1. CIFOR Toolkit Focus Area 11: Food Recall
CIFOR Guidelines for Foodborne Disease Outbreak Response
CIFOR Toolkit Focus Area 11:
Food Recall
New York Integrated Center of Food Safety Center of Excellence – May 15, 2017
Madhu Anand, DrPH
Bureau of Communicable Disease Control
New York State Department of Health

2. Background
This is the 12th webinar in a series of monthly webinars from the New York Integrated Food Safety Center of Excellence (CoE)
Session covers CIFOR Toolkit Focus Area 11: Food Recall
Supplementary sessions available to assist states that wish to complete internal evaluations using the metrics and target ranges developed for the 16 CIFOR performance measures.
All webinars will be recorded and available through the CoE website at

3. How to Use the CIFOR Toolkit
Start with:
Describe Your Current Activities and Procedures in relation to the Focus Area
Complete the Worksheet as a Team (Workgroup)
Epidemiology, Laboratory and Environmental Health
Refer to written protocols/procedures

4. How to Use the CIFOR Toolkit
Review the CIFOR recommendations related to the Focus Area of interest
Identify activities and procedures in need of improvement
Rate the priority for implementing each recommendation based on its likely impact on foodborne outbreak response
End with:
Prioritize CIFOR Recommendations to Address Needed Improvements

5. What is Focus Area 11? Title: Food Recall
Goal: Agency/jurisdiction ensures that the food implicated in an outbreak is removed from the market, retail establishments, and the homes of consumers as quickly as possible
This may include audit checks, etc.

6. Keys to Success General Making changes
Activities, relationships, and resources that are critical to achieving success in a Focus Area
Applying metrics and measures can help you identify the success of your program or investigation process
Focus Area 11: Keys to Success
General
Making changes

7. General
Agency/jurisdiction collaborates with state and federal agencies as well as the implicated facility or production site in the recall
Agency/jurisdiction proactively embargoes or seizes the implicated food product while awaiting official recall
Agency/jurisdiction has means to quickly notify retail establishments and sites (e.g. foodbanks) under it’s jurisdiction about the recall
Agency/jurisdiction monitors the effectiveness of the recall at all appropriate establishments
Ex. Cheese, leafy greens,
Not always needed, but may be needed
Might not be your agency – maybe Ag?

8. General – Before a Food Event Occurs
FDA
Roles and resp – FDA is lead agency under FSMA
Food code, inspections, recalls, regulates safety of most foods with exception of meats, poultry, and past egg products (USDA)
Traceback
Resources – CORE – Coordinated Outbreak response and evaluation network- multidisc – coordinate FDA’s response team
Contribution to OB investigation and respone – assist in id food product assoc with ob, source, and extent of distr
USDA
Roles and resp – mentioned above
Resources – inspection personnel, 10 District offices, FSE, education, etc.
Contribution to Outbreak Investigation and response – assist, traceback, coord and epi consultation

9. General – Before a Food Event Occurs

10. General – Before a Food Event Occurs

11. General – After a Food Event Occurs

12. General – After a Food Event Occurs

13. General – After a Food Event Occurs

14. General – After a Food Event Occurs

15. General – After a Food Event Occurs
Includes copies of all notices distributed to the public and through the distribution chain, as well as the following info:
Circumstances leading to the recall and actiosn taken
Extent of the distrubtion of the suspected food
Result fo the recall (percentage of suspected food recovered)
Method of disposal or preprocessing of suspected food
Difficulties experienced in the recall
Actions taken to prevent recurrence of food safety problems and any of the recalls

16. Making Changes
Agency/jurisdiction conducts a debriefing among investigators following each outbreak response and refines outbreak response protocols based on lessons learned
Agency/jurisdiction has performance indicators related to food recall and routinely evaluates its performance in this Focus Area

17. Making Changes - Communication

18. Making Changes - Communication
Determine if public notification is needed
Standard scripts
Periodic updates

19. Making Changes - Communication

20. Making Changes - Communication

21. Making Changes - Communication

22. Helpful Tips for Using the Toolkit
Don’t get distracted by the volume
Be clear on the process
Keep moving – don’t get caught up in too much detail
Focus on a few realistic changes
End with specific action plans with time frames and responsible persons
Appoint a facilitator and a recorder for each discussion

23. Why Should My State Use the Toolkit?
Improve overall foodborne outbreak investigation and response
Enhance partnerships with agencies/partners in foodborne outbreak investigations
Identify areas needing improvement that may have gone unrecognized

24. Where to Find the CIFOR Products
Online at:
Paper copies are also available from CSTE
Contact Thuy Kim at
Examples of CIFOR product use by other states:

25. NY CoE CIFOR Webinars Have Concluded
All webinars have been recorded and
archived on the NY CoE website:

26. Resources Comments or questions for NY CoE can be directed to:
Paula Huth, CoE NYSDOH
Integrated Food Safety CoE Websites:
NY CoE:
CDC:

27. Questions