Food or water borne-illness (2+cases)

State-wide guidelines

Detect and Characterise

Communications:

OzFoodNet, CDNA

SMA, DPH

ORT: PHN, Surv officer, admin, OzFoodNet Epi, Food Safety Officer, EHO, SMA, state water officer, lab liason, media and comms

Confirm existence of OB: real, artefactual?, lab results, timing, sx and duration illness, OB setting, food implicated

Confirm diagnosis: appropriate lab testing, expedite, serotype/subtype

Define case (case definition, susp, prob and confirmed), active case finding, generate line list

Orientate PPTP, determine who is at risk

click to edit

Generate hypothesis, analytical study

Supplement with biol samples, site visit, trace back. Trace back is where in the food production p/way, the contamination occurred well before the source

RESPOND

Case Mx:

Education

Exclusion

Control

Seizure

Food recall

Closure

Exclusion

Industry

Stand-down

Reporting, documentation, declare over, evaluate

Escalate as needed

MJOI may be declared, sometimes the National Food Incident Reponse Protocol can be initiated

Priority cases for 48 hrs post resolution of sx

Communication (int and ext)

New strains of norovirus present in Victoria

Special circumstances

ACF

Notify to PH, PH to support with line lists

Control measures

Environmental celaning: sanitise all work benches, shelves, doors, toilets etc

Faecal or vomiting accidents: hot water, detergent, 1000 ppm of chlorine

Isolate unwell from well, dedicated staff to unwell, PPE, hand hygeine, restrict patient movements, exclude from communal dining

Exclude unwell staff for 48 hr post

Ensure only food handling staff have access to kitchen, food prep areas

Avoid any self-serve foods where ill may contaminate food

Restrict visitors

HAND WASHING IS THE MOST IMPORTANT MEASURE

Characterise

Case lists, faecal specimens, EHO Ix