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Health Protection Agency and Partners The HPA and Public Health England

Sampling (and HPA) Update 2012 East Midlands Councils 5 Pack + 1 Rob Johnston Health Protection Agency. Health Protection Agency and Partners The HPA and Public Health England The HPA and FW&E Laboratory Update The HPA - working with partners on Olympic Activities

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Health Protection Agency and Partners The HPA and Public Health England

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  1. Sampling (and HPA) Update 2012East Midlands Councils 5 Pack + 1 Rob JohnstonHealth Protection Agency

  2. Health Protection Agency and Partners • The HPA and Public Health England • The HPA and FW&E Laboratory Update • The HPA - working with partners on Olympic Activities • Infectious diseases – few incidents of interest • Working together on public health, sampling and food safety

  3. Health Protection Agency – to April 2013 …………….Public Health England • Public Health White Paper 2010 • Deliver specialist public health services to national and local government and the NHS (including lab services) • Deliver information and intelligence to support effective action, locally and nationally • Provide national leadership and coordination of public health emergency preparedness and response

  4. Health Protection Functions of PHE • Surveillance • Expert advice • Public Health Response • Specialist reference and diagnostic laboratory services • Research • Training • Expert advice and support to international agencies

  5. Updates in the HPA FW&E Network 2011 - 2012 • HPA FW&E laboratories reconfiguration • Relocation of Southampton to Porton 2011 • Relocation of Leeds to York • Closure of Bristol laboratory • Appointment of more Food Examiners

  6. FW&E Sample Transport • Cool boxes supplied by the HPA • Data loggers and sample packing system • CitySprint - the courier for FW&E samples

  7. Sample Transport and FW&E Laboratory Service Provision • FW&E Micro lab York • FW&E Micro lab Birmingham

  8. Proactive Sampling Studies Reactive sampling; outbreaks, incidents interventions etc HPA studies – to go onto the ‘Knowledge Hub’ – https://knowledgehub.local.gov.uk/

  9. FW&E Laboratory Olympic Activities;How did we do it ….. and what did we do? • Working in partnership …. • Advice, Training and Sampling Support • Local support and advice as normal • On-call rota of FW&E microbiologists during Olympic period (24 hours, 7 days per week) • Training to JLARS, LOCOG, LAs, PHAs, FW&E • sampling and sampling support • User Manual • On site expert support

  10. FW&E Laboratory Olympic Activities: Monitoring • In collaboration with JLARS, LOCOG, Local Authorities, Port Health Authorities & DWI Drinking water monitoring on Olympic sites, particularly the park Verification of the commissioning process Results converted into public health interventions • relaying water pipe runs • assurance of cleaning for water fountains Water, food and environmental monitoring Marinas, hotels training camps and ships used by competitors and Olympic staff • swimming pools • spa pools • Water systems • Food service Mobile food vendors around routes for: • torch • cycling • running Seawater monitoring (Weymouth) Monitoring of other sites around Olympic Park water quality of a water feature

  11. FW&E Laboratory Olympic Activities:

  12. FW&E Laboratory Olympic Activities: • 4 hygiene problems with food manufacturers in Olympics food chain • FBOs producing sandwiches (x2), meat pies, sliced meats • Sampling resulting from monitoring and incident investigation • Initial sampling sometimes in different parts of country • Microbiological results and advice to LAs, FSA and HPUs • Improvements in manufacturers’ environments • No adverse public health events detected • 2 Norovirus outbreaks amongst athletes • Advice to LAs and HPUs • Legionella pneumophila detected in water system of ship • Results from routine monitoring • Ship providing accommodation to Olympic Park staff • Advice to London Port Health Authority and HPU • Supporting the media messages

  13. 2012 - not just the Olympics • Anthrax – • Botulism – • Bacillus – • Campylobacter – • injecting drug users • in Italian olives • shepherds pie and (haricot beans) • in chicken liver pate

  14. Has 2012 just been the Olympics? • Cryptosporidium - • E coli and an open park – • Legionnaires’ disease – • Pseudomonas • … in water and food?? • ? • Edinburgh, Stoke and a place near you? • Not just pool water ….

  15. Legionnaires’ diseaseLocal Authorities, HSE, PCT and HPA Legionnaires’ disease – cooling towers, spa pools and water systems

  16. Legionnaires’ diseaseLocal Authorities, HSE, PCT and HPA

  17. Multi-agency Working –Foods that aren’t the usual suspects ??? • Pork pie purchased from Boston • Case travels home to Hants – becomes ill • Further food sample bought from Boston; pork pie and pate and taken to Hants • Food samples tested at HPA FW&E Porton • Listeria isolated and sent to HPA Ref lab at Colindale • fAFLP typing links food isolates with previous cases • LA, HPA, FSA involvement in incident Barnsley Sheffield Boston Colindale Porton

  18. HPA in the East Midlands Outbreak Management • East Midlands North and South Joint Outbreak Control Plans / Operational Framework - 2012 • Determination of an outbreak • Outbreak management • Outbreak response • Outbreak/incident control • Closure of the outbreak

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