Transcript FSIS Response : Multi-state S. Heidelberg Outbreak and

United States Department of Agriculture
Food Safety and Inspection Service
Collaborative Efforts of Federal,
State, and Local Public Health
Partners in Foodborne Illness
Investigations
United States Public Health Commissioned Corps Scientific
and Training Symposium
Environmental Health PAC Category Day
LCDR Latasha A. Allen, MSPH
June 21, 2012
United States Department of Agriculture
Food Safety and Inspection Service
Learning Objectives
• Identify the mission of the U.S. Department of Agriculture Food
Safety and Inspection Service (FSIS)
• List the three Teams within the Applied Epidemiology Division (AED)
and explain how this multi-disciplinary collaboration fulfills the
Agency mission
• Explain how federal, state, and local agencies collaborate during a
foodborne illness investigation using a listeriosis outbreak as a case
study and list at least three types of information that FSIS needs
during an investigation
United States Department of Agriculture
Food Safety and Inspection Service
AGENDA
• Discuss the Food Safety and Inspection Service
and the Applied Epidemiology Division within the
Office of Public Health Science
• Discuss the Investigations Team in operational
flow during outbreaks
• Case Study - Hog Head Cheese in Southern
Louisiana
United States Department of Agriculture
Food Safety and Inspection Service
Applied Epidemiology Division
USDA FOOD SAFETY AND
INSPECTION SERVICE
United States Department of Agriculture
Food Safety and Inspection Service
What is the Food Safety and
Inspection Service?
“One Team, One Purpose . We are one team, with only one purpose. And
that is to protect public health. FSIS employees take pride in the fact
that their jobs help prevent foodborne illness.” –FSIS Strategic Plan
•
FSIS is a public health and regulatory agency operating within USDA. The
Agency ensures the commercial supply of meat, poultry, and processed egg
products is safe, wholesome, and correctly labeled and packaged.
•
There are four primary laws that provide FSIS the authority to issue
regulations. These include the:
– Federal Meat Inspection Act (FMIA),
– Poultry Products Inspection Act (PPIA),
– Egg Products Inspection Act (EPIA),
– Humane Methods of Slaughter Act (HMSA)
United States Department of Agriculture
Food Safety and Inspection Service
FSIS Vision and Mission
Vision: A trusted public health
regulatory agency committed to
preventing foodborne illness
Mission: Protect consumers by
ensuring that meat, poultry,
and processed egg products
are safe, wholesome, and
correctly labeled and packaged
United States Department of Agriculture
Food Safety and Inspection Service
Applied Epidemiology Division
The Applied Epidemiology Division (AED) within the Office of Public Health
Science (OPHS) consists of three Teams:
– Surveillance Team: Enable FSIS to detect and respond to foodborne
hazards through the application of surveillance, epidemiology, and food
safety science;
– Investigations Team: Collaborate with public health partners to
investigate foodborne illnesses possibly associated with FSIS-regulated
products;
– Prevention and Control Team: Support the FSIS mission through the
application of epidemiology to prevent and control foodborne illness.
Multi-disciplinary collaboration among veterinarians, medical doctors,
epidemiologists, environmental health scientists
United States Department of Agriculture
Food Safety and Inspection Service
AED Functions of Surveillance,
Investigation, and Control
Investigations
Outbreak investigation and
coordination, develops risk
hypotheses and gathers novel
data to determine hazard, source,
and possible risks.
FSIS
Consumer
Complaints
(CCMS)
Surveillance
Performs systematic
monitoring for indications of
growing food borne hazards
or outbreaks, characterize
incidence and prevalence
of risks and develops
techniques to detect
incidents earlier.
Non-CCMS
Surveillance
Prevention and
Control
Tests risk hypotheses for
risk identification and uses
epidemiologic data to
develop future prevention
and control measures.
United States Department of Agriculture
Food Safety and Inspection Service
THE INVESTIGATIONS TEAM
United States Department of Agriculture
Food Safety and Inspection Service
Investigations Team
The Team supports FSIS to:
– Trace foods implicated in foodborne illness back to their
producing establishments
– Facilitate collection and sampling of foods implicated in
foodborne illness to identify pathogens that may be causing
human illness
– Assist FSIS recall activity and health hazard evaluations
– Serve as a liaison to state and local public health agencies on
foodborne disease investigations and food safety issues
United States Department of Agriculture
Food Safety and Inspection Service
Collaboration with Partners during
Foodborne Illness Investigations
Centers for Disease Control and Prevention (CDC)
– Consistent communication and information sharing during outbreak
investigations to receive epidemiologic information from states
Food and Drug Administration (FDA)
– Collaboration of foodborne illness investigations involving both FSISand FDA-regulated products
State and Local Departments of Health and Agriculture
– Provide epidemiological data through interviews of case-patients
– Collaborate traceback activities
– FSIS laboratories verify product testing conducted by state laboratories
to determine if FSIS can accept non-FSIS laboratory results
United States Department of Agriculture
Food Safety and Inspection Service
Data Operational Flow during an Outbreak
United States Department of Agriculture
Food Safety and Inspection Service
Data Needs during a Foodborne Illness Investigation
Clinical
information
Laboratory
Information
Exposure
Information
Illness onset date
and incubation
period
Isolate
information
Food history
Symptoms
Pulsed-Field Gel
Electrophoresis
(PFGE)
Food preparation
review
Number of
suspected and
confirmed cases
Other tests of
clinical and food
specimens
Other possible
sources of
exposure
United States Department of Agriculture
Food Safety and Inspection Service
Data Needs during a Foodborne Illness Investigation
Who?
What?
When?
Where?
FSIS
establishment
number
Product name
and type
Production date
code or lot
number
Point of
purchase
Copy of label
Product weight
and units per
case
Sell by/use by
date
Complete name
and address of
store
Amount of
product
purchased
Purchase date
United States Department of Agriculture
Food Safety and Inspection Service
Listeriosis in Southern Louisiana
CASE STUDY
United States Department of Agriculture
Food Safety and Inspection Service
Case Study: Listeriosis in Southern
Louisiana
January 2010, an
investigation of a cluster
of eight listeriosis cases in
Southern Louisiana
resulted in a recall of hog
head cheese
United States Department of Agriculture
Food Safety and Inspection Service
What is Hog Head Cheese???
United States Department of Agriculture
Food Safety and Inspection Service
Collaboration
Intra-agency Collaboration
•Microbiology Division (MD)- Microbiological Investigations Branch (MIB)
• Office of Field Operations (OFO)
•Office of Public Affairs and Consumer Education (OPACE)
Inter-agency Collaboration
•Louisiana Office of Public Health (OPH)
• Louisiana Department of Agriculture and Forestry (LDAF)
•CDC
United States Department of Agriculture
Food Safety and Inspection Service
Timeline of Investigation, Louisiana, 2010
MMWR/April 8,2011/Vol.60/No. 13
United States Department of Agriculture
Food Safety and Inspection Service
For Further information
•
•
•
•
•
•
•
•
•
MMWR Publication - Outbreak of Invasive Listeriosis Associated with the
Consumption of Hog Head Cheese --- Louisiana, 2010 Weekly April 8, 2011 /
60(13);401-405
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6013a2.htm
USDA FSIS – http://www.fsis.usda.gov/
CDC – Outbreak Response Team - http://www.cdc.gov/outbreaknet/outbreaks.html
U. S. Food and Drug Administration - http://www.fda.gov/
FoodSafety.gov – www.foodsafety.gov
http://www.fsis.usda.gov/Food_Safety_Education/Ask_Karen/index.asp
Ask Karen- (mobile) m.askkaren.gov
USDA FSIS Twitter- twitter.com/usdafoodsafety
FSIS Multi-Media Site:
http://www.fsis.usda.gov/News_&_Events/multimedia/index.asp
United States Department of Agriculture
Food Safety and Inspection Service
Acknowledgements
•
USDA FSIS
– Office of Public Health Science
• Applied Epidemiology Division
• Microbiology Division
• Outbreaks Section of Eastern Laboratories
– Office of Field Operations
– Office of Public Affairs and Consumer Education
•
Centers for Disease Control and Prevention
•
Louisiana Office of Public Health
•
Louisiana Department of Agriculture and Forestry
United States Department of Agriculture
Food Safety and Inspection Service