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Rapid Response Team Program Update

Travis Goodman,RRT Program Coordinator, FDA

February 2, 2016

Who is on the RRT?

• 5 ‘legs’ of the RRTFood Program Feed Program

FDA District

Laboratory

Epidemiology

Indiana & Wisconsin are non-funded RRTs

RRT Program• Ultimate Goal: Improve the effectiveness of

multi-jurisdictional food/feed emergency responses with the ultimate objective of reducing the time from agency notification to implementation of effective control measures

• How: Use ICS; Enhanced capacity; Advanced training; Operate as one unified team to protect public health while meeting agency requirements/mission

• Bonus Outcome: Capture best practices and share them with others!

5

RRT Investigations–By the Numbers

• 340 incidents investigated

– 321 responses (94%)

– 19 activations (6%)

– Fun fact – same breakdown as last year!

• Human illness or outbreak linked (53%)

• Positive product investigation (20%)

• Recall investigation (20%)

18 RRTs reporting data

Animal illness,

1%

Human illness/

outbreak, 53%

Natural disaster,

1%

20%

Recall, 20%

Other, 5%

Positive product investigation,

2015 CAT Summary

0%

10%

20%

30%

40%

50%

60%

70%

n=180

n=213

n=142

n=55

n=160

n=84

n=114

n=54

Tracebacks

• 180 tracebacks

– 56% resulted in successful identification of the source

• Informational

– 41% source identified

• Regulatory

– 65% source identified

• 45 were both Informational & Regulatory

0

20

40

60

80

100

120

140

160

InformationalTracebacks

RegulatoryTracebacks

No. ofTracebackInvestigations

No. ofTracebackswhere Sourcewas Identified

High Profile RRT Activations• 2011: Salmonella Agona in Papaya (TX RRT)

• 2011: E. coli O157:H7 in in-shell Hazelnuts (MI, MN, CA,WI)– Article on the traceback published in the Journal of Food Protection

• 2012: Salmonella in Diamond Pet food (MI)– Resultant large scale recall

• 2013: Cyclospora in bagged salad mix and cilantro(IA & TX)– 2 separate, concurrent outbreaks

– Repeat for TX & Cilantro in 2014 & 2015

• 2014: Listeria in soft Mexican Cheeses (MD & VA)

• 2015: Listeria in caramel apples (MO, MN & CA)

• 2016: Lead in water in Flint, MI (MI)

9

10

RRT Best Practices Manual

1. Working With Other Agencies

2. Federal – State Cooperative Programs

3. Industry Relations

4. Tools for Program Analysis & Improvement: CIFOR

5. Food Emergency Response Plan

6. Communication SOPs*

7. ICS Concepts in RRTs*

8. RRT Training9. Tracebacks*10. Joint Inspections &

Investigations11. Environmental

Sampling & Records Collection*

12. Food Recalls13. After Action Reviews14. Metrics15. New in 2015 -

Exercises

*Chapters are undergoing intensive revisions for 2016 Edition

State Response to Highly Pathogenic Avian Influenza (HPAI) H5N2

Kirsten KnopffBusiness and Quality Management

Supervisor Response Planning Chief

Minnesota Department of Agriculture

Background

• Minnesota is:

– #1 Turkey Producer in the Nation

– Ranked 8th for Egg Layers in the US

• Kandiyohi County, MN is:

– Home to world's largest turkey processor/marketer – Jennie-O Turkey Store

– Home to the world's largest turkey hatching company– Willmar Poultry Company

Background

• MN Board of Animal Health (BAH)

– 5 member citizen board – 3 Producers and 2 DVMs

– Appoints State Vet

• Minnesota Department of Agriculture

– Memorandum of Understanding (MOU) to support BAH during incidents

– Never the lead agency on BAH emergencies

MN Situation

• First Case: March 4, 2015

• Last Case: June 5, 2015

• 108 Premises - 9,024,632 birds– 96 Commercial Turkey

– 4 Chicken Layers

– 1 Chicken Pullet

– 1 Backyard

– 6 Dangerous Contact

UNIFIED COMMAND

EUTHANASIA

GROUP

ENVIRONMENTAL SAMPLING TEAMS

VMO/AHT SURVEILLANCE

TEAMS

AHT/ADMINLABORATORY SAMPLE TEAM

FADDDISEASE

SURVEILLANCE

FADDSICK CALL

DEPUTY IC

PUBLIC

INFORMATION OFFICER

SAFETY OFFICER

LIAISON OFFICER

LEAD AGENCY

SITUATION UNIT

DOCUMENTATION UNIT

RESOURCE/DEMOB

UNIT

COST UNIT

MEDICAL UNIT

IT UNIT

CLAIMS UNIT

PROCUREMENT UNIT

CHECK IN/OUT UNIT

CASE MANAGER

GROUP

COMPOST MONITOR/

DISINFECTION/VERIFICATION

CASE MANAGER

SUPERVISOR

CASE MANAGER

SUPERVISOR

CASE MANAGER

SUPERVISOR

CASE MANAGER

SUPERVISOR

APPRAISAL GROUP

FINANCE SECTION CHIEF

MN HPAI 2015 June 22, 2015

RESOURCE

VERIFICATION UNIT

LOGISTICS SECTION CHIEF

AGENCY

REPRESENTATIVES

CASE MANAGER

DOCUMENTATION

CASE MANAGER SUPPORT

OPERATIONS SECTION CHIEF

EMRS DATA ENTRY

SUPPLY UNIT ASST.

SUPPLIES

SUPPLY UNIT ASST.

EQUIPMENT

ORDER GROUP

PERSONEL/TRAVEL

SUPPLY UNITLEADER

PLANNING SECTION CHIEF

DISEASE REPORTING

OFFICER

EPI SUPERVISOR

MAPPING

CLEANING

DISINFECTION

CONTRACT OFFICER

LOGISTICS ADMIN

GROUND SUPPORT

SITE MANAGER

SUPERVISOR

Site Managers

Personnel - MN BAH/MDA 88 - USDA:APHIS:VS 64 - Other Federal Agency 22 - Contracted Overhead 12 - Contracted Depop. Crews 334 - Total 520

PERMITTING UNIT

How does AI Affect Food Safety?

• Egg Safety

– Eggs must be permitted by BAH

• Some eggs sent to a breaker facility

• FSIS approved

• Virus can not survive processing

– Egg Inspections

– Eggs are regulated by many agencies

How does AI Affect Food Safety?

• Feed

– Must be permitted in and out of Control Zone

– Feed Inspections

• Meat

– Poultry randomly tested at processing plant

– Low to no human health risk if cooked properly

– Positive flocks euthanized and composted

How does AI Affect Food Safety?

• Food Products on Positive Premise

– Permit was not required

– Minnesota’s new authorityM.S. 34A .11 Subd. 7.Emergency powers.

After an emergency declaration issued under chapter 12, chapter 35, or the federal Stafford Act, the commissioner may restrict the movement of food if the commissioner has probable cause to believe that the movement of food may: threaten the agricultural economy; transport a dangerous, infectious, or communicable disease; or threaten the health of animals. The commissioner may provide for the issuance of permits to allow for the continued movement of food upon meeting the disease control measures established by the commissioner.

I’M IN FOOD SAFETY, WHAT CAN I DO DURING A FOREIGN ANIMAL DISEASE (FAD) RESPONSE?

Identify Employee Strengths

• Facilitation

• Subject Matter Expertise – exp. Environmental Sampling or Compost

• Data Management

• Resource Management

• Supervision

• Communication

• Outreach

Command and General Staff

• Planning– Chief, Checkin/out, Demob, Resource Unit,

Situation Unit, Permitting

• Logistics– Chief, Supply Unit, Ground Support

• Finance

• Liaison

• Public Information Officer (PIO)

Operations

• Backyard Surveillance– Drive roads to find backyard flocks

• Group Supervisors– Feed Program Manager was the Euthanasia Group

Sup

• Environmental Sampling– Sampling barns after dry and wet cleaning

• Biosecurity– Verification of biosecurity at positive premises

Lessons Learned

• Multi Agency Responses CAN work with the use of ICS• Preparation

– Communication and MOUs– Training– Response Teams– Funding Sources – Data and documentation database

• Sufficient resources are key– Staff -– Spending authority

• Morale Boosters

Contact Information

Kirsten Knopff

Business and Quality Management Supervisor

Minnesota Department of Agriculture

Email: kirsten.knopff@state.mn.us

All-Hazard Response:Utilizing the RRT in a

Foreign Animal Disease Response

Brandon Sauceda, MPHRRT Coordinator

Georgia Department of Agriculture

February 2, 201611:00am

High Pathogenic Avian Influenza

Flyways

Georgia Poultry Statistics

• $28 billion to the state economy

• Largest segment of Georgia Agriculture: Poultry is 48% of ag economic sector (65%)

• #1 in the U.S. & #7 in the world for broiler production

Foreign Animal Disease Response Requirements

Incident Management

• Incident Command

• Resource Management

• Biosecurity

• Surveillance & Epidemiology

• Public Information

Operations

• Cleaning and Disinfection

• Disposal

• Depopulation

• Vaccination

• Quarantine and Movement Control

Response preparations

• Weekly HPAI planning meetings with state and federal staff

• Validating participants for IMT: partnership with Georgia Forestry Commission

• GEMA Executive Briefing: WebEOC dashboard created regarding HPAI

• ESF 11 Support Agency Briefing

• Partnership with industry: “All in, All Gone” media campaign www.allinallgone.com

Public Information &Risk Communication

• Relevant, Timely, Accurate

• The first step in prevention

• Virtual Joint Information Center established

• GDA HPAI Hotline & Call-Center established

• Biosecurity messaging to public & industry

• Messaging to partners and officials

PIO/Risk Communications

• JIC Established: PIO Manual, FAQ, Biosecurity Pamphlet: 5 languages

• Call Center Preparations: Hotline developed & Call Center Training

• Chicken is safe

to eat!!!

• Website

Lessons Learned

• Using ICS

– E I-Suite Software

– Pre-Fill as much as possible!

• Planning P

– Timeline

– ICS 230 (Daily Meeting Schedule)

– Meeting Agendas

E I-Suite Uses

• Auto Generates ICS Forms and IAP– 202 Objectives

– 203 Assignment List

– 204 Group Assignments

– 205 Comm Plan

– 206 Med Plan

– Attach More

• Electronic Check-in & Checkout Process

– ICS 211 & 221

– Library of Resources

– Resource Management

– Travel Requests (for demob)

– Checkout plan & form

Lessons Learned

• Managing a Large Incident

– Resources

– Remote Check-In & Check-Out

• Maintaining Situational Awareness

– SitRep

– ICS 214s

Resource Needs

Final Thoughts

• Plans, Finance/Admin, Logs all need PUSH PACKS to perform response activities, just as vital as Ops Push Packs/Go Kits

• Documentation and Accountability begins Day 1!

• No Cost Contracts: Nothing is free. Get it in writing!

• Cost Spreadsheet for ALL equipment

Thank You

Brandon Sauceda, MPH

RRT CoordinatorGeorgia Department of Agriculture

brandon.sauceda@agr.georgia.gov 404-656-3621