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Key Points:

Key Points for Interviewing

Key Points for Cluster Prioritization

Key Points for Binomial Probability Calculations

Key Points for Product Tracing in Epi Investigations Part 1

Key Points for Product Tracing in Epi Investigations Part 2

Key Points for Food Transaction Records from Credit or Debit Cards

Key Points for Creating a Team of Student Workers

Key Points for Investigating Sub-Clusters

Key Points for Creating a Foodborne Complaint System


Tools:

Outbreak Response Protocol – This outbreak response protocol can be used as a template to create a standard protocol for outbreak response. It can enable stakeholders to work together effectively during outbreak investigations; define roles and responsibilities; and foster effective communication and data sharing among investigation team members. Also see the appendices.

Restaurant Non-Cooperation Letter – During a restaurant outbreak investigation, it can often be challenging to obtain patron contact information (i.e. credit card receipts, online orders, or reservations) from the restaurant. Providing a letter explaining the public health authority to collect this information is one way to increase cooperation from the restaurant.

Surveillance Case Letter – During PFGE cluster investigations, cases may not answer phone calls or initially refuse to be interviewed. Sending a letter explaining that they are most likely part of an outbreak can increase interview participation.

2013 Minnesota CIFOR Target Ranges for Select Performance Measures

2014 Minnesota CIFOR Target Ranges for Select Performance Measures

Stool Specimen Collection Video


Environmental Health Resources:

Environmental Health Checklist when Responding to a Hepatitis A Infection

Environmental Health Checklist when Responding to a Salmonella Outbreak

Environmental Health Checklist when Responding to a Suspected Bacterial Intoxication

Environmental Health Checklist when Responding to a Campylobacter Illness

Environmental Health Checklist when Responding to a Vibrio Infection

Environmental Health Checklist when Responding to a Norovirus Outbreak

Environmental Health Guidance for a Cryptosporidium Outbreak at a Pool

Employee Screening Form for Norovirus Investigations

Employee Screening Form for Salmonella Investigations

Employee Interview Form for Norovirus Investigations (Spanish Version)

Employee Interview Form for Salmonella Investigations (Spanish Version)


Outbreak Investigation Case Series:

Salmonella I 4,[5], 12:i:- Associated with Coleslaw at a Restaurant, 2015

Listeria monocytogenes Associated with Soft Cheese, 2013

E. coli O157:H7 Associated with Hazelnuts, 2010

E. coli O157:H7 Associated with Ground Beef Patties, 2007

E. coli O157:H7 Associated with Prepackaged Salad, 2005


Traceback Investigations:

White Paper: Product Tracing in Epidemiologic Investigations of Outbreaks due to Commercially Distributed Food Items –Utility, Application, and Considerations

Traceback Information Gathering Worksheet – Can be used by staff in the field to help gathering the necessary information to conduct a traceback investigation


Project [Hg] Mercury

Project (Hg) Mercury is a multi-site collaboration started by the Oregon Integrated Food Safety Center of Excellence that utilizes existing Salmonella and STEC case exposure data to create aggregates of background consumption estimates for use in binomial probability calculations during outbreak investigations.

Background Population Exposure Estimates Using Salmonella Case Interviews

Background Population Exposure Estimates Using E. coli O157 Case Interviews


Other Resources:There's No Such Thing as "Stomach Flu" - Norovirus education poster

MDH Foodborne Illness Print Materials


CDC Integrated Food Safety Centers of Excellence:

CDC Integrated Food Safety Centers of Excellence

Colorado Integrated Food Safety Center of Excellence

New York Integrated Food Safety Center of Excellence

Tennessee Integrated Food Safety Centers of Excellence

Washington Integrated Food Safety Center of Excellence


More information about food safety:

Food Safety – Minnesota Department of Health

Food Safety – School of Public Health – University of Minnesota

Food Safety – Minnesota Department of Agriculture

Food Safety – CDC

CIFOR – The Council to Improve Foodborne Outbreak Response

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