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
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)
“Training through service”
Public Health Agency of Canada (PHAC) employees placed at federal, provincial or local level
EpiAid: Policy
Formal request for Field Epi assistance
Policy posted on www.cfep.ca
Modified policy applies to international requests
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.
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
EpiAid: Field Epi Deployment
2-3 weeks in the field
Assist (not lead) outbreak investigation
Supported by PHAC/Health Canada content experts
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
Field Epi Foodborne Investigations
Descriptive epi Finding the source Data for action!
1. Descriptive Epi Person Place Time
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
2. Finding the Source
Finding the Source S. Stanley outbreak in BC in 2001
Vegetarians Asians Women
3. Data for Action!
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
3. Data for action!
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
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
www.cfep.ca