Acknowledgements |
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ix | |
Risk assessment drafting group |
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xi | |
Reviewers |
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xiii | |
Foreword |
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xv | |
Preface |
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xvii | |
Abbreviations |
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xix | |
Executive Summary |
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xxi | |
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1 | (4) |
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1.1 Scope of the assessment |
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1 | (1) |
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1.2 Approach: Hazard Identification |
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2 | (1) |
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1.3 Approach: Exposure Assessment |
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2 | (1) |
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1.4 Approach: Hazard Characterization |
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2 | (1) |
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1.5 Approach: Risk Characterization |
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3 | (2) |
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5 | (14) |
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2.1 Human incidence of Campylobacter infection in developed countries |
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5 | (1) |
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2.2 Human incidence of Campylobacter infection in developing countries |
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6 | (1) |
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7 | (1) |
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2.4 Characteristics of the organism |
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8 | (1) |
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2.4.1 Growth and survival |
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8 | (1) |
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2.4.2 Death or inactivation |
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9 | (1) |
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9 | (1) |
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2.6 Contamination during processing |
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10 | (1) |
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2.7 Contamination of retail products |
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11 | (1) |
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2.8 Risk factors in developed countries |
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12 | (4) |
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2.8.1 Food-related risk factors |
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12 | (2) |
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14 | (1) |
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2.8.3 Person-to-person transmission |
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15 | (1) |
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2.8.4 Relative importance of the risk factors |
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15 | (1) |
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2.9 Risk factors in developing countries |
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16 | (3) |
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19 | (34) |
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3.1 Campylobacter on the broiler farm |
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19 | (5) |
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19 | (1) |
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3.1.2 Risk assessment model description: Farm component |
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20 | (1) |
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3.1.2.1 Estimating flock prevalence, Pfp |
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20 | (1) |
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3.1.2.2 Estimating within-flock prevalence, Pwfp |
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21 | (1) |
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3.1.2.3 Possible model modifications |
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22 | (1) |
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3.1.3 Parameter estimation |
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23 | (1) |
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3.2 Contamination level of chickens on the farm and during transport |
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24 | (6) |
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3.2.1 Model development: Extent of colonization and external contamination |
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25 | (1) |
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3.2.1.1 Contamination on the farm |
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25 | (1) |
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3.2.1.2 Contamination during transportation to slaughter facility |
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25 | (1) |
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3.2.1.3 Model description: Contamination during transport |
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26 | (1) |
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3.2.1.4 Levels of contamination at slaughter for positive flocks |
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27 | (1) |
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3.2.1.5 The transportation of negative flocks |
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28 | (1) |
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3.2.1.6 Levels of contamination at slaughter for negative flocks |
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28 | (1) |
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3.2.2 Parameter estimation and simulation |
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29 | (1) |
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3.3 The slaughter and processing of chicken |
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30 | (13) |
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3.3.1 The stages of chicken processing |
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31 | (1) |
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3.3.1.1 Stunning and slaughter |
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31 | (1) |
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31 | (1) |
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32 | (1) |
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32 | (1) |
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33 | (1) |
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33 | (1) |
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3.3.1.7 Grading and packaging |
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34 | (1) |
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3.3.1.8 Secondary chilling and distribution |
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34 | (1) |
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3.3.1.9 Portioning and mechanically recovered meat |
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34 | (1) |
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3.3.2 Model description for the slaughter and processing of chicken |
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35 | (1) |
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3.3.2.1 Level of contamination |
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35 | (1) |
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3.3.2.2 Estimation of changes in number of organisms after scalding, μi |
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36 | (1) |
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3.3.2.3 Estimation of changes in contamination after de-feathering, φi |
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37 | (2) |
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3.3.2.4 Estimation of changes in number of Campylobacter due to evisceration, εi |
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39 | (1) |
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3.3.2.5 Estimation of changes in number of Campylobacter after washing, ν |
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40 | (1) |
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3.3.2.6 Estimation of changes in Campylobacter after chilling, τi |
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40 | (2) |
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3.3.3 Estimating the prevalence of contaminated products, Ppp |
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42 | (1) |
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3.3.3.1 Alternative processing models |
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42 | (1) |
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3.3.3.2 Storage of the products |
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43 | (1) |
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3.4 Home preparation and handling of chicken |
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43 | (10) |
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3.4.1 Cross-contamination |
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44 | (1) |
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3.4.1.1 Description of the drip-fluid model |
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44 | (2) |
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46 | (1) |
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3.4.1.3 Approaches to modelling of cooking-overview |
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47 | (1) |
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3.4.1.4 Description of the cooking model |
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48 | (5) |
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4 Hazard characterization |
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53 | (16) |
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4.1 Pathogen, host and food matrix factors |
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53 | (4) |
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4.1.1 Infectivity, virulence and pathogenicity of the organism |
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53 | (1) |
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4.1.2 Host characteristics |
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53 | (1) |
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53 | (1) |
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54 | (1) |
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54 | (1) |
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4.1.3 Demographic and socio-economic factors |
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54 | (1) |
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54 | (1) |
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4.1.3.2 Local environmental factors |
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54 | (1) |
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4.1.3.3 Poultry slaughterhouse workers |
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55 | (1) |
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55 | (1) |
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4.1.3.5 Developing and developed countries |
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55 | (1) |
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56 | (1) |
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4.1.4.1 Acquired immunity |
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56 | (1) |
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4.1.4.2 Underlying disease |
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56 | (1) |
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4.1.4.3 Concurrent medication |
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56 | (1) |
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4.1.5 Factors related to the matrix and conditions of ingestion |
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57 | (1) |
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4.2 Adverse health effects |
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57 | (2) |
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4.2.1 Acute gastrointestinal manifestations |
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57 | (1) |
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4.2.2 Non-gastrointestinal sequelae |
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57 | (1) |
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58 | (1) |
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4.2.4 Effect of antimicrobial resistance |
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58 | (1) |
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4.3 Campylobacter dose-response analysis |
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59 | (7) |
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4.4 Prevalence-based models of hazard characterization |
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66 | (3) |
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69 | (16) |
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69 | (2) |
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71 | (2) |
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5.3 Scenario 1: Change in prevalence of chickens going to retail |
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73 | (1) |
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5.4 Scenario 2: Change in level of contamination |
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74 | (3) |
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5.5 Scenario 3: Changing between-flock and within-flock prevalence |
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77 | (2) |
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5.6 Scenario 4: Changing internal and surface contamination levels before and through processing |
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79 | (1) |
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5.7 Scenario 5: Risk-mitigation impacts from freezing of fresh chicken |
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80 | (3) |
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5.8 Examples of risk management options employed by member countries |
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83 | (2) |
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5.8.1 The campylobacteriosis epidemic in Iceland |
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83 | (1) |
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5.8.2 Developments in Denmark and Norway |
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83 | (2) |
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6 Risk Assessment and Developing Countries |
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85 | (4) |
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86 | (1) |
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6.1.1 Epidemiology of Campylobacter sources |
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86 | (1) |
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6.1.2 Potential pathways of human exposure during preparation, processing and production of chicken |
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86 | (1) |
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6.1.3 Data collection and use |
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86 | (1) |
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6.2 Mitigations that could be implemented to potentially reduce Campylobacter in chicken |
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87 | (1) |
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6.3 Additional considerations |
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87 | (2) |
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89 | (2) |
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7.1 Hazard identification |
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89 | (1) |
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89 | (1) |
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89 | (1) |
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89 | (1) |
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7.2.3 Post-processing and consumer handling |
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90 | (1) |
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7.3 Hazard characterization |
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90 | (1) |
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91 | (4) |
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8.1 Model use and adaptation |
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91 | (1) |
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92 | (3) |
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9 Recent developments in risk assessment of Campylobacter in broilers |
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95 | (4) |
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9.1 QMRA: models and data |
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95 | (2) |
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9.1.1 New risk assessments |
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95 | (1) |
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9.1.2 New chicken processing data |
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96 | (1) |
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9.1.3 New data on consumer food handling |
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97 | (1) |
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9.1.4 Dose-response relationship |
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97 | (1) |
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97 | (2) |
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99 | (22) |
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121 | (10) |
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A1.1 Campylobacter on the farm |
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121 | (4) |
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121 | (1) |
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121 | (4) |
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A1.2 Consideration of Campylobacter sources within a risk assessment framework |
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125 | (6) |
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A1.2.1 Module for between-flock prevalence |
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126 | (1) |
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A1.2.2 Risk factor characterization |
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127 | (1) |
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A1.2.3 Population-prevalence estimates |
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127 | (1) |
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127 | (1) |
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A1.2.5 Limitations of the approach |
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128 | (1) |
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128 | (3) |
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131 | |
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131 | (1) |
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131 | (1) |
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132 | |