Evidence map›Paper›PMID 40318856›Full record

ArticleJournal of food protection2025

A Proposed Framework for Ranking and Prioritizing Food Safety Risks in Low Resource Settings Using Foodborne Disease Burden Metrics: A Case Study in Ethiopia.

Barbara Kowalcyk, Leon Gorris, Janet Buffer, Kathryn Stolte-Carroll, Bashiru C Bakin, Allison Howell, Desalegne Degefaw, Binyam Moges, Kara Morgan, Laura Binkley and 2 more

Abstract read
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In one paragraph

Article in Journal of food protection, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Barbara KowalcykCenter for Foodborne Illness Research and Prevention, The Ohio State University, Columbus, Ohio, USA; Translational Data Analytics Institute, The Ohio State University, Columbus, Ohio, USA; Milken Institute School of Public Health, George Washington University, Washington, District of Columbia, USA. Electronic address: barbara.kowalcyk@gwu.edu.
Leon GorrisFood Safety Futures, Nijmegen, the Netherlands.
Janet BufferCenter for Foodborne Illness Research and Prevention, The Ohio State University, Columbus, Ohio, USA; Milken Institute School of Public Health, George Washington University, Washington, District of Columbia, USA.
Kathryn Stolte-CarrollCenter for Foodborne Illness Research and Prevention, The Ohio State University, Columbus, Ohio, USA; Milken Institute School of Public Health, George Washington University, Washington, District of Columbia, USA.
Bashiru C BakinCenter for Foodborne Illness Research and Prevention, The Ohio State University, Columbus, Ohio, USA.
Allison HowellCenter for Foodborne Illness Research and Prevention, The Ohio State University, Columbus, Ohio, USA.
Desalegne DegefawGlobal One Health Initiative, The Ohio State University, Columbus, Ohio, USA.
Binyam MogesGlobal One Health Initiative, The Ohio State University, Columbus, Ohio, USA.
Kara MorganCenter for Foodborne Illness Research and Prevention, The Ohio State University, Columbus, Ohio, USA.
Laura BinkleyGlobal One Health Initiative, The Ohio State University, Columbus, Ohio, USA.
Getnet YimerGlobal One Health Initiative, The Ohio State University, Columbus, Ohio, USA; Department of Genetics and Penn Center for Global Genomics & Health Equity, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Arie H HavelaarEmerging Pathogens Institute, Global Food Systems Institute, Animal Sciences Department, University of Florida, Gainesville, Florida, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Risk-based food safety systems are recognized as the best way to address food safety in an effective and efficient manner. Central to risk-based food safety systems is an assessment, ranking, and prioritization of risks associated with foodborne hazards that informs objective, evidence-based decisions on risk mitigation in a systematic and transparent manner. While the importance of such approaches is well recognized, many governments struggle with where to begin. We adapted and implemented a framework for risk-based decision-making in low-resource settings using Ethiopia as an example, engaging Ethiopian stakeholders in a multiphase process to identify food safety priorities. First, stakeholder representatives were engaged to define statements of concern and purpose; identify foodborne hazards of public health relevance in Ethiopia; and select appropriate risk metrics for risk ranking and prioritization. Second, estimates for each risk metric were calculated for selected foodborne hazards using World Health Organization (WHO) data and expert elicitation. Third, stakeholder representatives were engaged in ranking the hazards as High, Medium, or Low risk; notably, mortality was the preferred risk metric in decision-making. Fourth, attribution estimates to food groups were developed for hazards ranked as High risk using expert elicitation to supplement WHO data. Lastly, stakeholder representatives were engaged in a risk prioritization exercise that identified key control points in four food supply chains and quantified their impact on risk through mitigation of hazards or prevention of contamination. Our proposed framework provides a systematic, evidence-based, and adaptable method for prioritizing the allocation of public sector resources. The process can generate the evidence needed to strengthen regulatory systems and support the efficient implementation of national-level food safety strategies that span from farm to fork to improve public health.

Indexed as

Foodborne DiseasesFood SafetyDecision MakingEthiopiaFood ContaminationHumansPublic HealthResource-Limited SettingsRisk AssessmentDecision-makingRisk analysisRisk-based food safety management systemsRisk prioritizationRisk ranking

Identifiers

PMID40318856
PMCPMC12548780

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.