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Investigating Foodborne Disease Outbreaks: Mistakes Happen, Learn from Them!

Learn how to effectively investigate and control foodborne disease outbreaks. Discover the nationwide cyclosporiasis outbreak and its devastating impact on the strawberry market, caused by Guatemalan raspberries. Avoid mistakes by following evidence-based decision-making and the tenets of causation, while balancing public health consequences with potential damage to business and industry.

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Investigating Foodborne Disease Outbreaks: Mistakes Happen, Learn from Them!

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  1. Epilogue to the Investigations Foodborne Disease Outbreak Investigation Team Training

  2. Implement control measures whenever sufficient information is available!

  3. Mistakes Do Occur • Nationwide outbreak of cyclosporiasis • One site announced outbreak due to California strawberries • Strawberry market devastated • True source Guatemalan raspberries

  4. How to Avoid Mistakes Use body of evidence to make decisions Follow the tenets of causation • Exposure precedes illness • Strength of association • Dose-response relationship • Consistency of data with other investigations • Biologic plausibility Balance public health consequences of not taking action with quality of data and potential damage to business/industry

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