THE WHITE HOUSE
Office of the Press Secretary
May 5, 2000
MEMORANDUM FOR THE SECRETARY OF AGRICULTURE
THE SECRETARY OF HEALTH AND HUMAN SERVICES
SUBJECT: REDUCING THE RISK OF LISTERIA MONOCYTOGENES
Food safety is a vital issue for all Americans. When people across this country sit down to a meal at home or in a restaurant, they expect that the food they eat will be safe. While the U.S. food supply is abundant, the marketplace has evolved from one dominated by minimally processed basic commodities for home preparation to one with an array of highly processed products that are ready-to-eat or require minimal preparation in the home.
To take account of the changes in the way Americans eat and to ensure that America's food supply remains safe, my Administration has made wide-ranging, dramatic improvements in food safety. We have worked successfully to revolutionize our meat and poultry inspection system, instituting scientific testing and pathogen reduction controls to target and reduce dangerous pathogens like Salmonella and E. coli O157:H7 and the illnesses they cause. We also have implemented an innovative system of preventative controls for the seafood industry, published industry guidance to improve the safety of fruits and vegetables, and taken steps to prevent unsafe imported foods from reaching American consumers. My Food Safety Initiative is now in its third year of improving food safety surveillance, outbreak response, education, research, and inspection. In 1998, I issued an Executive Order creating the President's Council on Food Safety (Council), which oversees Federal food safety research efforts and is currently developing a comprehensive, national food safety strategic plan. It is under the Council's auspices that my Administration produced last year an Egg Safety Action Plan with the goal of eliminating illnesses from Salmonella Enteritidis in eggs. Additionally, we launched a high-tech early warning system called PulseNet that uses DNA-fingerprinting techniques to help us better detect and prevent outbreaks of foodborne illness.
These and other efforts have helped to make meaningful improvements in food safety. But we can do even more. Millions of Americans get sick from eating contaminated food each year. With changing patterns of food production and consumption, we must continue to aggressively meet the food safety challenges of the 21st century.
One challenge we must address immediately is that of Listeria monocytogenes, which can cause a severe infection called listeriosis. Listeriosis is a significant public health concern, and is especially lethal, resulting in death in about 20 percent of cases. The Centers for Disease Control and Prevention estimate that 2,518 persons become ill and 504 persons die each year from listeriosis. Pregnant women with listeriosis can pass the infection on to their unborn children, potentially resulting in severe illness or death to the fetus or newborn infant. Others at high risk for severe disease or death are the elderly and those with weakened immune systems. Ready-to-eat food products, such as lunch meats, smoked fish, certain types of soft cheeses, and hot dogs, are among the foods most commonly associated with food-related illness from Listeria. To address this serious public health problem, the Department of Health and Human Services (HHS), in cooperation with the Department of Agriculture (USDA), is conducting a risk assessment on Listeria monocytogenes to determine which foods warrant further preventive measures. This risk assessment will be completed shortly, and I believe we must build on what is already being done to target this deadly organism.
My Administration's goal -- articulated in our Healthy People 2010 plan -- is to cut the number of illnesses caused by Listeria in half by 2010, from 0.5 cases to 0.25 cases per 100,000. To meet and exceed this goal, I hereby direct you, in cooperation and consultation with the Council and relevant Federal agencies, to report back to me within 120 days on the aggressive steps you will take to significantly reduce the risk of illness and death by Listeria monocytogenes in ready-to-eat foods. In particular, within this time period, I direct the Secretary of Agriculture to complete proposed regulations that include any appropriate microbiological testing and other industry measures to: 1) prevent cross-contamination in the processing environment; 2) ensure that the processing of ready-to-eat products meets appropriate standards; and 3) ensure that such products are safe throughout their shelf life. In addition, I direct the Secretary of Health and Human Services, within this time frame, to develop an action plan identifying additional steps necessary to reduce Listeria monocytogenes contamination. This plan should include consideration of control measures for at-risk foods and the publication of guidance for processors, retailers, and food service facilities. Finally, you should consider whether enhanced labeling is necessary to provide additional safeguards for consumers. These actions should be based in science and should establish the foundation for a comprehensive approach that significantly reduces the opportunity for Listeria product contamination and Listeria-related illnesses to occur. All these actions, taken together, should allow us to achieve our Healthy People Goal by 2005 rather than 2010.
These steps will continue to ensure the safety of America's food supply and will help protect some of the Nation's most vulnerable populations from foodborne illness.
WILLIAM J. CLINTON
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