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Outbreak Response

Outbreak Response. An Integrated Response. Anatomy of an Outbreak investigation. Disease Surveillance. CDC gathers data from States. Epidemiological investigation. CDC & States conduct epi studies and FDA reviews. Laboratory Analysis. Clinical, food, and environmental.

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Outbreak Response

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  1. Outbreak Response An Integrated Response

  2. Anatomy of an Outbreak investigation Disease Surveillance CDC gathers data from States Epidemiological investigation CDC & States conduct epi studies and FDA reviews Laboratory Analysis Clinical, food, and environmental Initial Environmental investigation State/locals evaluate at Point of Service for contamination Traceback / traceforward FDA, States and industry track product Product & Source investigation FDA and States look for source of contamination

  3. Traceback vs. Traceforward • A traceback investigation starts with the consumer or the point-of-service and traces the distribution of the product back to the source. • This is the process used in response to a foodborne illness outbreak. • A traceforward investigation begins with the source/farm or manufacturer/distributor and traces forward to the consumer. • This process is used for a product recall and it can also be useful in outbreak investigations.

  4. Information Collection Traceback Investigation Records of Outgoing & Incoming Shipments of cilantro during from 5/19/15 to 6/30/15 Invoices Bill of Ladings Trip Tickets Packing Slips Purchase Orders Decipher & Analyze What do dates mean? Is Invoice Date & Shipping Date the same?

  5. Traceback Flow Diagram Farms POS Distributors Packers

  6. 2014-2015RRT Responses at a Glance • What: FL RRT and VA RRT notify GA on Listeria mono found on soft cheese products. Illness in GA. • Who: FL RRT, VA RRT, GA RRT (GDA – Manuf., GDPH – Epi, FDA ATL-DO) • Action: GA Distribution, Visit Firm, Traceforward Investigation

  7. 2014-2015RRT Responses at a Glance • What: Norovirus Oyster Outbreak. FDA CORE Assignment to GA RRT investigate firm • Who: WA RRT GA RRT (FDA ATL-DO, CORE, GDA – Seafood) • Action: Visit Firm, Environmental Assessment, Traceforward, Traceback, Implicated Product Identified

  8. 2014-2015RRT Responses at a Glance • What: Ciguatera Fish Poisoning Outbreak in FL • Who: FL RRT & GA RRT (FDA ATL-DO, CORE, GDA – Seafood) • Action: Visit Firm, Environmental Assessment, Traceforward, Traceback,

  9. 2014-2015RRT Responses at a Glance • What: Fresh Cheese Curd Recall Listeria mono • Who: FL RRT & GA RRT (FDA ATL-DO, GDA – Manufacturing Program) • Action: GA Distribution, Visit Firm, Traceforward Investigation, Recall Effectiveness Check

  10. 2014-2015RRT Responses at a Glance • What: SalmonellaPet Treat Feed Recall • Who: VA RRT & GA RRT (GDA – Feed Program ) • Action: GA Distribution, Stop Sale Issued, Recall Effectiveness

  11. 2014-2015RRT Responses at a Glance • What: Multi-State Listeria mono Outbreak & Blue Bell Ice Cream Recall • Who: GA RRT (GDA – Retail, GDPH – Food Service) • Action: GA Distribution, Press Release, Massive Coordinated Recall Effectiveness Check

  12. 2014-2015RRT Responses at a Glance • What: Multi-State Listeria mono Outbreak w/ GA illnesses and Hummus Dip Recall • Who: GA RRT (FDA ATL- DO, GDA – Retail, GDPH – Epidemiology) • Action: GA Distribution, Press Release, Recall Effectiveness Check

  13. 2014-2015RRT Responses at a Glance • What: Multi-State Cyclospora Outbreak. GA Cluster and investigation • Who: GA RRT (GDPH – Epi, GDPH – EH, Fulton Co. EH, GDA – Manuf. Program, FDA ATL-DO, FDA CORE • Action: Environmental Assessment, Epidemiologic Investigation, Record Review, Traceback Investigation

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