Joint FAO/WHO Expert Committee on Food Additives
Fiftieth meeting
Rome, 17-26 February 1998
SUMMARY AND CONCLUSIONS
A meeting of the Joint FAO/WHO Expert Committee on Food Additives (JECFA) was held in Rome, Italy, from 17 to 26 February 1998. The purpose of the meeting was to evaluate certain residues of veterinary drugs in food.
Dr J. Boisseau, Director, National Agency for Veterinary Medicine, Foug?res, France,served as chairman and Professor J.G. McLean, South Melbourne, Victoria, Australia, served as vice-chairman.
Dr J. Paakkanen, Food Quality and Standards Service, Food and Nutrition Division, Food and Agriculture Organization of the United Nations, served as FAO Joint Secretary. Dr J.L. Herrman, International Programme on Chemical Safety, World Health Organization, served as WHO Joint Secretary. Dr M. Miller, Center for Veterinary Medicine, Food and Drug Administration, Rockville, Maryland, USA, and Dr R. L. Ellis, Food Safety and Inspection Service, Department of Agriculture, Washington, DC, USA, served as Joint Rapporteurs.
The present meeting was the fiftieth in a series of such meetings and was the eleventh JECFA meeting convened to deal xclusively with residues of veterinary drugs in food. The primary tasks before the Committee were to further elaborate principles for evaluating the safety of residues of veterinary drugs in food and for establishing acceptable daily intakes (ADIs) and maximum residue limits (MRLs) for certain drugs when they are dministered in food-producing animals in accordance with good practice in the use of veterinary drugs.
The report of the meeting will appear in the WHO Technical Report Series (TRS). Its presentation will be similar to that of previous reports, namely, general considerations, specific
comments on substances on the agenda, and recommendations. The report will include an annex containing a detailed table (similar to Table 1 in this report) summarizing the conclusions reached by the Committee after its evaluations of the substances on the agenda.
Toxicological monographs summarizing the data that were considered by the Committee in assessing the safety of the substances on the agenda will be published in WHO Food dditives
Series No. 41. Residues monographs summarizing the data that were considered by the Committee in establishing MRLs will be published in FAO Food and Nutrition Paper series No. 41/11.
| NOTE This document has been distributed prior to publication of the full report of the fiftieth meeting of the Joint FAO/WHO Expert Committee on Food Additives (JECFA) to ensure the fast dissemination of information, in particular to the Codex Alimentarius Commission, for which JECFA is the scientific advisory body on matters relating to residues of veterinary drugs in food.The FAO and WHO Joint Secretaries of JECFA request that further inquiries regarding the compounds evaluated at the fiftieth meeting be made only after the full official report has been published and distributed by WHO in the name of both sponsoring organizations, FAO and WHO. Your cooperation is much appreciated. |
TABLE 1. RECOMMENDATIONS ON COMPOUNDS ON THE AGENDA
Anthelminthic agents
Eprinomectin
Acceptable daily intake: 0-10 µg/kg bw
Residue definition: Eprinomectin B1a
| Recommended maximum residue limits (MRL) |
| Species |
Muscle
(µg/kg) |
Liver
(µg/kg) |
Kidney
(µg/kg) |
Fat
(µg/kg) |
Milk
(µg/litre) |
| Cattle |
100 |
2000 |
300 |
250 |
20 |
Febantel, fenbendazole, and oxfendazole
Acceptable daily intake: 0-7 µg/kg bw (group ADI for febantel, fenbendazole, and oxfendazole)
Residue definition: Determined as the sum of fenbendazole, oxfendazole, and oxfendazole sulfone, expressed as oxfendazole sulfone equivalents
| Recommended maximum residue limits (MRLs)1 |
| Species |
Muscle
(µg/kg) |
Liver
(µg/kg) |
Kidney
(µg/kg) |
Fat
(µg/kg) |
Milk
(µg/litre) |
| Cattle |
100 |
500 |
100 |
100 |
100 |
| Horses |
100 |
500 |
100 |
100 |
|
| Pigs |
100 |
500 |
100 |
100 |
|
| Goats |
100 |
500 |
100 |
100 |
|
| Sheep |
100 |
500 |
100 |
100 |
100 |
Moxidectin
Acceptable daily intake: 0-2 µg/kg bw (established at the forty-fifth meeting of the Committee (WHO TRS 864, 1996))
Residue definition: Moxidectin
| Recommended maximum residue limits (MRLs) |
| Species |
Muscle
(µg/kg) |
Liver
(µg/kg) |
Kidney
(µg/kg) |
Fat
(µg/kg) |
Milk
(µg/litre) |
| Cattle1 |
202 |
100 |
50 |
500 |
|
| Sheep1 |
50 |
100 |
50 |
500 |
|
| Deer |
20 |
100 |
50 |
500 |
|
1Recommended at the forty-fifth meeting of the Committee (WHO TRS 864, 1996), except for sheep muscle, which was recommended at the forty-seventh meeting (WHO TRS 976, 1998)
2At the forty-fifth meeting (WHO TRS 864, 1996), the Committee noted the very high concentration and great variation in the level of residues at the injection site in cattle over a 49-day period after dosing.
Antimicrobial agents
Gentamicin
Acceptable daily intake: 0-20 µg/kg bw
Residue definition: Gentamicin
| Recommended maximum residue limits (MRL) |
| Species |
Muscle
(µg/kg) |
Liver
(µg/kg) |
Kidney
(µg/kg) |
Fat
(µg/kg) |
Milk
(µg/litre) |
| Cattle |
100 |
2000 |
5000 |
100 |
200 |
| Pigs |
100 |
2000 |
5000 |
100 |
200 |
Procaine benzylpenicillin
Acceptable intake: Residues of benzylpenicillin and procaine benzylpenicillin should be kept below 30 µg of penicillin per person per day.
Residue definition: Benzylpenicillin
| Recommended maximum residue limits (MRL) |
| Species |
Muscle
(µg/kg) |
Liver
(µg/kg) |
Kidney
(µg/kg) |
Fat
(µg/kg) |
Milk
(µg/litre) |
| Cattle |
50 |
50 |
50 |
|
4 |
| Pigs |
50 |
50 |
50 |
|
|
| Chickens |
50 |
50 |
50 |
|
|
1Procaine benzylpenicillin is also used in horses, sheep, turkeys, rabbits, quail, and pheasants. Due to the lack of information, MRLs could not be established for those species.
Sarafloxacin
Acceptable daily intake: 0-0.3 µg/kg bw
Residue definition: Sarafloxacin
| Recommended maximum residue limits (MRL) |
| Species |
Muscle
(µg/kg) |
Liver
(µg/kg) |
Kidney
(µg/kg) |
Fat
(µg/kg) |
Milk
(µg/litre) |
| Chickens |
10 |
80 |
80 |
20 |
|
| Turkeys |
10 |
80 |
80 |
20 |
|
Spectinomycin
Acceptable daily intake: 0-40 µg/kg bw (established at the forty-second meeting of the Committee (WHO TRS 851, 1995))
Residue definition: Spectinomycin
| Recommended maximum residue limits (MRLs) |
| Species |
Muscle
(µg/kg) |
Liver
(µg/kg) |
Kidney
(µg/kg) |
Fat
(µg/kg) |
Milk
(µg/litre) |
Eggs
(µg/kg) |
| Cattle |
500 |
2000 |
5000 |
2000 |
200 |
|
| Pigs |
500 |
2000 |
5000 |
2000 |
|
|
| Sheep |
500 |
2000 |
5000 |
2000 |
|
|
| Chickens |
500 |
2000 |
5000 |
2000 |
|
2000 |
Chlortetracycline, oxytetracycline, and tetracycline
Acceptable daily intake: 0-30 µg/kg bw (group ADI for oxytetracycline, chlortetracycline, and (tetracycline)
Residue definition: Parent drug
| Recommended maximum residue limits (MRLs)1 |
| Species |
Muscle
(µg/kg) |
Liver
(µg/kg) |
Kidney
(µg/kg) |
Fat
(µg/kg) |
Milk
(µg/litre) |
Eggs
(µg/kg) |
| Cattle |
200 |
600 |
1200 |
|
100 |
|
| Pigs |
200 |
600 |
1200 |
|
|
|
| Sheep |
200 |
600 |
1200 |
|
100 |
|
| Poultry |
200 |
600 |
1200 |
|
|
400 |
| Fish2,3 |
200 |
|
|
|
|
|
Giant prawn2
(Penaeus monodon) |
200 |
|
|
|
|
|
1Singly or in combination
2Applies only to oxytetracycline
3Temporary pending evaluation of use pattern of oxytetracycline in aquacultureAntiprotozoal agents
Diclazuril
Acceptable daily intake: 0-30 µg/kg bw
Residue definition: Diclazuril
| Recommended maximum residue limits (MRLs) |
| Species |
Muscle
(µg/kg) |
Liver
(µg/kg) |
Kidney
(µg/kg) |
Fat
(µg/kg) |
Milk
(µg/litre) |
| Sheep |
500 |
3000 |
2000 |
1000 |
|
| Poultry |
500 |
3000 |
2000 |
10001 |
|
| Rabbits |
500 |
3000 |
2000 |
1000 |
|
1Skin/fat
Imidocarb
Acceptable daily intake: 0-10 µg/kg bw
Residue definition: Imidocarb
| Recommended maximum residue limits (MRL)1 |
| Species |
Muscle
(µg/kg) |
Liver
(µg/kg) |
Kidney
(µg/kg) |
Fat
(µg/kg) |
Milk
(µg/litre) |
| Cattle |
300 |
2000 |
1500 |
50 |
50 |
1Temporary. Residue depletion studies in lactating and non-lactating cattle using recommended subcutaneous doses of unlabelled imidocarb and analyzing samples using the proposed regulatory method with enzymatic digestion are required for evaluation in 2001. If MRLs are to be recommended for sheep, a residue depletion study using the recommended dose and route of administration would be required.
Nicarbazin
Acceptable daily intake: 0-400 µg/kg bw
Residue definition: N,N’-bis-(4-nitrophenyl)urea
| Recommended maximum residue limits (MRL) |
| Species |
Muscle
(µg/kg) |
Liver
(µg/kg) |
Kidney
(µg/kg) |
Fat
(µg/kg) |
Milk
(µg/litre) |
| Chickens (Broilers) |
200 |
200 |
200 |
200 |
|
Glucocorticosteroid
Dexamethasone
Acceptable daily intake: 0.015 µg/kg bw (established at the forty-second meeting of the Committee (WHO TRS 851, 1995))
Maximum residue limits: The forty-second and forty-third meetings of the Committee recommended temporary MRLs of 0.5 mg/kg in muscle, 0.5 mg/kg in kidney and 2.5 mg/kg in liver of cattle, horses and pigs and 0.3 mg/L in cattle milk based on an
ADI of 0-0.015 mg/kg body weight. The MRLs were temporary because there was no adequate method to determine compliance with the MRLs. The Committee requested performance data on the analytical method for evaluation at its forty-eight meeting but no data were received. The Committee decided to withdraw the temporary MRLs for dexamethasone due to lack of an adequate analytical method for enforcement of the MRLs. The present Committee reviewed the documentation for an HPLC-MS method for measuring dexamethasone residues in tissues and milk. The Committee concluded that the proposed method does not meet the required performance characteristics for idntification and quantification of residues in incurred tissues. MRLs could not be recommended because a suitable method for residue analysis was not available.
Production aid
Recombinant bovine somatotropins (rbSTs)
Acceptable daily intake: ADI “not specified”1 (applies to somagrebove, sometribove, somavubove, and somidobove)
Maximum residue limits: MRLs “not specified” in cattle milk and edible tissues2 (applies to somagrebove, sometribove, somavubove, and somidobove)
1See Annex 1. ADI “not specified” means that available data on the toxicity and intake of the veterinary drug indicate a large margin of safety for consumption of residues in food when the drug is used according to good practice in the use of veterinary drugs. For that reason, and for the reasons stated in the individual evaluation, the Committee concluded that use of the veterinary drug does not represent a hazard to human health and that there is no need to specify a numerical ADI.
2See Annex 1. MRL “not specified” means that available data on the identity and concentration of residues of the veterinary drug in animal tissues indicate a wide margin of safety for consumption of residues in food when the drug is used according to good practice in the use of veterinary drugs. For that reason, and for the reasons stated in the individual evaluation, the Committee concluded that the presence of drug residues in the named animal product does not present a health concern and that there is no need to specify a numerical MRL.
Tranquilizing agent
Azaperone
Acceptable daily intake: 0-6 µg/kg bw
Residue definition: Sum of concentrations of azaperone and azaperol.
| Recommended maximum residue limits (MRL) |
| Species |
Muscle
(µg/kg) |
Liver
(µg/kg) |
Kidney
(µg/kg) |
Fat
(µg/kg) |
Milk
(µg/litre) |
| Pigs |
60 |
100 |
100 |
60 |
|
The information provided in this annex is the draft report item summarizing the assessment of rbSTs at the fiftieth meeting of JECFA, and is included to provide quick dissemination of information. It is subject to extensive editing, and should not be quoted or referenced until publication of the report.
Annex 1. Recombinant bovine somatotropins (rbSTs)
The four analogues of bovine somatotropins (rbSTs) somagrebove, sometribove, somavubove and somidobove that are produced by recombinant DNA techniques were previously evaluated by the Committee at its fortieth meeting (WHO TRS 832, 1993). At that time the Committee established an ADI and MRLs “not specified” for these four rbSTs. The term “not specified” was used because of the lack of oral activity of rbSTs and of insulin-like growth factor I (IGF-I) and the low levels and non-toxic nature of the residues of these compounds, resulting in an extremely large margin of safety for humans consuming meat and dairy products from rbST-treated cows.When considering adoption of these recommended MRLs at its Twenty-second Session in 1997,the Codex Alimentarius Commission postponed a decision pending a reevaluation of the rbSTs by the Joint FAO/WHO Expert Committee on Food Additives (JECFA) to consider scientific information that has become available since its previous evaluation.
Information was submitted by organizations and individuals relating to the following concerns:
the increased use of antibiotics with a higher rate of violative drug residues in milk due to a possible increased incidence of mastitis in rbST-treated cows,
the possibility that increased levels of IGF-I in milk of rbST-treated cows might lead to increased cell division and growth of tumours in humans,
the potential effect of rbST on the expression of certain viruses in cattle, particularly the retroviruses,
the possibility that the incubation period of bovine spongiform encephalopathy (BSE) is shortened due to an IGF-I-induced increase of the production of pathogenic prion proteins, and
the possibility that early exposure of human neonates to milk from rbST-treated cows increases the risk for developing insulin-dependent diabetes mellitus.
Use of antibiotics
After reviewing available information, the Committee considered the risk of mastitis induced by rbST as an issue of animal health that is not within the terms of reference of the Committee.However, the possible increased use of antibiotics was considered.
A post approval monitoring program (PAMP) has been established in the United States to address the following areas:
the incidence of mastitis and responses related to herd health (not within the terms of reference of the Committee),
the treatment with any medications in a 28-herd study with rbST-treated cows (not within the terms of reference of the Committee),
the incidence of milk discard due to violative drug residues in key dairy states representing at least 50 % of U.S. milk production.
In New York State the percentage of milk discard resulting from antibiotic residue testing was not significantly changed after introduction of rbST. In other states a small, but statistically significant, increase was observed in 1995 which coincided with a change to a more sensitive testing method. The Committee concluded that the use of rbST will not result in a higher risk to human health due to the use of antibiotics to treat mastitis and that the increased potential for 9 drug residues in milk could be managed by practices currently in use by the dairy industry and by following label directions for use.
IGF-I levels in milk and tissues
IGF-I is a normal component of milk and is found in abundance in variety of body fluids (see Table 1).
Table 1: IGF-I in milk and body fluids
| |
[ng/ml] |
|
[ng/ml] |
| Milk |
|
Gastrointestinal secretions (human) |
| |
human |
5 - 10 |
Saliva |
6.8 |
| |
|
colostrum |
8 - 28 |
Gastric juice |
26 |
| |
bovine (bulk milk) |
|
Pancreatic juice |
27 |
| |
|
untreated |
1 - 9 |
Bile |
6.8 |
| |
|
rbST-treated |
1 - 13 |
Jejunal chyme |
180 |
| Plasma |
|
|
|
| |
child |
17 - 250 |
|
|
| |
adolescent |
180 - 780 |
|
|
| |
adult |
120 - 460 |
|
|
| Daily production |
[ng/day] |
|
|
| |
adult humans |
107 |
|
|
The presence and concentrations of IGF-I were at the center of much of the scientific discussion in the original scientific review of bST undertaken at the fortieth meeting of the Committee and in submissions to the present meeting. Information that was reviewed is summarized in FAO Food and Nutrition Paper No. 41/5 (1993). IGF-I concentrations in milk are variable and have been shown to depend on state of lactation, nutritional state and age.
Methods for assaying IGF-I were considered by the Committee. Although incomplete removal of IGF-binding proteins or variation of standard source and extraction methods might influence reported values, these factors were not perceived to materially alter any conclusions. Relatively high values previously reported in milk were considered to reflect inadequate extraction procedures.
Since the previous evaluation, very little additional data on residues have appeared in the literature or in reports provided by interested parties. However, the manufacturer of sometribove submitted additional information on levels of IGF-I in retail milk after the approval of rbST in the United States. The results showed no difference in the IGF-I concentrations between labeled (certified to be derived from cows not treated with rbST) and unlabeled milk. However, the percentage of milk derived from cows receiving rbST was not specified for the unlabeled milk.
Concerns have been expressed that any rbST-induced increase of IGF-I in milk contribute to the endogenous levels of IGF-I in the gastrointestinal tract and in serum if not biodegraded and if absorbed. A recent study in rats confirms that IGF-I is rapidly degraded in the gastrointestinal tract. However, in these studies a protective effect of casein on IGF-I was demonstrated. It was postulated that the retarded degradation leads to increased serum levels of IGF-I (as has been shown in one study in rats) as well as to prolonged exposure in the gut as well as to increased serum levels of IGF-I. The Committee also noted that seven days of oral ministration of high doses of IGF-I in milk replacer did not increase circulating concentrations of IGF-I in newborn calves and piglets, indicating that significant absorption of IGF-I is unlikely to occur under physiological circumstances.
Considering the decreased rate of degradation observed in the small intestine of the rat in the presence of casein, levels of the growth factor would likely deplete to less than 5% of their initial values within two hours, indicating that milk-borne IGF-I would not be expected to contribute to levels of IGF-I in the large intestine.
Assuming the ingestion of 1.5 litres of milk per day, the average ingested amount of IGF-I will be 6000 ng in milk from untreated cows containing an assumed IGF-I concentration of 4 ng/ml and 9000 ng in milk from rbST-treated cows with an approximate average concentration of 6 ng/ml. It has been calculated that IGF-I in gastrointestinal secretions amounts to about 380,000 ng/day. Therefore the additional amount of IGF-I in 1.5. l of milk from rbST-treated cows as compared with milk from untreated cows is only about 0.8 % of gastrointestinal secretion of IGF-1.
The total amount of IGF-I in serum has been calculated to range from approximately 50 000 to 1 220 000 ng depending on age. The total daily IGF-I production in adult humans has been estimated to be 107 ng. Therefore, the daily amount of IGF-I ingested with milk from rbST-treated cows compared with its daily production will be less than 0.09% for adults. Even if the total amount of milk-borne IGF-I were absorbed the additional amount would be negligible.
The Committee concluded that any increase of IGF-I in milk from rbST-treated cows is orders of magnitude lower than the physiological amounts produced in the gastrointestinal tract as well as in other parts of the body. Thus, the Committee concluded that the intake of IGF-I will not increase either locally in the gut or systemically. Consequently, the potential for IGF-I to promote tumour growth will not increase when milk from rbST-treated cows is consumed, resulting in no appreciable risk for consumers.
Recent studies have been performed in which sustained-release rbST was administered to cattle once every two weeks for a total of 20 weeks. Tissue levels of rbST and IGF-I were measured two weeks after the final administration of rbST. No significant increases in rbST and IGF-I levels were observed.
Expression of retroviruses
Concerns that rbST treatment of cattle would increase the expression of retroviruses, including Bovine Leukemia Virus (BLV), were addressed by experiments in a goat model that used caprine arthritis encephalitis virus. Infectivity was not increased when measured by numbers of infected cells and there was no evidence of increased reverse transcriptase activity. These studies provided no evidence that rbST affects the expression of BLV, a lentivirus in cattle. Furthermore it has been shown that BLV will be destroyed by simulated pasteurization conditions by heating milk to 60oC for 30 seconds. Inaddition, there is no evidence of human susceptibility orresponses to ruminant retroviruses.
Expression of prion proteins
Concerns have been expressed that rbST treatment could shorten the incubation period for BSE. This hypothesis is based on in vitro results in a neuronal cell line indicating an increased formation of mRNA of prion proteins (PrP) in response to IGF-I. Furthermore, in transgenic mice harbouring multiple copies of PrP gene, an increased formation of PrP shortened the incubation period of Scrapie. However, no data were available that directly address whether rbST or IGF-I increases the formation of normal PrP or its pathogenic protease-resistant mutant in the brain of cattle. The Committee considered that the possibility of a link between rbST-treatment and BSE to be highly speculative.
Source: FAO/WHO
Risk of insulin-dependent diabetes mellitus (IDDM)
It has been shown that exposure of neonates to cow’s milk increases the risk of IDDM 11 approximately 1.5-fold. The Committee considered whether exposure of human neonates to milk from rbST-treated cows further increases this risk and concluded that, because of its unchanged composition, the milk of rbST-treated cows is not expected to represent an additional risk to the development of IDDM.
On the basis of the following:
insignificant changes in the quantities of milk discarded due to antibiotic residue testing after introduction of rbST into commercial use;
low residue levels of rbST and IGF-I in milk;
the degradation of IGF-I in the gut and its abundance in gut secretions;
the extremely low levels of ingested IGF-I when compared to endogenous production;
the lack of evidence that rbST stimulates expression of retroviruses;
lack of information directly linking rbST-treatment and BSE;
and the absence of significant changes in composition of milk from rbST-treated cows which may contribute to the additional risk of development of IDDM
the Committee concluded that rbST can be used without any appreciable health risk to consumers. The Committee reaffirmed its previous ADI and MRLs “not specified” for somagrebove, sometribove, somavubove and somidobove”.