2004 Pan American Health Organization.... 5 th World Congress on Foodborne Infections and...
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![Page 1: 2004 Pan American Health Organization.... 5 th World Congress on Foodborne Infections and Intoxications Berlin, 7 - 11 June 2004 5 th World Congress on.](https://reader036.fdocuments.in/reader036/viewer/2022062404/551c16d2550346a34f8b56a3/html5/thumbnails/1.jpg)
2004
Pan AmericanHealthOrganization
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5th World Congress on Foodborne Infections and Intoxications
Berlin, 7 - 11 June 2004
5th World Congress on Foodborne Infections and Intoxications
Berlin, 7 - 11 June 2004
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2004
Pan AmericanHealthOrganization
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Network and Epidemiological Surveillance of Foodborne Diseases
Claudio AlmeidaDirector INPPAZ
Network and Epidemiological Surveillance of Foodborne Diseases
Claudio AlmeidaDirector INPPAZ
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2004
Pan AmericanHealthOrganization
OutlineOutline
• Data of foodborne diseases in WHO/AMRO Region• PAHO/WHO strategy to improve FBD surveillance• Networks
– INFAL– WHO-Global Salm Surv (LAC)– EpiEta– PulseNet LA– SIRVETA
• Data of foodborne diseases in WHO/AMRO Region• PAHO/WHO strategy to improve FBD surveillance• Networks
– INFAL– WHO-Global Salm Surv (LAC)– EpiEta– PulseNet LA– SIRVETA
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2004
Pan AmericanHealthOrganization
SIRVETA WHO/AMRO Region (1993-2003)
SIRVETA WHO/AMRO Region (1993-2003)
• Outbreaks 6511
• Cases 232,576
• Deaths 317
• Outbreaks 6511
• Cases 232,576
• Deaths 317
Fuente: SIRVETA Fuente: SIRVETA
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2004
Pan AmericanHealthOrganization
SIRVETA WHO/AMRO Region (1993-2003)
SIRVETA WHO/AMRO Region (1993-2003)
Known70.63%
Unknown29.37%
Bacteria57.08%
Vegetal Toxins0.93%
Parasites3.59%
Chemicals4.76%
Marine Toxins21.37%
Virus12.27%
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2004
Pan AmericanHealthOrganization
SIRVETA WHO/AMRO Region (1993-2003)
SIRVETA WHO/AMRO Region (1993-2003)
Known90.94%
Unknown9.06%
Other20.52%
Schools19.49%
Social-Restaurant
13.47% Restaurant6.94%
Health Units2.24%
Household36.09%
Street Vendors
1.25%
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2004
Pan AmericanHealthOrganization
PAHO strategy for strengthening foodborne disease surveillance PAHO strategy for strengthening foodborne disease surveillance
• Technical aspects:– Improve outbreak detection and notification– Improve outbreak investigation– Promote quality assurance in diagnosis– Promote active surveillance of selected
pathogens (Salmonella, E..coli 0157 :H7, Listeria , Campylobacter.)
– Promote studies on social and economic impact of foodborne diseases
• Managerial aspects– Improve intra-sectoral coordination to address
efficiently the food chain – Promote local surveillance systems
• Technical aspects:– Improve outbreak detection and notification– Improve outbreak investigation– Promote quality assurance in diagnosis– Promote active surveillance of selected
pathogens (Salmonella, E..coli 0157 :H7, Listeria , Campylobacter.)
– Promote studies on social and economic impact of foodborne diseases
• Managerial aspects– Improve intra-sectoral coordination to address
efficiently the food chain – Promote local surveillance systems
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2004
Pan AmericanHealthOrganization
How networking supports this strategy?How networking supports this strategy?
• INFAL and diagnosis quality assurance:– Developed an information system among member
laboratories– Facilitates availability of reference materials and
participation in inter-laboratory testing– Organizes and promotes programs for training and
education promoting the sharing of experiences and resources available
– Promotes and strengthens the intersectoral participation in building and operating national networks
– Promotes and strengthens integration of member laboratories food safety programs and epidemiological surveillance
• INFAL and diagnosis quality assurance:– Developed an information system among member
laboratories– Facilitates availability of reference materials and
participation in inter-laboratory testing– Organizes and promotes programs for training and
education promoting the sharing of experiences and resources available
– Promotes and strengthens the intersectoral participation in building and operating national networks
– Promotes and strengthens integration of member laboratories food safety programs and epidemiological surveillance
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2004
Pan AmericanHealthOrganization
Sub-networksLabs
Labs
Labs
National Networks Labs
LabsLabs
Labs
INFAL
Country - Labs
Country - Labs
Country - Labs
Country - Labs
Country - Labs
Structure of INFAL
•Assembly
•Excecutive Committee
•Technical Working Groups
•Ex-officio Joint Secretariat (FAO/PAHO)
•Advisory Board
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2004
Pan AmericanHealthOrganization
How networking supports this strategy?How networking supports this strategy?
• WHO-GLOBAL SALM SURV (Central America, South America and Caribbean (CAREC):– Training in standardized protocols in
Salmonella sp and Campylobacter sp.– Training in epidemiology of FBD and
outbreak investigation– Inclusion of managers component (Directors
of Labs and Epi)– Regional database – Quality assurance program– Improve communication between labs
(http://www.panalimentos.org/salmsurv/)
• WHO-GLOBAL SALM SURV (Central America, South America and Caribbean (CAREC):– Training in standardized protocols in
Salmonella sp and Campylobacter sp.– Training in epidemiology of FBD and
outbreak investigation– Inclusion of managers component (Directors
of Labs and Epi)– Regional database – Quality assurance program– Improve communication between labs
(http://www.panalimentos.org/salmsurv/)
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2004
Pan AmericanHealthOrganization
WHO Global Salm-SurvSout America
Argentina•Inst. Nac. de Enfermedades Infecciosas (INEI) - ANLIS “Dr.Carlos G. Malbran”•Inst. Nac. de Producción de Biológicos (INPB)- ANLIS “Dr. C G. Malbran”• Instituto Nacional de Alimentos (INAL) •Servicio Nac. de Sanidad Animal (SENASA)
Bolivia•Instituto Nacional de Lab. de Salud (INLASA)•Lab. de Investigación y Diagnóstico Veterinario (LIDIVET)
Brasil •Inst.Oswaldo Cruz - Centro de Referencia Nac. de Colera y Enteroinfeccoes Bacterianas (FIOCRUZ – RJ)•Ministério da Agricultura e do AbastecimentoSecretaria de Defesa AnimalDepartamento de Defesa animal
Colombia •Instituto Nacional de Salud•Inst. de Vig. de Medicamentos y Alimentos (INVIMA) •Instituto Colombiano Agropecuario (ICA)
Chile •Instituto de Salud Pública de Chile •Servicio Agrícola Ganadero
Paraguay•Laboratorio Central de Salud Pública•Ministerio de Agricultura y Ganadería
Peru•Inst. Nac. de Salud – Centro Nac. Lab. Salud Publica.- Div de Bacteriologia – Lab Enteropatogenos •Inst. Nac. de Salud -Centro Nac. de Alimentación y Nutrición
Uruguay•Centro Nacional de Salmonella, Inst. de Higiene •Min.de Ganaderia, Agricultura y Pesca (DILAVE)
Venezuela •Instituto Nacional de Higiene “Rafael Rangel”
REGIONAL CENTER: Instituto Nacional de Enfermedades Infecciosas (INEI) - ANLIS “Dr.Carlos G. Malbran”
Ecuador•Instituto Nacional de Higiene
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2004
Pan AmericanHealthOrganization
How networking supports this strategy?How networking supports this strategy?
• Epi-Eta– Defines an international community of foodborne
disease epidemiologists– Provides communication and discussion of topics of
international interest among foodborne disease epidemiologists by means of moderated electronic discussion site
– Provides a platform for exchange of scientific information among epidemiologists
– Provides a model of regional epidemiologic networks for other Regions
• Epi-Eta– Defines an international community of foodborne
disease epidemiologists– Provides communication and discussion of topics of
international interest among foodborne disease epidemiologists by means of moderated electronic discussion site
– Provides a platform for exchange of scientific information among epidemiologists
– Provides a model of regional epidemiologic networks for other Regions
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2004
Pan AmericanHealthOrganization
www.epi-eta.orgwww.epi-eta.org
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2004
Pan AmericanHealthOrganization
How networking supports this strategy?How networking supports this strategy?
• PulseNet Latin America (PAHO/CDC)– Training in pulse field gel
electrophoresis– Training in the use of biological
molecular techniques applied to FBD surveillance
– Regional database PFGE isolates– Quality assurance program
• PulseNet Latin America (PAHO/CDC)– Training in pulse field gel
electrophoresis– Training in the use of biological
molecular techniques applied to FBD surveillance
– Regional database PFGE isolates– Quality assurance program
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2004
Pan AmericanHealthOrganization
Conclusions of the first meetingDecember 2003
Conclusions of the first meetingDecember 2003
All countries agreed on building up PulseNet in LA
The benefits pointed out were:• Strengthen the laboratory capabilities and the
interaction epidemiology-laboratory in the Region
• Improve FBD surveillance by incorporating PulseNet data into country surveillance systems
• Regional Steering Committee: Uruguay, Chile and Brazil
All countries agreed on building up PulseNet in LA
The benefits pointed out were:• Strengthen the laboratory capabilities and the
interaction epidemiology-laboratory in the Region
• Improve FBD surveillance by incorporating PulseNet data into country surveillance systems
• Regional Steering Committee: Uruguay, Chile and Brazil
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2004
Pan AmericanHealthOrganization
Action Plan 2004-2005Action Plan 2004-2005
• 1st Training Course (7 countries, July 2004)• 2nd PulseNet LA meeting (approval of bylaws, July
2004)• Certification of the Malbran Institute (2004)• Send images from the 7 NRLs (2004)• Laboratory Certification of the 7 LA-NRLs (2005)• Emailing tiff files and text data / Establish the LA-
Data Bank (2005)• Consolidate the network (Follow-up missions, 2005)• Incorporate the Bio-Numerics (2005)• 2nd training course (incorporate new members,
2005)
• 1st Training Course (7 countries, July 2004)• 2nd PulseNet LA meeting (approval of bylaws, July
2004)• Certification of the Malbran Institute (2004)• Send images from the 7 NRLs (2004)• Laboratory Certification of the 7 LA-NRLs (2005)• Emailing tiff files and text data / Establish the LA-
Data Bank (2005)• Consolidate the network (Follow-up missions, 2005)• Incorporate the Bio-Numerics (2005)• 2nd training course (incorporate new members,
2005)
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2004
Pan AmericanHealthOrganization
SIRVETASIRVETA
• About improvements– Data collection
• New online interfaces
– Data analysis• New queries capability designed by the
user• New export capabilities
– ASCII format, Spreadsheet format
• About improvements– Data collection
• New online interfaces
– Data analysis• New queries capability designed by the
user• New export capabilities
– ASCII format, Spreadsheet format
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2004
Pan AmericanHealthOrganization
Hierarchical Screens with drop-down lists to assure input consistency
Hierarchical Screens with drop-down lists to assure input consistency
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2004
Pan AmericanHealthOrganization
Hierarchical ScreensHierarchical ScreensPlace of Consumption
Place of contamination
Contaminant
Risk factor,proliferation
Risk factor, survival
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2004
Pan AmericanHealthOrganization
ConclusionsConclusions
• It is clear that networking improves national capability for surveillance and laboratory confirmation of FBD
– Training– Standardization– Quality assurance– Scientific advice
• It is clear that networking improves national capability for surveillance and laboratory confirmation of FBD
– Training– Standardization– Quality assurance– Scientific advice
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2004
Pan AmericanHealthOrganization
Thank you very much!Thank you very much!