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Rapid Response Team Program Update
Travis Goodman,RRT Program Coordinator, FDA
February 2, 2016
Who is on the RRT?
• 5 ‘legs’ of the RRTFood Program Feed 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
Animal illness,
1%
Human illness/
outbreak, 53%
Natural disaster,
1%
20%
Recall, 20%
Other, 5%
Positive product investigation,
2015 CAT Summary
0%
10%
20%
30%
40%
50%
60%
70%
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
0
20
40
60
80
100
120
140
160
InformationalTracebacks
RegulatoryTracebacks
No. ofTracebackInvestigations
No. ofTracebackswhere Sourcewas Identified
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 & 2015
• 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 Training9. Tracebacks*10. Joint Inspections &
Investigations11. Environmental
Sampling & Records Collection*
12. Food Recalls13. After Action Reviews14. Metrics15. New in 2015 -
Exercises
*Chapters are undergoing intensive revisions for 2016 Edition
State Response to Highly Pathogenic Avian Influenza (HPAI) H5N2
Kirsten KnopffBusiness and Quality Management
Supervisor Response Planning Chief
Minnesota Department of Agriculture
Background
• Minnesota is:
– #1 Turkey Producer in the Nation
– Ranked 8th 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, 2015
• 108 Premises - 9,024,632 birds– 96 Commercial Turkey
– 4 Chicken Layers
– 1 Chicken Pullet
– 1 Backyard
– 6 Dangerous Contact
UNIFIED COMMAND
EUTHANASIA
GROUP
ENVIRONMENTAL SAMPLING TEAMS
VMO/AHT SURVEILLANCE
TEAMS
AHT/ADMINLABORATORY SAMPLE TEAM
FADDDISEASE
SURVEILLANCE
FADDSICK CALL
DEPUTY IC
PUBLIC
INFORMATION OFFICER
SAFETY OFFICER
LIAISON OFFICER
LEAD AGENCY
SITUATION UNIT
DOCUMENTATION UNIT
RESOURCE/DEMOB
UNIT
COST UNIT
MEDICAL UNIT
IT UNIT
CLAIMS UNIT
PROCUREMENT UNIT
CHECK IN/OUT UNIT
CASE MANAGER
GROUP
COMPOST MONITOR/
DISINFECTION/VERIFICATION
CASE MANAGER
SUPERVISOR
CASE MANAGER
SUPERVISOR
CASE MANAGER
SUPERVISOR
CASE MANAGER
SUPERVISOR
APPRAISAL GROUP
FINANCE SECTION CHIEF
MN HPAI 2015 June 22, 2015
RESOURCE
VERIFICATION UNIT
LOGISTICS SECTION CHIEF
AGENCY
REPRESENTATIVES
CASE MANAGER
DOCUMENTATION
CASE MANAGER SUPPORT
OPERATIONS SECTION CHIEF
EMRS DATA ENTRY
SUPPLY UNIT ASST.
SUPPLIES
SUPPLY UNIT ASST.
EQUIPMENT
ORDER GROUP
PERSONEL/TRAVEL
SUPPLY UNITLEADER
PLANNING SECTION CHIEF
DISEASE REPORTING
OFFICER
EPI SUPERVISOR
MAPPING
CLEANING
DISINFECTION
CONTRACT OFFICER
LOGISTICS ADMIN
GROUND SUPPORT
SITE MANAGER
SUPERVISOR
Site Managers
Personnel - MN BAH/MDA 88 - USDA:APHIS:VS 64 - Other Federal Agency 22 - Contracted Overhead 12 - Contracted Depop. Crews 334 - Total 520
PERMITTING UNIT
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
– Minnesota’s new authorityM.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.
I’M 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
Email: [email protected]
All-Hazard Response:Utilizing the RRT in a
Foreign Animal Disease Response
Brandon Sauceda, MPHRRT Coordinator
Georgia Department of Agriculture
February 2, 201611:00am
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 www.allinallgone.com
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 CoordinatorGeorgia Department of Agriculture
[email protected] 404-656-3621