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Response Teams – Planning and Preparation
Epi-Ready Response Teams – Planning and Preparation Module 3
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Module Objectives By the end of this module, participants will be able to determine what is required to perform as an effective foodborne outbreak response team Identify the members of the foodborne outbreak response team Describe the agencies that may provide members to the team Explain the communication and coordination strategies used by effective outbreak response teams
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Team Elements Knowledge Skills Attitude Subject Matter Expertise
Problem Solving Knowledge Skills Technical Cross-disciplinary Understanding Interpersonal Goal Oriented Common Approach Shared Purpose Attitude
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Three Core Disciplines
Epidemiology Laboratory Environmental Health
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Epidemiologic Investigator
Responsibilities Case-based surveillance Identifies and interviews cases and controls Develops hypotheses and strategies to test them Collects and analyzes investigation data Plans and conducts epidemiologic studies Consults and coordinates with environmental and laboratory investigators Skills: Critical thinking Observation and interpretation Positive communication/interview Understands the host-pathogen relationship and associated illness
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Environmental Investigator
Responsibilities: Investigates possible source of foodborne illness Collects environmental and food samples Interviews food employees and managers Reviews records Conducts product tracing Consults and coordinates with epidemiologic and laboratory investigators Skills: Critical thinking Positive communication/interview Observation and analytic Characterizes pathogens from a food- production and food-preparation perspective
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Laboratory Investigator
Responsibilities: Analyzes clinical specimens and food and environmental samples Interprets and reports test results and suggests follow-up testing Coordinates testing among laboratories Advises and coordinates with other team members Skills: Understanding of microbiological techniques as epidemiologic tools Critical thinking as it applies to laboratory methods and quality assurance Understands pathogens by their cellular characteristics
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Other Important Team Members
Leadership Public Information Healthcare Providers Law Enforcement Emergency Managers Agency Attorneys
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Local Public Health System
Authorities stem from constitutional, statutory, regulatory, judicial case law and general police powers Surveillance and control of communicable disease, including foodborne illness Receive and investigate complaints of illness Regulate and inspect food service establishments Manage public risk communication Communicate and coordinate activities with local healthcare professionals
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State Public Health Agencies
Authorities stem from constitutional, statutory, regulatory, judicial case law and general police powers Conduct statewide surveillance activities – some complaint-based activities Provide advanced laboratory testing Coordinate multi-jurisdictional or statewide investigations May conduct food safety regulatory programs
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State Departments of Agriculture
Pre and post-harvest food regulatory programs Statewide responsibilities for the safety of food and dairy products offered in intrastate commerce Monitors food and dairy safety by collecting and testing food, dairy, and environmental samples Conducts food safety regulatory programs at the food service (retail) level in certain circumstances
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Food and Drug Administration
Conducts post-market surveillance and compliance of food industry Conducts and coordinates regulatory product tracing investigations Coordinates industry-initiated recalls of food products and regulatory-initiated recalls Coordinated Outbreak Response and Evaluation Network (CORE) Publishes the FDA Food Code
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Food Safety and Inspection Service
Conducts microbiological and chemical testing of meat, poultry products, Siluriformes fish, and egg products Conducts audits to determine the equivalency of foreign food-safety programs and inspects imported products under USDA-FSIS jurisdiction Assures state agencies operate at the “at least equal to” standard of the Federal Meat Inspection Act
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Centers for Disease Control and Prevention
Coordinates and supports national surveillance Laboratory-based Enteric Diseases Surveillance (LEDS) Foodborne Diseases Active Surveillance Network (FoodNet) PulseNet Environmental Health Specialists Network (EHS-Net) Provides consultation, assistance, and leadership in outbreak investigations Facilitates coordination among jurisdictions with multijurisdictional outbreaks
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Agencies with Jurisdictional Authorities
Tribal Lands Military Bases/Posts National Park Service Prisons and other federal facilities
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Activity Agency where you find the following:
Epidemiologic Investigators Environmental Health Investigators Laboratory Investigators Other agencies involved with response activities: Agencies with jurisdictional authority: This whole-class activity will identify disciplines and agencies involved with foodborne outbreak response in the jurisdictions participating in the training. Record response in participants guide. Instructor will lead the discussion and record responses on an easel pad. This activity should take no more than 10 minutes to complete.
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Outbreak Response Teams
Team members Agencies Identify Roles and responsibilities Communication strategies Define Exercise Evaluate Train
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Interdisciplinary Response Teams
Prepare for and respond to foodborne illness outbreaks and other food emergencies Enhance intra-agency and interagency collaboration and communication Train and exercise teams to be ready to respond to events when they occur Establish national best practices and tools that can be shared with other states to improve their response to food emergencies
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Response Team Communication
Clear and concise and leave little leeway for interpretation Delivered in a consistent fashion Communication should clarify roles and responsibilities of the team members Lines of communication must be structured Top-down Bottom-up Lateral communication Develop a plan!
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Team Communication Strategies
List Serves Conference calls Face-to-face Meetings Bulletins Does your agency have communications plan?
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Memorandum of Understanding
Coordination Memorandum of Understanding Mutual Aid Legal Authority
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National Incident Management System
Mechanism to systematically manage resources Allows for the effective sharing of Resources Resource Management Leadership roles, processes and structures ICS/MAC/Public Information Command and Coordination Assures responders have appropriate information Communication that are interoperable Communication and Information Management
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Incident Command System
Public Information Officer Liaison Officer Safety Officer Operations Section Planning Section Logistics Section Finance/Admin Section
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Summary Identify the members of the foodborne outbreak response team
Describe the agencies that may provide membership to the team Explain the communication and coordination strategies used by effective outbreak response teams
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Surveillance and Detection Implications for Response
Coming Up Next Surveillance and Detection Implications for Response
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