1. What’s Making us Poop? Decloaking Pathogens: the battle rages on BC Food Protection Association The First Decade-Embracing a Changing World October 22, 2009 Marsha Taylor Epidemiologist BC Centre for Disease Control

2. A decade worth of data Trends in foodborne pathogens What has changed? Pathogen Environment Host What does this mean for public health?

3. What has changed? HOST PATHOGEN ENVIRONMENT

4. Salmonellosis

5. Campylobacteriosis

6. Verotoxigenic E. coli Infection

7. Listeriosis

8. Cyclosporiasis

9. Antimicrobial resistance http://www.phac-aspc.gc.ca/cipars-picra/pdf/2008pr-eng.pdf

10. Environment Same pathogens but novel sources Produce Convenience foods Sources other than food (pets, pet food, bottled water) Norovirus-not just person to person

11. Environment International food sources A global food market Foodborne outbreaks or issues in other countries may impact us Localized outbreaks vs. widespread outbreaks

12. Host Enteric infections associated with international travel

13. Host Public awareness Media Educational initiatives Labeling

14. Host Consumer demands Convenient/Eating out Want local and fresh (12 months of the year) Ethnic foods

15. Public Health Integrated approach to surveillance Lab techniques help improve detection Communication with all partners

16. What’s next Changes in host, pathogen and source Continue to see more food available, more consumer choices What does this mean for public health and the food industry? Keep people safe and healthy More information www.bccdc.ca

17. Congratulations and Happy 10 th Birthday! Questions Marsha Taylor, Epidemiologist BCCDC Marsha.taylor@bccdc.caMarsha.taylor@bccdc.ca, 604-707-2544