1. CDR Diane L. Kelsch FDA Florida District
Planes, Trains, and What? An Introduction to the FDA’s Interstate Travel Program (ITP)
CDR Diane L. Kelsch
FDA Florida District

2. History 1894: 1st Interstate Quarantine Regulations (IQR) established
Fell under Marine Hospital Service (USPHS) Treasury Department
Quarantine and detention only
1917: Vessel Sanitation Program becomes a function of the PHS
1798: Beginning of the PHS (Marine Hospital Service)
President John Adams signed into law an act which furnished medical relief to merchant seaman
A healthy merchant marine was necessary for economic prosperity and a strong national defense

3. History Continued 1921: IQR revisions
(a) included water for drinking and culinary purposes on any car, vessel, or other conveyance while engaged in interstate travel and approved water sources
(b) included general sanitation requirements for conveyance dining and lavatory facilities

4. History Continued
1951: Bus and Railcar service area requirements (related to lavatory waste discharge)
1969: IQR transferred to FDA
Vessel Sanitation Program CDC?

5. History Continued
1972: IQR amended and regulations transferred to CFR Title 21 Food & Drugs
Part 1240: Control of Communicable Diseases
Part 1250: Interstate Conveyance Sanitation
2000: FDA transfers regulatory authority to CDC for Interstate quarantine over persons
Animals and products remain under FDA
1972: PHS Regulations recodified transfers IQR from 42 CFR (Public Health) Part 12 to 42 CFR part 72 (Interstate Quarantine)
FDA does things and CDC does people.  During the discussions and in the run up to the BT Act and regulations quarantine and detention of people was transferred (transfer of regulations) from FDA to CDC when it involves interstate conveyances. 
For food borne illness, it usually begins with the State EIS (CDC) or DOH, then FDA if a specific food is implicated, then the collaboration begins with the DOH and CDC doing the EPI and FDA doing the environmental and food trace back.  I am attaching an example of a Shigella sp. outbreak involving a caterer, airlines, and the State of Hawaii DOH and EIS.
It is dual jurisdiction until food and water is ruled out. 
 CDC is the primary for such things as TB, influenza, SARS. 

6. Program Goal (ITP)
To ensure that the personnel, facilities, and equipment are adequate and managed to prevent food borne illness, and the introduction or spread of communicable disease via common carriers operating in interstate commerce

7. ITP Definitions 21 CFR Part 1250 Definitions:
Conveyance: Any land or air carrier, or any vessel (as defined)
Interstate traffic: The movement of any conveyance or the transportation of persons or property

8. Jurisdiction Conveyances: Aircraft Vessels Busses Trains
US flagged only
CDC inspects foreign flagged
Busses
Trains

9. Jurisdiction Continued
Support facilities
Providing food, water, and/or lavatory service
Caterers/commissaries
Airports
Vessel ports
Bus stations
Train stations

10. Program Activities Include
Construction/Plan review
Certificates of Sanitary Construction
Inspections
Investigations
Sample Collections
Administrative and regulatory actions
As necessary

11. Inspectional Frequency
Conveyances and Service Areas
Every 3 years
Caterers
Every 6-12 months
Passenger vessel and passenger rail with operating galleys
Every 6 months

12. Airline Caterer Inspections
Conducted by FDA Standardized Retail Food Safety Training Officers
Standardized by FDA Regional Retail Food Specialists
Re-standardization every 3 years

13. Questions?