Annexes Annex 1: Overview of the food safety in Vietnam Annex 2: Round-table discussion on food safety risk management in Vietnam and abstracts presented Annex 3: People met during the technical missions Annex 4: Matrix of laws, decrees, circulars and decisions related to food safety Annex 5a: Food safety governing system in Vietnam Annex 5b: Decentralization of MARD food safety responsibilities through province and district levels Annex 6: Further details on organizational structure of food safety management under MARD Annex 6b Additional material on surveillance and monitoring Annex 7: Further details on inspection for domestic versus import/export market, inspection frequencies and violations Annex 8: Fresh fruits, vegetables and meat inspection model Annex 9: Classification of laboratory testing parameters under MOH in terms of food and technique used Annex 10: Overview of samples analysed by year at NIFC in Ha Noi (2014-15) and IPH in Ho Chi Minh City (2011-15) Annex 11: Laboratory organization beyond MOH Annex 12: Provision of academic training in Vietnam related to food safety Annex 13: Procedure of audit of VietGAP certification Annex 14: Food safety biological hazards in the food chain Annex 15: Food safety hazards included, key messages and limitations of WHO FERG burden of disease estimates from a global perspective Annex 16: Burden of disease estimates (partly foodborne) other than those of WHO FERG Annex 17: Pork and vegetable value chains in Ha Noi and Ho Chi Minh City 1 Annex 1: Overview of Food safety in Vietnam Key questions This section draws on the information in the body of the report, and the wider literature to summarize evidence on key questions around food safety in Vietnam of interest to decision makers. We present the evidence for each question, discuss its quality where appropriate, make comparisons to other countries, and suggest opportunities and risks. The key questions are: 1. How is food safety perceived in Vietnam? 2. Is food in Vietnam safe? 3. What are the most important food safety issues? 4. What are the health impacts of unsafe food? 5. What are the priority food hazards in terms of health impacts? 6. What are the economic impacts of unsafe food? 7. How is food safety governed? What are capacities for governance? 8. What are the major food safety issues for trade? 9. What have been the responses to unsafe food and how successful have they been? 10. What are the key recommendations for improving food safety? Background: Agri-food system in Vietnam  Small-scale farmers produce most (80%) food consumed in Vietnam, but intensification is increasing especially in the poultry and pork sectors.  Most food (90%) is sold in traditional, informal markets but purchases in supermarkets are increasing.  Consumers have a strong preference for fresh animal source food (ASF) and produce (fresh fruit and vegetables) and most do not store purchased food for long periods. An estimated 90% of housewives go to the market every day.  Consumption of ASF, fresh produce, and processed food are increasing rapidly.  Important processed foods include noodles, fish sauce, and snacks.  There is a large ready-to-eat food industry, dominated by street stalls and kiosks.  Pork and fish are the most consumed animal source food followed by poultry and beef and rice is by far the most consumed staple.  Seafood is the most important food export followed by rice, cashew, fruit and vegetables and pepper. Food exports are greater than food imports.  Wheat, palm oil, and powdered milk are major food imports; large amounts of soybeans, soymeal, and corn are also imported for animal feed. 1. How is food safety perceived in Vietnam? 1.1 Current situation A relatively large literature suggests a high level of concern over food safety in Vietnam among consumers and government.  Consumers: Most recently, a nationally representative survey funded by USAID, found that food safety was of the two most pressing issues for people in Vietnam, higher than education, health care or governance (USAID 2015). A large survey in 2010 found respondents were pessimistic about the food safety situation in Vietnam: 43% of interviewees felt that food safety had worsened in the previous 10 years, while only 22% 1 felt otherwise (Jabbar 2010). City dwellers, high-income earners, and young people were much more frequently concerned about food safety than rural dwellers and low-income earners (Jabbar 2010).  Government: Government concern has been shown by the major overhaul of legislation resulting in the food safety act of 2010. Subsequent years saw additional circulars and issuances aimed at food safety (see chapter on structure).  Private sector: there is little information on how the formal or informal private sector view food safety. However in China and India, surveys have found food safety is a major concern of the food industry and this is likely the case also in Vietnam (Anon 2012). 2. Is food in Vietnam safe? 1.1 Current situation There is evidence that food contamination in Vietnam is widespread, as presented by numerous scientific studies. Food contamination hazards appear at all stages of the value chain. Specifically, ILRI’s studies show high level of contamination with Salmonella, E-Coli and other contaminants. The findings in Vietnam are consistent with most surveys of food in Asia and Africa, but they also go on to find that a large proportion of food, often the majority, fails to meet basic food safety standards. However, there are difficulties in aggregating food safety information from various sources, and as such, difficulties in assessing the overall level of risks and hazards. The following three levels have been reviewed as part of the study:  Private sector: The formal and export-oriented private sector generally has adequate food safety systems in place (including recognized HACCP and GMP). The informal sector, millions of small-scale livestock and vegetable producers, that dominate the private sector food production, is for the most part outside of the official surveillance system (except for export-oriented farms). Such small-scale producers use traditional methods for production and post-harvest, and traditional small-scale slaughterhouses, where food safety hazards are perceived to be the highest. Also, the majority of food is sold through open/wet markets, many of which lack adequate infrastructure to ensure hygiene and safety of the food. Supermarkets have been driving the introduction of higher hygiene conditions for food retail, nevertheless, one survey found pork sold in supermarkets had worse compliance with standards than food sold in wet markets (Fahrion AS 2013). (Quality of evidence: very poor. There is little information on food safety performance from the private sector).  Public sector: In recent years, the government released the results of thousands of laboratory tests of food samples (see chapter 5 for full details). These found 23% of vegetables exceeded the maximum levels for pesticides; 15% of meat samples exceeded the MRL for microbial contamination; 2% of meat and 8% of fish sampled exceeded the MRL for antibiotic residues (chapter 5). (Quality of evidence: weak to moderate. The food tested represents a very small amount of food consumed and there is little information on the accuracy of the results or how representative the surveys were.)  Research surveys: ILRI has conducted literature reviews, covering tens of thousands of food samples. These find around 10-40% of food is contaminated with microbes or parasites, which cause foodborne diseases. Pesticides, heavy metals and antibiotic residues are also commonly present. For example: pig tapeworm was found in 7% of pork (9 studies); salmonella in 30% of food (67 studies); antibiotic residues in around 30% of pork (3 studies) (Grace D 2012). Another review covering 95 papers also found high levels of 2 salmonella and campylobacter in meat (Carrique-Mas JJ 2013). Listeria and Streptococcus suis were present at lower levels but can cause more serious disease. Fish-borne fluke is common wherever raw fish are consumed and around 1 million people were estimated to be infected during the last national estimation (Kino H 1998). Surveys of vegetables also show high level of contamination with fecal bacteria (100%), pathogenic bacteria (20-40%) and parasites (26-100%) (Uga 2009, Chau). A survey in northern Vietnam found that even a relatively small consumption of fish and vegetables, would result in exceeding the recommended daily intake for a number of pesticides (Pham MH 2011). There has been less research on the safety of cereals, but there are localized problems with heavy metals and mycotoxins (Lucas et al., 1971; Martinez et al., 2013). (Quality of evidence: good. Most information comes from peer-reviewed journals and surveys reported in the literature are probably the most reliable way of assessing the safety of food in domestic markets.) Together, these sources of information point to risks of foodborne illnesses as there is evidence for high levels of contamination of food in domestic markets in Vietnam, often above allowable maximum levels. 1.2 Comparative analysis Levels of parasites, microbes, pesticides and antibiotic residues appear to be much higher than in developed countries but similar to low and middle-income countries (LMIC). The Economist intelligence unit includes a food safety indicator in its annual Global Food Security Index, but it is limited to three indicators, which are only weakly associated with food safety performance. Nonetheless, this provides a qualitative assessment of food safety in Vietnam relative to other countries (Figure 1.1) in relation to legislative framework and institutions. Vietnam ranked 69 out of 109 countries and was in the second worst category. Moreover, the same study found food safety in Vietnam has shown a small decline over the last 4 years. Figure 0.1 Qualitative assessment of food safety of 109 countries in 2015 Source: The EIU Global Food Security Index Studies on food alerts show that Vietnam is among the top ten exporting countries in terms of number of alerts generated by exported food. However, once we take into account the volume of food exported, the inspection capacities of importing countries, and the type of food imported, then 3 Vietnam’s performance is better than several major exporters (for example, India and China) but not as good as other, mainly high income, countries (for example, Iceland) (chapter 5). 1.3 Opportunities and risks Only in recent years has FBD become a major concern in LMIC and there is not good information on the trends of FBD or success of control methods (Grace 2015). In high-income countries, food is much safer than in LMIC countries. However, while there have been some successes in reducing FBD, there is little evidence for major decreases in FBD in Europe or America (Grace 2015). Development literature suggests food safety can be improved in Vietnam but there are few good examples of interventions or approaches that can significantly improve food safety in mass domestic markets in LMIC (Grace 2015). Vietnam is a major exporter of agricultural produce with potential to increase still further. Two of the most important food exports (seafood and fruits) are both high risk for food safety issues and oriented towards high value markets, which are increasingly demanding of food safety. Improving the safety of exported products will be needed to maintain access to these markets. 3. What are the most important food safety issues in Vietnam? 1.1 Current situation Food safety issues may arise because food contains substances injurious to human health or because food is perceived to be unsafe or unacceptable. Hazards are substances that can cause harm to human health and are often divided into three categories: biological, chemical and physical. Hazards may or may not translate into food safety risks and result in foodborne diseases. Though the existence of hazards already points out to the need to address them in the food safety system in order to reduce the risk of foodborne diseases. There is very often confusion between what constitutes food safety hazard, and what constitutes risk of foodborne disease. To illustrate this, a basic example can be provided. Food that is adulterated or abnormal can also be perceived as unsafe by the consumers and regulators, even if the health risk is low or unknown (for example, the well-known Horsemeat scandal in Europe). Experience in other countries suggests that food safety hazards can cause significant economic burden, they can have major political implications by way of undermining social stability and can destroy entire industries. Food safety problems act as repeated constraints which impede value chain development; and the lack (or even the perceived lack) of food safety in the domestic market can make it more difficult and costly to promote exports. Human health data and linkage with foodborne illnesses is scarce, but Vietnam is not unique as many other countries also do not have reliable data. When data are available, they indicate moderate burdens on public health, e.g. perhaps 29th in importance in Vietnam. Recent WHO study and experiences from other countries, including the data from the research, show that the majority of hazards and risks come from microbial contaminants as opposed to chemical contaminants. However, the public in Vietnam (as well as in other countries of East Asia) are primarily concerned with chemical contaminants. This is because risk perception is not well aligned to actual risk: in particular, risks that are novel, acute, featured in the media, un-natural, unfamiliar, outside ones control and perceived as serving the interests of business are systematically over-estimated, whereas risks that are familiar, chronic, and within ones control are systematically under-estimate (Slovic 1987 ). For example, the public exhibits high concern over food irradiation, treatment of meat with chlorine, hormones and genetically modified organisms which experts and scientists may consider relatively harmless, whereas the public often exhibits low concern over over-consumption and foodborne bacteria which experts consider very 4 dangerous ((HLPE). Forthcoming). One study in Vietnam, found consumers expressed most concern about chemical hazards in pork (Jabbar et al., 2010). From an economic perspective, cost of illness, domestic food scares and export rejections are all of concern in Vietnam (see chapter 5). However, while domestic food scares and export rejections have high visibility, the cost of endemic (non-outbreak) foodborne diseases is largely invisible. 1.2 Comparative analysis The food safety issues faced by Vietnam are similar to those of other LMIC. Because of domestic consumption, problems associated with pork, poultry, seafood, and fresh vegetables are especially important. As for many countries in south east Asia, there is relatively high use of pesticides and veterinary drugs which increases the risk of food residues (Figure 1.2). While many countries have dramatically reduced pesticide use in the last 20 years, there has been little progress in Vietnam (FAOSTAT, 2016). The high levels of pollution in the Mekong are challenges to fisheries. Figure 0.2 Pesticide use on arable land and permanent crops (tones per 1000 Ha) in 2010 Source: FAOSTAT, 1.2 Opportunities and risks Understanding the health and economic impacts of food safety issues, and their amenability to interventions, is important to ensure that scarce resources are being used on food safety issues where most benefit can be obtained for least cost. It is also important to take into account the different priorities of public health, consumers, and markets. 4. What are the health impacts of unsafe food in Vietnam? 1.1 Current situation Despite seemingly alarming results from the research findings, demonstrating at times high share of contaminated food in the food supply chain, as outlined above, there is little or no scientific evidence to demonstrate the burden of foodborne illnesses. Public data of foodborne illnesses is very limited. Food poisoning events receive the most media and subsequently government 5 attention because of their visibility. There are from-time-to-time media reports about outbreaks of one or another food poisoning events that affected significant number of people. Possible estimates for health impacts may come from different sources:  The World Health Organization (WHO) recently released the first global assessment of foodborne disease (Havelaar, Kirk et al. 2015). Data are not available at country level, but experts may agree that the prevalence of FBD is likely to be similar in Vietnam to other countries in the region. This implies that FBD may be responsible for around 7% of the infectious disease burden. Using the WHO ranking system of important diseases, FBD would perhaps rank number 29th in Vietnam. This is less important than stroke, road injury or tuberculosis but more important than measles, leukemia or hypertensive heart disease. As such, FBD may and should be considered a significant public health problem in Vietnam, but on the other hand, not among the very top priorities.  Outbreak data: During the last two years (2014 – 2015), there were almost 370 outbreaks of food poisoning in Vietnam involving over 10,000 incidences resulting in the deaths of 66 persons. Most were caused by pathogens (41%), followed by biological toxins (28%), and chemicals (4%); in the remainder (26%) the cause was unknown (Chapter 5). Where a single food source was implicated, this was most commonly seafood followed by mushrooms followed by meat. However, studies from many countries (including USA, China and Malaysia) suggest only a small proportion of FBD is ever recorded as outbreaks. (For example, in less than 0.1% of cases being captured by the national surveillance system annually (Gurpreet 2011 ). This makes it difficult to extrapolate from the causes of reported outbreaks to the causes of the 99.9% of foodborne diseases that goes unreported. 1.2 Comparative analysis FBD in Vietnam is similar to other LMIC: worse than Thailand but better than India. There is no national level data on FBD in Vietnam but the proportion of deaths from diarrhea is a proxy for the intensity of FBD (Figure 1.3). Figure 0.3 Proportion of children under five years deaths due to diarrhea in 2016 Source: UNICEF, 2016 1.3 Opportunities and risks 6 Reducing the health impacts of FBD could significantly contribute to improved health in Vietnam. 5. What are the priority hazards in Vietnam in terms of health impacts? 1.3 Current situation The priority hazards in Vietnam are likely similar to the priorities in the region. Our current best estimates come from the WHO first global mapping of foodborne disease (Havelaar, Kirk et al. 2015). The most important hazards by category (and in order of decreasing importance) are listed below and shown in Figure 1.4.  Bacteria: Salmonella, Escherichia coli, Campylobacter  Viruses: norovirus, hepatitis A  Helminths: fluke, nematodes, cestodes  Protozoa: Toxoplasma, Cryptosporidium, Entamoeba  Chemicals/toxins: aflatoxin, dioxin Figure 0.4 Likely priority foodborne hazards for Vietnam Bacteria Viruses Helminths Protozoa Chemicals/toxins Source: Based on Havelaar et al., 2015 1.4 Comparative analysis According to the WHO foodborne disease report (Havelaar, Kirk et al. 2015) the region in which Vietnam lies has, compared to global figures, much lower levels of norovirus and much higher rates of Shigella, non-typhoidal Salmonella and enterotoxigenic Escherichia coli. In addition, some hazards may be relatively higher in Vietnam because of the food system. These include:  Streptococcus suis in pork because of the importance pig industry, the presence of this zoonotic disease, and the consumption of traditional dishes with uncooked blood (Huong et al., 2014)  Heavy metals in fish because of high levels of pollution in the Mekong and fish culture in wastewater fed ponds (Marcussen, Holm et al. 2007)  Dioxins because of historical use of Agent Orange in some hot spots (Schecter A 2003 )  Growth promoters and antibiotic residues because of lack of control of agricultural inputs (Tran Thi, Dang-Xuan et al. Submitted)  Fish borne parasites because of the high consumption of fish, not always well cooked (Dung et al., 2007). Fish-borne fluke is highly endemic in Vietnam.  Fascioliasis (cattle fluke) mainly from eating uncooked vegetables contaminated with parasite eggs from cattle feces. This disease is highly endemic in Vietnam (Bui TD 2015 ). 1.3 Opportunities and risks Foodborne disease typically follows the Pareto ratio: that is a small number of hazards cause the greater part of the burden (this is also known as “the law of the vital many and the trivial few”). 7 Currently food safety assessment, management and communication is not well targeted towards high burden hazards. By incorporating risk targeting in food safety management, foodborne disease burdens could be more efficiently reduced. 6. What are the economic impacts of unsafe food? 1.1 Current situation There is currently little information on the economic impacts of FBD in Vietnam. However, the major impacts are likely to be from cost of illness, loss of products through confiscations, fines and economic losses associated with food scares.  Cost of illness: A cost of illness study in Hue, a coastal city with a population of around 300,000 estimated the costs of typhoidal fever (ranked 11 in burden for the region) at $71 per case (Poulos C 2011 ). Extrapolating to Vietnam, this would imply a cost of USD 2.4 million (2005 dollars). Another recent cost of illness assessment of acute gastroenteritis caused by Salmonella (ranked 2 in burden for the region) was USD 107 a case (Hoang VM 2015). Based on various extrapolations, the study assessed the cost of hospitalization from foodborne diarrhea in Vietnam at around USD 6 million. (Hospitalization represents only a portion of the overall costs of FBD).  Cost of confiscations and fines. As concern has grown over FBD in Vietnam, government has responded with increased inspection and enforcement. For Ha Noi, newspapers report fines of around $210,000 were collected in 2014 and food worth around $47,000 was destroyed (http://www.saigon-gpdaily.com.vn/Health/2015/2/112616/ )  Cost of export rejections: There are several hundred rejections of exports each year but we could not find information on the value of the food rejected (chapter 5)  Economic losses associated with food scares. Many consumers in Vietnam respond to food scares by reducing purchase of the affected food. In the case of avian influenza this caused income losses of about 5- 10 percent for poultry farmers (Epprecht 2008) and 40% for traders and market sellers (Hall 2006), which aggregated at national level represent millions to tens of millions USD in losses. Another study by ILRI found that, when pig diseases were reported by the media in Vietnam, the majority of consumers stopped eating pork, shifted to chicken or went to outlets that were perceived to be safer: in Ha Noi, 35% of consumers stopped eating pork (ILRI. 2010). 1.2 Comparative analysis Most economic assessments of foodborne disease have been conducted in developed countries. While estimates vary, depending on costs included as well as differing country contexts, they can be very large. For example, USA over $15 billion annually (Hoffmann 2015); Australia is estimated at about $487 million to $1.9 billion per year (Abelson P 2006). Better control of foodborne disease could bring benefits worth tens of millions US$. 7. How is food safety governed? What is food safety capacity? 1.1 Current situation The Food safety Law 2010 is a modern legal framework for management of food safety that aligns well with international standards. Three ministries have mandates for food safety, with overall 8 authority ceded to the Ministry of Health. Food safety is decentralized to local governments. National level food laboratories have technical capacities ranging from fair to good. Inspection and enforcement is also carried out by three ministries. A residue and contaminant- monitoring program is carried out for fish and planned for pork. Each ministry has its own network of laboratories and its own inspection system. Responsibilities are divided between ministries, and the Ministry of Health (MoH) has overall responsibility. The Ministry of Industry and Trade (MOIT) is in charge of monitoring and inspecting all products for sale in markets and supermarkets (except the wholesale markets) and has about 7,000 market inspectors. The Ministry of Agriculture and Rural Development (MARD), employs 197 people in the crop food safety management system (see chapter 5). There is no independent consumer protection organization. There are seven agricultural universities which cover food safety as well as undergraduate training in food technology at other universities 1.2 Comparative analysis Global comparative food safety ranking systems are rare, and the few that exist mainly cover OECD countries. Vietnam has relatively fewer food inspectors compared to Japan and Bangkok (Hung Nguyen-Viet et al 2015). Considering core food safety system performance criteria, we estimate there are deficiencies in risk assessment (pesticide use; foodborne illness rates); risk management (food recalls; traceability; labeling; response capacity); and, risk communication (trust). Several LMICs have reorganized and expanded food safety governance in the last decade, notably India and China. However, there is little evidence of success, mainly because of lack of monitoring the effects of legislation. 1.3 Opportunities and risks  Efforts in surveillance by different agencies are fragmented, weakly coordinated and poorly integrated; a comprehensive national surveillance system has still to be developed.  There is insufficient collection, storage and analysis of data about food safety and food-borne diseases (i.e., the consolidation of data from active and passive surveillance, inspections, and from laboratory conformance testing etc.); food safety testing data collected by laboratories is generally not analyzed and not available to central authorities; ICT systems are insufficient for data storage, analysis, network communication etc., both within individual institutes and among agencies responsible for food safety.  There are backlogs in the adoption of standards and technical regulations, and delays in harmonization with international standards.  There is very limited capacity - and no programs - to apply risk analysis throughout the food safety management system. 8. What are the major food safety issues for trade? 1.3 Current situation There are important food safety issues around both export and import. The major food exports from Vietnam are seafood, rice, cashew, fruit and vegetable and pepper: coffee is an important export used for beverages. Among these, seafood and fruit and vegetables have many times more food safety problems than other exports. The major problems are biological hazards, chemicals, veterinary drug residues, and heavy metals. However, although quantitates exported are increasing, food safety notifications are not, suggesting that safety of exported food may be improving. 9 Quantities of legally imported foods are relatively small and much of these imports are from countries with relative high standards in export safety. There are some concerns about dumping unsafe foods, especially by China. Large quantities of poultry are traded illegally from China and this is likely to continue as long as the incentives for trade are high. There is also concern over the safety of agro-chemicals and feeds imported legally and illegally but there is little information on the health risks of this. An analysis of European food safety notifications between 2006 and 2010 found that Vietnam ranked eighth in number of food alerts (the top five were China, Turkey, USA, India and Iran in that order); however, adjusting for the value of food exported, Vietnam was not in the top ten (chapter 5). Vietnam consistently produces large volumes but low value products. It is also facing increasing challenges to sustain and improve competitiveness in an integrated global economy, and food safety is a major concern in some of its most important trading partners. New trade agreements bring both opportunities and threats and Vietnam will have to improve the safety of exported food and its reputation to benefit: this will entail improving safety in domestic as well as export markets. 9. What have been the responses to unsafe food and how successful have they been? There are three major lines of defense against foodborne disease: improving the hygienic quality of raw foodstuffs; food processing to reduce hazards (e.g. pasteurization and irradiation); and changing behavior of food handlers. In response to growing concern over unsafe food in domestic markets there have been several approaches to improve food safety, with varying success.  Legislation and regulation: Changes in legislation have resulted in a more modern food safety system. However, there is little evidence that this has resulted in improvements to domestic food safety. This is partly because there is not a comprehensive, systematic, probabilistic system for sampling marketed foods.  Upgrading and certifying food chains: This has been tried for the poultry value chain during the avian influenza outbreak but was not very successful: 72% of consumers never purchased certified birds and while nearly 40% of respondents regularly buy chickens that have government certification stamps, they do not see these as a credible certification (Ifft J 2009 ). Lack of trust in certification, inconvenience and lack of interest were key reasons for why household did not purchase safety-branded chicken. Likewise experiences in the vegetable chain are challenged by a) lack of trust in vegetable certification; b) the premium associated with branded vegetables reduces demands. After more than 10 years of major efforts and investments by state authorities and market actors, the safe vegetable production and distribution system has not yet been able to take a significant share of the vegetable market and gain widespread consumer trust (Hoi PV 2009).  Good Agricultural Practice (GAP) has been implemented in the vegetable, shrimp and pork sector. Training material has been translated and group formed. However, the costs have been high and the uptake low. From 2012 to 2014, the number of businesses and farmers obtaining VietGAP in farming, livestock, and aquaculture was 1,199, 13, and 13 respectively (Nabeshima K 2015,). There is also little evidence that food is safer or farmers are able to capture a premium; while in 10 Thailand safety and profits were shown not to improve after participation in GAP (Schreinemachers 2012).  Modernizing retail: Public policy in SEA tends to place supermarket development at the core of strategies aiming to ensure access to safe food. Supermarkets are considered instrumental for realizing food safety improvements by implementing private food safety management systems and maintaining food hygiene standards. Experiences are little evaluated but appear to be mixed in Vietnam. Upgrading traditional markets has been less successful but embedding supermarkets in new developments more (Wertheim-Heck SCO 2015).  Public information: There have been several campaigns to improve food safety and hygiene in the homes. However, there is little evidence on impact, and there is also a logic for ensuring contaminated food does not enter households, rather than relying on the cook to decontaminated food within households.  Export: As Vietnam’s food exports rapidly grew from the 1990s on, as the result of uptake of general modern processing. For each of the major export commodities there are several hundred large and medium companies who export products. These follow GMP, HACCP, ISO and other standard processes. The continued expansion of exports (with some setbacks) shows that this approach is broadly successful but there is concern over ability to meet ever increasing demands for quality, safety and other attributes. A recent review by ILRI on LMIC experiences in improving domestic food safety drew the following recommendations (Grace 2015):  Foodborne disease is preventable and prevention starts on the farm  Caution in assuming that shifts to large scale, formal sector food production and retail will necessarily reduce foodborne disease  Caution in assuming provision of infrastructure will necessarily reduce FBD  Caution in attempting to use consumer demand for food safety as a lever to reduce FBD  Caution in using inspection and punishment as a way of reducing FBD  Training extension agents and farmers in GAP is likely to be useful but only if there are incentives for changing behavior  Training of informal sector traders likely to be useful  Enabling policy is necessary for improvements in domestic food safety (that is any interventions must be supported by government)  Technologies have potential for increasing food safety Given the widespread failure to develop effective, sustainable, and scalable models of improving food safety in domestic markets, these are strategic directions (“direction of travel”) rather than firm recommendations for actions that will deliver solutions. It will be important to institute an experimental and learning approach to changes in the food system, with frequent assessments of progress and consequent adjustments. 11 Annex 2: Roundtable Discussion on Food Safety Risks Management in Vietnam and Abstracts Presented Food Safety Risks Management in Vietnam: CHALLENGES AND OPPORTUNITIES ROUND TABLE DISCUSSION Hanoi, 7-8 January 2016 PART TABLE1. OFOBJECTIVE CONTENTSAND MEETING AGENDA Date: 7th and 8th of January 2016 PART 1. OBJECTIVE AND MEETING AGENDA 4 1.1. Meeting objective 4 1.2. Meeting agenda 4 PART 2. ABSTRACT OF PRESENTATIONS 6 2.1. Session 1 - Food safety: Contamination situation and health impact 6 2.2. Session 2 - Food safety: Value chain, economic impact 13 2.3. Session 3 - Technical and institutional solutions for food safety 16 2.4. Session 4 - Food safety risk management: Looking forwards 22 PART 3. TECHNICAL ASSISTANCE MISSION AND LIST OF PARTICIPANTS 23 3.1. Technical Assistance Mission 23 3.2 List of Participants 25 Location: Ho Chi Minh room, WB, 63 Ly Thai To, Hanoi Objective: The objective of the 2 day round table is to provide the technical assistance mission of the World Bank with i) an overall picture of food safety situation in Vietnam, ii) stock-taking of food safety risks for selected key food value chains, and iii) brainstorming priorities and potential solutions to address key food safety risks. Agenda Time Activities Person in charge Day 1 (7th Jan): Discussion on primary production: biological hazards, residues, banned substances, toxins, AMR, risks assessment. 08:30 – 09:00 Registration Do Thi Tam/Lam Thi Binh 09:00 – 09:10 Opening and objective of the round table, Introduction of Vo Thanh Son (WB) participants 2 Food Safety Risks Management in Vietnam: Challenges and Priorities Session 1: Food safety: Contamination situation and health impact. Chairperson: Nguyen Viet Hung (ILRI) 09:10 – 09:40 Pork sector: Dang Xuan Sinh & Tran Thi - Microbial contamination and health risk assessment Tuyet Hanh (HSPH) in pork value chain in Hung Yen and Nghe An provinces - Antibiotic residues, growth promoters and heavy metals in pork at wet markets in Vietnam, 2015 09:40 – 10:00 Prevalence of Salmonella in chicken meat production chain Pham Thi Ngoc/Truong Qui Duong (NIVR) 10:00 – 10:20 Vegetables and fruits: Food safety situation in Vietnam Ngo Thi Hanh (FAVRI) 10:20 – 10:40 Hazard identification in food safety and effective control as Nguyen Van Thuan an important solution for distribution of safe food products to (NAFIQAD) consumers 10:40 – 11:00 Coffee break 11:00 – 11:20 Overview on the regulations and occurrence of mycotoxins in Tran Cao Son (NIFC) food and feed in Vietnam 11:20 – 11:40 PCBs and dioxin in foods in vietnam: Estimated daily intakes Nguyen Hung Minh (MONRE) Tran Thi Tuyet Hanh (HSPH) 11:40-12:00 Antibiotic use in food producing animals, residues and Chu Van Tuat (NCVH1) antibiotic resistance 12:00 – 12:20 Addressing antibiotic and antimicrobial use in Livestock Scott Newman (FAO) Production: Initial steps and planning for the future 12:20 – 12:45 Discussion of session 1 and wrap-up Dao Lan Huong (WB) 12:45 – 14:00 Lunch Session 2: Food safety: value chain, economic impact. Chairperson: Stephane Forman (WB) 14:00 – 14:30 Challenges to safe food production for the domestic market in Vien Kim Cuong (Canada Vietnam’s agricultural value chains Embassy) 14:30 – 15:30 Impacts of Free Trade Agreements on livestock and SPS Dang Kim Khoi (IPSARD) issues in Vietnam 15:00– 15:30 Institutional assessment for strengthening food safety in MARD Shashi Sareen (FAO) 15:30 – 15:45 Coffee break 15:45 – 16:05 View on the food safety in the Southern, Vietnam Nguyen Do Phuc (IHPH HCM) 16:05 – 17:00 Discussion of session 2 and Close day 1 Pham Hoang Van (IFC) Food Safety Risks Management in Vietnam: Challenges and Priorities 3 Day 2 (8th Jan): Discussion on quality control, standard and certification, enforcement, branding, wholesale and retail, food safety law. Session 3: Technical and institutional solutions for food safety. Chairperson: Scott Newman (FAO) 08:30 – 08:50 Ton That Son Phong Strengthening competitiveness for livestock households: (LIFSAP) Results and Intervention direction from LIFSAP project 08:50 – 09:10 Pham Thi Sen, NOMAFSI Developing sustainable and inclusive safe vegetable value chains: Moc Chau experience 09:10 – 09:40 Nguyen Van Chien (CP) Traceability • Sustainable development in value chain of broiler, layer, and Do Duy Dang (Xac Thuc So pig production Technology Jsc.) • Solutions for Managing the Production in Agriculture and Tracing the Original of the Agricultural Products 09:40 – 10:00 Huynh Minh Viet (BioSpring) The use of probiotic bacteria as animal feed supplements to reduce antibiotics 10:00 – 10:20 Coffee break 10:20– 10:40 Laboratory for food safety system in Vietnam Chu Van Tuat (NCVH1) & Tran Cao Son (NIFC) 10:40 – 11:00 Reviewing the Legislation document of Food Safety Lam Quoc Hung (VFA) 11:00 – 11:20 Food safety management of plant originated foods Vuong Truong Giang (PPD) 11:20 – 11:40 A business perspective on food safety in Vietnam Marieke van der Pijl (VBF WG &FAASC) 11:40 – 12:15 Wrap-up/discussion of session 3 Artavazd Hakobyan (WB) 12:15 – 13:30 Lunch Session 4: Food safety risk management: looking forwards. Chairperson: Vo Thanh Son (WB) Panel discussion (40 mn each), including coffee break 13:30 – 14:10 Moderator: Fred Unger (ILRI) Panel 1: Risk-based approach - Discussants: Nguyen Van Thuan (NAFIQAD) and Nguyen Viet Hung (ILRI) 14:10 – 14:50 Shashi Sareen (FAO) Panel 2: Institutional setup of food safety (legal, laws) - Discussants: Le Van Son (Canada Embassy), Lam Quoc Hung (VFA) 14:50 – 15:10 Coffee break 4 Food Safety Risks Management in Vietnam: Challenges and Priorities PART 2. ABSTRACT OF PRESENTATIONS 15:10 – 15:50 Pham Hoang Van (IFC) Panel 3: Formal, informal market - Discussants: Le Viet Nga (MOIT) and Tang Anh Vinh (DAH) 15:50 – 16:30 Pham Duc Phuc (HSPH) Panel 4: Prioritization - Discussants: Artavazd Hakobyan (WB) and Pham Xuan Da (NIFC) 16:30 – 16:45 Wrap-up and Close Vo Thanh Son (WB) 2.1. SESSION 1 - FOOD SAFETY: CONTAMINATION SITUATION AND HEALTH IMPACT Food Safety Risks Management in Vietnam: Challenges and Priorities 5 MICROBIAL CONTAMINATION AND HEALTH RISK ASSESSMENT IN PORK VALUE CHAIN IN HUNG YEN AND NGHE AN PROVINCES Sinh Dang-Xuan1, Hung Nguyen-Viet2,3, Fred Unger2, Kohei Makita2,4, Phuc Pham-Duc1, Ngan TranThi1, Delia Grace2 1 Center for Public Health and Ecosystem Research, Hanoi School of Public Health, Vietnam 2 International Livestock Research Institute (ILRI), Vietnam and Kenya 3 Swiss Tropical and Public Health Institute, Switzerland 4 Rakuno Gakuen University, Japan In Vietnam, pork accounts for 75% of total meat consumed daily at households. How¬ever, pork may contain high levels of microbial contamination such as Salmonella and Escherichia coli which might cause harm to consumers. To determine microbial contamination along the pork value chain, we collected 216 samples from 72 pig farms (floor swab, drinking and waste water), 545 from 49 slaughterhouses (carcass swab, lymph node, rectal feces, floor swab and washing water) and 514 from 220 pork shops in the informal markets (pork cuts, ground pork and cutting board swab) in 2 provinces of Vietnam (Hung Yen and Nghe An). A quantitative microbial risk assessment (QMRA) was also applied to estimate the salmonellosis risk from boiled pork consumption. Overall prevalences from combined all types of above mentioned samples at pig farms, slaughterhouses and pork shops for Salmonella were 35%, 30% and 37%, and for E. coli were 91%, 75% and 79%, respectively. Salmonella contamination in the final product (pork at market) was 45% and an average concentration of 9 MPN/g was recorded. E. coli average load along different points of the chain was 5.3±1.4 (farm floor swabs), 2.9±0.9 (carcass swabs), 3.1±1.0 (slaughterhouse floor swabs), and 3.3±1.1 (market shop cutting board swabs) logCFU/cm2, whereas pork from market had 3.4±0.9 logCFU/g. Results from the QMRA of Salmonella show that the annually illness risk of the assessed population in Hung Yen was on average 27.1% (90%CI: 1.1-64.4%). Other scenarios related to location and consumer group will be finalized in a next step. Demonstrated high levels of Salmonella in the final product (pork at market) induces the potential health risks for the consumers. Detected values for E. coli indicates general poor hygiene along the chain. Appropriate hygiene practices and management are required to achieve better pork quality and reduce the risk for the consumer. ANTIBIOTIC RESIDUES, GROWTH PROMOTERS AND HEAVY METALS IN PORK AT WET MARKETS IN VIETNAM, 2015 Tran Thi Tuyet Hanh1, Pham Duc Phuc2, Dang Xuan Sinh1, Tran Thi Ngan2, Chu Van Tuat3, Nguyen Viet Hung4,5 1 Environmental Health Department, Hanoi School of Public Health; Hanoi, Vietnam 2 Center for Public Health and Ecosystem Research (CENPHER), Hanoi School of Public Health; Hanoi, Vietnam 3 Center for Veterinary Hygiene and Inspection No.1, Hanoi, Vietnam 4 The International Livestock Research Institute, Hanoi, Vietnam; 5 Swiss Tropical and Public Health Institute, Basel, Switzerland In Vietnam, pork makes up 75% of meat consumed and its production delivers substantial benefits to the smallholders who supply 84% of the market. In the recent years, consumers have expressed special concern over food safety issues, especial health risks associated with chemical hazards, including 6 Food Safety Risks Management in Vietnam: Challenges and Priorities veterinary drugs, heavy metals and growth promoter residues. This study aimed to assess the concentrations of antibiotic, growth promoters and heavy metal residues in pork collected at wet markets. From April 2014 to January 2015, a total of 190 fresh pork samples were collected at wet markets in Hung Yen and Nghe An provinces to produce 18 pooled samples (representing 18 studied communes). Tetracycline, fluoroquinolones, sulfonamide, chloramphenicol groups and B-agonist were firstly screened by ELISA and positive samples were quantitatively assessed by liquid chromatography –mass spectrometry/mass spectrometry (LC-MS/ MS) method. Lead, cadmium and arsenic concentrations were quantitatively determined by AAS method. While pooled samples for tetracycline and fluoroquinolones (0/18) were negative tested we found positive test results for sulfamethazine 50%, 9/18) and chloramphenicol (16.7%, 3/18). The average residue levels were 155.5 (25.6-263.2) µg/kg for sulfamethazine and 0.54 (0.34-0.76) µg/kg for chloramphenicol. Both are prohibited veterinary drugs in Vietnam. Two feed samples, 2 liver samples and one pork sample were positive with B-agonist (Salbutamol). Regarding heavy metals, there were 5/18 (27.8) of pooled samples being positive for lead while for cadmium (0/18) and arsenic (0/18) samples were negative, respectively. The average amount of lead concentration in pork was 74.1 (70.1-78.7) µg/kg, which was still lower than the standard level applied for lead in pork (100 µg /kg). There were no significance differences on the prevalence and concentrations of antibiotic and heavy metal residues between the two studied provinces. The results highlight the presence of sulfonamide, chloramphenicol and B-agonist (Salbutamol) in some pork samples available at wet markets. This finding is a component of an ongoing Pig-Risk project, which is assessing the health risks of chemical hazards in pork and developing incentive-based innovations to improve management of human and animal health risks in smallholder pig value chains in Vietnam. PREVALENCE OF SALMONELLA IN CHICKEN MEAT PRODUCTION CHAIN Pham Thi Ngoc, Truong Quy Duong, et al National Institute of Veterinary Research (NIVR) Salmonellosis is one of the most prevalent foodborne illnesses. The outbreak of this disease is often associated with eggs and chicken meat. In this study, the prevalence of Salmonella was surveyed in the chicken meat production chain. A total of 1,401 samples was collected along the chicken production chain (parent stocks, hatchery, broiler farms, slaughterhouses, retailed shop) in Hanoi, Vietnam. Overall Salmonella positive samples were 23.1% (43/186) at parent stocks (water, food, yolk, cloacal swab), 10.3% (28/273) at hatcheries (swab of surface incubator, swab of egg fragment, yolk and died embryo egg), 45.4% (85/187) at broiler farms (water, food, litter, cloacal swab), 43.3% (143/330) at slaughterhouses (processing water, swab of slaughtering area, cloacal swab, carcass swab) and 36.9% (157/425) at retailed shops (swab of equipment, rinsed carcass, carcass). Each 50 Salmonella strain at each point of chain was tested for virulence by infect mice and serovar identification was performed by agglutination test on slice for O and H antigen according to the version Kauffmann White scheme. All tested strains killed mouse before 24 hours after infected with 0.2 ml overnight inoculum. 10 difference Salmonella serovars were identified S. Typhimurium (10.8%), S. Enteritidis (10.8), S. Albany (21.2), S. Agona (17.2), S. Pollorum galinarum (2.0), S. Derby (17.2), S. Hadar (6.0), S. Shalkwijk (6.4), S. Sainpaul (5.6), S. Anatum (2.4). Especially, S. Typhimurium and S. Enteritidis were recovered along all points of the chain. 35.8% (72/201) of carcasses Food Safety Risks Management in Vietnam: Challenges and Priorities 7 and 37% (71/192) of rinsed carcasses were Salmonella positive. 7 isolations of S. Typhimurium, and 9 isolations of S. Enteritidis at retailer shops show the relatively high risk for consumers’ health. As human salmonellosis has been repeatedly correlated to the consumption of poultry products worldwide, continuous studies are required to effectively minimize Salmonella contamination in poultry production chain. VEGETABLES AND FRUITS: FOOD SAFETY SITUATION IN VIETNAM Ngo Thi Hanh and Duong Kim Thoa Fruit and Vegetable Research Institute - Trau Quy, Gia Lam, Hanoi With an average production of 15.4 million tons of vegetable and 8.3 million tons of fruits per year, Vietnamese fruit and vegetable production has met the needs of consumers in terms of types and quantity, while the production still focuses on quantity rather than quality. Moreover, the integration into WTO and the ASEAN Community (AC) require Vietnam to improve the quality of fruit and vegetable products and the food safety standards, especially to follow the principles in good agricultural practice (GAP, GAHP), Good Manufacturing Practice (GMP) and Hazard Analysis and Critical Control Point (HACCP). In the end of 2015, according to the statistics of DCP, there have been 1,530 vegetable production bases under GAP standards with the modest acreage of 12,687 hectares (accounting for 1.44% of the total area of cultivated vegetables). Therefore, in comparison to the market request, the vegetable and fruit outputs remain limited, most of which are used for exports or suppliers to restaurants, hotels and supermarkets. The majority of consumers are still using vegetable and fruit products that do not meet the food safety standards. The limitations and difficulties in implementing VietGAP in vegetables and fruit production include dispersed, spontaneous and small-scale manufacturing processes, the lack of capital and the weakness in cultivation, preservation, processing techniques and management mechanism from input to output of vegetables and fruits. In the current Vietnamese vegetable and fruit value chain, the main hazards include (i) pesticide residue, (ii) nitrate, (iii) heavy metals, and (iv) micro-organisms. These hazards mainly residues on vegetables and fruits due to the abuse of chemical pesticides, fertilizers or the use of chemicals prohibited in manufacturing, or due to the production in polluted land and water. The hazard contamination may depend on the characteristics of each vegetable and fruit as well as on the practice of farming. Findings on using pesticide in a number of areas producing vegetables (tomato, cabbage, lettuce) show that farmers often mix 2 to 3 pesticides in one spray, select pesticides rotationally and use 10 - 17 pesticides/pest/disease. In addition, the fertilizers used for these crops are quite various, however, the total amount of fertilizer used for 1 acreage unit of land is higher compared to the process approved by the Ministry of Agriculture: 1,5 - 2 times (nitrogen and potassium) or 3 times (phosphate). Through the extensive information on the situation of production and food safety of fruits and vegetable, the need to assess the current status of food safety in the production of fruits and vegetables will contribute to identify the cause and limitations, thereby propose solutions for the development in vegetables and fruits production, for ensuring food safety and public health and the healthy farming environment. 8 Food Safety Risks Management in Vietnam: Challenges and Priorities HAZARD IDENTIFICATION IN FOOD SAFETY AND EFFECTIVE CONTROL AS AN IMPORTANT SOLUTION FOR DISTRIBUTION OF SAFE FOOD PRODUCTS TO CONSUMERS Nguyen Van Thuan National Agro-Forestry-Fisheries Quality Assurance Department (NAFIQAD) Management of food safety must be taken into account in food production and trade; risk analysis related to food safety is an important principle of food safety management as clearly stated in the Vietnamese Food Safety Law. Policies on food safety will also establish the legal framework and perform the mandatory roadmap on quality management system which includes risk analysis and HACCP. The forest and fishery products have to be analyzed for food safety risks from foods which have a high food poisoning rate, and current production and business conditions do not always ensure favorable environment to make safe products. In recent years, results from food safety monitoring and inspections from the authorities show that many food safety violations can affect consumers and community health. Ensuring the safety of agriculture, forestry and fisheries products before shipping to consumer, creating consumers trust on products, helping producer business thrives on the volume and the types of products, improving product value and contributing to agricultural production and a sustainable development need to consider food safety and quality assurance issues. To solve this problem, the food safety hazards must be correctly identified and effectively controlled along the entire value chain. This is seen as an important solution to ensure food safety, the scientific and international integration and a resource-saving society today. For this purpose and with the support of international donors, the agricultural and rural development sector in Vietnam has been conducted many activities with the message “ensuring food safety together for a sustainable agriculture”. OVERVIEW ON THE REGULATIONS AND OCCURRENCE OF MYCOTOXINS IN FOOD AND FEED IN VIETNAM Tran Cao Son, National Institute for Food Control (NIFC) Mycotoxins are secondary metabolites of fungi found in food and feed. Vietnam regulations define the control and the maximum levels of some major mycotoxins in food and feed including aflatoxin B & G (B1, B2, G1, G2), aflatoxin M1, ochratoxin A, patulin, zearalenone, deoxynivalenol, and fumonisins. Among these mycotoxins, aflatoxin B1 is the most serious threat to human health. Due to the tropical climate in Vietnam, the risks of mycotoxins production in food and feed are reasonably high. Corn and peanut are the most contaminated commodities. There are three main methods which are usually used for the mycotoxin determination in Vietnam including ELISA, HPLC-FLD and LC-MS/MS. In this review, several data from different studies performed in Vietnam about the occurrence of mycotoxins in food and feed were also mentioned. Although these studies were small in scale, they have rang a warning bell of mycotoxin contamination in food and feed in Vietnam. Food Safety Risks Management in Vietnam: Challenges and Priorities 9 PCBS AND DIOXIN IN FOODS IN VIETNAM: ESTIMATED DAILY INTAKES Nguyen Hung Minh1, Tran Thi Tuyet Hanh2, Nguyen Anh Tuan3 1Dioxin Laboratory, Center for Environmental Monitoring, Vietnam Environment Administration 2Faculty of Environmental and Occupational Health, Hanoi School of Public Health 3Division of Chemical Control and Environmental Incident Remediation, Department of Environmental Pollution Control, Vietnam Environment Administration PCBs, dioxin and other POPs pollution is an important environmental health challenge in Vietnam. Research projects were implemented to estimate the daily intake of PCBs from foods in Vietnam and that of dioxin at Bien Hoa and Da Nang dioxin hot spots. Challenges related to risk assessment and risk management were explored. 101 pooled food samples in Vietnam were collected and analyzed for PCB concentrations and 46 pooled food samples were collected in Bien Hoa and Da Nang for dioxin analysis. Results showed that the risk of PCB exposure mainly due to the consumption of meat and eggs of free- ranged animals. Estimated daily intake of dioxin exceeded many times the recommended tolerable daily intake proposed by WHO (1-4 pg/kg bw/day) if people consumed local high risk foods cultured/raised/harvested surrounding the airbases. It is important to develop a National Environmental Health Action Plan with effective coordination mechanisms between related ministries in assessing and managing environmental health risks related to chemical hazards in general and related to PCBs, dioxin and POPs in particular. ANTIBIOTIC USE IN FOOD PRODUCING ANIMALS, RESIDUES & ANTIBIOTIC RESISTANCE Nguyen Thu Thuy, Ton That Son Phong, Pham Thi Ngoc, Phung Minh Phong, Hoang Thu Ha, Luu Quynh Huong, Nguyen Thi Lan Anh, Phan Thi Hong Phuc, Tran Thi Mai Thao, Vu Dung Minh, Chu Van Tuat Management of veterinary antibiotic use was not very good. Many regulations on veterinary drugs were available but farmers and vet practitioners’ knowledge, attitude and practice (KAP) were very poor. Farmers played the most important role in applying antibiotics in food producing animals that were mainly based on farmers’ experience, commercial information without any support of laboratory result s and veterinary supervision. The failures in applying antibiotic choice, dosage, administration route, treatment duration, withdrawal time, antibiotic combination and etc. were as inevitable consequences of residues in animal derived food and promotion of bacteria resistance in animal and human. It is time to apply the “One Health” approach for control of antibiotic resistant bacteria in human, animals and environment. 10 Food Safety Risks Management in Vietnam: Challenges and Priorities ADDRESSING ANTIBIOTIC AND ANTIMICROBIAL USE IN LIVESTOCK PRODUCTION: INITIAL STEPS AND PLANNING FOR THE FUTURE Scott Newman, To Lien Thu, Vo Ngan Giang Food and Agriculture Organization of the United Nation, Hanoi Viet Nam Antimicrobial resistance (AMR) is a multi-dimensional threat to human survival, public health, trade and economy and the over-all sustainable development of the country. Antimicrobial resistance is a growing human and economic threat in Viet Nam with the increasing and uncontrolled use of antibiotics in the health system and in veterinary medicine, and for growth promotion and disease prevention in agriculture, horticulture, livestock and aquaculture. Limited regulations of antibiotic use in the feed and the livestock sector in Vietnam is a controversial issue, as the misuse of antimicrobials had led to an increasing concern about the large amount of antibiotics that are entering the food chain and could promote bacterial resistance and result in less efficient antibiotic treatments for human and animal diseases. This has also contributed to challenges associated with international trade. Therefore, in order to technically support the Government of Viet Nam, the Emergency Centre for Transboundary Animal Diseases (ECTAD) of the Food and Agriculture Organization (FAO) Viet Nam in collaboration with the Departments of Livestock Production and Animal Health, within the Ministry of Agriculture and Rural Development (MARD) has supported specific national activities including: 1) A pilot study on current antibiotic use and Salmonella spp resistance from animal & human samples; 2) revising and signing of the Aide Memoire; 3) A workshop on Management and Use of Antibiotics and Antimicrobials in the Livestock Sector in Viet Nam; 4) a Viet Nam Legislation Review; and 5) A Knowledge-Attitude- Practices study on AMR use in livestock production. These efforts are leading to supporting MARD to develop a Roadmap & Action Plan for antimicrobials and antibiotic use in livestock production. FAO, at headquarters level, has also recently developed an FAO Action Plan on AMR which will support standardizing the approach taken by multiple countries, including Viet Nam, in developing effective action plans and revising legislation in support of healthy livestock production and minimizing risks of antimicrobial resistance. This presentation will provide highlights from ongoing activities. 2.2. SESSION 2 - FOOD SAFETY: VALUE CHAIN, ECONOMIC IMPACT CHALLENGES TO SAFE FOOD PRODUCTION FOR THE DOMESTIC MARKET IN VIETNAM’S AGRICULTURAL VALUE CHAINS Kim Cuong Vien Value Chain Consultant, Canada Embassy To bring safe foods to end users, three major groups of activities are to be successfully implemented in a value chain. These are: production of safe foods, distribution, and marketing. If any component among these fails, safe foods are not considered to be ended up in the hands of final consumers. The presentation is an overall look of challenges to safe food production for the domestic market in Vietnam, and reviews some of current value chain tools that could address the challenges of production and distribution of safe foods. Food Safety Risks Management in Vietnam: Challenges and Priorities 11 IMPACTS OF FREE TRADE AGREEMENTS ON LIVESTOCK AND SPS ISSUES IN VIETNAM Dang Kim Khoi, PhD Director of Centre for Agricultural Policy (CAP), Institute of Policy and Strategy for Agricultural and Rural Development (IPSARD) The presentation analyses the opportunities and challenges that free trade agreements (FTAs) such as WTO, TPP, AEC bring to the Vietnamese livestock sector and summarizes how the country implement WTO’s sanitary and phytosanitary (SPS) measures to comply with FTAs. Sin ce its WTO integration, Vietnam has significantly increased its imports in both animal feed products, raw materials for animal feed (corn, soybean) and meat (chicken, beef, pork). The livestock sector is expected to face with more challenges when the nation has to open up its domestic market to imported products from other countries under TPP and AEC commitments. As the room for reducing Vietnam’s import tariff’s to TPP livestock products (US, Canada) is still large, this is likely a key channel that seriously affects the livelihood of Vietnamese livestock producers. Besides, foreign direct investment is another influential dimension of ‘new generation’ FTAs to Vietnamese livestock sector. Since its WTO integration, Vietnam has issued many legal and policy documents to implement SPS regulations such as Decision 147/2008/QD-TTg about the National Action Plan promoting SPS commitments, the Food Safety Law 2010, and several Decisions of Ministry of Agricultural and Rural Development (MARD) related to safe livestock husbandry practices. Nevertheless, the current standard of the SPS system that Vietnam applies is still lower than for most of livestock exporting countries and in general, the current national SPS system is unable to help to protect the livestock sector. TPP is expected to provide a better SPS framework for its member regarding equivalence and assessment of risk and determination of the appropriate level of Sanitary or Phytosanitary Protection. To take advantage of new SPS regulations, Vietnam has to improve its research capacity to provide the scientific evidence once the nation decides to apply SPS measures. INSTITUTIONAL ASSESSMENT FOR STRENGTHENING FOOD SAFETY IN MARD Shashi Sareen Senior Food Safety and Nutrition Office, FAO Regional Office for Asia and the Pacific Bangkok, Thailand Under the Food Safety Law 2010 the responsibility for food safety in Vietnam has been assigned to three ministries namely MOH, MARD and MOIT, with each ministry being assigned specific products to be handled across the entire chain. Based on a request from the Minister of MARD for FAO’s support to restructure and strengthen the management and coordination of Food Safety within MARD, FAO had carried out an independent assessment of the food safety management scenario by meeting and discussing with different ministries, departments and stakeholders and had brought out recommendations for restructuring and strengthening the structure within MARD and also raised some important issues that required addressing for better food safety outcomes at National level. This presentation highlights the observations and recommendations under three basic areas namely legislative and regulatory framework, institutional arrangements in terms of structure; and implementation 12 Food Safety Risks Management in Vietnam: Challenges and Priorities aspects (systems and procedures) which may be useful not only to MARD but also to other ministries/ departments for improving food safety outcomes in Vietnam. VIEW ON THE FOOD SAFETY IN SOUTHERN, VIETNAM Nguyen Do Phuc The Southern Regional Testing Center for Food Safety- Institute of Public Health in Ho Chi Minh City, Viet Nam The Institute of Public Health in Ho Chi Minh City is located under the Ministry of Health (MOH). Based on a request from the MOH and the Viet Nam Food Administration (VFA), the Institute of Public Health in Ho Chi Minh City has responsibilities for testing food safety for domestic and imported food, provide guidance on techniques about food safety for 21 preventive health centers at provincial level in the South of Viet Nam, including scientific studies, training and international cooperation, implementation a monitoring program to detect hazards in food. This presentation relates to factors that may affect the health of communities and are able to cause food poisoning. It will describe some food poisoning outbreaks which have occurred in the southern region and the identified causes. Based on data analysis, laboratory testing and results from the ongoing monitoring program every year key activities include: the identification of some food hazards, a review of capacity for analysis at laboratory and provision of suggestions at some points to improve the management of food safety in the Southern region of Viet Nam. 2.3. SESSION 3 - TECHNICAL AND INSTITUTIONAL SOLUTIONS FOR FOOD SAFETY DEVELOPING SUSTAINABLE AND INCLUSIVE SAFE VEGETABLE VALUE CHAINS: MOC CHAU EXPERIENCE Pham Thi Sen Northern Mountainous Agriculture and Forestry Science Institute (NOMAFSI) Results of consumer and value chain studies show that, for accredited safe and fresh vegetables (i) Ha Noi consumers have increasing needs and are ready to pay with higher prices, (ii) Moc Chau is a well known “origin of quality vegetables” for Hanoi people, (iii) there are about 200 stores and supermarkets in Hanoi with increasing needs and capacity to retail, (iv) Moc Chau small-scale farmers are good potential producers (they have suitable conditions of climate and land and also have needs to develop vegetables to increase their household economy). But how to link these stakeholders better and make the two ends meet? To answer this question, the project “Improved market engagement for counter -seasonal vegetables producers in North-West Vietnam”, supported by ACIAR and implemented by a multi -principle and multi- organizational team comprising researchers from UQ, NOMAFSI, CASRAD, VNUA, FAVRI, FS, Helvetas and CIRAD in partnership with Moc Chau district authority and Son La provincial Department of Agriculture and Rural Development has spent inputs to (i) diversify the vegetables types and varieties, (ii) develop Food Safety Risks Management in Vietnam: Challenges and Priorities 13 farmer-farmer links, (iii) help farmers organizations to comply the VietGap criteria, (iv) develop links between framers organizations – wholesalers – retailers – consumers, and (v) increase the consumers and retailers trust in the vegetables safety and quality. After four years, the project has developed inclusive value chains for safe vegetables from Moc Chau to Hanoi, involving 68 farmers organized in 4 organisations. Each year, through these chains, hundreds tones of Moc Chau safe vegetables (complying with VietGap criteria) were supplied to Hanoi consumers via big and small retailers, including Fivimart, BigGreen, Metro, Bác Tôm, BigC, Ch ất Việt ect. This has helped to increase the gross margins for vegetables per household for member households from an average of 12 mil in 2012 to 30 mil VND in 2014 respectively. As calculated by farmers the total return in 2015 per hectare per year was 150 mil - 350 mil VND with a net income of 75 mil to 150 mil VND depending on the vegetable type. Acknowledging the benefits from participating in the value chains of safe vegetables, more and more farmers in Moc Chau wish to become members of farmers organizations formed under the project. The organisations have also planned to extend their markets to other cities than Ha Noi, such as Son La, Ha Long and Hai Phong. SUSTAINABLE DEVELOPMENT IN VALUE CHAIN OF BROILER, LAYER, AND PIG PRODUCTION Nguyen Van Chien C.P. Vietnam C.P. Vietnam, owned by C.P. Group, has invested in Vietnam over 20 years. With the aim of improving the quality of life for Vietnamese people through safe, quality and low-cost food products, C.P. Vietnam has adopted food manufacturing processes based on enclosed standards in chain 3F (Feed, Farm, Food). With closed processes, which means that all products from the first step (Feed) go through breeding on farms (Farm) to the food processing factories (Food). They are distributed to the consumers after strictly quality control to ensure standards, including: food safety, nutritional quality, consumer tastes, traceability of origin, and control of chemical residues as a requirement of food regulations. The 3F model of closed production of C.P. Vietnam applies the scientific and technological progresses which contributes to improve productivity, reduce costs and minimizes the natural resources consumption and environmental impact etc. That supports the sustainable and efficient development of C.P. Vietnam and as such contributes to safe and healthy life for the people of Vietnam. SOLUTIONS FOR MANAGING THE PRODUCTION IN AGRICULTURE AND TRACING THE ORIGINAL OF THE AGRICULTURAL PRODUCTS Do Duy Dang and Nguyen Cong Tri Xac Thuc So Company Amid the increased challenges in plant production such as: soil erosion, water contamination, residue of chemical fertilizers, promoters, and pesticides, the system of quality control and tracing the original of agricultural products is necessary to ensure the food safety. The system of agricultural production control 14 Food Safety Risks Management in Vietnam: Challenges and Priorities and tracing products’ original focuses on production, inputs – outputs, processing and distribution. This model can help tracing the origin of agricultural products such as tea, meat, or fruits and vegetables. It benefits both producers and consumers by saving the cost of paper work related to agricultural production as well as better management of product’s brands. The model also supports consumers tracing agricultural products’ origin. Consequently, it will facilitate the food safety management in general. THE USE OF PROBIOTIC BACTERIA AS ANIMAL FEED SUPPLEMENTS TO REDUCE ANTIBIOTICS Huynh Minh Viet CEO, BioSpring Intensive livestock production produces a severe burden on animals resulting in stress, infection and ultimately production losses. Antibiotics have been applied excessively in feed and at farms to control diseases, resulting in detrimental consequences in public health. One advanced technological solution to reduce antibiotics is the application of live bacterial supplements referred to as ‘probiotics’. Probiotics improve innate immunity, control the growth of with harmful bacteria, restore the gut microflora, improve digestion, and reduce odor in farming. The most suitable probiotic bacteria are heat-stable bacteria such as Bacillus in spore form, which can be added to feed and used at farms. The application of Bacillus bacteria in replacing antibiotics improves farming productivity and reduces expenses to feed companies and farmers. BioSpring partners with Royal Holloway, University of London and SporeGen is the global leader in Bacillus to produce Bacillus spores with highest standards. BioSpring also collaborates with Veracus and FG Systems, two leading companies in Germany specialized in animal nutrition and immunity, to formulate sophisticated probiotics products that replace antibiotics and improve animal health. LABORATORY FOR FOOD SAFETY SYSTEM IN VIETNAM Chu Van Tuat (NCVH No.1) and Tran Cao Son (NIFC) Pursuant to the Law of Food Safety dated June 17, 2010, the Circular 13/2014/TTLT-BYT-BNNPTNT-BCT dated April 09, 2014 allocated tasks and cooperation among regulatory agencies of the Ministry of Health (MOH), the Ministry of Agriculture and Rural Development (MARD), and the Ministry of Industry and Trade (MOIT) in food safety management. MOH is responsible for food safety management of bottled water, mineral water, functional foods, supplementary micronutrients and micronutrient-fortified foods, food additives, flavorings, food processing aids, instruments and materials for wrapping and storing food, consumable ice etc. MARD is responsible for food safety management of cereal, meat and edible by-products of livestock, blended products that contain meat such as sausages, salami ect.: aquatic animals, vegetables, fruits, eggs, raw milk, honey, salt, spices, sugar, tea, coffee, pepper, cocoa, cashew, other agricultural products such as bird nests, seeds and/or genetically modified foods. Food Safety Risks Management in Vietnam: Challenges and Priorities 15 MOIT is responsible for food safety management of beer, alcoholic drinks, processed milk, vegetable oil, flour, starch, confectionery etc. For each ministry, there is a network of food safety related lab system of management organizations and research institutes, professional centers and universities. For some large provinces, there are experimentation and analytical service centers related to food safety tests. In addition there are also some companies supplying the experimentation and analytical service on food safety. Most food laboratories operate in accordance with ISO 17025 requirements. Within the food safety management scope of food products, the competent authorities assess, assign, grant professional laboratory codes and/or issue decisions with the list of tests for food safety. FOOD SAFETY MANAGEMENT OF PLANT ORIGINATED FOODS Vuong Truong Giang Plant Protection Department, MARD In the recent years, food safety management for plant originated food has gained remarkable progresses. To name a few, the public regulation documentation system was set up, mechanism for management was established and guidance was issued, and the collaboration of different ministries and institutions has been strengthened. However, there are some challenges facing the food safety managers. These include: the residues of plant protection chemicals in plant food production which excesses the limits of 10% of the collected samples and microbial contamination, heavy metal contamination, the mycotoxins and etc., being found in plant food products. Moreover, the perceptions of producers in this regard were not high. As such, ensuring the plant food safety is still one of the priorities of food safety managers in the current context. Assessing the mechanism and implementation in plant food safety management to better inform related policies and regulations is a solution for ensuring the food safety for domestic market and export. A BUSINESS PERSPECTIVE ON FOOD SAFETY IN VIETNAM Marieke van der Pijl Food, Agri and Aqua Business Sector Committee of the European Chamber of Commerce; Agribusiness Working Group of the Vietnam Business Forum The number of people that get sick because of food poisoning in Vietnam does not really differ that much from other countries. It are the health risks at long term that cause worries. Diseases caused by too high levels of or incorrect use of additives (saccharin, sodium cyclamate, carmine, amaranth, sulphur dioxide), pesticides, antibiotics, certain heavy metals, the use of harmful products such as methanol, growth hormones, bleaching chemicals, potassium bromate, toxic packaging material and the presence of mycotoxins or mould. 16 Food Safety Risks Management in Vietnam: Challenges and Priorities Vietnam ranks high for exports of various agricultural products, but Vietnamese products are perceived as of lower quality and value, competitive on price but not on quality and are often rejected by importing countries for the same reason as why unsafe food causes health issues. This needs to be changed as it does not do justice to the Vietnamese products, limits export opportunities and impacts the health of the Vietnamese population. From a business perspective we believe that several of the food safety issues are caused by the fact that laboratories are not up-to-global-standard, there are difficulties in Food Safety Management, there is a lack of a good traceability system, products that are better for crop, health and environment are treated worse, there is a lack of best practices for sale and use of pesticides/fertilisers, there are difficulties in training farmers about best practices, there is a lack of harmonisation and coordination in many areas, ingredients that damage one’s health are illegally used or still allowed to be used, there are problems with the coldchain during transport, storage and at customs check-points, the lack of enforcing existing legislation, and finally the consequences of breaching those regulations not being severe enough. We believe that a centralised Food Safety Agency could address many of these issues, even though we realise it will take time to have such an agency in place. Moreover, enforcing existing legislation and making the consequences for breaching that legislation more severe would in our view improve the overall food safety in Vietnam even more. Food Safety Risks Management in Vietnam: Challenges and Priorities 17 PART 3. TECHNICAL ASSISTANCE MISSION AND LIST OF PARTICIPANTS 2.4. SESSION 4 - FOOD SAFETY RISK MANAGEMENT: LOOKING FORWARDS Panel discussion Panel 1: Risk-based approach - Discussants: Nguyen Nhu Tiep (NAFIQAD) and Nguyen Viet Hung (ILRI) Panel 2: Institutional setup of food safety (legal, laws) - Discussants: Le Van Son (Canada Embassy), Tran Viet Nga (VFA) Panel 3: Formal, informal market - Discussants: Le Viet Nga (MOIT) and Nguyen Thu Thuy (DAH) Panel 4: Prioritization - Discussants: Artavazd Hakobyan (WB) and Pham Xuan Da (NIFC) 3.1. Technical Assistance Mission Food Safety Risks Management: Challenges and Priorities (January 6 – 15, 2016) The World Bank has been working with other Development Partners and various ministries and agencies of the Government on scaling up support on the food safety agenda. The Food Safety Working Group (FSWG) is an initiative to bring key Government Agencies/Line ministries and development partners (DPs) together for joint policy dialogue and discussions on food safety issues in Viet Nam. It was created at the request of, and convened under the auspices of, the Deputy Prime Minister Vu Duc Dam at a meeting in June 2015 chaired by DPM Dam and benefits from the active participation of Office of Government (the designated focal point of coordination), Ministry of Health (MoH), Ministry of Agriculture and Rural Development (MARD), Ministry of Industry and Trade (MOIT) from the Government side and of the Food and Agriculture Organization (designated focal point among development partners), Asian Development Bank (ADB), Canadian Embassy, JICA, New Zealand Embassy, and the World Bank. A priority request received from Government was for an urgent assessment of prevailing food safety risks in Vietnam, based on international best practice in risk assessment methodology. A concept note has been prepared and has benefitted from a technical review and endorsement by DPs and Government agencies under the Food Safety Working Group. An initial mission has been scheduled from January 6 – 15, 2016. (The mission will take place simultaneously with an implementation support mission for the Livestock Competitiveness and Food safety Project – Additional Financing [LIFSAP – AF]. Specifically, the relevant objective of this mission is to launch the Food Safety Risks Management analysis, with a specific focus on a stock-taking of food safety risks in a few selected value chains in Ha Noi and Ho Chi Minh City. This analytical work will be led by the World Bank in collaboration with Canadian Embassy, Asian Development Bank (ADB) and Food and Agriculture Organization (FAO) and will be coordinated by Office of Government. As such, this analytical work is a joint effort by the members of the FSWG to contribute to the on-going efforts from the Government of Viet Nam in addressing food safety issues. 18 Food Safety Risks Management in Vietnam: Challenges and Priorities An initial schedule of the mission is enclosed in following Table. Attachment: Livestock Competitiveness and Food Safety Project Implementation Support Mission, Food Safety Risk Management Study (January 6 – 15, 2016) Table 1. Mission Schedule Date Time Activities Remarks/Venue Wednesday, January 6 AM Mission team meeting WB PM Kick-off meeting with LIFSAP PCU of LIFSAP Thursday, Round table discussion on primary production: biological hazards, WB January 7 AM residues, banned substances, storage, cold chain, toxins, AMR… PM Friday, WB January 8 AM Round table discussion on quality control, standard and certification; VietGAP, GAHP, risks assessment, inspection, enforcement; traceability, branding, wholesale and retail, food safety law… PM Saturday, AM January 9 Travel to Ho Chi Minh City Meet with Ho Chi Minh City’s DARD PM Visit wholesale markets and value chains of pork and vegetables Sunday, AM January 10 Visit Animal Health Center Zone 6 Visit a private sector food processing (TBD) PM Return to Ha Noi Monday, January 11 AM Visit wholesale markets in Ha Noi PM Visit GAHP and safe vegetable production zone in Quoc Oai district Tuesday, January 12 AM Meeting with Viet Nam Food Administration VFA PM Meeting with NAFIQAD and Plan Protection Department MARD Wednesday, January 13 AM Meeting with MOIT MOIT PM Meeting with SPS Office in MARD MARD Food Safety Risks Management in Vietnam: Challenges and Priorities 19 Thursday, January 14 AM Ceremony for Launching of LIFSAP AF TBD PM Meeting with LIFSAP on AF PCU Friday, January 15 AM Mission team meeting WB PM Wrap-up with OoG, MOH, MARD, MOIT and other government agencies as relevant 3.2 List of Participants ( Food Safety Risk Assessment Study Workshop 7-8 January 2016, Hanoi, Vietnam) No Name Position Institutions/Organizations Email Address 1 Le Viet Nga DDG Department of Domestic Market, MOIT NgaLV@moit.gov.vn National Center for Vet Medicine 2 Chu Van Tuat Vice Director cvtuatvet@yahoo.com Control 3 Pham Xuan Da Director National Institute for Food Control da.pham@yahoo.com 4 Tran Cao Son National Institute for Food Control caoson32@gmail.com Head of Division 5 Bui Mai Huong National Institute for Food Control buimaihuong_73@yahoo.com Vice Head of Department 6 Ngo Thi Hanh Fruit and Vegetable Research Institute hanhvrqvn@yahoo.com Head of Department 7 giangppd@ymail.com Vuong Truong Head of Division of Food safety and Environment Giang Division Management, PPD, MARD 8 Pham Hong Ngan Vice Dean Faculty of Veterinary Sciences, VNUA phngan2001@yahoo.com 9 Tu Thanh Dung Lecturer Can Tho University ttdung@ctu.edu.vn 10 CP Company in Vietnam chiencp1972@gmail.com Nguyen Van Marketing Chien Director 11 Do Duy Dang Officer Xac Thuc So Technology Jsc. dangdd@xacthucso.vn 12 Huynh Minh Viet CEO Biospring Company viet.huynh@gmail.com 13 Nguyen Do Phuc Head nguyendophuc@yahoo.com Institute of Public Health, Ho Chi Minh city 20 Food Safety Risks Management in Vietnam: Challenges and Priorities 14 Dang Van Chinh Director cdang2004@yahoo.com Institute of Public Health, Ho Chi Minh city 15 Dean Faculty of Food Technology, VNUA nttthuycntp@vnua.edu.vn Nguyen Thi Thanh Thuy 16 Dinh Xuan Tung Scientist National Institute of Animal Science xuantung168@yahoo.com 17 Pham Thi Sen Scientist phamthisenprc@gmail.com Northern Mountainous Agriculture & Forestry Science Institute 18 An Nguyen An.Nguyen@dfat.gov.au Country Australian Center for International Manager Agriculture Research 19 Tran Quoc Tuan Director Southern Center for Fertilizer Testing dungphuhao8888@gmail. in com Agriculture, MOIT 20 Vo Thanh Son World Bank svo@worldbank.org Senior Rural Development Specialist 21 Stephane Forman Senior officer World Bank sforman@worldbank.org 22 Senior officer World Bank ntvha2003@gmail.com Nguyen Thi Van Ha 23 Senior officer World Bank ahakobyan@worldbank.org Artavazd Hakobyan 24 Shashi Sareen Senior officer World Bank Shashi.Sareen@fao.org 25 Dao Lan Huong Senior officer World Bank hdao1@worldbank.org 26 Senior scientist H.Nguyen@cgiar.org Nguyen Viet International Livestock Research Hung Institute (ILRI) Kieu Phuong 27 Senior officer World Bank in Vietnam, (WB) hkieu@worldbank.org Hoa 28 Do Thi Tam Senior officer World Bank in Vietnam, (WB) tdo1@worldbank.org 29 vanthuan.nafi@mard.gov.vn Nguyen Van Head of Agro Forestry Fisheries Quality Thuan Division Assurance Dept, NAFIQAD, MARD 30 Fred Unger Senior scientist F.Unger@cgiar.org International Livestock Research Institute (ILRI) Food Safety Risks Management in Vietnam: Challenges and Priorities 21 31 Luu Quoc Toan Lecturer Hanoi School of Public Health (HSPH) lqt@hsph.edu.vn 32 Lecturer Hanoi School of Public Health (HSPH) tth2@hsph.edu.vn Tran Thi Tuyet Hanh 33 Pham Duc Phuc Deputy Director pdp@hsph.edu.vn Center for Public Health and Ecosystem Research, HSPH 34 Dang Xuan Sinh Researcher dxs@hsph.edu.vn Center for Public Health and Ecosystem Research, HSPH 35 Scott Newman Food and Agriculture Organization in Scott.Newman@fao.org Senior Vietnam (FAO) Technical Coordinator 36 Vo Ngan Giang Ngangiang.Vo@fao.org Food safety Food and Agriculture Organization in Expert Vietnam (FAO) 37 Vien Kim Cuong Consultant Canada Embassy vkc1970@yahoo.com 38 Dang Kim Khoi Director khoi.dang@cap.gov.vn The center for Agricultural Policy, IPSARD 39 Project Director ttsonphong@apmb.gov.vn Ton That Son Livestock Competitiveness and Food Phong Safety Project (LIFSAP), MARD 40 Senior officer mariekevdpijl@gmail.com Marieke van der European chamber of Commerce in Pijl Vietnam (VBFWG &FAASC) 41 Pham Hoang Van International Finance Corporation (IFC)- pvan3@ifc.org Food Safety World Bank and Zoonosis Researcher 42 Le Van Son Senior officer Canada Embassy son.le-van@international. gc.ca Nguyen Thi 43 Officer Department of Domestic Market, MOIT hongnt@moit.gov.vn Hong 44 Officer Department of Domestic Market, MOIT nhungnth@moit.gov.vn Nguyen Hong Nhung 45 Researcher National Insitute of Veterinary Research Truong Thi Quy truongduong2603@gmail. Duong com 22 Food Safety Risks Management in Vietnam: Challenges and Priorities 46 Phan Thanh Tam Researcher University of Science and Technology tampt67@yahoo.com 47 Nguyen Thi Officer VEA, MONRE huenm@vea.gov.vn Minh Hue 48 Researcher CIRAD Delphine Marie- delphine.marie-vivien@cirad. Vivien fr 49 Nguyen Van Hai Officer DAH, MARD haikkn80@gmail.com 50 Maho Imanishi Officer WHO imanishim@who.int 51 Tang Anh Vinh Officer DAH, MARD vinh.dah@gmail.com 52 Deputy director LIFSAP xuantuanlifsap1@gmail.com Nguyen Xuan Anh Tuan 53 Micheal O’Leary Senior adviser USAID moleary@usaid.gov 54 Lam Quoc Hung Vietnam Food Administration, MOH hungdichte@yahoo.com Head of division 55 Kim Thuy Oanh Officer USAID okim@usaid.gov 56 Tom Wilson Officer NZ Embassy tom.wilson@mfat.govt.nz 57 Le Quynh Trang Researcher IPSARD trang.le@cap.gov.vn 58 Peter Robson General VBFWG & FAASC / DSM sec.comms@eurochamvn.org Manager, DSM Nutrional Product 59 Pawn Padungtod Specialist PawinP@th.cdc.gov Food and Agriculture Organization in Vietnam (FAO) 60 Nguyen Thi Phuc WHO Vietnam phucn@who.int Technical officer 61 Bianca Rayner Officer VECO, Vietnam bianca@veco.org.vn 62 Truong Thi Researcher NIVR, MARD tgiang.vty83@yahoo.com Huong Giang Food Safety Risks Management in Vietnam: Challenges and Priorities 23 63 Dao Thu Trang Manager PAHI, MARD thutrangdao@gmail.com 64 Vu Anh Tuan Vice CEO CP Company in Vietnam tuancpht@cp.com.vn 65 Pham Viet Anh Deputy Head phamvietanh.bnn@gmail.com The management board of agricultural projects 66 Pham Viet Anh Manager NZ embassy 24 Food Safety Risks Management in Vietnam: Challenges and Priorities Round table discussion: Food Safety Risk Management in Vietnam The 2 day round table discussion was held on 7th and 8th of January 2016 in Hanoi. The aims of this meeting were to provide the technical assistance mission of the World Bank with i) an overall picture of food safety situation in Vietnam, ii) stock-taking of food safety risks for selected key food value chains, and iii) brainstorming priorities and potential solutions to address key food safety risks. A total of 66 participants across various sectors, institutions and organizations attended the 2 day discussions and related sessions which included apart from 22 presentations also 4 specific panel discussions. This document summarizes the main points discussed during the sessions and panel discussions and wrap-up session. Panel session: Food safety risk management: looking forwards Panel 1: Risk-based approach - Discussants: Nguyen Van Thuan (NAFIQAD) and Nguyen Viet Hung (ILRI), facilitated by Fred Unger (ILRI) Both panelists gave a statement on the risk based approach use in Vietnam and addressed the way forward to apply this for food safety management. - The effectiveness of food safety management relies very much on the hazard and risk management. Risk based approach has been known globally, and has several research on particular products and hazards. - MRLs for chemical, physical hazards might be adapted to Vietnam in harmonization with international standard. - In Vietnam during the last 5 years, risk assessment/risk analysis has been applied for food safety management. - However, this approach is still new for Vietnam, and the concept needs to be clearly understood and make priorities in commodities for risk based approach management. It is needed to develop a roadmap for the FS management - Food safety law defined high risk food groups need to be managed using risk-based approach. However where we should start risk analysis now and to identify for what groups of food. - Recently, each ministry (MARD, MOH and MOIT) is in charge of certain foods and carried out risk assessment of some products. There is no a single body to do risk assessment like it happens in some developed countries. - There have been several workshops and training on risk analysis for food safety management in Vietnam. Certain capacities in risk analysis exist. There are still some inconsistencies in terminology and understanding of risk analysis. - On Vietnamese Food safety law, there has one separate chapter for Risk analysis – this is a good enabling environment for implementing risk based approach. - There were discussions on the need of having a technical body to conduct risk assessment. This could mobilize technical persons from universities and research institutes. We need 1 - keep certain level of independence of risk assessors and risk managers. However in the context of Vietnam to optimize the need of risk managers, risk assessors should respond to the need of managers, working on priority issues of food safety in the country. Vietnam can conduct risk assessment with the current capacities and resources and improve them step by step. It is important to adapt risk assessment to Vietnamese context and to build more capacities but not to wait until everything is available to start risk based approach. We don’t have to understand that risk assessment is something too sophisticated. - Finally, food safety management authorities should be open to and increase trust in risk assessment studies done by researchers. - Risk communication skills need to be strengthened to avoid panic of population and economic loss the society. The discussion of the panel was about to know the existing capacities of risk assessment in Vietnam, which will serve to identify the gaps to fill in capacity building. The capacity component and consideration of developing a body for risk assessment would be part of activities of the food safety working group (recently established between development partners and government). Understanding what system is operating for food safety management will help develop practical risk-based approach for the country. FAO colleague gave examples from Thailand and India. Some participants raised the concern on capacity (both expertise and financial) to conduct risk assessments. It was proposed to consider establishing a sub-group on risk assessment under the National committee of food safety. It was wished to prioritize and conduct concrete research case studies even small scale to gather expertise and strengthen them, and later enhance the risk assessment quality and information sharing. Finally there were concerns on slow move of risk based approach for the last 10 years and a strong recommendation to move forward: risk assessment need to be done by Vietnam with great assistance from international experts. Risk assessment should be applied in a Vietnamese context and fit with current capacity and laws and regulations. Researchers should feel free to publish the risk assessment results from a scientific perspective but the risk management and communication should do a good job in using smartly and correctly the risk assessment results. For risk management, there are some initiatives from MARD in collaboration with Ministry of Public Security to control and prevent the violence actions for example level of hazards related to banned substances in livestock and crops. Panel 2: Institutional setup of food safety (legal, laws) - Discussants: Le Van Son (Canada Embassy), Lam Quoc Hung (VFA), facilitated by Shashi (FAO) Lam Quoc Hung from VFA/MOH gave a perspective on capacity and implementation of risk based approach and food safety management related to the regulation: - Risk analysis has set up in Food safety law since 2010 - Food safety management based on 3 elements: i) regulation/law, ii) food safety testing and iii) inspection/monitoring - Of those: management divide by the field of sectors, and administration borders and the contents of management are followed by assigned/regulated responsibilities 2 - - The system of Vietnamese regulation to set the conditions: from circulars, degree, rule/standards, certificates for each actor along the production chain namely producer, processor, traders, etc. - Food safety issue is complex and dynamic/changing all the time, also the document system The technical standards on food safety, adapt, refer to international (CODEX) or developed countries (EU, USA, Canada). - Question on risk assessment is costly: who will pay, who are interested in, who will be the assessors: all those resources need to be accounted for. Le Van Son from Canada Embassy gave lessons learnt from Canadian system of food safety regulation and a perspective on the support of Canada to Vietnam on food safety. - Previously food safety system in Canada was also quite big and complex. It has changed recently with the highest aim to protect the health of people/consumers, community health protection law. - All other elements such regulations, risk assessment, HACCP… There is a need to emphasize on the accountability, transparency, but always for an update of regulations and situation. - There is a specific body to evaluate and review documents and there is only one agency for the food safety inspection (based on the requirement of producers, consumers, and administration authorities) - Principle of food safety in Canada apart from technical issues is moving more to religion and trust/belief based and put the role of consumers at a center position. - The inspection system is unified at all level at state and counties levels (before it was under Agriculture Ministry, and trend now also reported to MOH. - The inspection agency has accountability for both agriculture and health ministries, especially for the import products. - Under an established consultation mechanism, the inspection agency also receives and reacts to feedback from consumers or related reports. - If sanction, the sanction is serious, therefore producers try to comply to avoid sanctions - Recent support and project from Canada (CFIA report to) to support FS review for Vietnam (with MARD). - Canada will support Vietnam (phase 1 and 2 of project) on food safety regarding supply (producers, processors and distributors), demand (role of consumers, awareness, choice and pressure from consumers), and support GoV in regulation set up/policy making, testing and risk assessment. - How to do and enforce sanction on food safety in Vietnam? - Under TPP, Canada and Vietnam are members therefore there are future opportunities for support on food safety. Other points from discussions: -What structure of food safety system is suitable for Vietnam? Do we consider single or multiple agencies, product based, value chain based, or one food safety agency? 3 - -Maybe for the issue of food safety structure or system: it takes time (years) and under level of Gov and long run/roadmap. Need to focus on how to enforce the law/regulation and make the recent system becomes more effective. -We should think about accountability and transparency, the report of the survey/inspection, e.g. level of violence, who violate and raise the force/pressure coming from consumers. -Responsibilities should be clear, including complain mechanism, or inspection/ monitoring of people, can people ask more detailed questions from yearly report? If one or many ministries involved might be another story, as changes may take time. This year the food safety law is evaluated after 5 years implementation. So, any comments, inputs can support adjustment and amendment of FS law. -Regulations/laws need always be revised and updated to suit the real situation (Hung VFA) - Risk assessment needs to be enhanced and scientific based, avoid to make miscommunication/ or being a threat to the public, violating companies/firms, or negative effect to economic activities (Hung VFA) Panel 3: Formal, informal market - Discussants: Le Viet Nga (MOIT) and Tang Anh Vinh (DAH), facilitated by Pham Van (IFC) Ms. Le Viet Nga from MOIT gave an overview on the challenge of market management and food safety. - Vietnam has now about 8600 market, 700 supermarket and thousands of household shops to distribute agro-fishery products/goods - Modern outlets provide about 30% of good, but less than 5% is VietGAP, this needs to be strengthened through multiplication of the model and enhance traceability and involvement of small and medium producers into to chain. - About 2 million households access to food markets are under the management of provinces - The informal markets system are still at level 3 (water, environment was not good), under commune management - Quite difficult for authorities to manage markets - Large/big enterprises have been invested into agriculture and market, eg. VISSAN, Vingroup, They seek for the producers groups, and distribute under their own system. - Such last year, about 5800 cases of food safety violence in trade, using ban substances Mr. Tang Anh Vinh (DAH) raised the issue on slaughterhouse management. - To monitor slaughterhouses is a challenge for DAH, more than 30,000 slaughterhouses in Vietnam and distributed over approximately 11800 communes - Veterinary services cannot cover all those slaughterhouses, slaughterhouse or meat inspection is under control, even the authorities stamp is not significance for the consumers (lack of trust on this) - Hanoi has 4 big slaughterhouse, but only one is working The discussion was contributed by Mr Ton That Son Phong from LIFSAP, stating that before LIFFSAP started, there were about 50,000 slaughterhouses (in 2007), now about 30,000 slaughterhouses in Vietnam, trend is decreasing. The number of small markets or vendors is less 4 - in the south compared to the north, since in the north more small scale production are located, however small scale pig producers have also reduced (from 11 millionhousehold to 7 million). LIFSAP invested to improve markets which have more than 20 stall/shops, veterinary surveillance, and commune/district authorities are able to fulfill the condition/criteria after investment. Set up the value chain is key: producers produce under safe condition, and enough products for markets (e.g vegetable), and are linked to the market. NAFIQAB representative proposed that if the management of the market is properly done, we can solve all other issues related to food safety. 5 Panel 4: Prioritization - Discussants cum wrap-up session: Artavazd Hakobyan (WB) and Pham Duc Phuc (HSPH). Facilitated by Vo Thanh Son (WB) Artavazd Hakobyan (WB) - Key priorities need to be paid to the private sectors and to capacity building. Food safety standards need to be followed. - Violations can come from lack of knowledge in production, and other can be the criminal under specific condition (eg. subjective to add harm substances). The criminal act is a high concern of the public. However, the police will have to deal with the violation or criminal problems. - More focus on support to produce safe food when the producers don’t know how to do, and the role of policy management. - How to have good and effective policy to help produce better food, and this policy is easy to apply. Shaping food policy: Giving more knowledge to producers and other factors There was a discussion on the need of developing a food safety crisis management plan for Vietnam. MOH representative Lam Quoc Hung stated that a crisis management plan exists for managing food poisoning outbreak events but more efforts need to be done for improving information, communication and management related to outbreak under MOH. The plan at MOH is to improve the food poisoning outbreak response, to divide the duty for each unit/agency. Information on food poisoning outbreak need to collaborate to response, eg. poisoning outbreak (need hospital), contaminated product (need collaborate to other sectors). Ms. Ngan Giang from FAO recommended to use risk-based approach for priorities identification, depending on each ministries to have long run plans, in short term, what should we identified to do. E.g base on proposal from each agencies from different ministries and strengthen the collaboration among them, utilize the infrastructure capacity, and under regulation/state frame, which is need to socialize or need support. We have many requirement and exercises. Ms. Nga from MOIT proposed to focus on most popular food/scale, high risk and value chain approach: - On the scale, the specious experience on market management, if not well manage, can be explorer for the price, especially under the sustain market price program, more than 30% business, but we need still maintenance for small scale/retailers by support/subside to involve - Hand over for the business, GoV only coordinate, guide/direct and support, we can apply in big city, then big/medium scale business, support by training, consultation, support for capitals, and rental mechanism. - Enhance the business/business fair, and inspection/monitoring along value chain and certification The discussion also emphasized the need of technical support and budget to implement the inspection and monitoring, connection among value chain actors (such as production chain or market/distribution chain). Also follow the national food safety strategy, 2015-2020 and vision to 6 2030 to focus risk assessment, management, support value chain production, and renew production relationship/linkage. Collaborate to police to inspection/finding violation, set up the suitable communication measure. Finally it was suggested that training risk assessment for public health/medicine and agriculture students and staff is needed, which will provide human resources and capacity in risk analysis to implement risk based approach to food safety management. At the wrap-up, the following points were mentioned: - Food safety management has to use a value chain approach - Risk based approach will be key for food safety management, therefore capacity building for risk analysis implementation is needed - Inspection and surveillance need to be improved and invested - Lab system are to be equipped - More immediate actions for food safety intervention for key and focus on a few key value chains. 7 Annex 3: List of people met during the mission List of people met during the mission 1, 7-15 January 2016 No Name Position Institutions Contact Regional Animal Health Office No.6 ( RAHO6 ) 1 Ngo Thanh Long Vice Director 521/1 Hoang Van Thu, Ward 4, Tan Binh dist., Ho Chi Minh city 2 Mr Quy VPH Lab, RAHO6 3 Mr Hoang Testing lab, RAHO6 4 Bui Thi Minh Thu Saigon Coop Phat Thanh company, 157-159 Bui Huu 5 Lam Ba Tai Manager Nghia, Ward 7, District 5, Ho Chi Minh city 6 Dang Van Chinh Director Institute of Public Health, Ho Chi Minh city cdang2004@yahoo.com Center for Food Safety and Testing in the 7 Phan Bich Ha Head South Vietnam , Institute of Public Health, Ho Chi Minh city Center for Food Safety and Testing in the 8 Nguyen Duc Thinh Deputy Head South Vietnam , Institute of Public Health, Ho Chi Minh city Center for Food Safety and Testing in the 9 Nguyen Do Phuc Deputy Head South Vietnam , Institute of Public Health, nguyendophuc@yahoo.com Ho Chi Minh city 10 Den Lu wholesale market 11 Sub-NAFIQAB Hanoi 12 Sub-DAH Hanoi 13 Nguyen Van Lam LIFSAP site in Quoc Oai, Hanoi 1 No Name Position Institutions Contact 14 JICA Veggie farm 15 Lam Quoc Hung Head of division Vietnam Food Administration, MOH hungdichte@yahoo.com Deputy Head, Division of 16 Mr Nam Legal regulation and Vietnam Food Administration, MOH Integration Division of Legal 17 Ms. Nhan Vietnam Food Administration, MOH regulation and Integration Division of Testing and 18 Ms. Tam Vietnam Food Administration, MOH Standard National Agro Forestry Fisheries Quality 19 Nguyen Nhu Tiep DG Assurance Department (NAFIQAD) - MARD National Agro Forestry Fisheries Quality 20 Nguyen Van Thuan Head of Division Assurance Department (NAFIQAD) - vanthuan.nafi@mard.gov.vn MARD National Agro Forestry Fisheries Quality Division of Planning and 21 Ms. Hong Assurance Department (NAFIQAD) - International Collaboration MARD ICD MARD 22 Mr Minh DDG SPS Viet Nam SPS Office International Cooperation Department, Mr. Tran Viet Cuong Deputy Director cuongtv.htqt@mard.gov.vn or 23 Ministry of Agriculture and Rural tranvietcuongsps@gmail.com Development Division of Food safety and Environment 24 Vuong Truong Giang Head of Division Management, Plant Protection Department, giangppd@ymail.com MARD Division of Planning and International 25 Ms. Dung Collaboration, Plant Protection Department, MARD Technical and Planning Office, Agricultural 26 Mr. Pham Viet Anh Deputy Head Project Management Board (APMB) under MARD Mr. Nguyen Xuan Anh 27 Deputy Director LIFSAP PCU, APMB under MARD Tuan 2 No Name Position Institutions Contact 28 Ms. Nguyen Thi Thao Deputy Head Economic Office, Nam Tu Liem District 29 Ms. Nguyen Thi Nhung Staff Economic Office, Nam Tu Liem District Fresh rice noodle Club of Phu Do Craft 30 Mr. Nguyen Van Hoa Chairman Village Fresh rice noodle Club of Phu Do Craft 31 Mr. Ngo Van Hung Vice Chairman Village Fresh rice noodle Club of Phu Do Craft 32 Mr. Nguyen Thanh Nam Member Village Fresh rice noodle Club of Phu Do Craft 33 Mr. Ngo Manh Ngoc Member Village Technical 34 Ms. Le Thi Thu Ha Hanoi LIFSAP PPMU Assistant/Consultant Tran Ngoc Men Noodle Factory at Hamlet 35 Mr. Tran Ngoc Men Owner 4, Phu Do Ward, Nam Tu Liem District, Hanoi Chien Thom Noodle Factory at Hamlet 3, 36 Ms. Nguyen Thi Thom Owner Phu Do Ward, Nam Tu Liem District, Hanoi International Cooperation Division, 37 Duong Xuan Dieu Ministry of International and Trade 38 Nguyen Quy Duong Plant Protection Department, MARD 39 Nguyen The Hinh Vice directors Agricultural Projects Management Board 40 Le Thi Ngoc Bich Translator Translator Scientific and technology department, 41 Nguyen Van Ha Officer MARD 42 Do Thi Quy Officer Veterinary Public Health Department, 43 Huynh Thi Thanh Binh Head DAH, MARD International Cooperation Division, 44 Le Minh Tuan Specialist MARD International Cooperation Division, 45 Chu Van Chuong Vice head MARD 46 Vu Thi Lien Huong Officer Department of Livestock Production 3 No Name Position Institutions Contact 47 Dinh Tuong Lan Staff CIRAD 48 Jong Ha Bae Representative FAO representative 49 Vu Van Tam Vice Minister MARD 50 Nguyen Cong Hien Minister officer Minister office, MARD International corporation division, 51 Le Hong Lam Government office International corporation division, 52 Ho Anh Tai Government office 53 Pham Viet Anh Vice head Agricultural Projects Management Board 54 Ton That Son Phong Director LIFSAP PCU 55 Truc LIFSAP PCU 56 Long LIFSAP PCU 57 Tran Ngoc Huyen LIFSAP PCU 58 Nguyen Van Quyet Agricultural Projects Management Board 59 Pham Thi Lan Huong LIFSAP PCU 60 Dang Quang Tien LIFSAP PCU 61 Dam Thi Bich Ngoc LIFSAP PCU 62 Ta Viet Hoang LIFSAP PCU 63 Hoang Thi Lien LIFSAP PCU List of people met during the mission 2, 4-13 May 2016 No Name Position Institutions Contact 1 DDG technique Aquatex Ben Tre 2 DDG marketing Aquatex Ben Tre 5 Nguyen Trung Anh R&D Director Pan Group 4 No Name Position Institutions Contact 6 CEO Fresh studio Lê Thị Thu Hường Senior Agriculture 7 Fresh studio Consultant 8 Gabor Fluit CEO De Heus LLC 9 Director Sub-VFA HCM city 10 Mai Vice director Sub-VFA HCM city 11 DARD HCM city – Sub NAFIQAD 12 DARD HCM city – Sub PPD 13 DARD HCM city – Livestock division 14 Vietnam Customs in Ho Chi Minh City 15 DARD HCM city Mega Market (Formerly Metro Cash 16 Thom and Carry Viet Nam) 17 Huynh Minh Viet CEO BioSpring 18 Tuong DDG DABACO 19 DABACO 20 Le Ba Lich President Feed Association 5 Annex 4: Matrix of laws, decrees, decisions and circulars relevant to food safety management by MARD Title of Description/Scope Objectives Date Enacted/ Responsible Law/Number/Year Effectivity Agency/Institution Law on Food Safety Provides for rights and 1. To elaborate strategies and master plans June 17, 2010/July • Ministry of Health No. 55/2010/QH 12 obligations of organizations and on food safety assurance, regarding the 1, 2011. • Ministry of Agriculture individuals in assuring food planning of zones for safe food production and Rural safety: conditions for assuring according to the food supply chain as a Development safety of foods and food priority key task. • Ministry of Industry production, trading, import and 2. To use state resources and other and Trade export; food advertisement and resources to invest in scientific research and • People's Committees labeling; food testing; food technological application to serve food at all levels safety risk analysis: prevention, safety risk analysis; to build new laboratories • Ministry of Information and stopping and remedying of food and upgrade some existing ones up to Communications safety incidents; food safety regional or international standards; to raise • Ministry of Education information, education and the capacity of existing analysis laboratories; and Training communication; and to support investment in building zones responsibilities for state producing safe food materials, wholesale management of food safety. markets for farm produce and food, and industrial-scale cattle and poultry slaughterhouses. 3. To encourage food producers and traders to renew technologies and expand their production: to produce high-quality and safe food; to fortify food with essential micronutrients: to build their brands and develop their safe food supply systems. 4. To establish a legal framework and realize a roadmap for compulsory application of 1 Title of Description/Scope Objectives Date Enacted/ Responsible Law/Number/Year Effectivity Agency/Institution good manufacturing practices (GMP), good agricultural practices (GAP), good hygiene practices (GHP) and hazard analysis and critical control points (HACCP) and other advanced food safety management systems in food production and trading. 5. To undertake international cooperation, step up the conclusion of treaties and international agreements on accreditation and mutual recognition in the field of food. 6. To promptly commend and reward organizations and individuals that produce or trade in safe foods. 7. To encourage and create conditions for domestic societies, associations, organizations and individuals and foreign organizations and individuals to invest or participate in the elaboration of standards, technical regulations and testing of food safety. 8. To increase investment in and diversify forms and methods of public information and education to raise public awareness about the consumption of safe food, sense of responsibility and business ethics of food producers and traders towards the community. Law on Standards and Provides for the formulation, 1. To attach importance to investment in June 29, • Ministry of Science Technical Regulations announcement and application building material-technical foundations and 2006/January 1, and Technology 2 Title of Description/Scope Objectives Date Enacted/ Responsible Law/Number/Year Effectivity Agency/Institution NO. 68/2006/QH11 of standards; the formulation, training human resources for the state 2007 • Ministries and promulgation and application of management of activities in the domain of ministerial-level technical regulations; and the standard and the domain of technical agencies assessment of conformity with regulation. • Provincial/municipal standards and technical 2. To support and promote scientific People's Committees regulations research and application and technological • Production and development in service of activities in the business organizations and individuals domain of standard and the domain of • Associations and technical regulation. unions 3. To encourage domestic and foreign organizations and individuals as well as overseas Vietnamese to participate in formulating and applying standards and technical regulations, invest in developing activities in the domain of standard and the domain of technical regulation in Vietnam, and training in standard and technical regulation knowledge for econo-technical branches. Law on Product and Provides for the rights and 1. To encourage organizations and November 21, • Ministry of Science and Goods Quality obligations of organizations and individuals to formulate and apply advanced 2007/July 1, 2008. Technology NO. 05/2007/QH12 individuals producing or trading standards to products and goods as well as • Line ministries in products or goods as well as the management and administration of • Peoples Committees at organizations and individuals production and business. all levels conducting activities related to 2. To formulate national programs on raising product and goods quality; and the productivity, quality and the management of product competitiveness of products and goods. and goods quality; includes 3. To invest in and develop the testing awarding of national prizes and system to meet the requirements of 3 Title of Description/Scope Objectives Date Enacted/ Responsible Law/Number/Year Effectivity Agency/Institution prizes awarded by organizations production, business and state control of or individuals for good quality product and goods quality. products 4. To enhance training and retraining of human resources for product and goods quality control. 5. To propagate and disseminate policies and laws on product and goods quality; to form a sense of producing and trading in quality products and goods for consumers’ interest, which save energy and are environment-friendly; to raise social awareness about consumption and build civilized consumption habits. 6. To encourage and create conditions for domestic and foreign organizations and individuals to invest and participate in testing, inspecting, verifying and certifying product and goods quality. 7. To expand cooperation with other nations, territories, international organizations, regional organizations as well as foreign organizations and individuals in activities related to product and goods quality; to enhance the conclusion of treaties and agreements between Vietnam and other countries, territories, international or regional organizations on mutual recognition of conformity evaluation results; to encourage Vietnamese 4 Title of Description/Scope Objectives Date Enacted/ Responsible Law/Number/Year Effectivity Agency/Institution conformity evaluation organizations to sign agreements on recognition of conformity evaluation results given by corresponding organizations of other countries or territories so as to facilitate the development of trade between Vietnam and those countries or territories. Law on Inspection Provides for the organization 1. To detect loopholes in management November 15, • The Government No. 56/2010/QH12 and activities of state mechanisms, policies and laws and 2010/July 1, 2011. Inspectorate inspection and people's recommend remedies to competent state • Inspectorates of inspection, including specialized agencies ministries and inspection ministerial-level 2. To prevent, detect and handle law agencies violations; assist agencies, organizations • Inspectorates of and individuals in properly observing law; provinces and bringing into play positive factors; centrally run cities contribute to raising the effect and • Inspectorates of effectiveness of state management provincial-level activities; departments • Inspectorates of rural districts, urban 3. To protect the interests of the State and districts, towns and the rights and legitimate interests of provincial cities agencies, organizations and individuals. • Agencies assigned to perform the specialized inspection function Law on Governmental Provides for the position and To regulate the organizational structure, December 25, • The Cabinet Organization functions of the Government, responsibilities, powers and working regime 2001/January 7, • Prime Minister No.32/2001/QH10 Duties and powers of the of the Government (Cabinet) and its • Deputy Prime Minister 5 Title of Description/Scope Objectives Date Enacted/ Responsible Law/Number/Year Effectivity Agency/Institution Government, Duties and members 2002 • Ministers and Heads powers of the Prime Minister, of Ministry-level Duties and powers of Ministers agencies as members and Heads of Ministry-level of the Cabinet agencies, Working regime of the Government. 6 Decrees April 18, 2012 Decree No. 36/2012/ND-CP Defining the functions, tasks and organizational structures of Ministries and Ministerial-Level agencies April 25, 2012 Decree No. 38/2012/ND-CP Detailing implementation of a number of Articles of the Food Safety Law 2010 Nov 14, 2013 Decree Sanction of administrative violations on food safety No.178/2013/ND-CP Nov 26, 2013 Decree No. 199/2013/ND-CP Defining the functions, tasks, powers, and organizational structure of MARD Circulars and Decisions Dec 18, 2011 PM Decision No.2406 Issuing the list of national target programs 2012-2015; includes target program on food safety and hygiene January 04, 2012 PM Decision No.: 20/QD-TTg Approval of the National Strategy for Food Safety in the period of 2011-2020 and a Vision toward 2030 April 9, 2014 MOH-MARD Joint Circular No. Allocation of tasks and cooperation among regulatory agencies in food safety 13/2014/TTLT-BYT-BNNPTNT-BCT management Oct 27, 2014 MOH-MARD-MOIT Joint Circular No. Guidance on the labeling of goods for foods, food additives, and packaged food 34/2014/TTLT-BYT-BNNPTNT-BCT processing aids March 25, 2015 MARD-MHA Joint Circular No. Instructions on functions, duties, power, and organizational structure of agencies 14/2015/TTLT-BNNPTNT-BNV specialized in agriculture and rural development under People’s Committees at district and provincial levels April 4, 2015 MARD Decision No. 670/QD-BNN-TCCB defining functions, responsibilties, powers, and organizational structure of the NAFIQAD April 17, 2015 MARD Decision No. 1290/QD-BNN- assigning and decentralizing monitoring and inspection of food safety for TCCB agricultural, forestry and fishery products within authority of MARD 7 Others listed by NAFIQAD • PM Decision No 48/2005/QĐ-Ttg on establishment of National Steering Committee on food hygiene & safety • PM Decision No 01/2012/QĐ-Ttg on supporting application of GAP in agriculture production • PM Decree 210/2013/ND-CP, Decision No 62/2013/QĐ-Ttg encouraging linkage between agriculture production and distribution • Relevant government projects for strengthening food safety communication; enhancing food safety inspection; development of safe food supply chain; improving food hygiene & safety in slaughtering and distribution • Food safety criteria and limits (biological tolerances and chemical MRLs) • Hygiene and safety conditions for food production and distribution ( codes of practices) • System and procedures for food safety surveillance, inspection and control of locally produced and imported foods • National Food standards produced by line Ministries and published by Ministry of Science and Technology • Producer/trader standards: Private standards 8 Annex 5a Food safety governing system in Vietnam Ministry of Agriculture and Ministry of Industry Ministry of Health Rural Development and Trade Plant protection Dept. of Animal Health Science and Technology Department Department Livestock Production Market Department of Quality Vietnam Food Department ManagementDepartment Administration Management Agro- AFF Processing and forestry & Fisheries Trading Department Domestic market Department Directorate of Fishery Directorate of Forestry Department of Industry and DARD Trade Department of Health Crop Production Div. Livestock Production Div. Technical Div. Aquaculture Div. Market Management Aminal Health Sub- Plant Protection Sub- NAFI-Sub. Dept Food Safety Sub-Dept. Dept. Dept. Sub-Dept. Health Div. District Economics/Agriculture Division Market Management Teams Health Station District Veterinary District Plant station protection station Local agricultural extension Annex 5b Decentralization of MARD food safety responsibilities through province and district level Area Central Level Local Level Agro-food with plant origin Crop production (including pre- Crop Production Department Provincial Plant Protection Sub- processing at crop production (CPD) Departments and Provincial Crop entities) Production Sub- Department. Plant Protection Department (PPD) Independent primary processing Department of Processing and Provincial Agro-Forestry- and processing Trading Agricultural, Forestry Fisheries Quality Assurance Sub- and Aquatic Products and Salt Departments (Provincial Sub- NAFIQAD) Distribution and consumption NAFIQAD Provincial Sub-NAFIQAD (wholesale markets, auction markets, specialized trading entities, independent transport vehicles) Import and export PPD Provincial Sub-NAFIQAD NAFIQAD Agri-food with animal origin (except for fishery products) Livestock production Livestock Production Animal Health Sub-Department Department and Provincial Livestock Production. Slaughtering, primary Animal Health Department Provincial Animal Health Sub- processing Department. Processing (grilled chopped NAFIQAD Provincial Sub-NAFIQAD ham, meat, canned meat, groceries, backed ham, salt- curing meat) Distribution and consumption Animal Health Department Animal Health Sub-Department; (wholesale markets, auction Provincial Sub-NAFIQAD NAFIQAD markets, specialized trading entities, independent transport vehicles) Import and export Animal Health Department Provincial Animal Health Sub- 1 NAFIQAD Department and Provincial Livestock Production. Fishery foodstuff Aquaculture Directorate of Fisheries Sub-Department of Fisheries Capturing Directorate of Fisheries Sub-Department of Fisheries Procurement, primary NAFIQAD Provincial Sub-NAFIQAD processing, processing (including processed fish boat), independent cold stores Distribution and consumption NAFIQAD Provincial Sub-NAFIQAD (wholesale markets, auction markets, specialized trading entities, independent transport vehicles) Import and export Animal Health Department Provincial Sub-NAFIQAD NAFIQAD White salt Production, primary processing, Department of Processing and Provincial Sub-NAFIQAD processing, packing, domestic Trading Agricultural, Forestry consumption, import and export and Aquatic Products and Salt Mixed products (plant, animal, aquatic), ice producers, other products under management of MARD and MOIT as regulated in Inter-Ministerial Circular 13/2014/TT-BYT-BNNPTNT-BCT. Primary processing, processing NAFIQAD Provincial Sub-NAFIQAD cold stores, packing material producers linked with agricultural, forestry and aquatic producers, circulation, consumption, import and export; ice for storage purpose, processing of agricultural, forestry and aquatic products. NOTE: Fishery Division and Inspection Division of DARD will be in charge if the province does not have Sub-Department of Fisheries in accordance with DARD Director 2 Annex 6 Further details on organizational structure of food safety management, inspection under MARD Ministry of Agriculture and Rural Development manage food safety in initial production of all the food chains and all stages from preliminary processing, processing, storage, transportation import and export and trading of the nine food chains under three groups of crops, livestock and fisheries. With the current broad-scale management, MARD is also developing a huge food safety management system, with 6 Departments and 2 General Departments at central level and the vertical industry system under the Ministry of Agriculture consists of 8 local units (see Figure below: MARD’s organizational structure on food safety management). Specifically MARD assigns the National Agro-Forestry-Fisheries Quality Assurance Department (NAFIQAD) as the coordination agency in organizing the implementation of legislation on quality and safety of agro-forestry-fishery products within MARD’s authority1. MARD also assigns seven Departments with the monitoring and inspection of agricultural, forestry and fishery food products authority2... Table 1 shows the assignments of Departments within MARD and province and district agencies. This type of organizational structure is regarded as having horizontal lines of responsibilities. It divides the ministry’s responsibilities into line departments with specified mandates for food sectors and associated programs including food safety. The central level has responsibility of issuing food safety related legal documents and the local level has the role of implementation. There is not inconsistency in responsibility assignment between central and local agencies. Furthermore, the responsibility assignment of this activity at the local level is not really consistent between provinces. In some provinces, the direction and monitoring of production activities concentrate in only one unit to take responsibility. The existing institutional structure on vegetable, fruit and meat value chains shows that the current assignment is not separated between the food safety management and the risk assessment. As the assignment described in table 1, the plant protection department covers the responsibility of both risk management of chemical production inputs and risk assessment under the area of residue control in vegetable and fruits. These two functions are undertaken by one agency. At the local level, these activities are also implemented by only one agency. It can be assumed that the effectiveness of these activities is not achieved as its expected objectives. Then, food safety issues have not yet solved completely. There are many agencies and Departments in MARD undertaking inspection services that results in a poor capacity to communicate, coordinate and integrate between departments. There is not have clear lines of vertical accountability within MARD for ensuring food safety across the different departments/ sectors, and not be consistent means of assessment risk across the food safety system. It is recommended that MARD consider in reviewing the number of agencies and Departments in MARD undertaking inspection services. Where feasible, agreements should be reached to ensure professional alignment in training so that inspections and audits are carried out to the same standard and level of proficiency. This would mean that any inspection / audit done by one Department can meet the needs of all. 1Decision No. 670/QD-BNN-TCCB issued on April 4, 2015 2Decision 1290/QD-BNN-TCCB issued on 17 April 2015 1 Figure: MARD’s organizational structure on food safety management Minister of Agriculture and Rural Development Food safety Steering Committee (Standing agency: NAFIQAD) Directorate Crop Production Plant Protection Animal Livestock Directorate AFF and salt processing NAFIQAD ofForestry Dept. Dept. Health Dept. Production Dept. of Fishery & Trading Dept. 3 Rep. agencies & 9 Regional Sub- 7 regional AH 2 Rep. agencies & 7 regional Rep. Office in Rep. Office in HCMC & 1 1 center Dept & 9 centers agencies & 5 1 center centers & 2 HCMC center centers agencies Department of Agriculture and Rural Development Livestock Production Div. Crop Production Div. Aquaculture Div. Technical Div. Animal health Sub-Dept. Sub-NAFIQAD Plant Protection Sub-Dept. Vet station Agriculture Div-Fishery Plant Protection QC section Station Communal Vet QC collaborator Communal PP officer 2 Annex 6b Additional material on surveillance and monitoring National plan of rapid detection system for food safety In 2013, the Prime Minister approved Decision No. 518/QĐ -Ttg to establish rapid alert systems and risk analysis of food safety in Vietnam. The overall objective is to develop adequate capacity to carry out rapid processing of information on food safety and foodborne disease outbreaks thus contributing to enhanced food safety and public health. The specific objectives are to:  develop and organize the operation of the rapid alert system for food safety in Vietnam including the national, ministry, province and local levels;  improve the quality of information required for the operation of rapid alert systems and risk analysis of food safety in Vietnam; and  analyse the risk of food safety for some common food groups in Vietnam. Under this decision, a warning centre point was to be established at VFA, MOH to receive and process information and provide warnings about foodborne disease outbreaks at the national level. The information would be received from Alert Level 1 and Alert Level 2 points as shown below: Level 1 warning points organized at each ministry and province and include VFA (MOH), NAFIQAD (MARD), Department of Science and Technology (MOIT) and provincial VFA. Level 2 warning points established in the relevant units under the ministries, provinces and the focal point related to the work of ensuring food safety, including:  Units of the ministries: inspection, monitoring, registration of product certification, specialized institutes, testing centres, food safety zones and state inspection agencies on food imports  Provincial VFA, Provincial Centre for Preventive Medicine and Centre for Food Safety Testing which would ensure food safety in the provinces  Enterprise production, large-scale food businesses, food safety associations and the Association of Standardization and Consumer Protection Food safety surveillance and monitoring in Ho Chi Minh City Ho Chi Minh City has around 59,000 food establishments (food processors, food-related businesses, traders and restaurants); this is a challenge for the city to manage food safety and conduct surveillance. The city has applied yearly active food safety surveillance, both periodic and surprise surveillance. From 2011 to 2015, a total of 4,044 samples were tested from periodic surveillances and 1428 samples from surprise surveillances. Biological (E. coli, coliforms and Pseudomonas aeruginosa), chemical (sodium benzoate, potassium sorbate, borax, cyclamate, 2-ethylhexy phthalate, formol and methanol) and physical hazards were tested in roast pork, ice, rice noodles, fried oil, wine, soft drinks and bottled water. For periodical food safety surveillance, 57.8% of the tests were for biological hazards and 42.1% for physio-chemical hazards. From 2011 to 2015, the average percentages of samples not meeting the standards for biological and physio-chemical criteria were 39.6% (34.4–43.4) and 12.3% (5.6–23.1), respectively. The highest percentage of samples not meeting biological standards was 57.2% (for Pseudomonas aeruginosa), followed by coliforms (44.8%) and E. coli (19.5%), and 9.5% of samples did not meet the chemical standard for borax. For surprise active food safety surveillance carried out from 2011 to 2015, an average of 25.6% of samples (19.7– 35.3) did not meet the standard requirement. Some of the failed samples were related to 2-ethylhexy phthalate (3/18 samples tested positive in syrup, jelly, milk tea, fruit jelly, fruit juice) or cyclamate, saccharin and lead (in 1 jam). After identifying the cases of food adulteration, the sub-VFA of Ho Chi Minh City informed the People’s Committee for sanction and management. Based on the findings from surveillance and inspections, the city has formed a steering committee (including sub- MOIT and sub-VFA) to control, monitor and solve the food safety violation issues. The city also focuses on strengthening communication with the food establishments, food businesses and consumers and educating them on selection of raw food and food safety practices. There is a need to increase periodic active surveillance sampling and inspection within the city. It is also a need to issue uniform and clear regulations and guidelines for monitoring and inspecting food businesses, including their hygienic conditions. The government may consider providing increased budgets to increase sample size and food types under the food safety surveillance activities. As one of the solutions to improve food safety surveillance, Ho Chi Minh City is developing a plan to merge all the food safety bodies in the city (from health, agriculture, trade and industry sector) into a single organization under the Ho Chi Minh City People’s Committee which will manage food safety. It is likely that the sub-VFA of Ho Chi Minh City will lead this single organization. If this materializes, it will be the first example of Vietnam in re- structuring the food safety management model and could be replicated in other provinces. 2 Annex 7 Further details on inspection for domestic vs. import/export market inspection frequencies and violations (a) Inspection production for domestic markets: For implementing food safety inspection of Agriculture production, the central level (MARD) has responsibility of issuing legal documents and the local level has the role of implementation. The success of domestic management and improvement in food safety outcomes is largely dependent on the capacity of local levels (province, district and commune local government). Implementation of inspection of fresh fruits, vegetables and meat production focus on the production chain and the supply to the market to meet the consumers’ demand. For example, vegetables and fruits are harvested, packed and sold directly in the market or wholesale markets through distribution channels at key markets, supermarkets, or retailed at markets. Together with Circular No. 14/2011/TT-BNNPTNT for agriculture production management, two legal instruments are identified as being relevant to food safety within the national food supply chain. They are the Ministry of Health’s (MOH) Decision No. 4196/1999/QĐ 29/12/1999 on Food Safety in Production Conditions and the Ministry of Industry and Trade’s (MOIT) Circular No. 45/2012/TT-BCT on Food Safety for Trading (distribution) Food Products.  Monitor on VietGAP, GAPs, GMP, HACCP, Hygienic condition compliance Producers, enterprises undertake self mornitoring and audit on GAPs, HACCP, technical regulations compliance. Provincial Plant Protection Sub-Department, Provincial Animal Health Sub-Department assigned by DARD conduct external mornitoring, audits on GAPs, HACCP, technical regulations compliance. The quality assurance, quality control staff from cooperativies, production farms, processing establishments, undertake self audit by using monitoring checklists of GAPs, HACCP.  Implementation of investigation/ assessment food safety The provincial inspection agencies assigned by DARD undertake investigation/ assessment of food safety producction conditions and for compliance to GAP and technical regulation of production farms, cooperatives, enterprises and markets. The investigation/ assessment food safety procedures are based on regulations as prescribed in Circular No. 14/2011/TT- BNNPTNT. Investigation/ assessment food safety tools including inspection checklists are laid down in Appendix of Circular No. 14/2011/TT-BNNPTNT. The results of investigation/ assessment food safety investigation identify and categorize agriculture production farms, cooperatives, enterprises and distributors on level of food safety and hygiene condition. There have followed up activities based on investigation, assessment results as: - For the first violation, non-compliance: Give warning, request the establishment to collaborate with sampling officer to conduct traceability, investigate the cause, and implement corrective action. The establishment is subject to the next sampling. - In case of reoccurrence of violation: Inform inspection agency to conduct investigation at site, re-sampling (when necessary) and settle the violation according the regulations if the testing result of the re-sampling is positive. - The punishment applied to violated establishment follows regulations as specified in Circular No. 14/2011/TT-BNNPTNT and Decree No. 91/2012/ND-CP on the penalties for administrative violations of food safety. MARD’s report on results of one year target program food safety in Agriculture sector showed that by February, 2016 all 63 provinces, cities have for applied Circular No. 14/2011/TT- BNNPTNT to investigate, assess food safety production condition for producers, enterprises, establishments. There is an increase rate of agriculture production and trading enterprises that 1 meet requirement of food safety production conditions; 83% by February 2016 in compared with 67% in September 2015. There is 27, 8% grade C of agriculture production and trading enterprises that has upgraded to grade A, B.  Implementation of official inspection An inspection plan is planned based on surveillance sampling results, and investigation resulting on categorization result on food safety and hygiene condition in fresh vegetable production farms and distributors according to Circular No. 14/2011/TT-BNNPTN. The inspection focuses on violated production farms, cooperatives, enterprises and distributors. Unscheduled inspection to establishments are conducted when warning of food safety risks are addressed through sample testing results or based on the risk assessment when the risk is reflected from market, media, press, hospital, consumers. Follow-up of official inspection results: - Traceability, warning and violation punishment, follow-up of corrective action taken by farm/production and trading establishments are conducted. - If the re-occurrence of violation is found, the punishment will be applied according to existing regulation by inspection agency. - For a product batch, if testing results of product sample show contamination, residues of chemicals that are excessive MRLs, banned to use, out of the approved list and affect seriously to consumers’ health, the product will be subject to food safety risk warning, re- sampling: number of sample will be increased to monitor and at the same time to conduct the examination of food safety and hygiene conditions of producers and distributors premise. - List of good performance establishments or the establishments which regularly violate food safety requirements is reviewed to announce on mass media. In 2015, Department of Plant Protection carried out official inspection trips to 17 pesticide production and distribution outlets and 46 pesticides samples were taken for testing pesticide compound quality. The testing result showed that there are 7 samples out of 46 samples had less active ingredient than on the label and 1 pesticide production establishment was incorrect labeling pesticide products. Department of Crop Production organized inspection and sampling for 44 vegetables producers (farms, cooperatives, enterprises) in 18 provinces. Theyfound 8/50 vegetables samples had pesticides residues above the MRL.  Current food safety inspection for domestic consumption – Related issues The laws, regulations and standards have not been well addressed for the domestic producers, processors and retailers. At field level, agriculture production are not properly monitored and audited on good practices and technical regulation compliances by both sides as self-audit by cooperatives, enterprises and external monitor and audit by government authorities. It is rare that a food business controls every step from primary production, through processing and manufacture to retail and consumption. The monitoring activities are now implemented under the local program and beyond the request of producer and distributor. Therefore, most of production activities are not fully monitored. Especially, almost small farmers are not applying any good practices, so it is difficult to monitor safe food production activities. Almost agriculture products are not ensured as safe products. Inspection, enforcement imposes only to food production cooperatives, enterprises, while, small farmers are not subjected to the technical regulations. For example, QCVN 01-132:2013/BNNPTNT National Technical Regulation on Fresh Vegetable, Fruit and Tea - Conditions for Ensuring Food Safety in Production and Packing subjects, apply to enterprises, centralized production facilities, excluding small producers. Moreover, food safety inspection does not focus on safe product outcome. Therefore, about 80% agriculture products selling in traditional markets are not ensured as safe products. 2 (b) Inspection production for export markets. This section provides details on type and level of inspection done for exported goods while the institutional mechanism and responsibilities were describe already under 5.1.4.4. As said the respective Ministries are responsible for their products groups. The standards used are those of the importing country. Major exports are fish and fishery products among others. Types of inspection: Under the system there are two type of inspection: (1) Documentary check to check inspection registration against relevant information on food safety conditions of fishery business operators (FBO) and issue certificate of food quality and safety (Health Certificate) without onsite inspection and; (2) Onsite inspection and sampling for analysis: to check inspection registration and conduct on-site inspection and sampling for analysis. The level of oversight varies depending on performance of the FBO and is classified under 3 categories as below: a. Reduced inspection: applied to FBO which meet the following requirements concurrently during 12 months: - Being Grade A; - Not having products found non-compliant with regulations on food safety by inspecting bodies or competent authorities of importing countries; - Not being detected non-compliant with food safety conditions by inspecting bodies or other competent authorities. b. Normal inspection: applied to satisfactory FBOs (Grade A or B). c. Tightened inspection: applied to the following FBOs: - FBO being Grade C but its Certificate of Compliance has not been revoked - FBO has its products notified as being non-compliant by competent authorities of importing countries. Inspection frequency An overview on inspection frequency is provided in the table 5.2.3below: Table 1: Inspection and sampling frequency by group of product (1) Inspection and sampling frequency Intensified Group of products Common inspection Relaxed inspection inspection Type A(2) Type B(2) Type C(3) Group of low-risk 1/5 1/3 Every consignment 1/10 products (4) consignment consignment consignment Group of high-risk 1/3 1/2 1/5 consignment products (5) consignment consignment Note: (1): Inspection and sampling frequency is determined by each independent production establishment, the importing market and group of similar product with the same level of food safety risk. (2): The last result of food safety conditions classification of the production establishment. (3): Applied to establishments whose certificate of compliance with food safety regulation is not revoked? (4): Group of low-risk products: - Fish sauce and pickled fish products. - Fish and other fishery products except group of high-risk products. (5): Group of high-risk products: 3 - Ready-to-eat fish and fishery products. - Fish and fishery products with a food safety hazard associated with species: + Fish species with natural hazard of biological toxins. + Fish species associated with a histamine hazard. - Fish and fishery products of aquaculture origin. - Heat-treated fish and fishery products. (c) Common violations, types of sanctions, implementation, and reporting In 2013, there were 800 vegetable samples taken under MARD’s surveillance plan. Laboratory results showed 81 samples out of 800 samples having pesticides residues exceed MRL, which accounts for 11.6% (table below). Table 2: Vegetables testing results for pesticides under MARD for 2013 Number of Number of samples Percentage of SEQ. Type of vegetables samples exceed MRL samples >MRL(%) 1 Morning glory 250 35 14.00 2 Cabbage 45 0 0.00 3 Green mustard 205 12 5.85 Tropical leafy 4 50 5 10.00 vegetable 5 Fruit bean 250 29 11.60 Total 800 81 Source: (Plan Protection Department 2013) In 2014, results of laboratory analysis of 350 vegetables, there are 116 samples have pesticides residues (33.14%), in which 22 samples exceeded MRLs (6.2%). A MARD’s report on results of one year target program for food safety in Agriculture sector showed that by February, 2016 there are 326 out of 6166 vegetables, fruits were detected pesticides residues > MRLs account for 5.3%; There are 106 of 5433 fresh meat and processed meat products have chemical residues, anti-biotic exceeded MRLs (2%); There are 834 out of 5433 meat samples have micro biological contamination exceeded MRLs (15,4%). For fish products, there are 397/5048 fish samples have chemical residues, anti-biotic exceeded MRLs (7.9%). For export, In first quarter of 2015, tracking the European Union Rapid Alert System for Food and Feed (RASFF) for Vietnamese fruit, vegetable and tea imports into the EU; the banned fungicide Carbendazim occurs in the alerts, also the MRLs are being exceeded for the fungicide iprodione in dragon fruit. Vietnamese dragon fruit is now high risk under the EU Food Safety Agency’s risk management procedures. 4 Annex 8 Fresh fruits, vegetables and meat inspection model FARMS Post Harvest / Packaging Market WHAT VietGAP, Global GAP, Baic 1) GMP (HACCP-based), 1) Labels GAP, technical regulations HACCP compliance 2) Certificate Number compliance 2) Good Hygiene Practices compliance 3) Technical regulation (circular, Decision..) WHO Inspection Agency: Inspection Agency: Inspection Agency: 1) Department of Plant 1) Department of Plant 1) NAFIQAD and Protection Protection Provincial Sub- NAFIQAD in wholesale 2) Department of Animal 2) Department of Animal markets. Health Health 2) Ministry of Trade 3) Provincial Plant 3) Provincial Plant and Industries in wet Protection Sub-Department Protection Sub-Department markets, retail (DARD) (DARD) 4) Provincial Animal Health 4) Provincial Animal Health Sub-Department Sub-Department HOW 1) Mornitor on VietGAP, 1) HACCP-based controls, 1) Assess/ Investigate GAPs compliance hygien conditions food safety and hygien trading enterprises. 2) Assess/ Investigate food 2) Assess/ Investigate food safety producction safety producction 2) Inspection and conditions of productors, conditions of premary sampling. enterprises processing establishments . 3) Inspection and sampling 3) Inspection and sampling WHEN 1) At least 2x/year as per 1) At least 2x/year or 1) At least 2x/year as Technical Standards randomly for self-audit plan or randomly 2) At least 1x/year as plan or 2) At least 1x/year as plan or 2) Once a year as plan non plan randomly or unannounced/targeted 3) At least 1x/year as plan 3) Once a year as plan or inspection (at the or unannounced/targeted unannounced/targeted market level) in the inspection as needed in cases inspection as needed in cases of of non-compliance follow-up. cases of non-compliance follow-up. 4) Consumer complaints or emergency situation. Annex 9: Classification of lab testing parameters under MOH in terms of food and technique used Group 1: Microbiology  Analysis of the microbiological target such as total number of microorganisms, coliform, fecal coliform, E.coli, Enterobacteriaceae, Staphylococcus aureus, Salmonella, etc. in food, aquatic products, agricultural products, drinking water, waste water, ect.to assess the status of sanitation, contamination of bacteria in food; Group 2: Food chemical compositions - Analysis of the macronutrients composition such as protein, lipid, sugar, water, fibers Group 3: Organic micronutrients - Analysis of the organic micronutrients composition such as Vitamins, amino acids; Food Additives: Preservatives, color, tasting and flavoring substance, flavoring, the sweetener; additives enhancing digestion, absorption such as soluble fiber, enzymes, DHA, EPA… Group 4: Inorganic minerals and heavy metals - Analysis of trace elements and heavy metals such as As, Pb, Hg,… Group 5: Contaminant and Residues - Analysis of pesticide residues of organochlorine compounds, organophosphorus compounds, pyrethroid, carbamate group; - Antibiotic residues of chloramphenicol, metabolites of Nitrofurans, Malachites, Fluoroquinolones, Sulfonamides, Tetracyclines etc.; Growth hormones such as Clenbuterol, Salbutamol, DES…. ; Gibberellic acid, α-NAA, β-NOA,… - Biological Toxins: Aflatoxin, ochartoxin A, DON, zearelanon,… in cereal and milk; 3 -MCPD and in soy sauce; Histamin in fish sauce,… - Other chemicals: antioxidant Group 6: Genetically modified food and food origin - Analysis of genetically modified products (GMO), DNA testing of chickens, cows, goats, sheep. Group 7: Food production environment - Environmental indicators of food establishment: Analysis and evaluation of environmental indicators of water, wastewater, air quality, lighting, noise and etc. Annex 10: Overview on samples analyzed by year at NIFC (2014-2015) in Ha Noi and IPH in Ho Chi Minh city 2011-2015) On the public health side, two laboratories (NIFC in Ha Noi and the Institute of Public Health [IPH] in Ho Chi Minh City) analysed a large number of samples. The NIFC laboratory analysed 15,000 samples in 2014 and 18,000 in 2015. Microbial analyses accounted for about 20% (in 2014, chemical and microbial analysis of 56,880 and 15,120 samples, respectively and in 2016, chemical and microbial analysis of 65,727 and 17,665 samples, respectively). At IPH, the number of analyses varied from 16,000 to 21,000 samples per year. Further details on the specific number of samples analysed at NIFC (2014-15) and IPH (2011-15) by year are set out below. Year Number of samples SOPs Chemical / Microbial NIFC in Ha Noi 2014 15.000 72.000 Chemical: 56.880 Microbial: 15120 2015 19.528 83.392 Chemical: 65.727 Microbial: 17.665 IPH in HCMC 2011 20.700 115.000 NA 2012 22.500 133.000 NA 2013 16.300 87.000 NA 2014 22.000 100.000 NA 2015 20.000 110.000 NA - Annex 11: Laboratory organization beyond MOH Ministry of Agriculture and Rural Development MARD has a setup of laboratories under its various departments which are highlighted below. NAFIQAD carries out the state governance of quality and safety of agricultural, forestry and fishery products and salt nationwide. NAFIQAD consists of six branches (Hai Phong, Da Nang, Khanh Hoa, Ho Chi Minh, Ca Mau and Can Tho), each with its own laboratories. The Department of Animal Health carries out the state governance of veterinary diagnosis, quality control of drugs and bio-products, veterinary sanitary and animal hygiene. DAH consists of two centres for quality control of drugs and bio-products, two centres for veterinary sanitary and hygiene (at Ha Noi and Ho Chi Minh) and respective laboratories at national level and seven Regional Animal Health Offices (RAHOs) located at Ha Noi, Hai Phong, Nghe An province, Da Nang, Dak Lak province, Ho Chi Minh and Can Tho. The specialized centres are an indispensable tool to DAH to meet its obligations on a national and international level in veterinary hygiene and safety of animal-source food. At the regional level, each RAHO has its laboratory for testing of veterinary hygiene and safety of food of animal origin. It is responsible for technical management and support including laboratory skills in veterinary hygiene testing, safety of animal-source food and meat inspection at slaughterhouses for provincial sub-DAH in the region. At the provincial level, there are 63 sub-departments of animal health or livestock that are in direct line management of DAH or the RAHO. At the district level, the provincial sub-departments manage the district veterinary stations which in turn have links with commune and village veterinary and veterinary para-professional teams. Some coastal provinces such as Thanh Hoa have a sub- Agroforestry Fisheries Quality Assurance Department which also includes a laboratory. The Plant Protection Department carries out the state governance of plant quarantine activities, plant protection work in the field and registration of pesticides in Vietnam. The department consists of Centres for Pesticide Control and Testing located in the North (Ha Noi) and South (Ho Chi Minh), including laboratories. These centres are responsible for providing technical guidance to 63 provincial plant protection sub-departments. The Department of Livestock Production has laboratories in the National Institute of Animal Sciences and Centre for Appraisal of Livestock Breeds and Feed Quality Testing, both in Ha Noi. Some provinces also have laboratories which belong to the DARD of each province such as in Ha Noi and Ho Chi Minh. Most laboratories are accredited in accordance with ISO 17025 standard. Following this standard and based on their capacity, MARD will appoint agriculture and development sector laboratories with the recognition code, ‘LAS-NN’. Some national government laboratories operate at a very high level of performance, thus providing assurances on the reliability of analytical results. Selected criteria are listed below:  State-of-the-art equipment is available (for example, gas chromatography, high pressure liquid chromatography and ultra-performance liquid chromatography).  Sufficient, highly trained staff are available.  Training records available and many staff have participated in international training courses.  Standard Operating Procedures (SOPs) for validation are available including all the requirements of Commission Decision No. 2002/657/EC.  The management of standards is satisfactory, equipment is properly identified and calibrated, and maintenance of equipment is routinely performed and recorded.  There is regular participation in proficiency tests with generally satisfactory results. 1 Laboratory capacity example based on number of performed tests: Regional Animal Health Office (RAHO) 6, Ho Chi Minh City As an example of laboratory capacity performance in the animal health sector, data obtained from the RAHO No. 6 in Ho Chi Minh City are presented below. Generally, the RAHO 6 laboratories meet Biosafety Level 2 standards while some practices even meet Biosafety Level 3 standards. The laboratory has all necessary facilities and trained staff to carry out the required microbiological, serological and viral testing including residues. Methods such as enzyme-linked immunosorbent assay are used for screening antibiotics and growth promotion substances in food and animal products. Liquid chromatography–mass spectrometry is used for confirmatory analysis. For biological parameters, besides traditional methods for detection and analysis of bacteria in food and animal products (for example, culturing), reverse transcriptase polymerase chain reaction and automatic identification system (VITEK® 2) are used to support rapid results. In 2015, RAHO 6 analysed 264,240 samples originating from beef, pork, chicken, goat, sheep, honey, bone meal, fish and shrimp. An overview of the tests performed on animal products in 2014 and 2015 is presented in Figure 1. As shown, around 25% more tests were performed in 2015 compared to 2014. Figure 1: Animal products tested in RAHO 6 for 2014 and 2015 Tested for 2015 2014 2014 vs. 2015 1 16,619 13,564 + 22.52 Physic-chemical Analysis 2 Residue detection 5,461 3,666 +48.96 3 Parasite detection 1,409 1,519 -7.24 4 Bacteria detection 225,547 176,875 +27.54 5 DN detection 15,204 14,449 +5.23 Total 264,240 210,073 +25.8 In regard to selected microbiological food safety hazards, 225,547 tests were performed in 2015. More than half (52%) of the tests were related to detection of Enterobacteriaceae, E. coli and Salmonella spp. (Figure 2). In the same year, RAHO 6 carried out 3737 tests related to antibiotics (chloramphenicol and isothermal titration calorimetry) and residues of hormone/growth promoters (for example, salbutamol and clenbuterol). Tests on antimicrobials accounted for 74%. Figure 2: Food safety tests performed in 2015, RAHO 6. 6% Enterobacter 8% Staphylococcus aureus 29% 9% Listeria monocytogenes Escherichia coli 20% 2% Salmonella spp. 26% Vibrio parahaemolyticus 2 Ministry of Industry and Trade The Food Industry Research Institute (FIRI) of MOIT specializes in research and production of traditional fermented foods and beverages such as beer, wine, rice alcohol, vinegar, fermented milk and fermented sauces from shrimp, fish or soy. The institute has the National Centre for Food Analysis and Assessment that offers analytical services on nutritional composition; materials and food products; chemical and physical analysis; microbiological analysis; inspection and certification of quality of food products; inspection, testing and quality control of raw materials and semi-products and food safety; technological lines, equipment, machinery and spare parts of the food processing industry; and evaluation and certification of conformity to standards and regulations. Ministry of Science and Technology At the regional level, there are three Quality Assurance and Testing Centres (QUATESTs) at Ha Noi, Da Nang and Ho Chi Minh City. The QUATEST 3 at Ho Chi Minh City is the ASEAN reference laboratory in microbiology testing. At the provincial level, each province has a laboratory under the Department of Science and Technology. Ministry of Finance There are laboratories under the General Department of Vietnam Customs known as Analysis and Classification Centres which perform tests on imported goods in general, including food ingredients. These are located at Ha Noi, Da Nang and Ho Chi Minh City. Private laboratories Private laboratories mainly focus on testing of exported food. Most of the private laboratories are branches of international companies and based in the south of Vietnam. Due to the export and import requirements of international food trade, the laboratory quality and services should meet the needs of their customers. The private laboratories push the government laboratories to improve the quality of their services. Some important private laboratories include:  Intertek Vietnam Company Limited which offers solutions for product, process and food processing systems; testing of agricultural products; agricultural expertise; food and fisheries testing; food inspections, certification, assessment and consulting; testing of food packaging; physical analysis of food safety; food service equipment and consultancy on compliance requirements of food.  Hoan Vu Company Limited Science Technology which offers analytical services for import and export goods, agricultural food products, seafood products, macronutrients, micronutrients, food additives, preservatives, flavourings, bleach, mould and toxic and antibiotic residues.  Sac Ky Hai Dang Science Technology Services Joint Stock Company which provides testing, technical consulting and other related services for enterprises and organizations in Vietnam. Testing and technical consulting services include quality control of agro-products and food, aquatic products, raw materials and finished products as well as analysis of water, air, soil and waste. 3 Annex 12: Provision of academic training in Vietnam related to food safety 1. Examples of some current training courses on food hygiene and safety at (i) Ha Noi School of Public Health and (ii) agriculture universities and (iii) other universities (i) Ha University of Public Health (formerly Hanoi School of Public Health) Food Safety Management, 2 credits for undergraduate students at Ha Noi School of Public Health, with the following objectives:  Present the standard and guideline systems on food safety and food product registration in Vietnam.  Present the basic principles of food product labeling.  Describe the responsibilities of food inspection from the production to packaging products.  Understand the food management system using GMP, HACCP approaches.  Implement management measures to ensure food safety at restaurants and food selling shops. Basic food safety and nutrition, 2 credits for undergraduate students at Ha Noi School of Public Health, with the following objectives:  Present the nutrition needs for some prioritized groups (children under 1 year of age, pregnant women and patients of some chronic diseases)  Implement nutritional status assessment and implement communication activities on nutrition issues.  Involve in the identification of common food poisoning and food borne diseases in the community.  Present some preventive and intervention measures to manage some common food safety and nutrition issues in the community. Community nutrition and Food safety, 2 credits for Master of Public Health and Specialist Level I in Public Health students atHa Noi School of Public Health, with the following objectives:  Analyze prioritized nutritional and food safety issues in the community in Vietnam.  Apply methods for nutritional and food status assessment in the community.  Analyze intervention programs/measures to prevent and control food and nutrition issues in the community in Vietnam.  Analyze current common food contaminations and hazard management measures for food selling agencies/places/shops  Implement steps of food poisoning investigation procedure. Food borne diseases and food safety risk analysis , 3 credits for undergraduate Public Health students. This is the only course at Ha Noi School of Public Health that introduce to students on food safety risk analysis. The objectives of this course are:  Present the concepts and procedures of risk analysis, quantitative microbial risk assessment and chemical risk assessment in foods.  Involve in identifying, investigating, managing and reporting food poisoning cases/outbreaks and food borne diseases in the community.  Implement and interpret the laboratory test results applied in food safety and risk assessment. Environmental Health Risk Assessment; Environmental Health Risk Assessment and Health Impact Assessment: 2 credits for both undergraduate and post graduate students. These training courses focus on risk assessment methods applied for chemical, biological and physical hazards in water, air, soil and foods. (ii) Universities of agriculture There are seven main public universities of agriculture in Vietnam, namely:  Vietnam National University of Agriculture in Ha Noi  Thai Nguyen University of Agriculture and Forestry in Thai Nguyen Province 1  Bac Giang Agricultural and Forestry University in Bac Giang Province  Hue University of Agriculture and Forestry in Hue City, Thua Thien – Hue Province  Tay Nguyen University in Dak Lak Province  Nong Lam University (Ho Chi Minh City University of Agriculture and Forestry) in Ho Chi Minh City  Can Tho University in Can Tho City The main functions of these universities are training, research and transfer of scientific and technological advances in agriculture-related fields. Most food materials are agricultural products, so these universities play very important roles in food safety, especially as regards education and training. They offer diverse training programs at different levels, of which veterinary medicine, animal science, aquaculture, crop science and food science and technology are more related to food safety than the other programs. Many subjects of these training programs deal more or less with problems along the food chain. Graduates from these training programs are an important human resource in producing animal and crop products. Some common courses related to food safety at agriculture universities in Vietnam include:  Risk analysis, 2 credits core course at VNUA for undergraduate students  Food safety, 2 credits, core course at VNUA for undergraduate students  Advanced food chemical and biological safety, 3 credits, core course at VNUA for post graduate students  (Advanced) Hygiene and safety of food of animal origin, 2 credits, core course for both undergraduate and post graduate students.  Veterinary Inspection, 3 credits core course at VNUA for undergraduate students and an advanced 2 credits selective course for post graduate students (iii) Food safety training programs at other universities Engineer of Food Technology and Bachelor of Food Technology are the main training programs that are offered in Ha Noi University of Science and Technology and Ho Chi Minh City University of Science and Technology. These are broad majors. They cover many areas of food science, including food safety. Their curricula are mapped to the topic of food safety. There are some courses that relate to food safety as stated below. Safety and contamination of food  Physical contamination of food  Food additives  Chemical contamination of food  Microbiological contamination of food  Quality assessment of food  Food traceability  Food value chains The Master of Food Technology training program is provided at Ha Noi University of Science and Technology1 and Ho Chi Minh City University of Science and Technology2. Some components of the courses are related to food safety; examples are given below.  Quality management in the food industry 1 http://sbft.hust.edu.vn/user/index.php?module=training&action=typeNews&dpId=2&language=vi 2 http://www.pgs.hcmut.edu.vn/thac-si/tra-cuu/ctdt 2  Food additives  Food toxicology Ha Noi School of Public health offers a Bachelor of Public Health Training Program, majoring in Nutrition and Food Safety and Hygiene. Training programs for Food Technology Engineers are offered at Ha Noi University of Science and Technology 3 and Ho Chi Minh City University of Science and Technology4. 2. A list of Vietnamese text books related to food safety currently used Ha Noi School of Public health (2014), Community Nutrition and Food Safety, Textbook for master of Public Health, Medical Publishing House, Ha Noi (Trường Đại học Y tế công cộng (2014), Dinh dưỡng cộng đồng và an toàn thực phẩm, Tài liệu giảng dạy cho cao học YTCC, NXB Y học, Hà Nội) Nguyen Cong Khan, Tran Dang, Lam Quoc Hung, Luu Quoc Toan, Bui Mai Huong (2013), Food contamination and food borne diseases, Social and Labour Publishing House, Ha Noi (Nguy ễn Công Khẩn, Trần Đáng, Lâm Quốc Hùng, Lưu Quốc Toản, Bùi Mai Hương (2013), Ô nhiễm thực phẩm và các bệnh truyền qua thực phẩm, NXB Lao động Xã hội, Hà Nội) Tran Thi Tuyet Hanh, Nguyen Viet Hung et al. (2013), Environmental – Occupational Health Risk Assessment. Textbook for undergraduate of Public Health students, Environmental – Occupational Health Tracking, Social and Labour Publishing House, Ha Noi (Trần Thị Tuyết Hạnh, Nguyễn Việt Hùng và CS, 2013. Đánh giá nguy cơ Sức khỏe môi trường- Nghề nghiệp: giáo trình đào tạo cử nhân YTCC, định hướng SKMT-NN. Nhà xuất bản Lao động Xã hội, Hà Nội). Nguyen Cong Khan, Nguyen Viet Hung, Tran Thi Tuyet Hanh et al. (2011), Microbial Risk Assessment in Food in Vietnam, Medical Publishing House, Ha Noi (Nguyễn Công Khẩn, Nguyễn Việt Hùng, Trần Thị Tuyết Hạnh và CS, 2011. Đánh giá nguy cơ vi sinh vật trong thực phẩm tại Việt Nam. Nhà xuất bản Y học, Hà Nội.) Nguyen Cong Khan et al. (2008), Community Nutrition and Food Hygiene and Safety, Education Publishing House, Ha Noi (Nguyễn Công Khẩn và CS (2008), Dinh dưỡng cộng đồng và an toàn vệ sinh thực phẩm, NXB Giáo dục, Hà Nội). Ministry of Health – Vietnam Food Aministration (2001), Food borne diseases, Youth Publishing House, Ha Noi (Bộ Y tế - Cục An toàn vệ sinh thực phẩm (2001), Các bệnh lây truyền qua đường thực phẩm, NXB Thanh niên, Hà Nội). Nguyen Cong Khan et al. (2013), Food Safety Management, Social Labour Publishing House, Ha Noi (Nguy ễn Công Khẩn và CS (2013), Quản lý An toàn thực phẩm, NXB Lao động Xã hội, Hà Nội). Ha Noi School of Public Health. Community Nutrition and Food Safety and Hygiene, Teaching material for bachelor of Public Health students (Trường Đại học Y tế công cộng. Dinh dưỡng cộng đồng và an toàn vệ sinh thực phẩm. Tài liệu giảng dạy lý thuyết cho cử nhân Y Tế Công Cộng). Ministry of Health (2005), Food Safety Control for Street Foods. Youth Publishing House, Ha Noi. (Bộ Y tế (2005), Kiểm soát an toàn thực phẩm thức ăn đường phố, Nhà xuất bản Thanh niên, Hà Nội). 3 http://sbft.hust.edu.vn/user/index.php?module=training&action=catNews&dpId=1&sdpId=2&language=vi 4 http://www.aao.hcmut.edu.vn/index.php?route=catalog/chitietsv&path=5980&tid=816 3 Annex 13: Procedure of audit of VietGAP certification +The audit form of VietGAP certification body: - Initial audit is conducted after the producer signs a contract with the CB for VietGAP certification. - Audit of corrective actions carried out is conducted after the producer is audited but ineligible for issuance, maintanance or extension of VietGAP certificate. - Re-audit will be made upon the producer’s request on re-issuance of VietGAP certificate when validity of the certificate is expired. - Monitoring audit of post certification shall be implemented. Monitoring audit can be implemented periodically (with prior notice) or as surprise audits (without prior notice); Time of monitoring audit is determined by the certification body depending on each case, that is to ensure a continuous application of VietGAP by producer. - Surprise audits are made in the following cases: i) there are complaints about VietGAP non- compliance by the producer; ii) VietGAP certified products are found to be non-compliant and unsafe; and iii) Upon request of the State management agencies. + Methods of audit: Method for auditing products produced/processed in compliance with VietGAP requirements is as follow: Audit the production and processing process and analysis of typical samples; monitor through auditing the production and processing process and analysis of typical samples, which are collected in the production field and in handling/packing house. + Order and content of audit: - The auditment of production process follows the audit checklist and guidelines pre-described in VietGAP for each commodity. - Collect samples (soil, water, air), input materials, waste materials, or typical sample of product and identify testing parameter as specified in VietGAP (if the producer is not possible to provide testing results or the testing result is not relevant); sampling method, testing method as specified in technical regulation or regulation, if the regulation is not available, testing method of accredited and designated testing laboratory will be followed. - For the producers with many members: o Audit internal quality management system as specified in Appendix 10 attached to this Circular; o Review documents; o Audit reprensentative member of a group: Number of representative member of a group shall be determined by certification body for each specific case but it must be at least equal to square root (for initial audit) or a minimum of 2/3 of square root (for re-audit) or a minimum of 1/2 of square root (for monitoring audit) of the total member of a group. - VietGAP certification body develop a guidelines detailing registration dossier, audit order and contents, schedule, granting VietGAP cerficate for each kind of product, and notice to organization, individual, who have registered VietGAP certification. + VietGAP Certificate: 1 - Validity of VietGAP certificate: is a maximum of 2 (two) years since the date of issuance; This can be extended for a maximum 3 (three) months in case that producer has been certified but after the expiry of certificate, they have not been able to reapply for renewal of certificate - Code of VietGAP certification: The code of VietGAP certificate is obtained automatically through website from 01st January 2013 under the authorization of Directorate of Fisheries, Crop Production Department, and Livestock Production Department. 2 Annex 14: Food safety biological hazards in the food chain Table. Food safety biological hazards in the food chain Hazards Food chain Situation in food chain in Vietnam /commodity Biological group Prion (BSE) Ruminant Not yet found in Vietnam (Cuong et al, 2007) Virus Hepatitis A Animals and vegetable process Norovirus related Rotavirus Astrovirus Influenza Pig Results showed that a maximal seroprevalence of H1N1pdm of 55.6% in the slaughterhouse at the end of December 2009, 2 weeks after the peak of reported human fatalities with H1N1pdm. Farm-level seroprevalence was 29%. In seropositive farms, within-herd seroprevalence ranged from 10 to 100% [54]. Bacteria Bacillus anthracis Pig, ruminant - No reports of Bacillus anthracis in pigs in Vietnam - Cattle: Son La, Dien Bien (cases in buffalo) [y] Bacillus cereus Brucella spp. Pig and cattle -No reports of Brucellosis in pigs in Vietnam - Cattle Campylobacter Poultry, pig - C. jejuni prevalence was 28.3% in canteen poultry meat spp. [55] Nothing for pigs? Clostridium Canned food botulinum Clostridium Canned food perfringens Coxiella burneti Pig no reports of Coxiella burnetii in pigs in Vietnam 1 Hazards Food chain Situation in food chain in Vietnam /commodity E. coli Meat, vegetable, - E. coli prevalence in raw meat, fish, and vegetables were fish 21.3%, 6.6%, and 18.5%, respectively [55]. Listeria Milk, vegetable, monocytogenes fish, smoked/fermented food Leptospirosis Pig -A total of 424 sows had sera collected in the Mekong delta in Vietnam, the overall leptospiral seroprevalence for titres > or =1:100 and > or =1:400, was 73 and 29%, respectively, and was higher at small- than at large-scale farms [56]. Mycobacterium pig - No reports of Mycobacterium spp in pigs in Vietnam spp. Salmonella spp. Animals, - Pig: Prevalence on cecal contents, carcass swabs exceed vegetable, aquatic 50% [57]. animals - Poultry meat: prevalence 8.3% [55]. - Salmonella was isolated from 69.9% of the pork samples, 48.6% of the beef samples, 21.0% of the chicken meat samples, 22.3% of the duck meat samples, and 24.5% of the shrimp samples [58]. - 32.8% of retail pork, 15.5% of slaughterhouse carcasses, 47.4% of floors, 38.1% of weighing bowls, 28.6% of cooking boards and 16.7% of tank water samples [59] - Prevalence at slaughterhouse at 36.9%, while 34.9% found on pig carcass. At the market, Salmonella prevalence illustrated 41.4%, whereas 42.9% Salmonella was identified in pork [60]. Shigella spp. Animals, vegetable Staphylococcus Animals, - occurrence were 21.8%, 14.2%, 13.8% in grilled pork meat, aureus vegetable, ready nemchao (raw meat) and fermented meat, respectively [61] to eat foods Streptococcus suis Pig - Forty one percent (41%, 222/542) of pigs carried S. suis of one or multiple serotypes. 8% (45/542) carried S. suis serotype 2 which was the most common serotype found (45/317 strains, 14%). 80% of serotype 2 strains belonged to the MLST clonal complex 1, which was previously 2 Hazards Food chain Situation in food chain in Vietnam /commodity associated with meningitis cases in Vietnam and outbreaks of severe disease in China in 1998 and 2005. Slaughterhouse pigs are a major reservoir of S. suis serotype 2 capable of causing human infection in southern Vietnam [25] Erysipelothrix Pig No reports of Erysipelothrix rhusiopathiae in pigs in rhusiopathiae Vietnam Vibrio cholerae Sea food Vibrio Sea food - In shrimp: parahaemolyticus Yersinia Food related enterocolitica sources Parasite/Protozoa Entamoeba Animals, histolytica vegetable Cryptosporidium Pig, vegetable -Prevalence 14.5 % (n=193) in pig fecal samples and two spp. species/genotypes (Cryptosporidium suis and Cryptosporidium pig genotype II) (Nguyen St et al 2013) - Water spinach: Giardia spp. Pig, vegetable - No reports of Giardia duodenalis in pigs in Vietnam -Water spinach Toxoplasma Animals - Seroprevalence varied from 23% to 40% in finishers, sows, gondii and boars[62] - In Hue, 72.3% cats, 41.3%live pigs and 69.1%slaughtered pigs tested positive for T. gondii antibodies Echinococcus Pig No reports of Echinococcus spp in pigs in Vietnam granulosus Ascaris spp. Pig Ascaris suum found in pig manures was 64.1 % for Ascaris suum [63] Cysticercus spp. Pig 0.04 – 0.09% in slaughter pigs across Vietnam with highest values for the Highlands [64] Faciola spp. Cattle Trichinella spp. Pig, carnivores - Trichinella seroprevalence in pig was 5.6%, 4% and 0% in pigs, dogs and cats, respectively [65] 3 Hazards Food chain Situation in food chain in Vietnam /commodity - North Vietnam in 2012, involving 24 patients among 27 people who consumed raw pork together. Six of these patients visited several hospitals in Hanoi for treatment and all of them were positive reactions against Trichinella spiralis antigen and all cases showed positive biopsy results for Trichinella sp. larvae in the muscle [66] Fungi Aspergillus flavus Pig, Poultry Chemical groups Physical groups 4 Process flow and the related hazards in growing the crops Steps Input Hazards Biological, Selection and preparation of Soil, water source, soil Chemical, production site additives,etc. Physical Planting Seed, seedling, planting Biological, materials and equipment Chemical Watering Biological, Water, watering tools Chemical Fertilizer, additives, Fertilizer Production water, application Biological, application equipment Chemical Pesticides, water, Plant protection Chemical application equipment Other Biological, cultivation Equipment, materials Chemical actions Management of Biological, domestic and Chemicals, materials Chemical pest animals Biological, Harvest equipment, Chemical, Harvesting worker Physical 5 Harvesting and postharvest handling - process flow Steps Inputs Hazards Harvest equipment, tools, Biological, Chemical, Harvesting workers Physical Water, cleaning equipment, Biological, Chemical Cleaning tools, workers Physical Preliminary treatment, Workers, equipment, package, Biological, Chemical, classification, packaging container.... Physical Biological, Chemical, Product buffer Buffer materials, workers Physical Storage (Freezing, storage Water, hygience conditions, Biological, Chemical, treatment,...) workers Physical Biological, Chemical, Transportation Transporation vehicles Physical 6 Annex 15: FS hazards included, key message and limitations of WHO FERG from a global perspective Hazards included in FERG Hazards causing enteric Hazards causing health Parasitic diseases Chemical diseases effects other than hazards enteric diseases Campilobacter spp. Brusella spp. Ascaris spp. Aflatoxin Cryptosporidium spp. Hepatitis A Virus Echinococcus Cassava cyanide multilocularis & granulosus Entamoeba histolytica Listeria spp. Clonorchis sinensis Dioxin Enteropathogenic E. coli Mycobacterium bovis Fasciola spp. (EPEC) Enterotoxigenic E. coli Salmonella enterica Intestinal flukes (ETEC) (invasive infections) non-typhoidal Giardia spp. Salmonella enterica Opisthorchis spp. Paratyphi A Norovirus Salmonella enterica Paragonimus spp. Typhi Salmonella enterica (non- Taenia solium invasive) non typhoidal Shigella spp. Toxoplasma gondii Shiga-toxin producing E. Trichinella spp. coli (STEC) Vibrio cholerae Source: (WHO FERG 2015) Key finding (WHO FERG 2015)  Of the roughly 600 million cases of illness caused by the 31 food borne hazards, infectious agents leading to diarrheal diseases account for the overwhelming majority (550 million) and are attributed to 420,000 deaths in 2010. Out of the 420,000 deaths food b o r ne diarrheal disease agents are responsible for 230,000 fatalities (54.7%). Of these no n- t y p ho id al Salmonella enterica ( NTS), E. coli (EPEC/ETEC), norovirus account for 59,000 (25.6%), 72,000 (31.35) and 26,000 (11.3%) deaths respectively. The major non-diarrheal cause of FBD was due to S. typhi (52,000).  The global disease burden of FBD (31 hazards) was 33 million DALYs. 54% of this (18 million DALYs) were attributed to diarrheal disease agents and here to NTS (4 million DALYs). In addition S. typhi contributed considerable to the disease burden with 3.7 million DALYs alone. 1  With 33 million DALYs FBD are of a similar burden in order of magnitude as the “big three” infectious diseases HIV/AIDS, malaria and tuberculosis with 92, 55 and 44 million DALYs respectively.  While children less than 5 years of age represent only 9% of the global population 43% of disease burden was subjected to this group..  Substantial regional differences were observed in the burden of FBD. The highest burden per 100,000 population was o b served in Africa (AFR sub region D, 1300 DALYs; AFR sub region E, 1200 DALYs), followed by South-East Asia sub-regions ( SEAR B, 690 DALYs and SEAR D, 710 DALYs). Note, that none of the sub-region included Vietnam but sub-region B included the neighboring country of Thailand.  The contribution of individual hazards to the FBD burden differed substantially between sub-regions. Diarrheal disease agents w ere the leading cause of foodborne disease burden in most of sub-regions; highest burden was attributed to both African sub-regions (70%) followed by SEA R sub-regions (50%) and here in particular related to NTS S. enterica, EPEC and norovirus.  Some hazards such as NTS (S. enterica) are an important cause of FBD globally while others, e.g. parasitic helminths were highly focalized. E.g. opisthorchis was almost exclusively localized to SEAR B (40 DALYs/100000), and here mainly Thailand.  The burden to chemical hazards was also in general much more focalized with highest estimates (e.g. for Aflatoxin) in AFR D and SEAR B.  While the global burden of FBD is considerable all over the globe the report concludes that in particular persons in low-income regions are heavily affected. Limitation (WHO FERG 2015)  The report is subjected to certain limitations mainly due to uncertainties in the data available on disease burden and attributed estimates. This is in particular the case for low- income countries where burden was highest while data availability was most challenging.  Data gaps and uncertainties were even more problematic at country level, therefore this report chose to present findings at sub-region level.  Another limitation was that co-morbid conditions were not addressed, e.g. if FERG would have included invasive Salmonella infections in HIV co-infected person substantial higher dead’s could have been expected although not Salmonella infection can be attributed to food.  Due to its limitations the provided estimates are expected to be conservative which may result in underestimates rather than overestimates and more studies are needed to address the described data gaps.  It should be also noted that DALYs (used for disease burden quantification in this study) may not address sufficiently social impact of FBD e.g. trade impacts or losses in agriculture and food sector. 2 Annex 16 Other burden of disease estimates (partly foodborne) than WHO FERG The Global Burden of Diseases Initiative (GBD 2010), Institute of Health and Metrics Evaluation (IHME GBD) used prevalence based DALYs (FERG used incidences), a more extensive mathematical modelling compared to FERG to address data gaps and looked at all sources of diseases. Note, that there are methodological related considerable differences in disease burden estimates between both initiatives. Interestingly the IHME provides a data visualisation tool which is open access and displays leading causes of DALYs by various strata such as developing countries, geographic area, country, year, gender and age among others (GBD 2016). An example is provided in table 5.3.11 for developing countries comparing leading causing DALYs for 1990 and 2013. Diarrhoea, which includes FBD, is among the first five leading causes of DALYs in both time strata (GBD 2016). Table 5.3.11: Leading causes of DALYs 1990 2013 Lower respiratory infections Ischemic heart disease (IHD) Diarrheal diseases Lower respiratory infections Neonatal pre term Stroke complications COPD Back and neck Malaria Diarrhea diseases Stroke Neonatal preterm complications Protein energy malnutrition HIV TB Road accidents Neonatal encephalopathy Malaria Ischemic heart disease TB Annex 17: Key pork and vegetable value chains in Ha Noi and Ho Chi Minh City This annex more extensively describes the pork and vegetable value chains in Ha Noi and Ho Chi Minh City in order to illustrate and better document the findings, analysis and recommendations made in the report. 1. Pork value chain in Ha Noi and Ho Chi Minh City The pork value chains in Ha Noi and Ho Chi Minh City are similar (Figure 1). However, these two cities are differentiated in terms of pork volume flow between players in the chain and their levels of food safety risk. The implementation of food safety management in Ha Noi and Ho Chi Minh, therefore, has to be tailored to specific local contexts of each city in order to be effective. Figure 1: Pork value chain supplying Ha Noi and Ho Chi Minh City. Own SLAUGHTERING HOUSES produced FAMILY-RUN feed Retail Markets HOUSEHOLD CONSUMERS PRODUCERS (HOUSEHOLDS OR FARMS) Carcass Traders/ Businesses SLAUGHTERING CENTER S or Wholesale IDUSTRIAL PROCESSING markets FACILITIES Super markets, convenient store Local / Inter -province Pig Organizationa Traders l buyers (Restaurants, hotels) Importers Overseas Local Traders or animal Overseas distributor feed producers exporters, s of animal domestic feed suppliers for Piglet Producers (material Piglet Traders animal Key aspects of the value chain structure in Ha Noi and Ho Chi Minh  Increasing modern trade outlets such as supermarkets and convenience stores  Significant demand from organizational buyers, such as hotels, restaurants and schools  Insufficient production requires supplementary supply of pork from other provinces  Retail (wet) markets dominate sale of pork  Small-scale producers and small slaughtering facilities dominate the value chain While the two first bullet points create a strong demand for traceability the last three create unfavourable conditions for this to be carried out. 1 1.1. Pork value chain in Ha Noi A quantitative summary of Ha Noi’s pork value chain is given in Table 1. Table 1: Key data on the pork value chain in Ha Noi Level Supermarkets/ Wholesale Retail markets Total convenience markets stores Distribution Quantity (tons per day) 94.5 17.5 518 630 Share of volume (%) 15 3 82 100 No. of markets/stores 103 4 426 Processing Semi-industrial Manual Family-run slaughterhouses processing slaughterhouses central houses No. of operations 14 93 2490 Quantity (tons per day) 152 93 385 630 Share of volume (%) 24.1 14.8 61.1 100 Production Supply from Ha Noi Supply from other provinces Quantity (tons per day) 500 100 Production model Large farm (30% of city’s production) Smallholder (70% of city’s production) Organized value chain: 30 tons per Un-organized value chain: > day 550 tons per day Source: Analysis of consumption, DARD Vietnam Statistics Office Consumption With an average annual pork consumption of 27 kg per capita in Vietnam 1 and population of 7 million, the total demand for pork in Ha Noi is estimated at 630 tons per day. This does not include demand from the significant number of daily visitors to the city; hence, in reality, the actual pork consumption may be even higher. Moreover, most studies show that meat consumption is higher in urban areas so we would expect urban Ha Noi to have higher per capita pork consumption than the country average. Consumption of pork outside the home is increasing. In 2012, it was estimated that Vietnam had 430,000 street stalls/kiosks, 7,000 fast-food restaurants, 80,000 full-service restaurants and 22,000 cafeterias/bars. Ha Noi also has a large number of institutional food providers including government, educational, medical and industry canteens. Production As at October 2014, Ha Noi had more than 1.4 million pigs, accounting for 5.3% of the national herd (26.5 million pigs)2. This contributes more than 500 tons of pork per day for the capital’s residents. Thus, deriving the 630 tons demand per day, Ha Noi should be importing more than 100 tons per day from other provinces. In terms of geographical production organization, Ha Noi has four major specialized production zones with 120,000 pigs. By production organization, there are 802 pig farms which are normally outside residential places and contribute 30.9% of the whole city’s production. Farm businesses (as opposed to pig rearing in the family backyard) are increasing but many would be considered of small or moderate scale 3. Organized production based on value chains, in which traceable linkages between players are systematically set, has been strongly encouraged. By the end of 2014, the supply from this model was estimated at 11,000 tons, 30 tons per day or 5% of the total consumed in Ha Noi. One of the major issues of pig production in Vietnam is that the cost of feed is high and the sector relies on over 70% of feeds imported from other countries (Viet Nam Alliance for Agriculture 2015). 1 IFC Report, Pork and Broiler Chicken Industry Development in Vietnam 2 Vietnam Statistics Office 3 DARD, Ha Noi 2 Pig processing system Slaughterhouses in Ha Noi are of three major types:  Semi-industrial processing: 14 businesses  Manual processing: five different sites with multiple slaughter places at each  Family-run slaughterhouses: with capacity of one to five pigs a day at each household and the slaughtering is mainly carried out in the backyards of residential houses Staff from DAH and VFA are present in semi-industrial and manual processing slaughterhouses but have limited oversight of the estimated 2,490 family-run slaughterhouses. Allocation across slaughtering categories is shown in Figure 2. Figure 2: Ha Noi's share of daily pork volume by slaughtering type. Semi-industrial slaughterhouses, 152 tons/day, 24% Family-run slaughterhouses, 385 tons/day, 61% Manual processing slaughterhouses, 93 tons/day, 15% Distribution system From the slaughterhouses, pork reaches the end consumers through (i) supermarkets or convenience stores, (ii) retail markets, (iii) wholesale then retail markets or (iv) organizational buyers. As per Ha Noi DARD, the third channel is composed of four major markets (Minh Khai, Phung Khoang, Den Lu and Van Quan) with an average volume of 7.5 tons a day4. There are no data reporting the flow of pork via supermarkets or convenience stores; nevertheless, it is generally estimated that 15% of all foods are sold at modern trade outlets, suggesting 94.5 tons of pork move through this channel. (However, in developing country supermarkets, typically the share of processed and non-perishable foods is much higher than the share of fresh foods so this probably over-estimates the pork sold through modern outlets.) The pork that goes directly from slaughterhouses to retail markets is estimated to be at least 518 tons5. Food safety risks Food safety control is more manageable in supermarkets or convenience stores and semi-industrial and manual processing slaughterhouses as concentration in one place can enable better monitoring and evaluation of pork safety. However, there is limited evidence that the management of food safety in one location is more effective at reducing food hazards (Grace 2015) and there are some aspects of concentrating production, processing and retail that can increase contamination. Building up and maintaining business credibility creates incentives for supermarkets to develop traceability for products on shelves. However, in Southeast Asia, fresh foods sold in supermarkets often do not have traceability as they are sourced from wholesale markets and not from farms. Some important aspects of food safety risks in pork supply for the Ha Noi market are: 4On average, there are 60 outlets at each market; each outlet trades one pig of 73 kg per day. 5Total pork consumption of Ha Noi is 630 tons (based on annual per capita consumption of 27 kg and a population of 7 million). 3 Supply from external provinces amounts to 100 tons per day or 20% of the city’s consumption. By legal stipulation, the pigs from this source are to be sanitarily certified. However, in reality, the tracing (if needed) is difficult because of involvement of multiple trader levels and different monitoring and evaluation agencies at different provinces. It appears that the information system on pork supply for Ha Noi by provinces is not well established and updated. Supply from non-farm models, accounting for 70% of Ha Noi’s consumption. Monitoring many small farms is difficult. Knowledge, attitudes and practices of farmers may also result in food safety risks and farmers may not easily respond to official recommendations on GAP. On the other hand, use of veterinary drugs is often higher on large farms and disease may be more common and harder to control on large farms (if not fully bio- secure) because of the concentration of animals and frequent opportunities for contact (Figure 3). Figure 3: Share of daily pork supply in Ha Noi by farm, non-farm and other provinces. Other provinces, 100 tons/day, 16% Farm, 89 tons/day, 14% Non-farm, 441 tons/day, 70% Family-run slaughtering, which accounts for 60% of the total processing output in Ha Noi, typically involves slaughtering one to two pigs per day in the family backyard and then selling the meat directly to consumers or to distributors who sell in retail markets. According to DARD Ha Noi, there are currently 2,490 businesses operating this model in Ha Noi, creating a challenge for meat inspection. According to DAH Ha Noi, the department’s workforce only meets 50% of the actual workload required. It is, therefore, pra ctically impossible to exercise effective control over family-run slaughtering activities. Retail markets: Some 426 retail markets account for more than 80% of pork sold. Control of food safety in this channel is challenging in Ha Noi. Because wholesale markets and supermarkets are able to absorb less than 50% of output from semi-industrial and manual processing slaughterhouses (112/245 tons), it is likely that meat from family-run slaughterhouses is fully directed to retail markets. As a result, meat sold in wet markets may not have been checked or inspected at any point from farm to point of purchase. 1.2. Pork value chain in Ho Chi Minh City A summary of the pork value chain Ho Chi Minh City is shown in Table 2. 4 Table 2: Key data on the pork value chain in Ho Chi Minh City Level Supermarkets/ Wholesale Retail markets not Total convenience markets selling to linked to wholesale stores retail Distribution Total yearly 53,292 190,592 22,574 266,458 production (tons) Daily production 146 522 62 730 (tons) Share of daily 20 72 8 100 production (%) Processing Slaughtering centres Small slaughterhouses No. of workshops 21 Volume (tons per 682 48 730 day) Share daily output 93.5 6.5 100 (%) Supply Supply source Ho Chi Minh City Other provinces Unknown sources production (including companies’ value chain) Daily volume (tons 327–377 178 178 730 per day) Source: Analysis of data from DARD Consumption Total pork consumption in Ho Chi Minh City is estimated at 730 tons per day. Similar to the analysis of Ha Noi, the calculation is based on the assumption of average annual pork consumption of 27 kg per capita and Ho Chi Minh City population of 8.2 million and does not include visitors or adjust for higher urban consumption. Production According to DARD, pork production in Ho Chi Minh City is 85,000 tons per year, equivalent to 227 tons per day. To cover the demand gap, supplementary supply is sourced from other provinces, that is, 65,085 tons per year or 178 tons per day. We estimate a daily amount of 100–150 tons are also provided by some large companies from their own value chains; Vissan (Vietnam Meat Industries Limited Company), for example, sells 70 tons per day to the Ho Chi Minh City market. Thus, in light of 730 tons per day consumption as estimated above, it appears that around 100–150 tons are being consumed without going through a known or reported channel (Table 3). Table 3: Analysis of supply sources for daily pork consumption in Ho Chi Minh City Production Supply from other Estimated supplies from Estimated Total (tons) provinces (tons) companies with own unreported consumption value chains (tons) volume (tons) (tons) 227 178 100–150 100–150 730 Pig processing system A total of 682 tons of pork is processed at slaughtering centres 6, suggesting that 50 tons are slaughtered from outside Ho Chi Minh City (Table 4). Ho Chi Minh City currently aims to terminate the operation of all small slaughterhouses by 2017. The implementation of this objective appears to be well on track to date. 6DARD: 249,035 tons are from slaughtering centres. This is converted into 682 tons per day. 5 Table 4: Pork processing capacity of Ho Chi Minh City Slaughtering centres in Meat processed Total daily Ho Chi Minh City from outside consumption Volume (tons) 682 48 730 Processing capacity as at 2015 7555 pigs 8000 pigs Processing capacity plan 17 centres, 8000 pigs 8000–9000 pigs towards 2016 Six new factories: 10,000– 15,000 pigs Source: DARD and analysis of currently available data Distribution system Unlike Ha Noi, most pork in Ho Chi Minh City is distributed via the wholesale market channel: 522 tons per day or 190,592 tons per year, which is divided between Binh Dien and Tan Xuan with a volume of 68,110 tons per year and 122,482 tons per year, respectively 7. In this channel, the wholesalers at wholesale markets sell to other agents who retail the meat to end users in retail markets. There are no data reporting the pork sold at supermarkets and convenience stores. Compared to Ha Noi, the modern trade system in Ho Chi Minh City is more advanced and hence may be more important. We estimate that the pork sold in this system may be 20% of the city’s daily consumption (730 tons), that is, 146 tons (Figure 4). The amount of pork supplied directly from slaughterhouses, inside or outside the city, to retail markets is about 50 tons per day. Figure 4: Share of daily volume of pork sold in Ho Chi Minh City by type of distribution channel. Retail markets, 62 tons/day, 8% Supermarkets / convenience stores, 146 tons/day, 20% Wholesale markets, 522 tons/day, 72% Food safety risks In comparison to Ha Noi, the pork value chain in Ho Chi Minh City is theoretically more favourable to food safety control because:  Small-scale processing at residential houses is almost replaced by slaughter centres where monitoring and evaluation can be conducted more effectively and efficiently.  The installed capacity of modern slaughtering businesses can well capture the current demand of 8,000 pigs per day. The additional facilities planned to be launched in 2016, which cover six factories for 10,000–15,000 pigs per day, can also accommodate the demand growth in the medium term8.  There is an increasing share of large companies that have built up their own value chains to ensure traceability and pork quality. For instance, Vissan recently provided 70 tons of VietGAP-certified pork to Ho Chi Minh City; many other businesses are understood to be moving in this direction.  Seventy-two per cent of pork is traded at wholesale markets under monitoring and evaluation of the local government. 7Data provided by DARD. 8The consumption of pork in Vietnam is estimated at 3% (IFC report: Pork and broiler chicken industry development in Vietnam). The growth in Ho Chi Minh City should be higher than 3% to cover production for consumption outside the city. 6 However, there is very little evidence on whether moving from small-scale to large-scale production, processing and retailing actually improves the safety of pork. There are some elements of large-scale production which are inherently more risky than small-scale. Moreover, although inspection is easier in larger units, its effectiveness will depend on two elements: (i) the effectiveness of visual inspection for assuring food safety and (ii) the way legal enforcement is exercised on the ground. In general, visual inspection is not considered to be an effective way to assure meat safety and in many developing countries, food safety regulations are not effectively implemented along the value chain. Moreover, food safety risks still remain at the following:  The unreported supply of 100–150 tons to supplement for the production gap of Ho Chi Minh City may represent the flows that are not monitored or inspected and have gone straight to retail markets. This accounts for about 15% of the city’s daily consumption.  Ho Chi Minh City can only meet about one-third of its pork demand by its own production. A large volume is imported from other provinces. The safety of pork from this source is, therefore, mainly driven by the monitoring and evaluation activities by local agencies in the provinces of production and if linkages between players can support traceability in inter-province value chains.  The 682 tons per day output of slaughtering centres or 93% of demand suggests a balance of 7% (48 tons) being processed somewhere and may not be properly inspected by local authorities. 2. Vegetable value chain in Ha Noi and Ho Chi Minh City The vegetable value chain supplying Ha Noi and Ho Chi Minh City is depicted in Figure 5. Figure 5: Vegetable value chain supplying Ha Noi and Ho Chi Minh City. EXPORTERS Vendors Retail Markets Wholesale markets Traders/ Cooperatives Household PRODUCERS Consumers Super markets, convenient store Organizational buyers (Restaurants, hotels) Processors or Exporters Overseas markets Local Traders or plant Overseas distributors protection medicine exporters of plant producers medicine 7 2.1. Vegetable value chain in Ha Noi Table 5 presents the overall production and distribution flow of vegetables in Ha Noi. Table 5: Summary of production and distribution flow of vegetables in Ha Noi Local sales Wholesale Vendors Supermarkets Estimated total markets consumption Flow volume (tons per year) 104,441 325,950 419,609 150,000 1,000,000 Share of total supply (%) 10 33 42 15 100 Ha Noi Other provinces Total Total production (tons per year) 600,000 400,000 1,000,000 Total production (tons per day) 1,644 1,096 2,740 Share of total demand (%) 60 40 100 Source: DARD, Ha Noi and analysis of data from DARD Consumption Because of the unavailability of data on the specific market demand for vegetables in Ha Noi, the city’s level of consumption of vegetables was estimated. We assumed an average Vietnamese would consume 0.3 –0.5 kg of vegetables per day. The total consumption of vegetables in Ha Noi is, therefore, projected at 2000–3000 tons per day. To obtain an overall picture of the flow of vegetables by volume, an average daily consumption of 0.4 kg per person may be estimated to show the level of demand in Ha Noi (Table 6). Table 6: Estimated level of consumption of vegetables in Ha Noi Level of consumption* Quantity Average consumption (kg/person per day) 0.4 Total consumption per day (tons) 2,838 Total consumption per year (tons) 1,035,870 *Based on Ha Noi population of 7,095,000 people Production The level of production of vegetables in Ha Noi is nearly 600,000 tons per year or 1,644 tons per day. With a consumption level of about 1 million tons per year, Ha Noi has to import a substantial amount of vegetables from other provinces (Table 7). Table 7: Level of production of vegetables in Ha Noi and other provinces Ha Noi Other provinces Total Production (tons per year) 600,000 400,000 1,000,000 Production (tons per day) 1,644 1,096 2,740 Share of total demand (%) 60 40 Source: DARD, Ha Noi The supplementary supply is mainly from provinces in the Red River Delta, namely, Vinh Phuc, Hung Yen, Hai Duong, Bac Ninh, Bac Giang and Hoa Binh. This is expected to increase in future because of the rapid urbanization process that will further shrink agricultural land in the capital. Notably, it is widely reported in the media that a considerable amount of vegetables originate from China. However, the source of official data of this flow is unfortunately not available. Unlike the pork business where the farm model is becoming popular, vegetable plantations are dominated by thousands of households. Due to historical reasons, an average plantation per household is less than 2,000 m2, divided into four to five slots scattered at different places on the field 9. Given around 12,000 hectares of 9Denis Sautier, D., Dao, T.A., Nguyen, N.M., Moustier, P. and Pham C.N. 2013. Enjeur de l’agriculture periurbaine et croissance urbaine à Ha Noi. Metropoles aux Suds, Parois, Edition Ketharla. pp. 271–285. 8 vegetable land and an average of 2,000 m2 per household, about 60,000 households are probably participating in vegetable production in Ha Noi. Though many co-operatives have been formed by vegetable farmers to address the weakness of small-scale production through strengthened horizontal linkages and other collective actions, the capacity of such co- operatives generally remains weak. Currently, Ha Noi has 5,000 hectares recognized as a safe vegetable production area 10. With an average annual yield of 40 tons per hectare, this amounts to 200,000 tons per year. In parallel to this is the development of a distribution system for safe vegetables with more than 200 sale points mainly spread over Ha Noi’s urban districts. In this system, vegetables and other agricultural products are traceable to the original production sites and hence claimed to have assured food safety. Significant marketing efforts to differentiate safe vegetables from others, which may be safe or not, are also constantly made, but the effect of such is not always realized in reality due to the lack of credible evidence to show to the buyers. There are some issues related to production of vegetables in Ha Noi. On one hand, the above-mentioned 5,000 hectares may imply a misleading signal that the produce from all of the other production areas is not safe; what is more, 200,000 tons of vegetables from safe zones only represen t 20% of the city’s total demand, which is estimated at 1 million tons per year. On the other hand, provided that a sale point of safe vegetables has an average sale volume of 50–100 kg per day, the volume traded through safe vegetable shops is roughly less than 12,000 tons per year, or 6% of the 200,000 tons per year claimed to be of assured food safety, suggesting that the distribution capacity for safe vegetables obviously remains under-developed. Distribution Major vegetable distribution channels in Ha Noi are:  Local markets near the plantation areas: the vegetables are sold by producers or vendors at local markets to local consumers.  Wholesale markets: there are 10 wholesale markets in Ha Noi. Vegetables are transported to these markets in large volumes, often by traders who source the supplies from various plantation areas, including those inside or outside Ha Noi. From wholesale markets, the vegetables are then distributed to multiple retail markets in Ha Noi or to other provinces.  Vendors: retailers/vendors directly purchase vegetables from producers or wholesale markets and then sell in retail markets.  Supermarkets and organizational buyers, for instance, hotels, restaurants and schools. Estimates of the quantity of vegetables in each channel are provided in Table 8. According to Ha Noi DARD, 325,950 tons are traded at wholesale markets. Provided that about 15% of consumption (150,000 tons) is of vegetables sold in supermarkets (probably an over-estimate), there is a balance of more than 500,000 tons consumption and this amount is believed to consist of (i) direct supplies from producers/vendors (inside or outside Ha Noi) to local or retail markets somewhere else and (ii) imports from China. Table 8: Flow volume of vegetables in Ha Noi by distribution channel Local Wholesale Estimated sales Estimated Estimated consumption markets of producers or volume via total vendors supermarkets consumption Flow volume 104,441 325,950 419,609 150,000 1,000,000 (tons per year) Share of total 10 33 42 15 100 supply (%) Source: Data of local consumption and wholesale markets provided by DARD, Ha Noi; volume through supermarkets is based on the assumption of 15% share of this channel. The volume of direct flow to retail markets (not through wholesale ones) is derived by assuming Ha Noi’s total consumption of vegetables to be 1 million tons per year. A study on the perceptions of food safety and daily vegetable shopping practices found that despite government efforts in socially engineering everyday food shopping towards supermarkets, established 10 DARD, Ha Noi 9 practices (for example, purchase of vegetables from wet markets) persist or are adjusted to the transformative context of Vietnam (Wertheim-Heck 2015). Food safety risks The following are the food safety risk points of the vegetable value chain in Ha Noi:  Small-scale production, by its nature, generates small profits and households may not be able to invest in infrastructure or skills needed to produce safe vegetables. Moreover, farm inspection is difficult because of the involvement of many producers in a geographically wide area.  There is some evidence of improper use of plant protection pesticides. Besides over-using amounts and doses of pesticides, farmers are reported as having used wrong pesticides for different crops from time to time.  Control of supplies from other provinces is difficult, involving coordination between different agencies on the ground. In reality, vegetables from other provinces are transported to Ha Noi’s wholesale markets at night by hundreds of trucks and then quickly unloaded for Ha Noi wholesalers or uploaded on other trucks to be sold on to other provinces. Tracing of vegetables, in the event a sample tests positive for a specific hazard, is almost impossible. Since other provinces account for 40% of the city’s total consumption (1,096 tons per day), the risk associated with this supply source cannot be ignored.  Supply from China is not officially recorded, although the high frequency of media reports on China- sourced vegetables and fruits suggests a significant import volume from China. Public doubt of food safety is always cast over Chinese products. However, this is not well backed by the available data and test information.  While the flow through wholesale markets can be presumably better controlled, the flow that goes directly from vendors or producers to retailers in open markets cannot be properly monitored. In Ha Noi, 491,609 tons of vegetables per year are estimated to flow directly from producers or vendors to retail markets where the inspection is fairly loose in comparison with wholesale markets. This is consistent with the findings from a recent study of the vegetable supply chain in Ha Noi that 42% of vegetables in Ha Noi are supplied by small vendors11 whose products do not pass through the state monitoring system.  Local consumption represents the amount that is sold locally by producers. Such flow is unfortunately not under inspection but is significant enough (104,441 tons or 10% of Ha Noi’s consumption). 2.2. Vegetable value chain in Ho Chi Minh City Consumption Similar to Ha Noi, the consumption of vegetables in Ho Chi Minh City is estimated at 1.2 million tons per year, equivalent to more than 3,000 tons per day (Table 9). Table 9: Estimated level of consumption of vegetables in Ho Chi Minh City Level of consumption* Quantity Average consumption (kg/person per day) 0.4 Total consumption per day (tons) 3,290 Total consumption per year (tons) 1,200,704 *Based on Ho Chi Minh City’s population of 8,224,000 people Production With 14,500 hectares of land, Ho Chi Minh City generates 366,704 tons of vegetables yearly. Its production, therefore, meets 39% of the total consumption of 1,200,704 tons. The remaining more than 800,000 tons (61%) is of course to be sourced from other provinces. Ho Chi Minh City has signed some inter-provincial agreements for food trading as a mechanism to improve food safety in the trade between provinces. In respect to vegetables and fruits, these are with five provinces: Lam Dong, Long An, Tay Ninh, Tien Giang and Cà Mau. Safe value chains have been particularly targeted and set up, providing 20,914 tons of safe vegetables and 11Nguyen Thi Tan Loc and Do Kim Chung. 2015. Giai phap phat trien tieu thu rau. Journal of Science and Development 13(4): 850–858. 10 fruits for Ho Chi Minh City12. In addition, concerted efforts have been made to expand VietGAP-certified plantations, but uptake has been rather limited to date. The VietGAP vegetable output achieves 50,929 tons per year, equivalent to only 4% of the total consumption. Distribution Two major distribution channels in Ho Chi Minh City are (i) wholesale markets to retail markets and consumers and (ii) supermarkets to end users. Estimates of trade volumes through wholesale markets and supermarkets are shown in Table 10. Table 10: Estimated trade volumes of vegetables in Ho Chi Minh City Wholesale markets Supermarkets Estimated total consumption Trade volume (tons per year) 1,020,598 180,106 1,200,704 Share of total supply (%) 85 15 100 The trade through the wholesale channel is in fact consistent with the volume reported by DARD Ho Chi Minh City, which is about 1 million tons per year13. Hence, unlike Ha Noi, the available data suggest that vegetables sold at retail markets almost always originate from wholesale markets. The issue of vendors circumventing wholesale markets to retail markets is not picked from the data analysis. Food safety risks Ho Chi Minh City shares common risks at household level with Ha Noi. These include the issues associated with small-scale production and the application of plant protection pesticides. VietGAP-certified production is used as a tool to ensure food safety, but only takes a 4% share of the city’s consumption. However, in distribution, Ho Chi Minh City has more challenges in controlling the supply of vegetables from other provinces; this channel accounts for 60% of total consumption, as opposed to only 40% in Ha Noi. Though serious attempts have been made for more effective coordination in the inter-province vegetable value chain, the trade in such value chains is only 20,914 tons per year to date, trivial in comparison to the 800,000 tons per year supply from sources outside Ho Chi Minh City. As indicated from consolidated data, Ho Chi Minh City does not suffer the risk of having vegetables from producers or vendors circumventing the wholesale markets and going uninspected as a result. But on the other hand, this strengthens the need for thorough coverage of monitoring and evaluation activities at the three major wholesale markets in the city. 3. Summary of focal risks in the supply chain Putting aside the current issues related to the implementation of food safety legal rules and policies on the government side, the major risks to food safety in pork and vegetables are presented in Table 11. 12Report of DARD, Ho Chi Minh City 13There are three major wholesale markets in Ho Chi Minh City with total vegetables and fruits volume of 1.5 million tons, of which one-third is transferred to other provinces. The volume for internal consumption of Ho Chi Minh City is, therefore, estimated at 1 million tons of vegetables. 11 Table 11: Major risks to food safety in pork and vegetables Level Pork Vegetables Input supply Inclusion of growth promoters (illegal) by Very high use of pesticides. Lack of legal regulations animal feed producers and high use of to eliminate market distortion of low quality plant antibiotics for growth promotion (legal) protection pesticides, discouraging quality-qualified products Processing Lack of control over small processing facilities Large processing facilities may increase contamination Inspection is not able to detect food safety problems as it is mainly visual and process- based Lack of enforcement of regulations Distribution Lack of control over the flow from small Lack of control over the flow from small-scale slaughterhouses to retail markets producers straight to retail markets Effectiveness of control in wholesale markets Effectiveness of control in wholesale markets not not known known Traditional buying habits focused on factors not fully related to food safety, such as freshness and appearance Under-developed distribution channel which occupies less than 20% of market sales in city areas Consumer Inability to (i) differentiate between safe and unsafe foods, (ii) know when they suffer as a result of food safety violations and (iii) effectively complain and be compensated in case of having been affected Preference for fresh, warm pork supplied by traditional markets versus chilled, frozen pork from supermarkets (Lapar and Toan 2010; Lapar et al. 2012) Distrust of certification (Lapar and Toan 2010; Lapar and Tiongco 2011) Lower income consumers are unwilling to pay a premium for safe food Overall Lack of traceability, lack of linkages in the chain, un-differentiated products, lack of effective and trusted certification, lack of effective control and enforcement, lack of information on priority risks and poor risk communication It is worth noting that the above issues are generic, differentiated in terms of magnitude between locations. 4. Some important highlights in the value chains: the case of Ha Noi An example of an inspection and monitoring scheme of an agriculture value chain (fresh fruit, vegetables and meat) which describes ‘what, who, how and when’ is presented in Annex 8. Pork production is 500 tons per day and supply from other provinces is 100 tons per day. Out of 500 tons produced in Ha Noi, large farms produce around 30% and organized value chains produce 30 tons per day. At the processing level, there are 14 semi-industrial slaughterhouses producing 152 tons per day (24.1%), 93 manual processing slaughterhouses producing 93 tons per day (14.8%) and 2,490 family-run slaughterhouses producing 385 tons per day (61.1%). Distribution is through 103 supermarkets (94.5 tons or 15%), four wholesale markets (17.5 tons or 3%) and 426 retail markets (516.6 tons or 82%). Based on the assessment of the value chains in relation to the institutional infrastructure, some further analysis and recommendations are provided below by sub-sections discussed in this section. 4.1. Responsibilities of different ministries and departments  MARD: Responsible for pig production, inspection and slaughter; post-harvest handling including processing and wholesale wet markets. It also implements a residue monitoring program (started very recently), development of VietGAP standards and scheme and its implementation.  MOIT: Responsible for wholesale and retail markets including supermarkets and food stores.  MOH: Safety in restaurants and canteens including serving of pork and its products, policy coordination and coordinating implementation of food safety measures. Development of standards for pork and pork products and overall labelling requirements.  The smaller businesses are the responsibilities of provincial level agencies while the larger businesses are generally addressed at national level. 12 Issue: At the market level, both MOIT and MARD have a responsibility. At restaurants and canteens, the responsibility lies with MOH but strong coordination is needed with the MARD veterinary service. Regarding labelling, again, strong coordination is required. At the provincial level, coordination is needed not only among the inter-ministerial departments but also within MARD and its local departments: NAFIQAD which operates the residue control program, DAH and DARD. Recommendation: To strengthen coordination, it may be useful to have a single food control authority as is being proposed at the provincial level in Ho Chi Minh City. If this model is successful, it could be replicated in other provinces and, if needed, at the national level. Targets under the Food Safety Strategy will need to focus on food safety outcomes and not only on processes and process controls. 4.2. Laws and regulations In Vietnam, food laws and regulations are generally prescriptive with the aim being to implement the processes and procedures. Often, laws are not implemented in a true spirit to ensure safe food. In the pork value chain, levels of veterinary drug residues need to be within the criteria prescribed; generally, these should not be permitted in feed inputs or should be restricted to the bare minimum levels essential for the purposes of treatment of animals. However, it was observed that the use of antibiotics in animal feeds is the norm and in certain cases farmers were using as many as 15 veterinary drugs in the feed. Targets under the National Strategy for Food Safety need to be more outcome-based; however, these are generally in terms of the numbers of units implementing HACCP, irrespective of their effectiveness. 4.3. Surveillance, inspection and preventive approaches With the large number of household farms producing pigs, the 2,490 family-run slaughterhouses processing 61% of pork consumed in the city and the 518 retail markets distributing 82% of the meat, even a single visit a year will require a large workforce. Even then, the quality and safety of pork are not guaranteed. It is, therefore, absolutely essential to look into preventive approaches and risk-based surveillance and inspections with responsibilities shared between ministries and departments. Although risk-based food control management is being implemented in some areas, it is not being done uniformly across ministries, departments and provinces. It is recommended that a risk-based approach be followed across the board to ensure best utilization of resources and lead to an effective food control system in the country. It may also be useful to synergize private-sector initiative in this area. Currently the focus is more on end-product inspection and testing for ensuring food safety rather than implementing preventive approaches by food business operators. It should be recognized that end-product testing cannot build safety into a product, nor is it cost-effective. Although VietGAP has been initiated, the numbers seen are very limited. It is important for the government to build in preventive approaches for food safety and use testing to validate the effectiveness of preventive measures put in place by the food businesses. 4.4. Available data As discussed in Section 4 of the main report, the most prevalent microbiological hazard in pork is Salmonella and a number of studies are quoted in the report. Antibiotic residues and growth promoters are also being used in the pig farms, as evidenced from literature. The data currently available from governmental and research institutions are not harmonized. However, the data are also not scientifically collected, analysed and used for development of standards and other risk management activities. Data linking public health and foodborne illnesses to the food are neither scientifically collected nor coordinated between ministries and departments. There is a need for better data collection including the implementation of national residue and contaminant monitoring programs across the country and use of data in a systematic and planned manner. There is also a need for a focus on hazards and impacts on public health, as well as the development of comprehensive and joint national surveillance programs. 4.5. Food safety laboratories Each ministry has its own network of laboratories with different capacities. The government is now looking at procurement of rapid test kits for testing of products at markets so that immediate results may help to allay the fears of consumers and the government. However, this will require significant testing both in terms of 13 products and parameters to determine their safety. Further, testing should not be used for food control but to confirm that the implemented activities deliver safe food. It is important to implement the National Residue Control Plan and to consolidate the test facilities in both government and private-sector laboratories for better resource utilization and management. The concept of networking of laboratories at national level is needed. There is also need to use the private sector to strengthen the governmental food control activities. 4.6. Training As seen from the analysis, small-scale producers and processors produce 70% of the pork supplies. It is important to train and increase awareness of producers and processors. Training is also needed for government agencies, especially at local levels. Consumers also need awareness on food safety to be able to understand foodborne hazards and risks and demand hygienic and safe products which will then lead to safer production and application of hygienic practices. 5. Food safety production models High public concern over unsafe foods has clearly indicated an unsatisfied demand on the consumer side. Many players in agricultural value chains adopt safety as a core selling point for their products. Emerging models include the following: 5.1. Vertical integration Large firms manage all stages in the value chain to enhance traceability and quality assurance. For example, Vincom, a big corporation in Vietnam, has set up its own network of retail outlets (VinMarts) and sources supplies from its own production sites. There are, however, medium businesses running this model on a smaller scale. For example, Organica with retail shops in Ho Chi Minh City and vegetable farms in Dong Nai and Lam Dong; Mavin in Ha Noi with its own operations in feed, production and processing in pork business and BacTom with a growing number of outlets in Ha Noi supplying pork and vegetables of known origin. Vertical integration is challenged by the increased cost and there is little compelling evidence that the products are safer. 5.2. Linkages In the context of resource constraints to expansion, linking with firms that require high quality is perhaps the best currently available option. A typical linkage is between well-known distributors, co-operatives and processing companies. For example, many VietGAP-certified products can be now obtained from Saigon Coop Mart, a prominent modern distributor that has well established relationships with many co-operatives and companies in Ho Chi Minh City and many other provinces in Vietnam. Supermarkets may also provide an outlet for safe foods. However, given the small number of modern markets, vegetable producers are often faced with fierce competition by others and relatively few producers can be included in linkages. Moreover, there is limited evidence that supermarkets actually sell safer products. The higher price of fresh foods and more difficult access are other challenges for supermarket products. In the case of pork, consumers prefer fresh, warm pork rather than the chilled or frozen meat sold in supermarkets (Lapar and Toan 2010; Lapar et al. 2012). 5.3. Co-operatives Multiple households come together to use standardized GAP. This can address issues associated with small- scale production at households and improve marketing capacity. While many co-operatives are formed as a result of governmental initiative, which is a top-down approach and often associated with much support from the government, there are rare cases where co-operatives are set up voluntarily and run successfully to some extent. The Vietnam Rabbit Co-operative in Ho Chi Minh City is an example of such; with almost 200 members, the co-operative is able to supply supermarkets in Ho Chi Minh City daily with over 100 tons of vegetables of diverse varieties while ensuring that VietGAP farming techniques are strictly adhered to. The management capacity in production organization and marketing is believed to be a vital factor in the co-operative’s success. Overall, co-operatives have not been very successful in Vietnam, either in their operation or scale. 14 5.4. VietGAP In this ‘field-to-table’ model, good farming practices in producing vegetables and good manufacturing practices (GMP and HACCP) in packaging, processing, transport and storage with hygiene and management standards are applied to ensure strict control at all stages of food value chains. At production level, farmers have to comply with GAP standards and among these is VietGAP, a process of GAP established and issued by MARD from 28 January 2008. Many supermarkets, canteens and safe vegetable stores now require vegetable products originating from certified safe agricultural zones or produced under VietGAP principles. VietGAP standard is necessary for co-operatives and large-scale farms to meet safe product outcomes. For example, Saigon Coop Mart only buys safe vegetables from VietGAP-certified farms and co-operatives. A good example of the use of standards can be found in the implementation of the Canadian International Development Agency–Food Agricultural Product Quality Development and Control project 14, in which VietGAP and GMP technical tools were applied in 15 vegetable and fruit value chains in seven pilot provinces at various production scales such as (i) small-scale households in a co-operative, (ii) joint production groups and (iii) farms or companies. Evidence from the project shows the usefulness and efficiency of VietGAP and GMP technical tools. In particular, the project reported that the technical tools were easy to use and that testing fruits and vegetables showed a decrease in contamination. The tools were also used by DARD in expanding the pilot projects of agricultural product value chains under the framework of MARD’s program on food safety quality management to be implemented by DARD in 33 provinces and cities. However, the application of VietGAP and GMP technical tools faces some challenges in changing farmer behaviour and non-compliance issues arise from time to time. In addition, many ordinary farmers perceive the VietGAP certification fee to be too high. Some argue that VietGAP is too complex for small-scale farmers. The main difficulties are keeping of proper records and adherence to the health and safety requirements. Therefore, VietGAP is under-applied in vegetable production. By the end of 2014, 376 co-operative groups, households and manufacturing facilities were VietGAP-certified with nearly 2,000 hectares out of 830,000 hectares of vegetables grown annually in the whole country15. 5.5. Basic GAP With technical support from JICA, a project on improving crop productivity and quality developed and evaluated Basic GAP which is specific, simpler and more accessible for farmers to deliver good farming practices without having to use the term ‘towards VietGAP’. In 2014, MARD issued a Decision No. 2998/QD - BNN-TT, Basic GAP Guidance for Vegetable Production in Vietnam. Basic GAP has been applied by farmers to produce safe vegetables for domestic markets. However, while this is a promising approach, there is as yet little evidence on whether Basic GAP can overcome the problems of scalability of GAP while assuring food safety. 5.6. Community-based certification As an alternative to VietGAP, in which registration through a certification organization or body is required, food safety monitoring could be a community-based model. Such community-based models are effective in many countries, especially in small-scale production that involves a quality management system such as Participatory Guarantee System (PGS). In Vietnam, PGS has been used by the Agriculture Development Denmark Asia and VredesEilanden Country Office Vietnam for safe organic vegetable production. It has also been used for production and distribution management in small-scale farmer households in Thanh Xuan, Soc Son and Tan Duc–Viet Tri. The process is: (i) selection of a production site that satisfies the safe vegetable production requirements, (ii) selection of volunteer producers with rich experience in vegetable growing and (iii) selection of the target distribution area. Training is provided to members of the PGS group on the following skills: development of a production plan, logbook record, risk prevention and control, fertilizer and pesticide application, harvest and handling. Once the producer group is established and to ensure that the group maintains regular application of field management measures, an inspection committee is established to regularly inspect the group and provide instruction on any corrective action needed. Members of the inspection committee are consumers as well as officials from the plant protection sub-department, communal 14Canadian International Development Agency-funded Food Agricultural Product Quality Development and Control project final submitted report, 2014 15Presentation of Crop Production Department at a GAP workshop organized by MARD, JICA and ADB in December 2014 15 people’s committee and agriculture co-operative. The committee has scheduled and unscheduled inspection plans. In addition, the communal people’s committee and consumers ensure that producer groups comply with production procedures and take responsibility for the quality of local agro-products before distribution. This promotes the production activities, reduces the pressure on state management of monitoring, inspection, direction and certification, and encourages the producers to take responsibility for providing safe products to consumers. However, while community-based certification is promising, there is as yet little evidence on whether it can overcome the problems of the scalability of GAP while assuring food safety. MOH, MARD and MOIT have authority to implement food safety standard certification in accordance with food product groups which are under the management of these three ministries. MOH authorized VFA to implement food safety standard certification for food producing and trading organizations at national level. At this level, it is authorized to certify the organizations producing and trading functional food, micronutrient food, food supplements, food additives and natural mineral water. Other authorities from provincial to local levels are responsible for certifying the rest of the food groups. In addition to the above-mentioned VietGAP standard for safe production of vegetables, fruits and tea, the Vietnamese Good Animal Husbandry Practices standard is applied to livestock production. For fishery products, Vietnam applies standards such as Good Aquaculture Practices for primary production and HACCP in processing establishments. The new Circular No. 48/2012/TT-BNNPTNT regulates certification of crops, livestock and aquatic products produced and processed in accordance with VietGAP. According to this circular, DCP and the Department of Livestock Production are agencies that designate certification bodies for vegetables, fruits, tea and livestock products certification as per VietGAP. By December 2015, out of the 23 national certification bodies, 17 had been designated by DCP for the purpose of VietGAP. A full list of the nationally accredited certification bodies is available on the VietGAP website (http://www.vietgap.gov.vn). At the end of April 2015, a total of 14,498 households (5,400 hectares) within the QSEAP provinces were VietGAP-certified for fruit and vegetables, with an estimated 115,959 tons of certified produce. As mentioned earlier, there are an estimated 800,000 hectares under vegetable production in Vietnam, so it can be seen that the coverage of VietGAP is almost negligible (less than 1%). The VietGAP audit certification procedure is given in Annex 13. In parallel, DCP has also data on numbers relating to the whole country which are compared with the QSEAP numbers in Table 12. Table 12: Numbers of VietGAP-certified households and hectares Crop DCP number of QSEAP number of QSEAP number of hectares certified hectares certified households certified Vegetables 1,897 1,217 5,970 Fruit 6,633 1,683 4,206 Tea 4,205 2,500 4,322 Total 12,736 5,400 14,498 Source: DCP seminar presentation (April 2015) and QSEAP progress report (2015) With respect to GAP benchmarking for international markets, there have been a number of issues concerning the authentication of the national accreditation process and recognition of the accreditation body of the certification bodies that are accredited to undertake certification of VietGAP. For the accreditation and certification schemes to be equivalent to other schemes around the world, DCP must comply with the ISO 17067:2013 standard, Conformity Assessment – Fundamentals for product certification and guidelines for product certification schemes. However, at the time, the accreditation process was undertaken using ISO 65 guidelines as the accreditation body (DCP) had not gained accreditation for that standard and, therefore, the certification bodies have national recognition only. The capacity of third-party certification bodies for VietGAP (vegetables and fruits) is still limited and not homogeneous. The reputation of certification bodies for VietGAP is low and they are not recognized by customers. There is lack of a legal basis for certification of GMP for off-farm establishments (packing houses). 16 Certification fees are still very high. Farmers have indicated that the average VietGAP certification fee is 25 million Vietnam Dong for 2–3 hectares of vegetables. Without support from government and official development assistance projects, farmers and co-operatives find it difficult to pay for VietGAP certification. There is need to provide support and capacity building to certifying bodies to ensure the credibility of the products issued under VietGAP. In order to improve the VietGAP audit process, certification body auditors should be trained based on the ISO 9001:2008 standard and the related standard on auditing, namely, ISO 19011:2011 which includes the background and experience of the auditors undertaking the audit process. 5.7. Safe Agricultural Zones Branding of specific production areas as ‘Safe Agricultural Zones’ is intended to assure production of safe agricultural food products in terms of uncontaminated locations, primary processing and trading. Sustainable Safe Agricultural Zones could ensure (i) food safety risks in agro-production are avoided, (ii) production activities are organized and efficiently linked with processing and marketing, (iii) efficiencies from investments in processing and marketing infrastructure are attained and (iv) the climate for encouraging greater investments by farmers and agribusiness is conducive. The ADB QSEAP supported 16 provinces to establish and plan Safe Agricultural Zones; the zones cover 178,780 hectares across all 16 participating provinces, accounting for 71% of the total area under fruits and vegetables (251,605 hectares)16. However, there are some challenges in the implementation of Safe Agricultural Zones. It is difficult to differentiate the vegetables from safe zones and those from other zones and consumer confidence has not been attained. What is more, besides the 16 provinces supported by QSEAP, a large area of farm land in other provinces is not assessed for conditions of safe vegetable production by soil and water analysis. In the big cities and provinces with rapidly increasing urbanization and industrialization, the farm land is moved nearer to contamination sources. Certainly, almost all farmers do not know if the land on which they are growing vegetables is appropriate and uncontaminated for safe production or if there is a high risk of heavy metals and microbiological contamination of produce. Local government agencies do not have resources and do not pay attention to soil and water analysis of land for safe vegetable growing. Together with uncertified VietGAP and GAP, untraced vegetables produced by small individual farmers are likely considered unsafe products. References Grace, D. 2015. Food safety in low and middle income countries. International Journal of Environmental Research and Public Health 12(9): 10490–10507. Lapar, L. and Toan, N. 2010. Demand for pork by Vietnamese consumers: Implications for pro-poor livestock policy and development agenda in Vietnam. Improving the Competitiveness of Pig Producers in Vietnam Project Brief 1. Nairobi, Kenya: ILRI. Lapar, M.L.A., Nguyen Ngoc Toan, Staal, S., Minot, N., Tisdell, C., Nguyen Ngoc Que and Nguyen Do Anh Tuan. 2012. Smallholder competitiveness: Insights from pig production systems in Vietnam. Presentation at the 28th triennial conference of the International Association of Agricultural Economists, Foz do Iguaçu, Brazil, 18-24 August 2012. Viet Nam Alliance for Agriculture. 2015. Viet Nam Livestock market: structure changes to improve the competitiveness. Wertheim-Heck, S. 2015. We have to eat, right? Food safety concerns and shopping for daily vegetables in modernizing Vietnam. PhD thesis. Wageningen, the Netherlands: Wageningen University. (Available from http://www.freshstudio.vn/images/media-archive/Publications/2015/20151029%20Thesis%20- %20We%20have%20to%20eat%20right%20-%20SCO%20Wertheim-Heck.pdf ) (Accessed on 13 August 2016) 16QSEAP final report, December 2015 17