Transcript Sampling Update - Rob Johnston

Sampling (and HPA) Update 2012
East Midlands Councils 5 Pack + 1
Rob Johnston
Health Protection Agency
• Health Protection Agency and Partners
• The HPA and Public Health England
• The HPA and FW&E Laboratory Update
• The HPA - working with partners on Olympic
Activities
• Infectious diseases – few incidents of interest
• Working together on public health, sampling and food
safety
Health Protection Agency – to April 2013
…………….Public Health England
Public Health White Paper 2010
• Deliver specialist public health services to national
and local government and the NHS (including lab
services)
• Deliver information and intelligence to support
effective action, locally and nationally
• Provide national leadership and coordination of public
health emergency preparedness and response
Health Protection Functions of PHE
• Surveillance
• Expert advice
• Public Health Response
• Specialist reference and diagnostic laboratory
services
• Research
• Training
• Expert advice and support to international agencies
Updates in the HPA FW&E Network
2011 - 2012
• HPA FW&E laboratories
reconfiguration
• Relocation of Southampton to
Porton 2011
• Relocation of Leeds to York
• Closure of Bristol laboratory
•Appointment of more Food Examiners
FW&E Sample Transport
•Cool boxes supplied by the HPA
•Data loggers and sample packing
system
•CitySprint - the courier for FW&E
samples
Sample Transport and
FW&E Laboratory Service Provision
FW&E Micro lab York
FW&E Micro lab Birmingham
Proactive Sampling Studies
Year
Months of sampling
J
F
M
A
M
2012
J
J
A
S
O
N
D
J
2013
F
M
A
New studies
Study 47. Olympic preparation & response
sampling
Study 48. Pâté study: comparison of ‘inhouse’ produced and large-scale produced
offal-based pâté
Study 49. Reactive response study*
Ongoing from the 2011/2012 Programme
Study 45. Pennington response study 3
Study 46. Reactive response study – precut fruit
Regional/Liaison Group studies
Reactive sampling; outbreaks, incidents interventions etc
HPA studies – to go onto the ‘Knowledge Hub’ –
https://knowledgehub.local.gov.uk/
FW&E Laboratory Olympic Activities;
How did we do it ….. and what did we do?
Working in partnership ….
Advice, Training and Sampling Support
• Local support and advice as normal
• On-call rota of FW&E microbiologists during
Olympic period (24 hours, 7 days per week)
• Training to JLARS, LOCOG, LAs, PHAs,
FW&E
• sampling and sampling support
• User Manual
• On site expert support
FW&E Laboratory Olympic Activities:
Monitoring
In collaboration with JLARS, LOCOG, Local Authorities, Port Health Authorities & DWI
Drinking water monitoring on Olympic sites, particularly the park
Verification of the commissioning process
Results converted into public health interventions
• relaying water pipe runs
• assurance of cleaning for water fountains
Water, food and environmental monitoring
Marinas, hotels training camps and ships used by competitors and Olympic staff
- swimming pools
- spa pools
- Water systems
- Food service
Mobile food vendors around routes for:
- torch
- cycling
- running
Seawater monitoring (Weymouth)
Monitoring of other sites around Olympic Park
water quality of a water feature
FW&E Laboratory Olympic Activities:
FW&E Laboratory Olympic Activities:
4 hygiene problems with food manufacturers in Olympics food chain
•
FBOs producing sandwiches (x2), meat pies, sliced meats
•
Sampling resulting from monitoring and incident investigation
•
Initial sampling sometimes in different parts of country
•
Microbiological results and advice to LAs, FSA and HPUs
•
Improvements in manufacturers’ environments
•
No adverse public health events detected
2 Norovirus outbreaks amongst athletes
•
Advice to LAs and HPUs
Legionella pneumophila detected in water system of ship
•
Results from routine monitoring
•
Ship providing accommodation to Olympic Park staff
•
Advice to London Port Health Authority and HPU
•
Supporting the media messages
2012 - not just the Olympics
Anthrax –
injecting drug users
Botulism –
in Italian olives
Bacillus –
shepherds pie and
(haricot beans)
Campylobacter –
in chicken liver pate
Has 2012 just been the Olympics?
Cryptosporidium -
… in water and food??
E coli and an open park – ?
Legionnaires’ disease –
Pseudomonas
Edinburgh, Stoke and
a place near you?
Not just pool water ….
Legionnaires’ disease
Local Authorities, HSE, PCT and HPA
Legionnaires’ disease – cooling towers, spa pools and
water systems
Legionnaires’ disease
Local Authorities, HSE, PCT and HPA
Multi-agency Working –
Foods that aren’t the usual suspects ???
•Pork pie purchased from Boston
•Case travels home to Hants –
becomes ill
•Further food sample bought from
Boston; pork pie and pate and taken
to Hants
•Food samples tested at HPA FW&E
Porton
•Listeria isolated and sent to HPA Ref
lab at Colindale
•fAFLP typing links food isolates with
previous cases
•LA, HPA, FSA involvement in
incident
Barnsley
Sheffield
Boston
Colindale
Porton
HPA in the East Midlands
Outbreak Management
East Midlands North and South Joint Outbreak Control
Plans / Operational Framework - 2012
• Determination of an outbreak
• Outbreak management
• Outbreak response
• Outbreak/incident control
• Closure of the outbreak