Contents -- Executive Summary -- 1. Introduction -- 1.1 Purpose -- 1.2 Definitions and scope -- 1.3 Food as a vehicle for terrorist acts -- 1.4 Comparative risks of food and other media as vehicles for terrorist threats -- 1.5 Potential effects of food terrorism -- 1.5.1 Ilness and death -- 1.5.2 Economic and trade effects -- 1.5.3 Impact on public health services -- 1.5.4 Social and political implications -- 1.6 Chemical and biological agents and radionuclear materials that could be used in food terrorism -- 1.7 Establishing and strengthening national prevention and response systems -- 1.8 Setting priorities -- 2. Prevention -- 2.1 Introduction -- 2.2 Existing systems -- 2.3 Strengthening food safety management programmes -- 2.4 Prevention and response systems in the food industry -- 2.4.1 The role of the food industry -- 2.4.2 Agricultural production and harvesting -- 2.4.3 Processing and manufacture -- 2.4.4 Storage and transport -- 2.4.5 Wholesale and retail distribution -- 2.4.6 Food service -- 2.4.7 Tracing systems and market recalls -- 2.4.8 Monitoring -- 2.5 Reducing access to chemical and biological agents and radionuclear materials -- 2.6 Prevention at points of entry -- 2.7 Useful source material -- 3. Surveillance, Preparedness and Response -- 3.1 Introduction -- 3.2 Surveillance -- 3.2.1 Existing surveillance systems -- 3.2.2 Strengthening existing surveillance systems for food safety -- 3.2.3 Investigation of suspected food safety emergencies -- 3.3 Preparedness -- 3.3.1 Principles -- 3.3.2 Assessing vulnerability -- 3.4 Response -- 3.4.1 Existing emergency response systems -- 3.4.2 Strengthening existing emergency response systems for food safety -- 3.4.3 Consequences of a food safety emergency -- 3.4.4 Communication -- 3.4.5 Launching the response -- 4. The Role of the Word Health Organization.

4.1 International response to food safety emergencies, including food terrorism -- 4.2 The World Health Organization -- 4.3 International Health Regulations (IHR) -- 4.4 Coordination of global outbreak alert and responses -- 4.4.1 Outbreak alert mechanisms -- 4.4.2 Global Outbreak Alert and Response Network -- 4.4.3 Outbreak response -- 4.5 Strengthening international systems to meet the threat of food terrorism -- 4.5.1 Other existing WHO programmes relevant to food emergencies, including food terrorism -- 4.5.2 Other international organizations relevant to food safety -- 4.5.3 Coordination and strengthening of international strategies and activities that address food safety emergencies, including deliberate contamination of food -- Appendix - Specific Measures for Consideration by the Food Industry.