foodborne disease investigation forms… how we’ve been doing and where we’re going
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Foodborne Disease Investigation Forms… How We’ve Been Doing and Where We’re Going. Suzanne Wilson, MPH Food and Waterborne Disease Epidemiologist WVDHHR-Division of Infectious Disease Epidemiology August 18, 2010. Objectives. Feedback of data from current Food and Water Borne (FWD) form - PowerPoint PPT PresentationTRANSCRIPT
Foodborne Disease Investigation Forms…How We’ve Been Doing and
Where We’re Going
SLIDE 2
OBJECTIVES
Feedback of data from current Food and Water Borne (FWD) form
Highlight interviewing techniques/strategies
Overview of re-designed forms
SLIDE 3
FOODBORNE ILLNESS (FBI) – GENERAL
OVERVIEW
SLIDE 4
FBI – GENERAL OVERVIEW
SLIDE 5
SURVEILLANCE INDICATORS
General Overview
Age and Sex 99-100%
Race 74-86%
Ethnicity 63-88%
Household contacts 78-86%
Daycare contact 70-84%
Travel history 74-86%
SLIDE 6
SURVEILLANCE INDICATORS
Salmonella
Indicator 2009 2010
Race 86% 86%
Ethnicity 76% 81%
Shell Eggs 81% 77%
Eggs Cooked thoroughly 63% 69%
Raw Eggs in another item 79% 76%
Produce 78% 76%
Raw or undercooked poultry 74% 75%
Household contact 84% 86%
Antibiotic Resistance 78-82% 73-77%
Serotype Reported* 95% 81%
*As reported in WVEDSS
SLIDE 7
SALMONELLA ANTIBTIOTIC RESISTANCE
SLIDE 8
SALMONELLASEROTYPES
SLIDE 9
SURVEILLANCE INDICATORSCampylobacter
Indicator 2009 2010
Race 84% 79%
Ethnicity 77% 76%
Raw or undercooked poultry 73% 73%
Animal contact 77% 84%
Unpasteurized milk 74% 79%
Hike, camp, fish or swim 77% 84%
Home water source 79% 83%
SLIDE 10
SURVEILLANCE INDICATORSShiga toxin producing E. coli (STEC)
Indicator 2009 2010
Race 80% 85%
Ethnicity 74% 88%
Consumed raw or undercooked red meat 71% 81%
Handle raw meat 77% 81%
Animal contact 80% 81%
Unpasteurized milk 71% 81%
Produce 66% 69%
Daycare 83% 77%
SLIDE 11
SURVEILLANCE INDICATORSGiardia
Indicator 2009 2010
Race 81% 74%
Ethnicity 67% 63%
Hike, camp, fish or swim 71% 81%
Drink from stream or spring 67% 74%
Travel history 76% 74%
Animal contact 66% 75%
Home water source 74% 79%
SLIDE 12
INTERVIEWING SKILLS
SLIDE 13
INTERVIEWING GOALS
Be consistent in interviews
Be prepared
Target questions to greatest degree possible
SLIDE 14
DURING THE INTERVIEW
Establish rapport
Identify self, organization, and reason for investigation
Start with easy questions
Demographics, etc.
Let them know you may need to re-contact them
SLIDE 15
INTERVIEW TIPS
When they cannot remember meals:
Ask about food preferences
Can rule in/out some foods
Identify key days and dates to jog memory (use a calendar)
Review receipts or checkbook
Buffets-need to clearly describe each food item
Recall is better for items from a menu
SLIDE 16
INTERVIEW TIPS
Last Meal Bias
Take multi day food history
Explain that pathogens may take days to cause illness
Ask if leftovers are available for testing
Don’t forget the details
Exact restaurant locations
SLIDE 17
INTERVIEW TIPS
Ask questions as written on form
Review form before ending interview
Ask if individuals have
Unanswered questions
Additional information
Thank them for their time!!
NEW INVESTIGATION FORMS
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QUESTIONS
Thank you!