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Epidemiology and Identify the Food
               d


A State Pe
         erspective
       Timothy Jo
             y ones, M.D.
                   ,
   Tennessee Depa
                artment of Health
State and Local Health
         Departtments

• Primar contact with “cases”
  Primary

• Investigations don by epidemiologists
                   ne

• Highly variable
Number of Outbreaks 2006
           utbreaks,
           u
# outbreaks
                         s




                0
                5
               10
               15
               20
               25
               30
               35
       19
          93
       19
          94
       19
          95
       19
          96
       19
          97
       19
          98
       19
          99
       20
          00
                             Foodborne O




Y
       20
          01




Year
       20
          02
       20
          03
       20
          04
       20
          05
       20
                                       Outbreaks,




          06
       20
          07
                                       Outbreaks TN




       20
          08
Outbreaks with Known Etiology
                           gy
Jurisdictional V i bili
J i di i al Variability

• Legal independe
                ence

• No standardized procedures
                d

• Experience commmunicating with
  federal agencies and industry
                 s
Limita i
          Li i ations

• Sometimes information is not
  aggressively pur
                 rsued

• Sometimes the p
                patient just doesn’t
  know
Solut
                tions
• Training and res
                 sources

• Coordination am
                mong jurisdictions
  – FoodNet Outbreak
    FoodNet,       kNet

  – CIFOR Guidelines

• Improved commu cat o
    p o ed co munication

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Tim Jones Tennessee Dept Of Health

  • 1. Epidemiology and Identify the Food d A State Pe erspective Timothy Jo y ones, M.D. , Tennessee Depa artment of Health
  • 2. State and Local Health Departtments • Primar contact with “cases” Primary • Investigations don by epidemiologists ne • Highly variable
  • 3. Number of Outbreaks 2006 utbreaks, u
  • 4. # outbreaks s 0 5 10 15 20 25 30 35 19 93 19 94 19 95 19 96 19 97 19 98 19 99 20 00 Foodborne O Y 20 01 Year 20 02 20 03 20 04 20 05 20 Outbreaks, 06 20 07 Outbreaks TN 20 08
  • 5. Outbreaks with Known Etiology gy
  • 6. Jurisdictional V i bili J i di i al Variability • Legal independe ence • No standardized procedures d • Experience commmunicating with federal agencies and industry s
  • 7. Limita i Li i ations • Sometimes information is not aggressively pur rsued • Sometimes the p patient just doesn’t know
  • 8. Solut tions • Training and res sources • Coordination am mong jurisdictions – FoodNet Outbreak FoodNet, kNet – CIFOR Guidelines • Improved commu cat o p o ed co munication