when food is foul: field epi investigations
DESCRIPTION
When Food is Foul: Field Epi Investigations. Agenda. Who are Field Epis? Three themes of foodborne investigations Continuing education opportunities. Field Epis: 1975 - 2005. Two-year program Intake 10 public health professionals every year MD or Masters (MSc,MHSc,MPH) - PowerPoint PPT PresentationTRANSCRIPT
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When Food is Foul: Field Epi Investigations
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Agenda
Who are Field Epis?
Three themes of foodborne investigations
Continuing education opportunities
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Field Epis: 1975 - 2005
Two-year program
Intake 10 public health professionals every year
MD or Masters (MSc,MHSc,MPH)
“Training through service”
Public Health Agency of Canada (PHAC) employees placed at federal, provincial or local level
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EpiAid: Policy
Formal request for Field Epi assistance
Policy posted on www.cfep.ca
Modified policy applies to international requests
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EpiAid: Terms of ReferenceField Epi(s):
Date:
Date request received by CFEP:
Location:
Date of arrival in the field:
Anticipated time in the field:
Supervisor (field):
Supervisor (CFEP):
Background :
Partners:
These objectives will be fulfilled in collaboration with…
e.g., Division of ****, CIDPC, Public Health Agency of Canada OR *** Branch, Public Health Agency of Canada/Health Canada; provincial or territorial Ministry of Health; local health unit.
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EpiAid: Terms of Reference Anticipated role(s):
To develop case definition(s) To assist *** identify the agent(s) causing the outbreak To assist *** in determining the extent of the outbreak To develop and apply case finding methodology To organize and interpret data collected to date/To provide a descriptive
epidemiologic summary of data collected to date To determine whether the cases in *** and *** are related/epi-linked To assist **** identify the source of the agent To determine the optimal control measure(s) To provide recommendations for disease control interventions To assist in setting up a case-control/cohort/cross-sectional study To co-author publications arising from the investigation
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EpiAid: Field Epi Deployment
2-3 weeks in the field
Assist (not lead) outbreak investigation
Supported by PHAC/Health Canada content experts
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EpiAid: Coming Home
Before leaving the field: Preliminary report of field activities Ensure local staff designated/trained to follow up
**Privacy Act: data collected on behalf of the requesting authority are their property, not CFEP or PHAC
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Field Epi Foodborne Investigations
Descriptive epi Finding the source Data for action!
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1. Descriptive Epi Person Place Time
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S. Berta Outbreak Ontario, 1994
0
2
4
6
8
10
12
14
16
DATE OF ONSET
# O
F C
AS
ES
Cheese sold at market on weekends
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2. Finding the Source
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Finding the Source S. Stanley outbreak in BC in 2001
Vegetarians Asians Women
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3. Data for Action!
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Cases of S. Heidelberg in BC - 2003 incidence vs. 5 year average of same week reported in 1998-2002
0
1
2
3
4
5
6
1 2 3 4 5 6 7 8 9 10 11 12
5 YR AVE 2003
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3. Data for action!
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Age Distribution of S. Enteritidis Cases Canada, 1998
0
50
100
150
200
250
300
350
0 to 5 6 to 10 11 to 15 16 to 20 21 to 25 26 to 30 31 to35
36 to 40 >40
Age categories in years
Num
ber
of c
ases
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Continuing Education
Epidemiology in Action course in Ottawa External participants Every September (3 weeks)
CFEP seminar series Sept – June First Tuesday at 14:30 NFLD Teleconference
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www.cfep.ca