Transcript Document

Food Supply Defense Plan:
Lessons from Oregon Public Health
James C. Mack, M.P.A., R.S.
Foodborne Disease Outbreak
Investigator
EHS-Net Site Coordinator
State of Oregon
Public Health Food Defense Emergency
Response Plan
Presentation outline:

Describe the complex nature of Public Health Food Defense
Emergency Response.

Review the overview of the State of Oregon Public Health
Food Defense Emergency Response Plan.

List the diverse roles, responsibilities, and methods of
communication of local, state, federal, industry, and private
entities in food defense.

Identify resources to aid in the improvement or development
of Public Health Food Defense Emergency Response
Plans.
Feedback Poll
My jurisdiction has a public health food
defense emergency response plan.
A. Yes
B. No
Public Health Food Defense Emergency
Response Plan
Complex nature of food defense
 Federal
 State
 Local
 Industry
Complex Nature of Food Defense
Federal

The Centers for Disease Control & Prevention (CDC)

Food and Drug Administration (FDA)

Food Emergency Response Network (FERN)

Federal Bureau of Investigation (FBI)

United States Department of Agriculture (USDA)

Department of Homeland Security: Science and Technology
(S&T) Directorate

Department of Homeland Security: Information

Analysis and Infrastructure Protection (IAIP) Directorate

Environmental Protection Agency (EPA)
Complex Nature of Food Defense
State

Oregon Public Health Division

Foodborne Illness Prevention Program

Acute and Communicable Disease Program

Office of Family Health

Public Health Emergency Preparedness Program

Oregon State Public Health Laboratory

Oregon Department of Agriculture
Complex Nature of Food Defense
Local

Health departments

Hospitals and health care systems

Emergency medical services
Feedback Poll
The ongoing relationship between food
industry representatives and public
health within my jurisdiction is:
A. Positive
B. Uncertain
C. Negative
D. None of the above
Complex Nature of Food Defense
Industry

Retail food establishments

Associations that
support restaurants
Writing a Food Defense Emergency
Response Plan
Step 1:
•
Follow the food flow from farm to
table.
•
Partnerships are important.

All players must be engaged.
Writing a Food Defense Emergency
Response Plan
Step 2:
Focus on your part
of food defense.
LOCAL
STATE
FEDERAL
INDUSTRY
Writing a State Food Defense Emergency
Response Plan
Step 3: Identify state public health programs with food
defense responsibilities.
State of Oregon Public Health, Offices of:
1. Public Health Preparedness (Preparedness)
2. Multicultural Health (Multicultural)
3. Public Health Laboratories (Labs)
4. Family Health (Family)
5. Community Health & Health Planning (Community)
6. Environmental Public Health (Environmental)
7. Disease Prevention & Epidemiology (Epi)
Writing a Food Defense Emergency
Response Plan
Step 4:
Organize a working
group.
Writing a Food Defense Emergency
Response Plan
Step 5:
Write a draft public health
food defense plan.
Public Health Roles and Responsibilities
at the Federal Level
•
Coordinate national and international
surveillance, monitor health impacts, and
provide laboratory support.
•
Lead public health communications among
states and other public health agencies.
•
Provide legal advice and policy guidance on
food response activities.
Operational Priorities
•
Mitigate the health effects in retail food
establishments.
•
Provide information regarding the scope and
health effects of the contamination.
•
Coordinate with Oregon Department of Agriculture
(ODA) and other appropriate state agencies on
threat assessment and resource needs.
•
Assist LHDs in field assessments and
investigations involving retail food establishments.
Public Health Roles and Responsibilities
at the State Level
Public Health Director,
State Health Officer,
Susan Allan, M.D., J.D., M.P.H.
Authorized the Public
Health Food Defense
Response Plan
State Office of Multicultural Health
•
•
Identifies credible voices in:

Special populations

Diverse communities
Helps to develop appropriate
messages that are:

Linguistically and
culturally oriented

In communication formats specific to food
defense incident and the affected populations
State Office of Public Health Preparedness
•
Provide information on:
o
Food process being used to
confirm or rule out contamination
of the food supply
o
When/where the presumed
incident took place
o
When additional
information will be available
o
Precautions taken to prevent additional
contamination
State Office of Public Health Laboratories
•
Participates in the systematic sampling of enteric
isolates sent to CDC for antimicrobial susceptibility
testing.
•
Screen meat and poultry samples
that are collected monthly for
selected pathogens and
indicator bacteria.
•
Subtype Escherichia (E. coli)
O157,Salmonella, and Shigella isolates by Pulse Field
Gel Electrophoresis.
State Office of Family Health
•
•
Provides LHDs with emergency checklists.
•
Assists OEPH and LHDs in monitoring
members of the public in their
preparation and serving of
preserved food.
Assists Foodborne Illness Prevention Program and
Acute Communicable Disease Program in outbreak
interviews and surveillance.
Feedback Poll
In my opinion, coordination between
state and local public health regarding
public health food defense in my area is:
A. Excellent
B. Okay
C. Weak
D. Non-existent
State Office of Community Health and
Health Planning
As a liaison to other counties:
•
•
Develop communication link with LHDs.
Assist in surge capacity
for ICS.
State Office of Environmental Public
Health
Foodborne Illness Prevention Program
• Conduct situation (disaster) assessment of
retail food establishments.
•
•
Provide technical advice to LHDs.
•
Provide scientifically-based
guidance concerning disposition
of food.
Support field assessments and
outbreak investigation of retail
food establishments.
State Office of Environmental Public Health
Environmental and Occupational
Epidemiology (EOE)
•
Liaison between the public
and health care workers.
•
Provides clinical expertise
in the area of medical
toxicology including chemical, toxin, and food poisoning.
•
Interfaces with the public, other state agencies and the
public regarding media communications.
State Office of Disease Prevention
and Epidemiology
Acute and Communicable Disease Prevention Program
•
•
Assists LHDs in investigating of outbreaks.
•
Leads in food contamination
epidemiology investigations.
•
Is one of eleven Foodborne Diseases Active
Surveillance Network (FoodNet) sites in the
United States.
Collaborates with the ODA and
the FDA.
Training
Regional food defense emergency training
of first receivers, responders, and local
health departments will be completed on
a yearly basis.
Exercise Design
Exercise Design Committee will design and
deliver:
•
•
•
•
•
Exercise orientations
Tabletop exercises
Functional exercises
Full-scale exercises
Homeland Security Exercise
Evaluation Program (HSEEP)
Feedback Poll
Which of the following exercise related
activities has the most practical value
in my jurisdiction?
A. Tabletop exercises
B. Functional exercises
C. Full-scale exercises
D. Other
Special Populations
The young and the elderly should be given
the highest priority for evaluation due to the
following:
•
Higher risk of rapid dehydration due to vomiting
or diarrhea.
•
Higher risk of shock or death from blood loss
resulting from foodborne illness.
•
Children and the elderly need special
considerations for medical treatment.
Plan Maintenance
•
•
Revised annually.
•
Food Program will conduct this review.
Revised from previous year exercises or
emergencies.
Public Food Defense Emergency Response
Plan