# Presentation: 271674

## CIFORCouncil to Improve Foodborne Outbreak Response

**Timothy Jones, M.D.**
**Tennessee Department of Health**

## Food Safety Oversight

**14 separate federal entities**
**Administer >35 separate food safety laws**
**28 congressional committees involved**
**>70 MOUs to sort it all out...**

## WHO

**WHO**
**FAO**
**PPS**
**APHD**
**WHA**
**UNEP**
**IUFOST**
**IUPAC**
**WMO**
**OECD**

**JECFA**
**JMPR**
**JEMRA**
**OIE**
**IPCS**
**INTOX**
**GEMS**
**IAEA**
**OCHA**
**GPHIN**

**SALMSURV**
**IHR**
**CDC**
**BPRO**
**FoodNet**
**NARMS**
**HACCP**
**FDA**
**USDA**
**FSIS**

**GSFS**
**GAO**
**RCED**
**DOJ**
**FBI**
**OCI**
**FERRET**
**OIG**
**ARS**
**OEP**

***The Deputy Assistant to the Assistant Deputy Administrator for District Enforcement Operations agreed with this report...**

## ...the current food safety system is a patchwork structure that hampers efforts to adequately address existing and emerging food safety risks...

**- GAO report, 2001**

## Slide 5

## Background

**January 2006**
**CSTE, NACCHO, CDC co-conveners**
**Multiple agencies**

## January 2006

**CSTE**

## Partners

**AFDO**
**APHL**
**ASTHO**
**CDC**
**CSTE**
**FDA / CFSAN**
**NACCHO**
**NEHA**
**USDA / FSIS**

## Vision

**Local, state and federal partners collaborating effectively to reduce the burden of foodborne illness in the US**

## Mission

**To improve methods at the local, state and federal levels to detect, investigate, control and prevent foodborne disease outbreaks**

## Gaps

**Public health capacity**
**Interagency coordination**
**Detection of outbreaks**
**Epi / environmental gap**
**Standards lacking**
**Etiology and vehicle often not identified**
**Multistate outbreak challenges**
**National experience can teach**
**Inadequate staff and resources**
**Evaluation critical**

**- D. Perrotta**

## Initial Projects

**Resource clearinghouse**
**Multi-jurisdictional investigation guidelines**
**Performance indicators**
**Investigation guidelines**

## Ongoing

**Steering Committee oversight**
**Contracts to implement**
**Open communication with partners**
**Regular meetings**

## Clearinghouse

**Questionnaires**
**Guidelines**
**Protocols**
**Training resources**
**Educational materials**
**Databases**

## Slide 15

## www.cifor.us

## Multi-jurisdictional Guidelines

**Detection and investigation**
**Categories**
**Notification**
**Coordination**
**Roles**
**Reporting**

## Performance Indicators

**Various agencies and levels**
**Self-assessment**
**Not “grading”**
**Initially no benchmarks**

## Guidelines

**Multi-year project**
**Practical**
**Consultants**
**Broad input**
**Vetting / foodback**
**Challenging**

## Table of Contents

**1. Practical Guide (to be done)**
**2. Fundamental Concepts**
**3. Planning and Preparation **
**4. Surveillance and Detection **
**5. Investigation **
**6. Control Measures **
**7. Multi-jurisdictional Outbreaks **
**8. Performance Indicators**
**9. Legal Issues **

## Additional Projects

**Increase availability of training**
**Lab / epi reporting integration**
**PFGE and cluster evaluation**
**National foodborne illness complaint system**
**Standard hypothesis generating questionnaires**
**Coordination with industry**

## Tim.f.jones@state.tn.us