Nirali Desai, MPH

1. Global Foodborne Infections Network (GFN) Building capacity to detect, control and prevent foodborne and other enteric infections from farm to table Nirali Desai, MPH National Center for Emerging and Zoonotic Infectious Diseases Division Of Foodborne, Waterborne, and Environmental Diseases

2. GFN Vision and Mission Vision • A world where all countries prevent and control foodborne and other enteric infections Mission • To enable countries to detect, control, and prevent foodborne and other enteric infections by: • Building capacity for integrated surveillance • Fostering collaboration among human health, veterinary, food and other relevant sectors.

3. GFN Steering Committee What is GFN? A network of professionals and institutions working in veterinary, food and public health disciplines committed to enhancing capacity of countries to conduct integrated surveillance of foodborne and other enteric infections

4. GFN Main Activities • International and Regional training courses • External Quality Assurance System (EQAS) • Country Data Bank (CDB) • Focused regional and national projects • Reference services • CDC-specific technical expertise

5. International Training Courses • Progressive training cycle • Microbiologists and Epidemiologists (Human, Veterinary, and Food Disciplines) • National and International formats • Courses run between 4-7 days • Bench training and table top exercises

6. International Training Courses Microbiology Bench Training • Global/Region-specific pathogens (e.g., Salmonella, Campylobacter, E. coli, V. cholerae, S. Typhie, Brucella, Shigella, Listeria, C. botulinum) • Quality assurance • Biosafety • Antimicrobial Susceptibility Testing • Advanced methods Epidemiology Training • Outbreak detection and response • Evaluation of surveillance systems • Study design • Source attribution • Burden of disease • Data management Joint Epidemiology and Laboratory • Integrated surveillance • Risk assessment • Country Plans of Action • Advocacy and communication • Information sharing networks • Project proposal writing

7. Cumulative Number of Participants Trained (2000-2013)

8. After training – focus on project and program follow up • Focused Regional/National Projects • Burden of Illness Studies (e.g. Jordan, Slovenia, the Caribbean) • Enhanced Surveillance Studies (e.g. China, Fiji, Philippines, Kazakhstan) • Reference Services • Verification of laboratory findings • Assist with technical questions • Participation in regional projects • CDC-specific technical expertise • In 2012-2013, CDC GFN led and provided ongoing SME support and training to institutions in: • Port-au-Prince, Haiti • Delhi, India • Almaty, Kazakhstan • Johannesburg, SA • CAREC • Brasilia, Brazil

9. External Quality Assurance System (EQAS) • Aims • To have laboratories evaluate their performance of serotyping and antimicrobial susceptibility testing (AST) • To improve quality of surveillance data • To assess the quality of Salmonella serotyping and AST in laboratories worldwide • To evaluate the effectiveness of the training courses • To identify barriers for serotyping and AST

10. External Quality Assurance System (EQAS) • Proficiency test • 8 anonymous strains of Salmonella and Shigella • 4 Campylobacter isolates • 1 blank sample • Supplier of reference strain • Results • Submitted through secure website • Instant individual evaluation reports • Yearly cumulative evaluation reports posted online • In 2012, 192 labs in 93 countries participated with a decline in correct tests in both Salmonella serotyping and AST

11. GFN Country Databank • GFN member institutions asked to provide access to information about top 15 Salmonella serotypes from both human and non-human sources • As of 2013, over 2 million isolates and 359 different serotypes reported • Over 1 million S. Enteritidis • 400,000 S. Typhimurium

12. Global Impact of DFWED Activities

13. Thank you