This report strengthens the economic case for increased public investment and more robust policy attention to food safety in low and middle income countries and provides guidance on ways to achieve significant, broad-based impact from such actions.

Food safety hazards are increasingly being recognized as a major public health problem worldwide, yet among developing countries, there is limited understanding of the wider-ranging socio-economic costs of unsafe food and the benefits of remedial or preventative measures. This limited evidence base has led many countries to underinvest in food safety, or invest inefficiently in reaction to serious outbreaks of foodboroe illness, other food scares, or trade interruptions. For many countries experiencing rapid urbanization and dietary changes, the growing complexity of food safety hazards is outpacing if not overwhelming prevailing food safety management capacity-both in government and in supply chains. This report strengthens the economic case for increased public investment and other policy attention on food safety in developing countries. [t is directed primarily at policy-makers, although researchers, development practitioners and food safety specialists will also find its content of value. By synthesizing and interpreting the available evidence on the economic costs of unsafe food in relation to both domestic markets and trade, the report positions food safety as an integral part of economic development and food system modernization. It goes on to provide guidance on ways in which public policy and investment can improve food safety awareness and behavior from farm to fork.

Foodborne diseases (FBD) are an important externality of agriculture and food systems, but only recently have they risen up the development agenda as the result of growing awareness of the health and economic burdens of FBD and how they relate to food systems with a focus on low-income and middle-income countries (LMIC), particularly African nations. The health burden of FBD is comparable with that of malaria, and over 90% falls on people in LMIC, with an economic burden of more than US$100 million per year. FBD have many other, less well-estimated effects on nutrition, gender, equity, and the environment. While understanding of food safety in domestic markets of LMICs has advanced greatly, risk management is in its infancy. This Research Topic will bring together leading regional perspectives on food safety in LMICs.

Food safety is receiving more attention worldwide with the rising incidence of foodborne disease, concern over new potential hazards, and growth in agricultural trade. Investments to improve food safety in developing countries can reduce the burden of disease and remove the barriers to fresh food product exports, providing another source of income for the rural sector. International disputes over sanitary and phytosanitary (SPS) measures influence the ability of developing countries to compete in export markets. These countries need to evaluate their interest in the SPS agreement under the World Trade Organisation (WTO); participate more fully in international agencies responsible for harmonisation; develop the capacity to assess equivalence for process standards, which are increasingly used for fresh food products; and resist the imposition of inappropriate standards.

Investing in One Health – cross-sectoral, multidisciplinary coordination and collaboration across the human health, animal health, and environmental health sectors – is crucial for maintaining healthy agricultural and food systems and addressing global health security risks. Such action can reduce the threat of future pandemics through upstream preventive actions, early detection, and agile responses to zoonotic and emerging infectious diseases outbreaks, coupled with measures for promoting food safety, including anti-microbial resistance. This regional review, conducted jointly by the World Bank and the Food and Agriculture Organization of the United Nations, assesses the socioeconomic impacts of zoonotic diseases and epidemics across the East Asia and Pacific region, providing a background on why emerging infectious diseases are occurring more frequently in this region. This review looks at the benefits of using a risk-based approach, assesses the management of animal and wildlife health and the ability to identify and respond to emerging threats and protect the health, agricultural production, and ecosystem services. It provides recommendations on priority activities to be undertaken, and offers governments and their development partners the evidence and analysis needed to make more and better investments in wildlife systems and animal health to improve global health security.

The new Kenyan government faces a complex domestic and global environment, and it is widely expected to address key food and agricultural challenges with a new set of policies and programs. This policy brief presents key recommendations from a forthcoming book, Food Systems Transformation in Kenya: Lessons from the Past and Policy Options for the Future, which provides research-based “food for thought and action” to support the Kenyan government’s efforts to improve food security.