Global Food-Local Outbreaks
Foodborne outbreaks continue to present challenges to the health of the nation. Recent outbreaks of E. coli and salmonella suggest that breaches in food safety measures are occurring at various levels of food production and handling. Through national case studies, leading experts in the field of food safety present challenges to and strategies for ensuring a safe food system. This Public Health Grand Rounds highlights current issues in the food safety system and how public health leaders and professionals can respond to foodborne outbreaks.
Target Audience:
Healthy Water – Public Swimming Pools, Spas, and Water Parks
Program Aim:
The Healthy Water Program provides basic technical information about:
• Healthy Swimming Pool Water Basics
• Waterborne Disease Epidemiology
• Inspection Priorities
• Rules and Regulations
Target Audience:
Environmental health professionals and their community partners in healthcare and education.
Hepatitis A: An Anatomy of an Outbreak
Upon viewing of this slide show, learners will be able to:
• Describe the process of conducting a disease outbreak investigation
• Identify several methods of data collection used in an outbreak
• Recognize which agencies and departments may be involved in a large scale outbreak
• Recognize the process of trace back when a food item is determined as a source
The intended target audience for the slide show is: Physicians, Nurses, Certified Health Education Specialists, and Certified Food Safety Inspectors who may potentially come in contact with food-borne illnesses.
Hot Topics 2007
Hot Topics in Preparedness is sponsored by NWCPHP to provide an authoritative hour-long forum each month for discussing topics that are important to the public health practice community. We focus on the six states in our region (Alaska, Idaho, Montana, Oregon, Washington, Wyoming) and the tribal health units (coordinated through the Northwest Portland Area Indian Health Board).
Public health professionals can log into the live, online forum at no cost to listen to the presentation and actively ask questions. Archived sessions are available on CD upon request.
Import and the Risk to Agriculture (Grand Rounds 2005)
In 2005, the United States will import more than $58 billion in agricultural products, the U.S. Department of Agriculture estimates. Security experts caution that food imports can be targeted for intentional contamination. Dr. Radford Davis will discuss food security and address the importance of food imports to the American diet, explain the steps in importing food, and cover the basics the container trade. Dr. Davis is an assistant professor of public health and an assistant director of the Center for Food Security and Public Health at Iowa State University.
Introduction to the Detection of Microbial Indicators and Pathogens in Food and Water
In this presentation, Dr. Schwab discusses what laboratory practices may be used to detect harmful agents in food and water.
Part 1: Laboratory Detection of Microorganisms
Part 2: Microbial Indicators
Part 3: Detection of Pathogens in Food and Water
After listening to, viewing, and studying the presentation materials, you will be able to do the following:
• Identify the role of the Laboratory Response Network in facilitating microbial bioterrorism and outbreak investigations
• Define the difference between detecting indicators and frank human pathogens
Metro Atlanta Responds to West Nile Virus: A Coordinated Public Health Response
Joy Wells, MPH, Director for Health Assessment at the Cobb-Douglas Boards of Health, Robert Blake, REHS, MPH, Director of the Division of Environmental Health at the DeKalb County Board of Health, and Heidi Davidson, MPH, District Epidemiologist at the East Metro Health District discuss the metro Atlanta's coordinated response to West Nile Virus. As part of the discussion, panelists also discuss the Metro Atlanta Surveillance Task Force (MASTF).
Plants, People, and Pathogens: Public Health and Crop Security in an Age of Bio-Preparedness
Jacqueline Fletcher, PhD, of the Department of Entomology & Plant Pathology at Oklahoma State University, talks about the vulnerability of plants to emerging pathogens, pests and their potential for usage in bioterrorist attacks. She describes how plant diseases can cause a great deal of havoc, including reduction in quantity, higher food prices, and most importantly they can affect humans and livestock. Because of these many factors, in her talk, Dr.
Preparedness & Community Response to Pandemics
This introductory course on pandemic influenza will help the learner understand why this virus is capable of producing worldwide outbreaks. Participants will explore the epidemiology, historical context, and response efforts related to both seasonal and worldwide influenza outbreaks.
Prion Disease Research at the National Animal Disease Center (Grand Rounds 2007)
Prion diseases or transmissible spongiform encephalopathies (TSEs) are fatal neurologic conditions of animals and humans. Animal TSEs include scrapie of sheep and goats; chronic wasting disease (CWD) of cervids, such as deer, moose, and elk; transmissible mink encephalopathy (TME); and bovine spongiform encephalopathy (BSE).
Protecting Our Food System Educational Orientation Tabletop Exercise
This orientation exercise involves an intentional attack to our food system with a highly toxic agent (the most toxic substance known, and an agent listed in CDC’s “A” group of BT agents.) The exercise is designed to be educational in nature and to help participants think through and understand the responses and relationships necessary for the successful resolution of an event.
Protecting Our Food System from Intentional Attack
This module is a compilation of training resources for public health professionals in five areas of practice: cooperative extension; food processing operations; food production operations; public information; and local environmental health. The trainings can be used for individualized learning by those who work directly in food system protection or as training materials by local professionals with staff education responsibilities. These resources are intended to build capacity to:
Public Health After Katrina's Rule
Raoult Ratard, MD, MPH, TM, MS, Louisiana State Epidemiologist, discusses the public health consequences of Hurricane Katrina, including infectious diseases, immunizations and healthcare delivery. Dr. Ratard also discusses the environmental issues, such as pollution and indoor air quality, resulting from Hurricane Katrina.
Public Health Burden of Foodborne Disease
This presentation by Dr. Fred Angulo, Foodborne and Diarrheal Diseases Branch, Division of Bacterial and Mycotic Diseases, US Center for Disease Control and Prevention, gives the viewer an introduction to the public health burden of foodborne disease.
Educational Objectives:
• Understand how surveillance drives the cycle of public health prevention
• Define the "farm to table" prevention strategy
• Understand the 2010 goals related to food safety and what it will take to achieve them
Target Audience:
Public Health Emergency Preparedness: Why Culture Matters
The ability to train health care professionals to deliver care in a culturally competent manner is the cornerstone of any effective heath program. Although this nation has aggressively pursued efforts to prepare health professionals for disasters, it is not clear how competent public health professionals are in understanding cultural issues related to various phases of disaster planning (i.e., prevention, preparedness, response, and recovery).
Public Health Impacts of Industrial Food Animal Production (Grand Rounds 2008)
Ellen K. Silbergeld, Ph.D., is a professor of environmental health sciences at the Johns Hopkins University Bloomberg School of Public Health. In this presentation she discusses current information on the public health impacts associated with methods of intensive food animal production.
Response to Foodborne Outbreaks: The Federal and State Response
Robert Tauxe, MD, MPH, Deputy Director, Division of Foodborne, Bacterial and Mycotic Diseases, National Center for Zoonotic, Vectorborne, and Enteric Diseases, Centers for Disease Control and Prevention, and David Acheson, MD, Assistant Commissioner for Food Protection, Food and Drug Administration discuss lessons learned from historical foodborne outbreaks, their impact on current outbreaks, and the importance of preventive events such as the massive recall of products.
Science of Avian Influenza Control in Agriculture
David Swayne, DVM, MSc, PhD, Director, Southeast Poultry Research Laboratory, U.S. Department of Agriculture, discusses the ecology and epidemiology of avian influenza from an agricultural perspective. He also discusses the strategies of biosecurity, which includes quarantine, diagnostics, surveillance, elimination of infected poultry, and vaccination to achieve the three goals of prevention, management, and eradication of the disease.
Special Needs Populations in Disaster Response
The course will discuss the basic principles which should underlie disaster consequence management, planning and appropriate actions within the action phases of disaster response. It will focus on the saving of life and mitigation of injury for victims with special needs and vulnerabilities. The discussion will examine how culture and religion are population characteristics which may be usefully considered in the context of special needs when designing and executing consequence management activities during a crisis.
Terrorism and Tourism
Peter E. Tarlow, PhD, President of Tourism and More, Inc., discusses issues of terrorism and tourism. The specific areas that Dr. Tarlow covers include: patterns of tourists, impacts between terrorism and tourism, advice on things to do when you travel, and insights on some of the relationships - economic relationships, between public health policy and the world tourism.
The Impact of Pandemic Influenza on Public Health
In this training, Dr. Chotani examines the path of the avian influenza and examines how it could impact world health.
The Joy and Power of Disaster Preparedness
Vulnerable populations have limited knowledge of emergency services resources and capabilities. The emergency services system has limited knowledge of vulnerable populations (the numbers and the characteristics)
Educational Objectives
• Participants will recognize the considerable joy and power in disaster preparedness
• Participants will recognize the need for a state and national public protection policy
• Participants will recognize the need for clearly identifying roles, responsibilities, liabilities, and recovery funding streams
The Terrorist Threat to Global Agriculture, Food and Water Supplies: What can we do to insure an ongoing and safe supply of food and water?
This lecture series will compare and contrast past and contemporary examples of domestic and global terrorist attacks on agriculture, food and water systems in order to instill in the student an appreciation for the serious public health challenges posed from such attacks. We will consider the use of microorganisms, radiation, and chemicals to inflict damage on plants, animals, ready-to-eat and fresh food supplies, water sources, public health, and public morale. In addition, we will review laws, regulations and organizations that are used to protect U.S. populations from such attacks.
Threats to Public Health: Safeguarding Food, Water and Animals
Part 1: Basics of Food Safety (Schwab)
Part 2: Securing the Water System (Schwab)
Part 3: Pandemic Influenza: Threat and Reality (Chotani)
Part 4: How Do I Protect My Community? (Panel discussion)
Tribal Community Health Representative Workshop
The “Talking Circle” is an approach used in this workshop to deliver the history of the Incident Command System, basic epidemiological principles, and personal preparedness. It is a culturally appropriate teaching format used among many Native-American tribes. Often used as a teaching format by health educators for health promotion purposes, the Talking Circle provides a culturally appropriate methodology for teaching public health preparedness, ICS and epidemiological concepts to Native-American Community Health Representatives.
Tribal Public Health Emergency Preparedness and Response
The tribal emergency preparedness and response training project was developed through a partnership with the Arizona Department of Health Services, Office of Public Health Emergency Preparedness and Response and the University of Arizona Mel and Enid Zuckerman College of Public Health. The workshops were implemented statewide through five regional 1 ½ day sessions.
Water Safety
Dr. Rolf Halden describes the importance of water in the United States, how water is processed, and the governmental regulations that protect the processing system.
Part 1: Introduction
Part 2: Drinking Water Treatment
Part 3: Wastewater Treatment and Infrastructure Protection
After listening to, viewing, and studying the presentation materials, you will be able to do the following:
• Explain the necessity of water management for public health
• Identify current strategies for processing of drinking water and wastewater
Water Safety - A Case Study
Dr. Rolf Halden examines the largest documented outbreak of waterborne disease in U.S. history and describes lessons learned from the incident.
Part 1: The Milwaukee Incident
Part 2: Forensic Results and Lessons Learned
After listening to, viewing, and studying the presentation materials, you will be able to do the following:
• Define public health risks associated with the parasite Cryptosporidium
• Explain how this parasite caused the largest documented outbreak of waterborne disease in the United States
Water Security Exercise
The materials provided here were presented at the Association of Schools of Public Health Environmental Conference in 2005. The materials include a presentation on water security and guidelines for the subsequent exercise. The presentation addresses the public health issues of water system security, beginning with a brief history and background of contamination.
Water, Water Everywhere and Not a Drop to Drink
The 2006 Models of Excellence Lecture Series engages public health practitioners in discussions about historical and contemporary public health events and extract lessons for future preparedness. Dr. Mark Rosenberg and Dr. Christine Moe co-present the lecture, Water, Water Everywhere and Not a Drop to Drink!, which showcases both the Gastrointestinal Illness at Crater Lake National Park in 1975 as the ‘Historical Issue’ and Protecting Our Water Supply in Contemporary Times as the ‘Contemporary Issues’.

