83 FR 54594 - Sesame as an Allergen in Foods

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 83, Issue 210 (October 30, 2018)

Page Range		54594-54596
FR Document		2018-23635

The Food and Drug Administration (FDA or we) invites data and other information on the prevalence and severity of sesame allergies in the United States and the prevalence of sesame-containing foods sold in the United States that are not required to disclose sesame as an ingredient. We are taking this action to inform possible regulatory action on sesame to protect and promote the public health.

Federal Register, Volume 83 Issue 210 (Tuesday, October 30, 2018)

[Federal Register Volume 83, Number 210 (Tuesday, October 30, 2018)]
[Notices]
[Pages 54594-54596]
From the Federal Register Online [www.thefederalregister.org]
[FR Doc No: 2018-23635]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2018-N-3809]

Sesame as an Allergen in Foods

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice; request for comments.

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SUMMARY: The Food and Drug Administration (FDA or we) invites data and
other information on the prevalence and severity of sesame allergies in
the United States and the prevalence of sesame-containing foods sold in
the United States that are not required to disclose sesame as an
ingredient. We are taking this action to inform possible regulatory
action on sesame to protect and promote the public health.

DATES: Submit either electronic or written comments on this document by
December 31, 2018.

ADDRESSES: You may submit comments as follows. Electronic comments must
be submitted on or before December 31, 2018. The https://www.regulations.gov electronic filing system will accept comments until
11:59 p.m. Eastern Time at the end of December 31, 2018. Comments
received by mail/hand delivery/courier (for written/paper submissions)
will be considered timely if they are postmarked or the delivery
service acceptance receipt is on or before that date.

Electronic Submissions

Submit electronic comments in the following way:
Federal eRulemaking Portal: https://www.regulations.gov.
Follow the instructions for submitting comments. Comments submitted
electronically, including attachments, to https://www.regulations.gov
will be posted to the docket unchanged. Because your comment will be
made public, you are solely responsible for ensuring that your comment
does not include any confidential information that you or a third party
may not wish to be posted, such as medical information, your or anyone
else's Social Security number, or confidential business information,
such as a manufacturing process. Please note that if you include your
name, contact information, or other information that identifies you in
the body of your comments, that information will be posted on https://www.regulations.gov.
If you want to submit a comment with confidential
information that you do not wish to be made available to the public,
submit the comment as a written/paper submission and in the

[[Page 54595]]

manner detailed (see ``Written/Paper Submissions'' and
``Instructions'').

Written/Paper Submissions

Submit written/paper submissions as follows:
Mail/Hand delivery/Courier (for written/paper
submissions): Dockets Management Staff (HFA-305), Food and Drug
Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852.
For written/paper comments submitted to the Dockets
Management Staff, FDA will post your comment, as well as any
attachments, except for information submitted, marked and identified,
as confidential, if submitted as detailed in ``Instructions.''
Instructions: All submissions received must include the Docket No.
FDA-2018-N-3809 for ``Sesame as an Allergen in Foods.''
Received comments, those filed in a timely manner (see ADDRESSES),
will be placed in the docket and, except for those submitted as
``Confidential Submissions,'' publicly viewable at https://www.regulations.gov or at the Dockets Management Staff between 9 a.m.
and 4 p.m., Monday through Friday.
Confidential Submissions--To submit a comment with
confidential information that you do not wish to be made publicly
available, submit your comments only as a written/paper submission. You
should submit two copies total. One copy will include the information
you claim to be confidential with a heading or cover note that states
``THIS DOCUMENT CONTAINS CONFIDENTIAL INFORMATION.'' We will review
this copy, including the claimed confidential information, in our
consideration of comments. The second copy, which will have the claimed
confidential information redacted/blacked out, will be available for
public viewing and posted on https://www.regulations.gov. Submit both
copies to the Dockets Management Staff. If you do not wish your name
and contact information to be made publicly available, you can provide
this information on the cover sheet and not in the body of your
comments and you must identify this information as ``confidential.''
Any information marked as ``confidential'' will not be disclosed except
in accordance with 21 CFR 10.20 and other applicable disclosure law.
For more information about FDA's posting of comments to public dockets,
see 80 FR 56469, September 18, 2015, or access the information at:
https://www.thefederalregister.org/fdsys/pkg/FR-2015-09-18/pdf/2015-23389.pdf.
Docket: For access to the docket to read background documents or
the electronic and written/paper comments received, go to https://www.regulations.gov and insert the docket number, found in brackets in
the heading of this document, into the ``Search'' box and follow the
prompts and/or go to the Dockets Management Staff, 5630 Fishers Lane,
Rm. 1061, Rockville, MD 20852.

FOR FURTHER INFORMATION CONTACT: Carol D'Lima, Office of Nutrition and
Food Labeling, Center for Food Safety and Applied Nutrition, Food and
Drug Administration, 5001 Campus Dr., College Park, MD 20740, 240-402-
2033.

SUPPLEMENTARY INFORMATION:

I. Background

Food allergies occur when the body's immune system reacts to
certain food proteins (Ref. 1). Allergic reactions to food due to
immunoglobulin E (IgE) antibodies cause the body to release
inflammatory chemicals and can be particularly severe, leading to
symptoms such as hives, facial swelling, vomiting, wheezing, shock, and
even death. Because there is no cure for food allergies, allergic
consumers must use avoidance to prevent allergic reactions. Successful
avoidance requires, among other things, that allergic consumers and
their caregivers can read and understand the relevant information on
packaged food labels and can identify food allergens in other settings,
such as at retail or food service establishments.
The Federal Food, Drug, and Cosmetic Act (FD&C Act) requires that a
food (other than a raw agricultural commodity) that bears or contains a
``major food allergen'' declare the allergen using its ``common or
usual name.'' A food is misbranded if it contains a major food allergen
and fails to declare that major food allergen on its label using the
major food allergen's common or usual name (section 403(w) of the FD&C
Act). The FD&C Act defines a ``major food allergen,'' in part, as any
of the following:
Milk,
Eggs,
Fish (e.g., bass, flounder, or cod),
Crustacean shellfish (e.g., crab, lobster, or shrimp),
Tree nuts (e.g., almonds, pecans, or walnuts),
Wheat,
Peanuts, and
Soybeans.
See section 201(qq)(1) of the FD&C Act (21 U.S.C. 321(qq)(1)). When
Congress amended the FD&C Act regarding food allergens in 2004, these
eight foods and food groups, out of more than 160 identified food
allergens, accounted for 90 percent of serious food allergic reactions.
We issued guidance in 2006 to help the public understand our
implementation of the amendments, including what foods and
manufacturers are subject to the amendments and labeling requirements
(Ref. 2). We issued another guidance in 2014 to clarify the information
we need when considering whether to exempt certain ingredients derived
from major food allergens from the allergen labeling requirements (Ref.
3). These statutory requirements with respect to a label or labeling
for major food allergens do not alter the authority of the Secretary of
Health and Human Services under the FD&C Act to require a label or
labeling for other food allergens (21 U.S.C. 343 note).
A common or usual name must accurately identify or describe, in as
simple and direct terms as possible, the basic nature of the food or
its characterizing properties or ingredients and can either be the name
established by common use or the name required by a regulation (21 CFR
102.5). In addition to the specific requirement for allergen labeling,
any food is misbranded unless its label uses: (1) The common or usual
name of the food, if it has one, and (2) the common or usual name of
each ingredient, if the food is made from two or more ingredients
(section 403(i) of the FD&C Act). Thus, the FD&C Act includes other
authorities that assist consumers with a food allergy or other reason
for avoiding an ingredient. For example, the label of a food made with
sugar must declare this ingredient by its common or usual name--
``sugar''--rather than the chemical name ``sucrose'' (see section
403(i) of the FD&C Act (21 U.S.C. 343(i))).
In addition, section 403(x) of the FD&C Act gives us the authority
to issue regulations requiring the disclosure of spices, flavorings,
colorings, and incidental additives that are, or contain, allergens
other than the eight major food allergens. We relied on this authority,
in part, to require the labeling of carmine and cochineal in foods (see
74 FR 207).
In 2014, the Center for Science in the Public Interest, several
medical professionals, and two consumer advocacy groups submitted a
citizen petition (Ref. 4) requesting, in part, that we issue a rule to
require that sesame seeds and sesame products be regulated in a manner
similar to the manner in which major food allergens are regulated under
the FD&C Act, and specifically to require sesame's disclosure by the
common or usual name ``sesame'' in food labeling. The petition noted,
among other things, that the European Union, Canada, Australia, and New
Zealand require labeling of

[[Page 54596]]

sesame and provided scientific information to support the petitioners'
argument that sesame is an allergen of public health concern. The
petition also requested that we add sesame to our list of allergens in
our Compliance Policy Guide, which includes discussion of adulteration
due to insufficient controls to prevent potential allergen cross-
contact (the unintentional incorporation of allergens into foods that
are not intended to include those allergens) (Ref. 5). Since the
citizen petition was posted, more than 750 comments have been submitted
to the docket.
We are interested in learning more about the prevalence and
severity of sesame allergies in the United States, and the prevalence
of sesame-containing foods sold in the United States that are not
required to disclose sesame as an ingredient. We will consider the data
and other information submitted, along with previously submitted
information, to inform possible steps on sesame as an allergen in food
to protect and promote the public health.

II. Additional Issues for Consideration; Request for Data and
Information

We invite comment, particularly scientific data and other evidence,
about the following topics:

A. Prevalence of Allergies and Allergic Reactions Due to Sesame in the
United States

1. What is the prevalence of IgE-mediated sesame food allergies in
the United States? Please provide any studies or data that support your
conclusion, and provide your unit of measure (e.g., ``1 in 10,000
adults''). What is the nature of the allergic response(s) to sesame in
food and what are the impacts on consumers?
2. How does the prevalence of IgE-mediated sesame food allergies in
the United States compare to the prevalence of IgE-mediated allergies
to the major food allergens? Please provide any studies or data that
support your conclusion.
3. What proportion of allergic reactions in the United States may
be attributed specifically to exposure to undeclared sesame? Please
provide any studies or data that support your conclusion.
4. What proportion of allergic reactions to undeclared sesame occur
in response to sesame found in packaged food products versus sesame
found in foods served at retail or food service establishments (e.g.,
restaurants, grocery stores, supermarkets, hospitals, nursing homes,
childcare centers, and temporary food establishments)?
5. In packaged food products, what proportion of allergic reactions
to sesame is due to:
a. Sesame in generically listed spices, flavorings, colorings, or
incidental additives;
b. Sesame used as an ingredient and listed by some other name
(e.g., ``tahini'' rather than ``sesame''); or
c. Cross-contact?

B. Prevalence and Amounts of Undeclared Sesame in Foods

1. What are examples of products or product categories that contain
sesame as a spice, flavor, color, or incidental additive and that do
not list ``sesame'' on the product labeling?
2. What amount or concentration of sesame is in products or product
categories that contain sesame as a spice, flavor, color, or incidental
additive and that do not list ``sesame'' on the product labeling?
Please provide a unit of measure (e.g., ``5 grams of sesame per
kilogram of packaged food product'' or ``50 milligrams of sesame
protein per serving'').
3. What are examples of products or product categories other than
``spices'' that contain sesame in one of the listed ingredients, but
the common or usual name of that ingredient does not list ``sesame,''
specifically, on the product labeling? Please provide a copy of the
labeling, if available.
4. What amount or concentration of sesame is in products or product
categories that contain sesame in one of the listed ingredients, but
the common or usual name of that ingredient does not list ``sesame,''
specifically, on the product labeling? Please provide a unit of measure
(e.g., ``5 grams of sesame per kilogram of packaged food product'' or
``50 milligrams of sesame protein per serving'').
5. What are examples of food products or product categories in
which sesame has been found in a product because of cross-contact?
6. What amount or concentration of sesame has been found in
products or product categories that contain sesame because of cross-
contact? Please provide a unit of measure (e.g., ``5 grams of sesame
per kilogram of packaged food product'' or ``50 milligrams of sesame
protein per serving'').

C. Possible Costs of Any Future Regulatory Action FDA Might Take
Regarding Sesame

1. What would the costs be if we established disclosure
requirements for sesame? We are interested in any costs, specifically
those to manufacturers for labeling changes to reflect sesame as an
ingredient, spice, flavor, color, or incidental additive.
2. What would the costs be to manufacturers to control allergen
cross-contact from sesame and what would the costs be of educating food
managers at retail or food establishments to control for sesame as an
allergen?
3. What steps have manufacturers taken to eliminate or reduce
cross-contact from sesame and/or sesame-containing ingredients?

III. References

The following references are on display at the Dockets Management
Staff (see ADDRESSES) and are available for viewing by interested
persons between 9 a.m. and 4 p.m., Monday through Friday; they are also
available electronically at https://www.regulations.gov. FDA has
verified the website addresses, as of the date this document publishes
in the Federal Register, but websites are subject to change over time.

1. FDA. ``Food Allergies: What You Need to Know.'' March 2017.
Available at https://www.fda.gov/downloads/Food/ResourcesForYou/Consumers/UCM220117.pdf.
2. ``Guidance for Industry: Questions and Answers Regarding Food
Allergens, Including the Food Allergen Labeling and Consumer
Protection Act of 2004'' (Edition 4). October 2006. Available at
https://www.fda.gov/Food/GuidanceRegulation/GuidanceDocumentsRegulatoryInformation/ucm059116.htm.
3. ``Guidance for Industry: Food Allergen Labeling Exemption
Petitions and Notifications.'' May 2014. Available at https://www.fda.gov/Food/GuidanceRegulation/GuidanceDocumentsRegulatoryInformation/ucm395494.htm.
4. Docket No. FDA-2014-P-2035, available at https://www.regulations.gov/docket?D=FDA-2014-P-2035.
5. ``Compliance Policy Guide Sec. 555.250 Statement of Policy for
Labeling and Preventing Cross-contact of Common Food Allergens.''
August 2000. Available at https://www.fda.gov/ucm/groups/fdagov-public/@fdagov-afda-ice/documents/webcontent/ucm074552.pdf.

Dated: October 24, 2018.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2018-23635 Filed 10-29-18; 8:45 am]
BILLING CODE 4164-01-P

54596 Federal Register / Vol. 83, No. 210 / Tuesday, October 30, 2018 / Notices

sesame and provided scientific homes, childcare centers, and temporary sesame? We are interested in any costs,
information to support the petitioners’ food establishments)? specifically those to manufacturers for
argument that sesame is an allergen of 5. In packaged food products, what labeling changes to reflect sesame as an
public health concern. The petition also proportion of allergic reactions to ingredient, spice, flavor, color, or
requested that we add sesame to our list sesame is due to: incidental additive.
of allergens in our Compliance Policy a. Sesame in generically listed spices, 2. What would the costs be to
Guide, which includes discussion of flavorings, colorings, or incidental manufacturers to control allergen cross-
adulteration due to insufficient controls additives; contact from sesame and what would
to prevent potential allergen cross- b. Sesame used as an ingredient and the costs be of educating food managers
contact (the unintentional incorporation listed by some other name (e.g., ‘‘tahini’’ at retail or food establishments to
of allergens into foods that are not rather than ‘‘sesame’’); or control for sesame as an allergen?
intended to include those allergens) c. Cross-contact?
(Ref. 5). Since the citizen petition was 3. What steps have manufacturers
B. Prevalence and Amounts of taken to eliminate or reduce cross-
posted, more than 750 comments have
Undeclared Sesame in Foods contact from sesame and/or sesame-
been submitted to the docket.
1. What are examples of products or containing ingredients?
We are interested in learning more
about the prevalence and severity of product categories that contain sesame III. References
sesame allergies in the United States, as a spice, flavor, color, or incidental
and the prevalence of sesame-containing additive and that do not list ‘‘sesame’’ The following references are on
foods sold in the United States that are on the product labeling? display at the Dockets Management Staff
not required to disclose sesame as an 2. What amount or concentration of (see ADDRESSES) and are available for
ingredient. We will consider the data sesame is in products or product viewing by interested persons between
and other information submitted, along categories that contain sesame as a 9 a.m. and 4 p.m., Monday through
with previously submitted information, spice, flavor, color, or incidental Friday; they are also available
to inform possible steps on sesame as an additive and that do not list ‘‘sesame’’ electronically at https://
allergen in food to protect and promote on the product labeling? Please provide www.regulations.gov. FDA has verified
the public health. a unit of measure (e.g., ‘‘5 grams of the website addresses, as of the date this
sesame per kilogram of packaged food document publishes in the Federal
II. Additional Issues for Consideration; product’’ or ‘‘50 milligrams of sesame Register, but websites are subject to
Request for Data and Information protein per serving’’). change over time.
We invite comment, particularly 3. What are examples of products or
1. FDA. ‘‘Food Allergies: What You Need to
scientific data and other evidence, about product categories other than ‘‘spices’’
Know.’’ March 2017. Available at https://
the following topics: that contain sesame in one of the listed
www.fda.gov/downloads/Food/
ingredients, but the common or usual
A. Prevalence of Allergies and Allergic ResourcesForYou/Consumers/UCM22
name of that ingredient does not list
Reactions Due to Sesame in the United 0117.pdf.
‘‘sesame,’’ specifically, on the product
States 2. ‘‘Guidance for Industry: Questions and
labeling? Please provide a copy of the
Answers Regarding Food Allergens,
1. What is the prevalence of IgE- labeling, if available.
Including the Food Allergen Labeling
mediated sesame food allergies in the 4. What amount or concentration of and Consumer Protection Act of 2004’’
United States? Please provide any sesame is in products or product (Edition 4). October 2006. Available at
studies or data that support your categories that contain sesame in one of https://www.fda.gov/Food/
conclusion, and provide your unit of the listed ingredients, but the common GuidanceRegulation/Guidance
measure (e.g., ‘‘1 in 10,000 adults’’). or usual name of that ingredient does DocumentsRegulatoryInformation/
What is the nature of the allergic not list ‘‘sesame,’’ specifically, on the ucm059116.htm.
response(s) to sesame in food and what product labeling? Please provide a unit 3. ‘‘Guidance for Industry: Food Allergen
are the impacts on consumers? of measure (e.g., ‘‘5 grams of sesame per Labeling Exemption Petitions and
kilogram of packaged food product’’ or Notifications.’’ May 2014. Available at
2. How does the prevalence of IgE- ‘‘50 milligrams of sesame protein per
mediated sesame food allergies in the https://www.fda.gov/Food/
serving’’). GuidanceRegulation/Guidance
United States compare to the prevalence 5. What are examples of food products
of IgE-mediated allergies to the major DocumentsRegulatoryInformation/
or product categories in which sesame ucm395494.htm.
food allergens? Please provide any has been found in a product because of 4. Docket No. FDA–2014–P–2035, available
studies or data that support your cross-contact? at https://www.regulations.gov/
conclusion. 6. What amount or concentration of docket?D=FDA-2014-P-2035.
3. What proportion of allergic sesame has been found in products or 5. ‘‘Compliance Policy Guide Sec. 555.250
reactions in the United States may be product categories that contain sesame Statement of Policy for Labeling and
attributed specifically to exposure to because of cross-contact? Please provide Preventing Cross-contact of Common
undeclared sesame? Please provide any a unit of measure (e.g., ‘‘5 grams of Food Allergens.’’ August 2000. Available
studies or data that support your sesame per kilogram of packaged food at https://www.fda.gov/ucm/groups/
conclusion. product’’ or ‘‘50 milligrams of sesame fdagov-public/@fdagov-afda-ice/
khammond on DSK30JT082PROD with NOTICES

4. What proportion of allergic protein per serving’’). documents/webcontent/ucm074552.pdf.
reactions to undeclared sesame occur in Dated: October 24, 2018.
response to sesame found in packaged C. Possible Costs of Any Future
food products versus sesame found in Regulatory Action FDA Might Take Leslie Kux,
foods served at retail or food service Regarding Sesame Associate Commissioner for Policy.
establishments (e.g., restaurants, grocery 1. What would the costs be if we [FR Doc. 2018–23635 Filed 10–29–18; 8:45 am]
stores, supermarkets, hospitals, nursing established disclosure requirements for BILLING CODE 4164–01–P

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Document Created: 2018-10-30 00:43:38
Document Modified: 2018-10-30 00:43:38

Category		Regulatory Information
Collection		Federal Register
sudoc Class		AE 2.7: GS 4.107: AE 2.106:
Publisher		Office of the Federal Register, National Archives and Records Administration
Section		Notices
Action		Notice; request for comments.
Dates		Submit either electronic or written comments on this document by December 31, 2018.
Contact		Carol D'Lima, Office of Nutrition and Food Labeling, Center for Food Safety and Applied Nutrition, Food and Drug Administration, 5001 Campus Dr., College Park, MD 20740, 240-402- 2033.
FR Citation		83 FR 54594

83 FR 54594 - Sesame as an Allergen in Foods

DEPARTMENT OF HEALTH AND HUMAN SERVICESFood and Drug Administration

Federal Register Volume 83, Issue 210 (October 30, 2018)

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration