texas rapid response team for foodborne illness
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Texas Rapid Response Team for Foodborne Illness. Julie Loera and Debbra Callan Texas Department of State Health Services April 5, 2012. Foodborne Illness in the US. Each Year 48 million people (1 in 6) 128,000 Hospitalized 3000 deaths. Multi-State Foodborne Illness Outbreaks -2011. - PowerPoint PPT PresentationTRANSCRIPT
Texas Rapid Response Team for Foodborne Illness
Julie Loera and Debbra CallanTexas Department of State Health Services
April 5, 2012
Foodborne Illness in the US
Each Year
48 million people (1 in 6)128,000 Hospitalized
3000 deaths
Source: Centers for Disease Control and Prevention www.cdc.gov
Multi-State Foodborne Illness Outbreaks -2011
• Ground Beef - Salmonella Typhimurium
• Romaine Lettuce - Escherichia coli O157:H7
• Kosher Broiled Chicken Livers - Salmonella Heidelberg
• Turkish Pine Nuts - Salmonella Enteritidis
Jensen Farms Cantaloupes - Listeria monocytogenes
• Ground Turkey - Salmonella Heidelberg
Whole, Fresh Imported Papayas - Salmonella Agona
• Alfalfa and Spicy Sprouts – Salmonella Enteritidis
• Turkey Burgers - Salmonella Hadar
• Lebanon Bologna - Escherichia coli O157:H7
• Del Monte Cantaloupe - Salmonella Panama
• Hazelnuts - Escherichia coli O157:H7
Source: Centers for Disease Control and Prevention www.cdc.gov
Notable Past Outbreaks • 2010
– Shell Eggs - Salmonella Enteritidis • 1939 cases in ~11 states
2009– Peanut Butter - Salmonella Typhimurium
• 714 cases in 46 states 2008
– Raw Produce - Salmonella Saintpaul• 1442 cases in 43 states
Source: Centers for Disease Control and Prevention www.cdc.gov
Takes a Multi-level Team EffortFederal, State, Local
Epidemiologists LaboratoriansEnvironmental
SpecialistsSubject Matter
ExpertsRegulatory Officials
PFGE – Food CSI
Pulse Field Gel Electrophoresis
Links human casesLinks human cases to food
Links food to a facility (plant or farm)
http://www.cdc.gov/pulsenet/
PFGE Results
Source: Texas Department of State Health Services Laboratory Services
Importance of Solving the Outbreak
Message to consumers Stop the source
Prevent recurrence
National Rapid Response Team Concept
• Surveillance, investigation, and response, to alleged food-related incidents and emergencies
• Collection, analysis, and dissemination of information that may prevent recurrence
• Response to all food hazard incidents in the farm to table continuum using ICS
• Operate in conjunction with other food and feed agencies, other state RRTs, FDA district offices, and state emergency response operations centers.
Rapid Response TeamsCurrently 9 active teams nationwide
• 6 states piloted in 2008• 3 additional states added in 2009
9 states coordinate• Yearly meetings• Work groups to produce standard
documentsRequest for proposal open for additional
teams
Texas Rapid Response Team (TRRT)Texas Department of State Health Services
• Infectious Diseases Branch• Laboratory Services• Regulatory Division
Office Of the Texas State ChemistUS Food and Drug Administration
• Dallas District Office• Southwest Import District• Southwest Regional Office• Food Emergency Response Network (FERN)
Scope of Team OperationsThe purpose of the TRRT is to provide preparedness, prevention, and timely response to food and/or feed related disasters that may affect the citizens of Texas.
The TRRT may respond to large scale investigations involving food and/or feed and large scale recalls of food and/or feed. It is not intended to include a natural disaster (hurricane, forest fire, etc.). However, there may be outcomes of a natural disaster that require the activation of all or portions of the TRRT under the State of Texas Emergency Operations Command.
Highlights of the TRRT
• ICS Structure– Combined Federal/State Team
• Response Operating Guidelines• Communication Platform – Traction®
Software – Allows remote uploading – Sharing of extensive traceback records– Ability to pull in other RRT States
Incident Commander
Operations Chief
Animal Feed Branch
Human Food Branch
Planning Chief
Situation Unit (SMEs)
Documentation Unit
Resource Unit
Logistics Chief
Service Support Unit
IT Unit (As needed)
Finance Chief
Public Information
OfficerSafety Officer
Liaison Officer
Texas Rapid ResponseTeam
Agency RepresentativesState Agency Directors FDA District DirectorFDA Director/InvestigationsFDA Director/ComplianceFDA Director FERNTDA Emergency Response Coordinator
Texas RRT Response Operating GuideTable of Contents
I. Authority II. Purpose & Scope III. Acronyms and Definitions IV. Situations and Assumptions V. Concept of Operations
A. Operations B. Communications C. Working with Other Agencies
VI. Document Control VII. Appendices
A. TRRT Distribution Lists B. Activation and Deactivation Standard
Operating Procedure C. Communication Standard Operating
Procedure
Our Long Hard Road – Step 1
Our Long Hard Road – Step 2
Source: Centers for Disease Control and Prevention www.cdc.gov
We’ve Made It Halfway– Step 3
TRRT – Step 4• ROG - APPENDIX B – Activation/Deactivation
SOP – approved March 2012– Describes potential triggers for team activation– Delineates the process for team activation– Delineates the process for team deactivation
• All Team training and meeting in Austin November 2011
• Working on Sampling, Training, and Traction® SOPs
Next Steps• Food Emergency Response Plan – Annex O-
Appendix to the State Emergency Response Plan – in draft
• TRRT Table Top – April 28th, 2012– Austin• Functional Exercise – Fall 2012 • Continue Work on TRRT Standard Operating
Procedures• Potential National Exercise with all Rapid
Response Teams
Questions??Contact Information
Julie Loera 512-834-6770 ext [email protected]
Debbra Callan512-834-6770 ext [email protected]