Rapid Response Team Program Update Travis Goodman, RRT Program Coordinator, FDA February 2, 2016 Who is on the RRT? 5 legs of the RRT Food ProgramFeed Program FDA District Laboratory Epidemiology Indiana & Wisconsin are non-funded RRTs RRT Program Ultimate Goal: Improve the effectiveness of multi-jurisdictional food/feed emergency responses with the ultimate objective of reducing the time from agency notification to implementation of effective control measures How: Use ICS; Enhanced capacity; Advanced training; Operate as one unified team to protect public health while meeting agency requirements/mission Bonus Outcome: Capture best practices and share them with others! 5 RRT Investigations By the Numbers 340 incidents investigated 321 responses (94%) 19 activations (6%) Fun fact same breakdown as last year! Human illness or outbreak linked (53%) Positive product investigation (20%) Recall investigation (20%) 18 RRTs reporting data Positive product investigation, 2015 CAT Summary n=180 n=213 n=142 n=55 n=160 n=84 n=114 n=54 Tracebacks 180 tracebacks 56% resulted in successful identification of the source Informational 41% source identified Regulatory 65% source identified 45 were both Informational & Regulatory High Profile RRT Activations 2011: Salmonella Agona in Papaya (TX RRT) 2011: E. coli O157:H7 in in-shell Hazelnuts (MI, MN, CA,WI) Article on the traceback published in the Journal of Food Protection 2012: Salmonella in Diamond Pet food (MI) Resultant large scale recall 2013: Cyclospora in bagged salad mix and cilantro(IA & TX) 2 separate, concurrent outbreaks Repeat for TX & Cilantro in 2014 & : Listeria in soft Mexican Cheeses (MD & VA) 2015: Listeria in caramel apples (MO, MN & CA) 2016: Lead in water in Flint, MI (MI) 9 10 RRT Best Practices Manual 1.Working With Other Agencies 2.Federal State Cooperative Programs 3.Industry Relations 4.Tools for Program Analysis & Improvement: CIFOR 5.Food Emergency Response Plan 6.Communication SOPs* 7.ICS Concepts in RRTs* 8.RRT Training 9.Tracebacks* 10.Joint Inspections & Investigations 11.Environmental Sampling & Records Collection* 12.Food Recalls 13.After Action Reviews 14.Metrics 15.New in Exercises *Chapters are undergoing intensive revisions for 2016 Edition State Response to Highly Pathogenic Avian Influenza (HPAI) H5N2 Kirsten Knopff Business and Quality Management Supervisor Response Planning Chief Minnesota Department of Agriculture Background Minnesota is: #1 Turkey Producer in the Nation Ranked 8 th for Egg Layers in the US Kandiyohi County, MN is: Home to world's largest turkey processor/marketer Jennie-O Turkey Store Home to the world's largest turkey hatching company Willmar Poultry Company Background MN Board of Animal Health (BAH) 5 member citizen board 3 Producers and 2 DVMs Appoints State Vet Minnesota Department of Agriculture Memorandum of Understanding (MOU) to support BAH during incidents Never the lead agency on BAH emergencies MN Situation First Case: March 4, 2015 Last Case: June 5, Premises - 9,024,632 birds 96 Commercial Turkey 4 Chicken Layers 1 Chicken Pullet 1 Backyard 6 Dangerous Contact How does AI Affect Food Safety? Egg Safety Eggs must be permitted by BAH Some eggs sent to a breaker facility FSIS approved Virus can not survive processing Egg Inspections Eggs are regulated by many agencies How does AI Affect Food Safety? Feed Must be permitted in and out of Control Zone Feed Inspections Meat Poultry randomly tested at processing plant Low to no human health risk if cooked properly Positive flocks euthanized and composted How does AI Affect Food Safety? Food Products on Positive Premise Permit was not required Minnesotas new authority M.S. 34A.11 Subd. 7.Emergency powers. After an emergency declaration issued under chapter 12, chapter 35, or the federal Stafford Act, the commissioner may restrict the movement of food if the commissioner has probable cause to believe that the movement of food may: threaten the agricultural economy; transport a dangerous, infectious, or communicable disease; or threaten the health of animals. The commissioner may provide for the issuance of permits to allow for the continued movement of food upon meeting the disease control measures established by the commissioner. IM IN FOOD SAFETY, WHAT CAN I DO DURING A FOREIGN ANIMAL DISEASE (FAD) RESPONSE? Identify Employee Strengths Facilitation Subject Matter Expertise exp. Environmental Sampling or Compost Data Management Resource Management Supervision Communication Outreach Command and General Staff Planning Chief, Checkin/out, Demob, Resource Unit, Situation Unit, Permitting Logistics Chief, Supply Unit, Ground Support Finance Liaison Public Information Officer (PIO) Operations Backyard Surveillance Drive roads to find backyard flocks Group Supervisors Feed Program Manager was the Euthanasia Group Sup Environmental Sampling Sampling barns after dry and wet cleaning Biosecurity Verification of biosecurity at positive premises Lessons Learned Multi Agency Responses CAN work with the use of ICS Preparation Communication and MOUs Training Response Teams Funding Sources Data and documentation database Sufficient resources are key Staff - Spending authority Morale Boosters Contact Information Kirsten Knopff Business and Quality Management Supervisor Minnesota Department of Agriculture All-Hazard Response: Utilizing the RRT in a Foreign Animal Disease Response Brandon Sauceda, MPH RRT Coordinator Georgia Department of Agriculture February 2, :00am High Pathogenic Avian Influenza Flyways Georgia Poultry Statistics $28 billion to the state economy Largest segment of Georgia Agriculture: Poultry is 48% of ag economic sector (65%) #1 in the U.S. & #7 in the world for broiler production Foreign Animal Disease Response Requirements Incident Management Incident Command Resource Management Biosecurity Surveillance & Epidemiology Public Information Operations Cleaning and Disinfection Disposal Depopulation Vaccination Quarantine and Movement Control Response preparations Weekly HPAI planning meetings with state and federal staff Validating participants for IMT: partnership with Georgia Forestry Commission GEMA Executive Briefing: WebEOC dashboard created regarding HPAI ESF 11 Support Agency Briefing Partnership with industry : All in, All Gone media campaign Public Information & Risk Communication Relevant, Timely, Accurate The first step in prevention Virtual Joint Information Center established GDA HPAI Hotline & Call-Center established Biosecurity messaging to public & industry Messaging to partners and officials PIO/Risk Communications JIC Established: PIO Manual, FAQ, Biosecurity Pamphlet: 5 languages Call Center Preparations: Hotline developed & Call Center Training Chicken is safe to eat!!! Website Lessons Learned Using ICS E I-Suite Software Pre-Fill as much as possible! Planning P Timeline ICS 230 (Daily Meeting Schedule) Meeting Agendas E I-Suite Uses Auto Generates ICS Forms and IAP 202 Objectives 203 Assignment List 204 Group Assignments 205 Comm Plan 206 Med Plan Attach More Electronic Check-in & Checkout Process ICS 211 & 221 Library of Resources Resource Management Travel Requests (for demob) Checkout plan & form Lessons Learned Managing a Large Incident Resources Remote Check-In & Check-Out Maintaining Situational Awareness SitRep ICS 214s Resource Needs Final Thoughts Plans, Finance/Admin, Logs all need PUSH PACKS to perform response activities, just as vital as Ops Push Packs/Go Kits Documentation and Accountability begins Day 1! No Cost Contracts: Nothing is free. Get it in writing! Cost Spreadsheet for ALL equipment Thank You Brandon Sauceda, MPH RRT Coordinator Georgia Department of Agriculture