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When Food is Foul: Field Epi Investigations

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)

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When Food is Foul: Field Epi Investigations

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  1. When Food is Foul: Field Epi Investigations

  2. Agenda • Who are Field Epis? • Three themes of foodborne investigations • Continuing education opportunities

  3. 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

  4. EpiAid: Policy • Formal request for Field Epi assistance • Policy posted on www.cfep.ca • Modified policy applies to international requests

  5. EpiAid: Terms of Reference Field 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.

  6. 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

  7. EpiAid: Field Epi Deployment • 2-3 weeks in the field • Assist (not lead) outbreak investigation • Supported by PHAC/Health Canada content experts

  8. 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

  9. Field Epi Foodborne Investigations • Descriptive epi • Finding the source • Data for action!

  10. 1. Descriptive Epi • Person • Place • Time

  11. S. Berta Outbreak Ontario, 1994 Cheese sold at market on weekends

  12. 2. Finding the Source

  13. Finding the Source • S. Stanley outbreak in BC in 2001 • Vegetarians • Asians • Women

  14. 3. Data for Action!

  15. 3. Data for action!

  16. Age Distribution of S. Enteritidis Cases Canada, 1998

  17. 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

  18. www.cfep.ca

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