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CDC investigates each multistate foodborne outbreak thoroughly using a 7-step process. Detect. Detect a possible outbreak by monitoring for reported illnesses nationwide. Find. Define who will be included in the outbreak and look for additional sick people. Generate. Test. Solve. Control. Decide.
Improper cooking temperatures of food. Dirty and/or contaminated utensils and equipment. Poor employee health and hygiene. Food from unsafe sources.
Identify investigation team and resources. Establish existence of an outbreak. Verify the diagnosis. Construct case definition. Find cases systematically and develop line listing. Perform descriptive epidemiology/develop hypotheses. Evaluate hypotheses/perform additional studies as necessary. Implement control measures.
FSIS investigates outbreaks of foodborne illness in collaboration with public health partners, including the Centers for Disease Control and Prevention (CDC), the U.S. Food and Drug Administration (FDA), USDAs Animal and Plant Health Inspection Service (APHIS), and state and local health and agriculture departments.
A confirmed foodborne disease outbreak is defined as an incident in which two or more persons experience a similar illness after ingestion of a common food or meal and epidemiologic evaluation implicates the meal or food as the source of illness. Confirmed outbreaks may or may not be laboratory-confirmed.
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STEPS IN A FOODBORNE. OUTBREAK INVESTIGATION. DETECT. Detect a possible. outbreak through public. health surveillance. Find more cases. in the outbreak. FIND. Generate hypotheses through interviews with sick people. GENERATE. Test hypotheses to find a likely source. If no source is found and cases continue, return to step 3.
In public health epidemiologists and other public health experts use a series of steps to answer 3 key questions, what is the problem?, what is the cause? and what can we do about it?. They use information and data to make decisions throughout an outbreak investigation.
People at Risk of Food Poisoning Adults age 65 and older. Children younger than 5 years. People whose immune systems are weakened due to illness or medical treatment. Pregnant women.

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