Recalls & Tracebacks Carrie Rigdon, PhD, MPH

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Presentation transcript:

Recalls & Tracebacks Carrie Rigdon, PhD, MPH Dairy and Food Inspection Division Rapid Response Team Project Planner

Dairy and Food Inspection Division Dairy farms, processors, transport vehicles Food processing, grocery stores Meat processing Feed mills

Minnesota Departments of Health, Agriculture Laboratory/Program Buildings

Foodborne Disease Detection Timeline Farm Transport Processing Distribution Preparation Exposure Incubation Illness Death

Foodborne Disease Detection Timeline Food Monitoring Programs Human disease surveillance Farm Transport Processing Distribution Preparation Exposure Incubation Illness Death

Surveillance Systems Food pathogen surveillance Food Monitoring Programs Human disease surveillance Food pathogen surveillance Animal disease surveillance Industry surveillance Consumer complaints Pathogen-specific human disease surveillance Illness notification / complaint systems Syndromic surveillance

Statutory Authority

Statutory Authority

Product Tracing Key Concepts Trace-back is only as good as the epidemiology The more specific, the better the results Oftentimes, solving an outbreak requires good evidence from both the epi and the trace-back

Epidemiology meets Trace-back Cluster of Cases that match by PFGE subtype Common Exposure – Same Restaurant Chain – Varying locations All Cases Consumed Sprout Containing Sandwiches Epidemiology Different Suppliers for each Restaurant “Epi” Trace-back Different Growers for each Supplier Common Seed Source for each Grower Recall – Stop On-going Exposure Common Farm for Seed Source

Date of Isolate Receipt Salmonella Saintpaul Patron Cases Associated with the Good Earth Restaurant by Date of Isolate Receipt in MDH Laboratory, June 2008 7 Two cases name Good Earth 6 5 Number of Cases 4 3 2 1 22 23 24 25 26 27 28 29 30 1 2 3 4 June Date of Isolate Receipt

Date of Isolate Receipt Salmonella Saintpaul Patron Cases Associated with the Good Earth Restaurant by Date of Isolate Receipt in MDH Laboratory, June 2008 7 Second case names Good Earth 6 Visit restaurant 5 Initial case-control study/traceback results to CDC Number of Cases 4 3 2 1 22 23 24 25 26 27 28 29 30 1 2 3 4 June Date of Isolate Receipt

Salmonella Saintpaul Investigation Illustrates: Combination of rapid epidemiological and traceback investigation Identify source as jalapeño peppers Trace peppers back to Texas Joint communications with FDA and CDC

Salmonella Typhimurium Investigation Illustrates: Combination of rapid epidemiological, traceback and laboratory identification Identify source as peanut butter MDA Lab finds Salmonella in King Nut Joint communications with FDA and CDC

Institutional link, Implication of PB 1st 9 cases in MN

FDA Investigation

Salmonella Outbreak: Products Tested

match the outbreak strain? $64,000 Question Will the food isolate match the outbreak strain?

Sample Results Salmonella Typhimurium Salmonella Tennessee 5 lb container of King Nut Creamy Peanut Butter Genetic fingerprint matches nationwide outbreak 35 lb container of Parnell’s Pride Creamy Peanut Butter Salmonella Tennessee Returned from Nursing Home A

MDH Epi MDA Food Inspection MDA Lab MDH Lab

Questions? Please visit our website: Carrie.Rigdon@state.mn.us www.mda.state.mn.us Click  Food From Farm to Table Food Safety Carrie.Rigdon@state.mn.us 651-201-6453