pressure, could then be inserted in the
parentheses as applicable. Dr. Engeljohn cautioned that it would first be
necessary to establish a consistent definition for the term Apasteurized@ across all commodities.
Glossary
D-value: The radiation dose necessary
to reduce the initial population of a bacterial pathogen by 90 percent. For
each pathogen, the D-value will vary depending on such factors as the specific
food, the physical state of the food (frozen versus nonfrozen), temperature and
ambient oxygen level.
kGy (kiloGray): One thousand Gray. A Gray is
a unit measure of radiation dose equal to one joule of energy absorbed per
kilogram of matter being irradiated. The Gray is the unit of radiation absorbed
dose used by the International System of Units (or SI, from the French ASysteme internationale@), the worldwide official
system of units of measure since 1986.
One Gray equals 100 rad, a unit formerly used to measure radiation
absorbed dose.
log phase: The logarithmic growth phase
is the phase during which bacteria grow or multiply most rapidly.
metazoa: Parasites that are larger
organisms than protozoa. They include such parasites as Trichinella spiralis and Anisakis.
oocyst: The zygote, or egg, produced during
reproduction by protozoa.
polyploidy: The occurrence of cells
containing two or more times the normal number of chromosomes. Human cells
normally have 46 chromosomes. Polyploid human cells therefore have 92
chromosomes and occasionally 184 or more chromosomes.
spore: Spores are the so-called Aresting stage@ of certain bacteria in
which the bacterial cell becomes enclosed in a tough, resistant coat in
response to adverse environmental conditions. On return to less adverse
conditions, the spore can germinate and revert to its normal vegetative state.
The spore-forming bacteria include Clostridium
botulinum, Clostridium perfringens
and Bacillus cereus.
stationary phase: The phase during which
bacteria grow or multiply less rapidly.
Appendix I
Foods Permitted to be Irradiated under FDA=s Regulations
Food Purpose Dose
Fresh pork Control Trichinella spiralis 1 kGy max./O.3 kGy min.
Fresh foods Growth
and maturation inhibition 1 kGy max.
Foods Anthropod
disinfestation 1 kGy max.
Dry enzyme
preparations Microbial disinfection 10 kGy max.
Dry spices/seasonings Microbial disinfection 30 kGy max.
Poultry, fresh
or frozen Pathogen
control 3 kGy max./1.5 kGy min.
Frozen meats (NASA) Sterilization 44 kGy min.
Refrigerated meat Pathogen control 4.5
kGy max.
Frozen meat Pathogen control 7 kGy max.
Appendix II
Product EvaluationCIrradiated Patties, Washington, DC, February 18, 1998
The purpose of this review
was to determine the acceptability of irradiated (1.8 kGray and 3.6 kGray)
hamburger patties versus untreated patties.
Results SummaryC19 Participants
|
Test |
Raw Appearance/Odor |
Cooked Appearance/Odor |
Flavor |
Overall Palatability |
|
Blue 1.8 kgray E Beam |
1.84 |
1.94 |
2.17 |
2.69 |
|
Yellow 3.6 kgray E Beam |
2.89 |
2.31 |
2.72 |
2.3 |
|
Red 1.8 kgray Gamma |
2.03 |
1.69 |
1.81 |
1.94 |
|
Green Untreated |
1.92 |
1.97 |
1.89 |
2.13 |
Comments and Ranking
!
Place
the rank (1 the best, 4 the worst, ties are acceptable), in the smaller column
and your comments in the larger column for each of the categories.
!
Please
evaluate the cooked poduct first before looking at the raw products.
!
Use
whatever condiments you wish and note if your comments are based on product
with or without condiments.
Miscellaneous Comments
!
No
essential difference in appearance or color.
!
No
essential difference with condiments in flavor (2).
!
All
products satisfactory (2).
!
No
significant difference.
!
Differing
degrees of doneness masked some of the product differences.
!
Differences
were very minute.
Comments SummaryC19 Participants
|
Test |
Raw Appearance/Odor |
Cooked Appearance/Odor |
Flavor |
Overall Palatability |
|
Blue 1.8 kgray E Beam |
$ Slightly darker in the tray (2) $ Normal |
$ Not quite as well cooked (2) $ Slight off odor (4) |
$ Slight off flavor $ Tastes old $ Very good $ Dry (2) $ Moist (2) $ Bland taste $ More flavor $ Control? |
$ Excellent $ OK $ Good (2) |
|
Yellow 3.6 kgray E Beam |
$ Slightly darker $ Color less red |
$ Slight off odor (2) $ Little different odor, not ob- jectionable $ Good appear- ance, looks juicy $ Less well done |
$ Not bad flavor $ Bland $ OK $ Raw notes $ Good flavor |
$ Very good $ Irradiated? $ OK $ Dry $ Good (2) $ Objectionable |
|
Red 1.8 kgray Gamma |
$ Darker |
$ Good odor /appearance $ Juicy hambur- ger odor |
$ OK (2) $ Slightly juicer $ Good $ Dry |
$ Very good $ Little tougher $ Best overall $ Very acceptable $ Good (2) $ Dry $ Least juicy |
|
Green Untreated |
|
$ Slight pungent odor $ Slight irrradi- ation odor $ Good odor $ Burnt/well done $ Great appear- ance |
$ Slight off flavor $ Best due to cooking $ Good beefy fla- vor $ Excellent flavor $ Grilled notes more pro- nounced $ Juicy $ More flavorful $ Most flavor $ OK $ Little dry $ Good |
$ Home taste $ Excellent $ Moist $ Good (2) |
[1]Thayer, DW and Boyd, G. Elimination of Escherichia coli O157:H7 in Meats by Gamma Irradiation. Appl. Environ. Microbiol. 1993;
59:1030-34.
[2]Bhaskaram, C and Sadasivan,
G. Effects of feeding irradiated wheat to malnourished children. Am. J. Clin. Nutr. 1975; 28:130-35.
[3]Brynjolfsson, A. Results of
Feeding Trials of Irradiated Diets in Human Volunteers: Summary of the Chinese
Studies, published in Proceedings of the FAO/IAEA Seminar for Asia and the
Pacific on the Practical Application of Food Irradiation held in Shanghai,
April 7-11, 1986.
[4]Baker et al., Vitamin
Profiles in Elderly Persons Living at Home or in Nursing Homes, versus Profile
in Healthy Young Subjects. J. Am.
Geriatrics Soc. 1979; 27:444-50.
[5]Diehl, JF, Safety of Irradiated Foods, Marcel
Dekker Inc., New York, 1995, pp. 256-57.
[6]Pohlman, AJ, Wood, OB and
Mason, AC. Influence of Audiovisuals and Food Samples on Consumer Acceptance of
Food Irradiation. Food Technology.
1994; 48:46-49.
[7]Fox, John A., and Olson,
Dennis G., Market Trials of Irradiated Chicken, forthcoming in Radiation Physics and Chemistry.