Transcript Virginia*s Rapid Response Team

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
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 Effort
Federal, State, Local
 Epidemiologists
 Laboratorians
 Environmental
Specialists
 Subject Matter
Experts
 Regulatory Officials
PFGE – Food CSI
Pulse Field Gel Electrophoresis
Links human cases
Links 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 Teams
Currently 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
documents
Request 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 Chemist
US Food and Drug Administration
•
•
•
•
Dallas District Office
Southwest Import District
Southwest Regional Office
Food Emergency Response Network (FERN)
Scope of Team Operations
The 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
Texas
Rapid
Response
Team
Public
Information
Officer
Safety Officer
Agency Representatives
State Agency Directors
FDA District Director
FDA Director/Investigations
FDA Director/Compliance
FDA Director FERN
TDA Emergency Response
Coordinator
Liaison Officer
Operations
Chief
Planning Chief
Logistics Chief
Animal Feed
Branch
Situation Unit
(SMEs)
Service
Support Unit
Human Food
Branch
Documentation
Unit
IT Unit (As
needed)
Resource Unit
Finance Chief
Texas RRT Response Operating Guide
Table of Contents
I.
II.
III.
IV.
V.
Authority
Purpose & Scope
Acronyms and Definitions
Situations and Assumptions
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 OAppendix 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 2342
[email protected]
Debbra Callan
512-834-6770 ext 2484
[email protected]