Foodborne diseases affect human health and cause significant economic loss. Among the proposed mitigating strategies to prevent, or at least, to reduce foodborne diseases were the enactment and proper enforcement of food legislation. In Mauritius (MU), many outbreaks have been reported since the enactment and enforcement of the Food Act 1998 (MU) and Food Regulations 1999 (MU). Therefore, it was high time to re-evaluate the impact of the food law on the pattern of foodborne diseases. The aim of this study was to evaluate how the introduction of the Mauritian food legislation had influenced the pattern of foodborne diseases and its suitability in recent years. Data were collected from the website of the Ministry of Health and Quality of Life of Mauritius from 1990 to 2015 and analysed using nonparametric statistical methods, where required. Results showed that more foodborne disease cases occurred during enforcement of the food legislation than before. The study also found that the food law was consistently enforced over the years, except during epidemics of chikungunya fever and dengue fever. Furthermore, several strengths and weaknesses were identified in the current legislation related to the risk of foodborne diseases. Comparing the Mauritian with the Australian food laws revealed some similarities and differences between the two legislations. This review showed that overall foodborne diseases in Mauritius increased and were not affected by the food law enforcement. Therefore, a revision of the law and its enforcement is necessary to make them more efficient in preventing foodborne diseases.
KeywordsMauritiusFoodborne DiseaseFood LegislationFood SafetyAustralian Food Law
WHO (2007) World Health Organisation: WHO Initiative to Estimate the Global Burden of Foodborne Diseases. First Formal Meeting of the Foodborne Disease Burden Epidemiology Reference Group (FERG), Geneva, 26-28 November 2007.
Ray, B. and Bhunia, A.K. (2014) Fundamental Food Microbiology. 5th Edition, CRC Press, Boca Raton.
Hanson, L.A., Zahn, E.A., Wild, S.R., Dopfer, D., Scott, J. and Stein, C. (2012) Estimating Global Mortality from Potentially Foodborne Diseases: An Analysis Using Vital Registration Data. Population Health Metrics, 10, 1-7. https://doi.org/10.1186/1478-7954-10-5
Scallan, E., Hoekstra, R.M., Angulo, F.J., Tauxe, R.V., Widdowson, M.A., Roy, S.L., Jones, J.L. and Griffin, P.M. (2011) Foodborne Illness Acquired in the United States —Major Pathogens. Emerging Infectious Diseases, 17, 7-15. https://doi.org/10.3201/eid1701.P11101
Kuchenmueller, T., Abela-Ridder, B., Corrigan, T. and Tritscher, A. (2013) World Health Organization Initiative to Estimate the Global Burden of Foodborne Diseases. Revue Scientifique et Technique Office International des Epizooties, 32, 459-467.
WHO (2008) World Health Organisation: The Global Burden of Disease. HO, Geneva.
Kuchenmueller, T., Hird, S., Stein, C., Kramarz, P., Nanda, A. and Havelaar, A.H. (2009) Estimating the Global Burden of Foodborne Diseases—A Collaborative Effort. Eurosurveillance, 14, 1-4. https://doi.org/10.2807/ese.14.18.19195-en
Tariq, L., Haagsma, J. and Havelaar, A. (2011) Cost of Illness and Disease Burden in The Netherlands Due to Infections with Shiga Toxin-Producing Escherichia coli O157. Journal of Food Protection, 74, 545-552. https://doi.org/10.4315/0362-028X.JFP-10-252
Nyachuba, D.G. (2010) Foodborne Illness: Is It on the Rise? Nutrition Reviews, 68, 257-269. https://doi.org/10.1111/j.1753-4887.2010.00286.x
Lindqvist, R., Andersson, Y., Toljander, J., Ivarsson, S. and Dovärn, A. (2012) Public Health Burden Due to Infections by Verocytotoxin-Producing Escherichia coli (VTEC) and Campylobacter spp. as Estimated by Cost of Illness and Different Approaches to Model Disability-Adjusted Life Years. Scandinavian Journal of Public Health, 40, 294-302. https://doi.org/10.1177/1403494811435495
Abelson, P., Forbes, M.P. and Hall, G. (2006) The Annual Cost of Foodborne Illness in Australia. Australian Government Department of Health and Ageing, Canberra.
Lake, R., Cressey, P.J., Campbell, D.M. and Oakley, E. (2010) Risk Ranking for Foodborne Microbial Hazards in New Zealand: Burden of Disease Estimates. Risk Analysis, 30, 743-752. https://doi.org/10.1111/j.1539-6924.2009.01269.x
Shin, H., Lee, S., Kim, J.S., Kim, J. and Han, K.H. (2010) Socioeconomic Costs of Foodborne Disease Using the Cost-of-Illness Model: Applying the QALY Method. Journal of Preventive Medicine and Public Health, 43, 352-361. https://doi.org/10.3961/jpmph.2010.43.4.352
Sprenger, R.A. (2009) Hygiene for Management. 15th Edition, Highfield, Doncaster.
Benedict, J. (2011) Poisoned: The True Story of the Deadly E. coli Outbreak that Changed the Way Americans Eat. Mariner Publishing, Buena Vista.
Bryan, F.L. (2002) Where We Are in Retail Food Safety, How We Got Where We Are, and How Do We Get There? Journal of Environmental Health, 65, 29-36.
NESC (2010) National Economic and Social Council: An Investigation into Food Safety in Mauritius-Recommendations for a Policy Review. NESC, Port Louis.
FSANZ (2014) Food Standards Australia New Zealand: Annual Report 2013-2014. Food Standards Australia New Zealand, Canberra.
Statistics Mauritius (2015) Statistics Mauritius: Mauritius in Figures 2014. Ministry of Finance and Economic Development, Port Louis. http://statsmauritius.govmu.org/English/Pages/default.aspx
Griffith, C.J. (2006) Food Safety: Where from and Where to? British Food Journal, 108, 6-15. https://doi.org/10.1108/00070700610637599
WHO (2006) World Health Organisation: Five Keys to Safer Food Manual. WHO, Geneva.
Drew, C.A. and Clydesdale, F.M. (2015) New Food Safety Law: Effectiveness on the Ground. Critical Reviews in Food Science and Nutrition, 55, 689-700. https://doi.org/10.1080/10408398.2011.654368
GM (2012) Government of Mauritius: Government Programme 2012-2015: Moving the Nation Forward. Republic of Mauritius, Port Louis.
Jacob, C., Mathiasen, L. and Powell, D. (2010) Review: Designing Effective Messages for Microbial Food Safety Hazards. Food Control, 21, 1-6. https://doi.org/10.1016/j.foodcont.2009.04.011
Powell, D.A., Jacob, C.J. and Chapman, B.J. (2011) Enhancing Food Safety Culture to Reduce Rates of Foodborne Illness. Food Control, 22, 817-822. https://doi.org/10.1016/j.foodcont.2010.12.009
Yiannas, F. (2009) Food Safety Culture: Creating a Behavior-Based Food Safety Management System. Springer Science, New York. https://doi.org/10.1007/978-0-387-72867-4
Griffith, C.J., Livesey, K.M. and Clayton, D. (2010) The Assessment of Food Safety Culture. British Food Journal, 112, 439-456. https://doi.org/10.1108/00070701011034448
Stannard, C. (1997) Development and Use of Microbiological Criteria for Foods. Food Science & Technology Today, 11, 137-177.
FAO (1998) Food and Agricultural Organisation: Food Quality and Safety Systems : A Training Manual on Food Hygiene and the Hazard Analysis and Critical Control Point (HACCP) System. FAO, Rome.
El-Hofi, M., El-Tanboly, E.S. and Ismail, A. (2010) Implementation of the Hazard Analysis Critical Control Point (HACCP) System to UF White Cheese Production Line. Internet Journal of Food Safety, 9, 331-342. https://doi.org/10.1016/j.foodcont.2010.10.013
Al-Kandari, D. and Jukes, D.J. (2011) Incorporating HACCP into National Food Control Systems—Analyzing Progress in the United Arab Emirates. Food Control, 22, 851-861.
Unnevehr, L.J. and Jensen, H.H. (1999) The Economic Implications of Using HACCP as a Food Safety Regulatory Standard. Food Policy, 24, 625-635. https://doi.org/10.1016/S0306-9192(99)00074-3
Karaman, A.D. (2012) Food Safety Practices and Knowledge among Turkish Dairy Businesses in Different Capacities. Food Control, 26, 125-132. https://doi.org/10.1016/j.foodcont.2012.01.012
SGS (2016) Société Générale de Surveillance: SGS in Brief. http://www.sgs.com/en/Our-Company/About-SGS/SGS-in-Brief.aspx
MSB (2016) Mauritius Standards Bureau: National Food Safety Management System Certification Scheme (MS 133). http://msb.intnet.mu/English/CertificationSchemes/Pages/HACCP---MS133.aspx
Jeeanody, N. (2016) Chief Health Statistician, Health Statistics Unit. Atchia Building, Port Louis.
Wilcoxon, F. (1945) Individual Comparisons by Ranking Methods. Biometrics Bulletin, 1, 80-83. https://doi.org/10.2307/3001968
HSU (2016) Health Statistics Unit: Health Statistics Report 2015. Ministry of Health and Quality of Life, Port Louis. http://health.govmu.org/English/Pages/default.aspx
HSU (2007) Health Statistics Unit: Health Statistics Report 2006. Ministry of Health and Quality of Life, Port Louis. http://health.govmu.org/English/Pages/default.aspx
Newell, D.G., Koopmans, M., Verhoef, L., Duizer, E., Aidara-Kane, A., Sprong, H., Opsteegh, M., Langelaar, M., Threfall, J., Scheutz, F., Giessen, J.V.D. and Kruse, H. (2010) Foodborne Diseases—The Challenges of 20 Years Ago Still Persist While New Ones Continue to Emerge. International Journal of Food Microbiology, 139, S3-S15. https://doi.org/10.1016/j.ijfoodmicro.2010.01.021
EFSA (2015) The European Union Summary Report on Trends and Sources of Zoonoses, Zoonotic Agents and Foodborne Outbreaks in 2013. European Food Safety Authority Journal, 13, 1-165.
CDC (2014) Centers for Disease Control and Prevention: Estimates of Foodborne Illness in the United States. http://www.cdc.gov/foodborneburden/2011-foodborne-estimates.html
HSU (2004) Health Statistics Unit: Health Statistics Report 2003. Ministry of Health and Quality of Life, Port Louis. http://health.govmu.org/English/Pages/default.aspx
HSU (2010) Health Statistics Unit: Health Statistics Report 2009. Ministry of Health and Quality of Life, Port Louis. http://health.govmu.org/English/Pages/default.aspx
HSU (2013) Health Statistics Unit: Health Statistics Report 2012. Ministry of Health and Quality of Life, Port Louis. http://health.govmu.org/English/Pages/default.aspx
Gantois, I., Ducatelle, R., Pasmans, F., Haesebrouck, F., Gast, R., Humphrey, T.J. and Van Immerseel, F. (2009) Mechanisms of Egg Contamination by Salmonella Enteritidis. Federation of European Microbiological Societies Microbiology Reviews, 33, 718-738.
WHO (2013) World Health Organisation: Salmonella (Non-Typhoidal) Fact Sheet No 139. http://www.who.int/mediacentre/factsheets/fs139/en/
Braden, C.R. (2006) Salmonella enterica Serotype Enteritidis and Eggs: A National Epidemic in the United States. Clinical Infectious Diseases, 43, 512-517. https://doi.org/10.1086/505973
Issack, M.I., Hendriksen, R.S., Phimy Lan Keng, L. and Lutchun, R.K.S. (2009) Salmonella enterica Serovar Typhimurium in Mauritius Linked to Consumption of Marlin Mousse. Foodborne Pathogens and Disease, 6, 739-741. https://doi.org/10.1089/fpd.2009.0283
National Assembly (2011) National Assembly: Fifth National Assembly Parliamentary Debate. Government of Mauriitius, Port Louis. http://mauritiusassembly.govmu.org/English/Pages/default.aspx
Man, S.M. (2011) The Clinical Importance of Emerging Campylobacter Species. Nature Reviews Gastroenterology & Hepatology, 8, 669-685. https://doi.org/10.1038/nrgastro.2011.191
Dasti, J.I., Tareen, A.M., Lugert, R., Zautner, A.E. and Gross, U. (2010) Campylobacter jejuni: A Brief Overview on Pathogenicity-Associated Factors and Disease-Mediating Mechanisms. International Journal of Medical Microbiology, 300, 205-211. https://doi.org/10.1016/j.ijmm.2009.07.002
Butzler, J.P. (2004) Campylobacter, from Obscurity to Celebrity. Clinical Microbiology & Infection, 10, 868-876. https://doi.org/10.1111/j.1469-0691.2004.00983.x
Meadows, P., Miller, B. and Coustasse, A. (2014) Surveillance of Foodborne Illness in the United States. Insights to a Changing World Journal, 2014, 97-107.
Gorman, R., Bloomfield, S. and Adley, C.C. (2002) A Study of Cross-Contamination of Foodborne Pathogens in the Domestic Kitchen in the Republic of Ireland. International Journal of Food Microbiology, 76, 143-150. https://doi.org/10.1016/S0168-1605(02)00028-4
Schmutz, C., Mausezahl, D., Jost, M., Baumgartner, A. and Mausezahl-Feuz, M. (2016) Inverse Trends of Campylobacter and Salmonella in Swiss Surveillance Data, 1988-2013. Eurosurveillance, 21, 1-9. https://doi.org/10.2807/1560-7917.ES.2016.21.6.30130
Lake, R., Gillespie, I.A., Bentham, G., Nichols, G.L., Lane, C., Adak, G.K. and Threlfall, E.J. (2009) A Re-Evaluation of the Impact of Temperature and Climate Change on Foodborne Illness. Epidemiology & Infection, 137, 1538-1547. https://doi.org/10.1017/S0950268809002477
Kim, T.S., Kim, M.J., Kim, S.H., Seo, J.J., Kee, H.Y., Jung, J.K., Ha, D.R., Kim, E.S., Moon, Y.W., Lim, S.K., Kim, M.K. and Nam, H.M. (2012) Serotypes of Salmonella Isolated from Faeces of Patients with Acute Diarrhoea in Gwangju Area, Korea, during 2000-2009. Zoonoses and Public Health, 59, 482-489. https://doi.org/10.1111/zph.12011
HSU (2011) Health Statistics Unit: Health Statistics Report 2010. Ministry of Health and Quality of Life, Port Louis. http://health.govmu.org/English/Pages/default.aspx
HSU (2012) Health Statistics Unit: Health Statistics Report 2011. Ministry of Health and Quality of Life, Port Louis. http://health.govmu.org/English/Pages/default.aspx
HSU (2008) Health Statistics Unit: Health Statistics Report 2007. Ministry of Health and Quality of Life, Port Louis. http://health.govmu.org/English/Pages/default.aspx
HSU (2009) Health Statistics Unit: Health Statistics Report 2008. Ministry of Health and Quality of Life, Port Louis. http://health.govmu.org/English/Pages/default.aspx
HSU (2014) Health Statistics Unit: Health Statistics Report 2013. Ministry of Health and Quality of Life, Port Louis. http://health.govmu.org/English/Pages/default.aspx
HSU (2015) Health Statistics Unit: Health Statistics Report 2014. Ministry of Health and Quality of Life, Port Louis. http://health.govmu.org/English/Pages/default.aspx
Schielke, A., Rosner, B.M. and Stark, K. (2014) Epidemiology of campylobacteriosis in Germany—Insights from 10 Years of Surveillance. BMC Central Infectious Diseases, 14, 30-37. https://doi.org/10.1186/1471-2334-14-30
Gaungoo, Y. and Jeewon, R. (2013) Effectiveness of Training among Food Handlers: A Review on the Mauritian Framework. Current Research in Nutrition and Food Science, 1, 1-9. https://doi.org/10.12944/CRNFSJ.1.1.01
Issack, M.I., Hendriksen, R.S., Hyytiä-Trees, E., Svendsen, C.A. and Mikoleit, M. (2014) Emergence and Clonal Dissemination of Salmonella enterica Serovar Enteritidis Causing Salmonellosis in Mauritius. Journal of Infection in Developing Countries, 8, 454-460. https://doi.org/10.3855/jidc.3695
WHO (2015) World Health Organisation: WHO Estimates of the Global Burden of Foodborne Diseases: Foodborne Disease Burden Epidemiology Reference Group 2007-2015. WHO, Geneva.
Ministry of Health and Quality of Life (1998) Mauritian Food Act 1998. http://health.govmu.org/English/Legislations/Pages/Foodact1998.aspx
Ministry of Health and Quality of Life (1999) Mauritian Food Act 1999. http://health.govmu.org/English/Documents/reg-food.pdf
Olsen, S.J., MacKinnon, L.C., Goulding, J.S., Bean, N.H. and Slutsker, L. (2000) Surveillance for Foodborne Disease Outbreaks-United States, 1993-1997. Morbidity and Mortality Weekly Report, 49, 1-62.
Green, R.M. and Kane, K. (2014) The Effective Enforcement of HACCP Based Food Safety Management Systems in the UK. Food Control, 37, 257-262. https://doi.org/10.1016/j.foodcont.2013.09.016
Business.mega.mu (2014) Dengue Fever: New Cases Detected. http://business.mega.mu/2014/03/28/dengue-fever-new-case-detected/
L’Express.mu (2015) Fièvre dengue: deux nouveau cas détectés à Port-Louis (Dengue Fever: Two New Cases Detected at Port Louis). http://www.lexpress.mu/article/260757/fievre-dengue- deux-nouveaux-cas-detectes-port-louis
Ramchurn, S.K., Goorah, S.S.D. and Makhan, M. (2010) An Analysis of the Excess Mortality Profile during the 2006 Chikungunya Fever Epidemic in Mauritius. Internet Journal of Medical Update, 5, 3-7.
Pay Research Bureau: PRB Report 2013-Civil Service, PRB, Port Louis. http://prb.pmo.govmu.org/English/Pages/default.aspx
Pillsbury, A., Chiew, M., Bates, J. and Sheppeard, V. (2013) An Outbreak of Staphylococcal Food Poisoning in a Commercially Catered Buffet. Communicable Diseases Intelligence Quarterly Report, 37, E144-E148.
Australian New Zealand Food Standards Code (2003) http://www.foodstandards.gov.au/code/Pages/default.aspx
Greig, J.D, Todd, E.C.D., Bartleson, C.A. and Michaels, B.S. (2007) Outbreaks Where Food Workers Have Been Implicated in the Spread of Foodborne Disease. Part 1. Description of the Problem, Methods, and Agents Involved. Journal of Food Protection, 70, 1752-1761. https://doi.org/10.4315/0362-028X-70.7.1752
Emond, B. (2014) Food Safety First: Industry Training Needs. Food & Drink Technology, 13, 12.
Shinbaum, S., Crandall, P.G. and O’Bryan, C.A. (2016) Evaluating Your Obligations for Employee Training According to the Food Safety Modernization Act. Food Control, 60, 12-17. https://doi.org/10.1016/j.foodcont.2015.07.014
Park, S.-H., Kwak, T.-K. and Chang, H.-J. (2010) Evaluation of the Food Safety Training for Food Handlers in Restaurant Operations. Nutrition Research and Practice, 4, 58-68. https://doi.org/10.4162/nrp.2010.4.1.58
Soares, L.S., Almeida, R.C.C., Cerqueira, E.S., Carvalho, J.S. and Nunes, I.L. (2012) Knowledge, Attitudes and Practices in Food Safety and the Presence of Coagulase-Positive Staphylococci on Hands of Food Handlers in the Schools of Camacçari, Brazil. Food Control, 27, 206-213. https://doi.org/10.1016/j.foodcont.2012.03.016
Food Act in Victoria (1984) Authorised version No. 101. http://www.legislation.vic.gov.au/Domino/Web_Notes/LDMS/ LTObject_Store/LTObjSt7.nsf/DDE300B846EED9C7CA257 616000A3571/DE3E7B8DD3E5864FCA257B2E00047D70/$FILE/84-10082aa101%20authorised.pdf
Liu, L.G., Zhou, X.Y., Lan, Z., Li, L., Li, Z., Chen, W., Wang, J.Y. and Zhang, L.J. (2016) Salmonella Typhimurium Outbreak Associated with a Contaminated Food Container in a School in Sichuan Province, China. Epidemiology and Infection, 144, 285-290. https://doi.org/10.1017/S0950268815001387
Rajpura, A., Lamden, K., Forster, S., Clarke, S., Cheesbrough, J., Gornall, S. and Waterworth, S. (2003) Large Outbreak of Infection with Escherichia coli O157 PT21/28 in Eccleston, Lancashire, Due to Cross-Contamination at a Butcher’s Counter. Communicable Disease and Public Health, 6, 279-284.
Chiou, J., Leung, A.H.H., Lee, H.W. and Wong, W.-T. (2015) Review: Rapid Testing Methods for Food Contaminants and Toxicants. Journal of Integrative Agriculture, 14, 2243-2264. https://doi.org/10.1016/S2095-3119(15)61119-4