Addressing Food Safety State Perspective Timothy Jones, M.D. State Epidemiologist Tennessee Department of Health.

Slides:



Advertisements
Similar presentations
Local Public Health System Assessment
Advertisements

Lesson 3 Responding to Emergency Events. For additional information or questions please contact Toledo-Lucas County Health Department APC:
Public Health Essential Service #2
National Public Health Performance Standards Program Orientation to the Essential Public Health Services.
BCs Drinking Water Action Plan Dr Shaun Peck Deputy Provincial Health Officer Ministry of Health Services.
Public Health Core Functions
10 Essential Services of Public Health
Principles of Standards and Measures
Food Safety National Center for Emerging and Zoonotic Infectious Diseases Division of Foodborne, Waterborne, and Environmental Diseases.
Veterinary Medicine What’s it all about?.
Steve Elmer Department of Public Instruction School Nutrition Team Food Biosecurity Preparedness Developing a Plan.
Foodborne Outbreak Investigation, Hanoi, Vietnam 01 – 05 June 2009 Foodborne Diseases Integrating efforts from feed to food Dr Danilo Lo Fo Wong.
Investigating Foodborne Disease Outbreaks: The CDC Perspective Ian Williams, PhD, MS Chief, Outbreak Response and Prevention Branch Division of Foodborne,
New Employee Orientation
The Laboratory Response Network
Introduction to North Carolina Epidemiology Teams
New Employee Orientation (Insert name) County Health Department.
Food Safety and Government Regulations Food Animal Quality Assurance Youth Curriculum Guide.
1 Webinar on: Establishing a Fully Integrated National Food Safety System with Strengthened Inspection, Laboratory and Response Capacity Sponsored by Partnership.
UAE Food Safety Crosses Borders Ernest Julian, Ph.D., Chief Office of Food Protection RI Department of Health February 24, 2014.
U.S. Department of Agriculture Office of Food Safety Food Safety and Inspection Service Winston Felton, D.V.M. Dearborn Circuit Supervisor Madison District.
1 Risk Surveillance and Assessment of Food Safety in Shanghai.
Outcomes of Public Health
Introduction to US Health Care
Multnomah County Health Department ►Essential Services ►FDA Food Standards ►PACE Tools for Food Program Excellence Lila Wickham March 17, 2004 ♣
Food and Agriculture Security: Are They on the Radar Screens of Our State Homeland Security Directors?
Epidemiology Tools and Methods Session 2, Part 1.
Food Supply Defense Plan: Lessons from Oregon Public Health
Preparedness in Pennsylvania NGA Regional Bioterrorism Workshop- Boston, MA Michelle S. Davis, Deputy Secretary Health Planning & Assessment Bill Stevenson,
Information Sharing Kathleen E. Toomey, M.D., M.P.H. Division of Public Health Georgia Department of Human Resources Georgia Public Health and Homeland.
New York State Food Defense Initiatives Darby Greco, M.P.H., R.S. New York State Department of Health Bureau of Community Environmental Health and Food.
Implementing Pre- Harvest Food Safety-- The U.S. Approach By Thomas J. Billy, Administrator Food Safety and Inspection Service U.S. Department of Agriculture.
National Center for Emerging and Zoonotic Infectious Diseases Centers for Disease Control June 14, 2011 : The Food Safety Modernization Act: Implications.
Role of the Local Public Health Department Michele Belovich-Faust, RN, MPH Director of Health Care Initiatives Lehigh Valley Hospital Ann Ligi, BA, MPH,
Department of Health and Human Services Where do we go from here? RADM Dushanka V. Kleinman Assistant Surgeon General Chief Dental Officer, United States.
Lauren Lewis, MD, MPH Health Studies Branch Environmental Hazards and Health Effects National Center for Environmental Health Centers for Disease Control.
Nutrition Services Update Nancy Rice, M.Ed., RD, LD, SFNS Nutrition Services Director Clayton County Public Schools October 2, 2006.
Is for Epi Epidemiology basics for non-epidemiologists.
NS 440 LEGAL AND REGULATORY ENVIRONMENT IN FOOD PRODUCTION SPRING YOUNTS DAHL, MS PHD INSTRUCTOR Unit 5: Policy Considerations in Food Regulation.
United States Department of Agriculture Food Safety and Inspection Service FSIS Foodborne Illness Investigations: Current Thinking Scott A. Seys, MPH Chief,
United States Department of Agriculture Food Safety and Inspection Service February William C. Smith Assistant Administrator Office of Program.
1 Bioterrorism Preparedness: Strengthening Nebraska’s Public Health System Dr. Richard Raymond Chief Medical Officer NE Health & Human Services System.
CDC’s Global Disease Detection Program
Why are Food Safety Regulations Needed? $ billion per year in food trade Increase export partners Increase ease of exporting Minimize financial.
Food Safety …From Farm to Table By: Allison Weis
SAFEGUARDING THE FOOD SUPPLY HOW DO WE PROTECT THE FOOD SUPPLY FOR AN ENTIRE NATION?
Food and Drug Administration & Outbreaks
United States Department of Agriculture Food Safety and Inspection Service Use of Subtyping Data by FSIS: A Public Health Based Approach to Salmonella.
Food Safety – Challenges, Problems, and Opportunities By Thomas J. Billy, President International Food Safety Consulting, LLC Former Senior U.S. Food Safety.
CIFOR Council to Improve Foodborne Outbreak Response CIFOR Guidelines and CIFOR Toolkit Donald J. Sharp, MD, DTM&H Food Safety Office National Center for.
WHO / World Bank videoconference 19 September 2008
OHIO STATE UNIVERSITY EXTENSION go.osu.edu/AQCA Youth Food Animal Quality Assurance Curriculum Guide Food Safety and Government Relations.
Text 1 End Text 1 Learning Module 5: Surveillance and Infection Control.
Foodborne Illnesses People become sick because food is not handled, prepared, cooked or stored correctly Challenges of Food Safety Time Language Literacy.
Public Health in Wisconsin 101 Excerpted from a presentation by Emily Dieringer Health Educator, Winnebago County Health Department Coalition Coordinator,
Government Agencies Why is it important for the government to have laws that regulate food safety and sanitation?? What are the initials for the four.
Standards, Accreditation, & Protecting the Public’s Health Connecting the Dots Kimberly Stryker, Alaska Connecting the Dots Kimberly Stryker, Alaska.
Metro-Nashville and Tennessee NEARS
10 The Public Health System: The Government’s Role.
Welcome.
What we all need to know about the powers that be!
Food Safety Regulations and Standards
Surveillance. Public Health Approach Surveillance What is the Problem ? Problem Risk Factor Identification : What Is the Cause ? Intervention Evaluation.
Welcome.
Foodborne Illnesses People become sick because food is not handled, prepared, cooked or stored correctly Challenges of Food Safety Time Language Literacy.
Food Supply Defense Plan: Lessons from Oregon Public Health
Challenges to Food Safety
Response Teams – Planning and Preparation
Welcome.
Food and Nutrition Surveillance and Response in Emergencies
Presentation transcript:

Addressing Food Safety State Perspective Timothy Jones, M.D. State Epidemiologist Tennessee Department of Health

Produce from Farm to Table Production and harvest Initial processing Distribution Final processing Consumption Irrigation water, manure, field sanitation Wash water, handling Ice, dirty trucks Washing, handling, cross- contamination Time and temperature

WHO State Health Department FDA Regional HD County HD CDC USDA EPA

Many Pieces 3000 local health departments 50 states –Health Departments –Departments of Agriculture –Public Health Laboratories –Environmental programs

Public Health Law State laws –Disease reporting –Disease control –Restaurant inspections

State Health Department Programs Disease surveillance Communicable disease reporting Case follow-up Outbreak investigation Foodservice inspections Coordinate communication

Infrastructure Little state support Highly variable Supported by other programs –Bioterrorism –WNV –Pandemic influenza

Outbreaks EtiologyVehicle

Foodborne Outbreaks, TN

Outbreaks Per State,

90% investigated locally

Human Animal Food

Human Animal Food Infection Terrorism Chemical

Human Animal Food Infection Terrorism Chemical Factory Farm Restaurant Out-of-state Multistate

All national data starts local

Ill people Medical providers Restaurant inspections Surveillance systems Ag / veterinary programs State Health Departments

Ill people Medical providers Restaurant inspections Surveillance systems Ag / veterinary programs State Health Departments Other states CDC FDA USDA Industry Public

WHO FAO PPS APHD WHA UNEP IUFOST IUPAC WMO OECD JECFA JMPR JEMRA OIE IPCS INTOX GEMS IAEA OCHA GPHIN SALMSURV IHR CDC BPRO FoodNet NARMS HACCP FDA USDA FSIS GSFS GAO RCED DOJ FBI OCI FERRET OIG ARS OEP *The Deputy Assistant to the Assistant Deputy Administrator for District Enforcement Operations agreed with this report…

Communication Ad hoc Difficult to coordinate Highly variable Barriers to sharing data

Challenges Increasing More multi-state outbreaks –Food, people move more Better laboratory technology Faster data reporting

There Is Hope Model programs exist FoodNet Council to Improve Foodborne Outbreak Response OutbreakNet Epi-Ready Etc., etc. …

Necessary Resources Personnel Communication Authority Data sharing systems Training

Recommendations Align resources with threats Recognize roles at all levels Improve resources at all levels Focus on prevention Update practices Establish performance standards Improve education Interagency communication

Core Public Health Functions Assessment –Monitor health –Surveillance – data for decision making –Epi studies – science behind PH IOM, The Future of Public Health, 1988

Core Public Health Functions Policy development –Inform & educate –Mobilize community partnerships –Develop policies Assurance –Assure competent public health work force –Provide patient care –Enforce laws

Public Health Approach ProblemResponse Surveillance: What is the problem? Risk Factor Identification: What is the cause? Intervention Evaluation: What works? Implementation: How do you do it?