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The CDC and WHO's visit to Dubai from February 17-25, 2014, aimed to improve foodborne illness surveillance, detection, and outbreak investigation. This initiative recognizes the complexity of enhancing food safety systems, which can take months or years of commitment and collaboration, as demonstrated in the U.S. The visit highlighted the ongoing progress and the need for a robust framework, including effective regulatory inspections and comprehensive laboratory surveillance. Key points emphasize the importance of a team effort among epidemiologists and health specialists, tracking human illness, and understanding the broader context of potential foodborne illness cases.
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Course Objectives CDC/WHO Visit to Dubai, UAE February 17-25, 2014
Goal: Improvement in Foodborne Illness Surveillance, Detection, and Outbreak Investigation • Long journey—takes months, years to improve • Has taken many years in the U.S. to build current systems—still evolving • CDC has made several trips to Dubai/UAE • Considerable progress has been made, but • Considerable progress needs to occur
Components of a Highly Functioning System • (Good routine regulatory inspections) • Comprehensive laboratory surveillance of human illness cases (>disease burden) • “What gets measured gets done” • Detect outbreaks quickly • Investigate and control outbreaks • Use information to prevent future outbreaks
Key Points for a Successful Journey • Requires a team effort at local, state, and federal levels among epidemiologists, laboratorians, and environmental health specialists (food control department) • Cannot food test your way to food safety--need to track human illness • Not all nausea/vomiting/diarrhea is foodborne illness (chemical/waterborne/animal/person-to-person), exposure history is critical among cases and controls • Last meal bias—common assumption that is almost always wrong!
In Summary: • Team effort • Team effort • Team effort • Everyone has a role to play • Best of luck on your journey!