Foodborne Disease Investigation Forms… How We’ve Been Doing and Where We’re Going

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 Highlight interviewing techniques/strategies Overview of re-designed forms

Foodborne illness (FBI) – General Overview

FBI – General Overview

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%

Surveillance Indicators Salmonella *As reported in WVEDSS

Salmonella Antibtiotic Resistance

SalmonellaSerotypes

Surveillance Indicators Campylobacter

Surveillance Indicators Shiga toxin producing E. coli (STEC)

Surveillance Indicators Giardia

Interviewing Skills

Interviewing Goals Be consistent in interviews Be prepared Target questions to greatest degree possible

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

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

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

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 See Handouts

Questions Thank you!

Foodborne Disease Investigation Forms… How We’ve Been Doing and Where We’re Going

Foodborne Disease Investigation Forms… How We’ve Been Doing and Where We’re Going

Presentation Transcript

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