疫情调查的全过程-从第一起案件到法庭审判.pdf

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1、CDC Foodborne Outbreak Response Team-Lexi PalaciosFDA Coordinated Outbreak Response and Evaluation Network Karen Blickenstaff CDC Outbreak Scenario Lexi Palacios Industry Perspective Robin ForgeyFDA Office of Regulatory Affairs Chris van TwuyverLegal Perspective Shawn Stevens Discussion/Audience Que

2、stionsThe Life of an Outbreak Investigation From First Case to the CourthouseHow Does CDC Solve Outbreaks of Foodborne Illness?Lexi Palacios,MPH-Foodborne Outbreak Response TeamFood Safety SummitMay 7,2024Division of Foodborne,Waterborne,and Environmental Diseases Annual burden of foodborne illnesse

3、s-48 million illnesses-128,000 hospitalizations-3,000 deaths-$15 billion USD in direct medical costs Over 1,000 reported outbreaks each yearFoodborne Infections in the United States:Common,Costly,PreventableState infrastructure for foodborne outbreaks are vast,varied,andindependentNational outbreaks

4、 are centrally coordinated byCDC,FDA,andUSDAU.S.Roles and Responsibilities in Foodborne Outbreak InvestigationsLead national public health agencyDisease surveillanceOutbreak detectionEpidemiologic investigation and communicationsProduct traceback and facility inspectionsFood and environmental testin

5、gProduct recalls,regulatory actions and communicationsFederal regulatory agenciesState and local health and agriculture departments3000 local health jurisdictionsCollect food historiesRetail sampling,facility and farm investigations and product/regulatory actionsNational molecular subtyping network

6、for foodborne disease surveillanceDetects foodborne disease clusters using whole genome sequencing Separates outbreak cases from sporadic cases PulseNetFlow of Whole Genome Sequence Data From Patient to CDCPerson becomes ill,seeks medical careHospital lab isolates pathogen,sends to state public heal