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Texas Rapid Response Team for Foodborne Illness

Texas Rapid Response Team for Foodborne Illness. Julie Loera and Debbra Callan Texas Department of State Health Services April 5, 2012. Foodborne Illness in the US. Each Year 48 million people (1 in 6) 128,000 Hospitalized 3000 deaths. Multi-State Foodborne Illness Outbreaks -2011.

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Texas Rapid Response Team for Foodborne Illness

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  1. Texas Rapid Response Team for Foodborne Illness Julie Loera and Debbra Callan Texas Department of State Health Services April 5, 2012

  2. Foodborne Illness in the US Each Year • 48 million people (1 in 6) • 128,000 Hospitalized • 3000 deaths Source: Centers for Disease Control and Prevention www.cdc.gov

  3. Multi-State Foodborne Illness Outbreaks -2011 • Ground Beef - SalmonellaTyphimurium • Romaine Lettuce - Escherichia coli O157:H7 • Kosher Broiled Chicken Livers - Salmonella Heidelberg • Turkish Pine Nuts - SalmonellaEnteritidis • Jensen Farms Cantaloupes - Listeria monocytogenes • Ground Turkey - Salmonella Heidelberg • Whole, Fresh Imported Papayas - SalmonellaAgona • Alfalfa and Spicy Sprouts – SalmonellaEnteritidis • Turkey Burgers - SalmonellaHadar • Lebanon Bologna - Escherichia coli O157:H7 • Del Monte Cantaloupe - Salmonella Panama • Hazelnuts - Escherichia coli O157:H7 Source: Centers for Disease Control and Prevention www.cdc.gov

  4. Notable Past Outbreaks • 2010 • Shell Eggs - SalmonellaEnteritidis • 1939 cases in ~11 states • 2009 • Peanut Butter - SalmonellaTyphimurium • 714 cases in 46 states • 2008 • Raw Produce - SalmonellaSaintpaul • 1442 cases in 43 states Source: Centers for Disease Control and Prevention www.cdc.gov

  5. Takes a Multi-level Team EffortFederal, State, Local • Epidemiologists • Laboratorians • Environmental Specialists • Subject Matter Experts • Regulatory Officials

  6. PFGE – Food CSI Pulse Field Gel Electrophoresis • Links human cases • Links human cases to food • Links food to a facility (plant or farm) http://www.cdc.gov/pulsenet/

  7. PFGE Results Source: Texas Department of State Health Services Laboratory Services

  8. Importance of Solving the Outbreak • Message to consumers • Stop the source • Prevent recurrence

  9. National Rapid Response Team Concept • Surveillance, investigation, and response, to alleged food-related incidents and emergencies • Collection, analysis, and dissemination of information that may prevent recurrence • Response to all food hazard incidents in the farm to table continuum using ICS • Operate in conjunction with other food and feed agencies, other state RRTs, FDA district offices, and state emergency response operations centers.

  10. Rapid Response Teams • Currently 9 active teams nationwide • 6 states piloted in 2008 • 3 additional states added in 2009 • 9 states coordinate • Yearly meetings • Work groups to produce standard documents • Request for proposal open for additional teams

  11. Texas Rapid Response Team (TRRT) • Texas Department of State Health Services • Infectious Diseases Branch • Laboratory Services • Regulatory Division • Office Of the Texas State Chemist • US Food and Drug Administration • Dallas District Office • Southwest Import District • Southwest Regional Office • Food Emergency Response Network (FERN)

  12. Scope of Team Operations The purpose of the TRRT is to provide preparedness, prevention, and timely response to food and/or feed related disasters that may affect the citizens of Texas. The TRRT may respond to large scale investigations involving food and/or feed and large scale recalls of food and/or feed. It is not intended to include a natural disaster (hurricane, forest fire, etc.). However, there may be outcomes of a natural disaster that require the activation of all or portions of the TRRT under the State of Texas Emergency Operations Command.

  13. Highlights of the TRRT • ICS Structure • Combined Federal/State Team • Response Operating Guidelines • Communication Platform – Traction® Software • Allows remote uploading • Sharing of extensive traceback records • Ability to pull in other RRT States

  14. Texas Rapid Response Team Agency Representatives State Agency Directors FDA District Director FDA Director/Investigations FDA Director/Compliance FDA Director FERN TDA Emergency Response Coordinator

  15. Texas RRT Response Operating GuideTable of Contents

  16. Our Long Hard Road – Step 1

  17. Our Long Hard Road – Step 2 Source: Centers for Disease Control and Prevention www.cdc.gov

  18. We’ve Made It Halfway– Step 3

  19. TRRT – Step 4 • ROG - APPENDIX B – Activation/Deactivation SOP – approved March 2012 • Describes potential triggers for team activation • Delineates the process for team activation • Delineates the process for team deactivation • All Team training and meeting in Austin November 2011 • Working on Sampling, Training, and Traction® SOPs

  20. Next Steps • Food Emergency Response Plan – Annex O- Appendix to the State Emergency Response Plan – in draft • TRRT Table Top – April 28th, 2012– Austin • Functional Exercise – Fall 2012 • Continue Work on TRRT Standard Operating Procedures • Potential National Exercise with all Rapid Response Teams

  21. Questions?? Contact Information Julie Loera 512-834-6770 ext 2342 julie.loera@dshs.state.tx.us Debbra Callan 512-834-6770 ext 2484 debbra.callan@dshs.state.tx.us

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