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Foodborne Outbreak Investigation, Hanoi, Vietnam 01 – 05 June 2009 WHO Global Salm-Surv (WHO GSS) Building capacity to detect, control and prevent foodborne.

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Presentation on theme: "Foodborne Outbreak Investigation, Hanoi, Vietnam 01 – 05 June 2009 WHO Global Salm-Surv (WHO GSS) Building capacity to detect, control and prevent foodborne."— Presentation transcript:

1 Foodborne Outbreak Investigation, Hanoi, Vietnam 01 – 05 June 2009 WHO Global Salm-Surv (WHO GSS) Building capacity to detect, control and prevent foodborne and other enteric infections Dr Danilo Lo-Fo-Wong

2 Foodborne Outbreak Investigation, Hanoi, Vietnam 01 – 05 June 2009 What is WHO GSS? A network of institutions and individuals working in veterinary, food and public health disciplines committed to enhancing capacity of countries to conduct integrated foodborne and other enteric infections surveillance

3 Foodborne Outbreak Investigation, Hanoi, Vietnam 01 – 05 June 2009 WHO Global Salm-Surv Vision Foodborne and other enteric infectious diseases are a common cause of illness, disability, and death worldwide. We believe they are preventable, and therefore, place an unnecessary burden on society. Our vision is that all countries will prevent and control these diseases.

4 Foodborne Outbreak Investigation, Hanoi, Vietnam 01 – 05 June 2009 WHO Global Salm-Surv Mission Enhance the capacity of countries to detect, respond, and prevent foodborne and other enteric infections. Foster intersectoral collaboration –human health, veterinary, and food-related disciplines To promote integrated, laboratory-based surveillance

5 Foodborne Outbreak Investigation, Hanoi, Vietnam 01 – 05 June 2009 WHO GSS main activities Focused Regional and National Projects Reference Services  Communication (Inter)national Training Activities  External Quality Assurance System (EQAS) Country Data Bank (CDB)  > 1 200 Members  > 700 Institutions  158 Member States

6 Foodborne Outbreak Investigation, Hanoi, Vietnam 01 – 05 June 2009 1. Thailand-Level 1-December 1999 2. Argentina-Level I-June 2000 3. Middle East-Level I-July 2000 4. China-Level I-April 2001 5. Thailand-Level II-June 2001 6. Argentina-Level II-Sept 2001 7. Mexico-Level I-July 2001 8. Thailand-Level III-Jan 2002 9. Poland-Level I-April 2002 10. Middle East-Level II-June 2002 11. Caribbean-Level I-Sept 2002 12. Cameroon-Level I-Nov 2002 13. China-Level II-Nov 2002 14. Mexico-Level II-March 2003 15. Moscow-Level I, Part I-May 2003 16. Argentina-Level III-May 2003 17. Poland-Level II-June 2003 18. Middle East-preLevel III-July 2003 19. Kazakhstan-Level I-July 2003 20. Thailand-Advanced Wksp I-Aug 2003 21. Cameroon-Level II-Dec 2003 22. Middle East-Level III-Feb 2004 23. Caribbean-Level II-March 2004 24. Poland-Level III-April 2004 25. China-Level III- May 2004 26. Mexico-Level III-Sept 2004 27. Russia-St. Pete-Level I-Oct 2004 28. Cameroon-Level III-Dec 2004 29. Caribbean-Level III- May 2005 30. Russia-St. Pete-Level II-June 2005 31. Brazil-Level I,Part I-Sept 2005 32. China Advanced Wksp I- Dec 2005 33. Cameroon-Level IV-Dec 2005 34. Poland-Adv Wksp-I-Feb 2006 35. Russia-St. Pete-Level III-May 2006 36. Argentina-Adv Wksp I-May 2006 37. Brazil-Level I-Part II-Sept 2006 38. Pacific-Level I-Oct 2006 39. Antisera Training Course-Nov 2006 40. China-Adv Wksp II-Nov 2006 41. Thailand-Adv Wksp II-Jan 2007 42. Madagascar-Level I-Jan 2007 43. Guatemala-Level III-March 2007 44. Egypt-Adv Wksp I-March 2007 45. Russia-St. Pete-Adv Wksp I-Sept 2007 46. Caribbean-Adv Wksp I-Sept 2007 47. Kenya-Level I-Oct 2007 48. Brazil-Level II-Nov 2007 49. China-Adv Wksp III-Nov 2007 50. Poland-Adv Wksp-II-Feb 2008 51. Cameroon-Adv Wksp I-March 2008 52. Moscow-Level I-March 2008 53. Argentina-Adv Wksp II-May 2008 54. Papua New Guinea-Level I-June 2008 55. Brazil-Level III-Sept 2008 56. China-Adv Wksp IV-Oct 2008 57. Kenya-Level II-Jan 2009 58. Guam-Level I-Feb 2009 59. Thailand-Adv Wksp III-March 2009 60. Costa Rica-Adv Wksp I-April 2009 61. Madagascar-Level II-April 2009 62. China-Focussed Wksp-May 2009 63. Poland – Adv Wksp-May 2009 WHO GSS Training activities 2000 - 2009 Food Safety, Zoonoses and Foodborne Diseases (FOS) | 09 April 2009, Geneva, Switzerland

7 Foodborne Outbreak Investigation, Hanoi, Vietnam 01 – 05 June 2009 International Training Courses Microbiology training –Salmonella diagnostics –Campylobacter diagnostics –Region-specific pathogens (e.g. E. coli O157, Vibrio Cholerae, S. Typhi, Bacillus anthracis, Brucella, Shigella) –Antimicrobial Susceptibility Testing Epidemiology training –Outbreak detection and response –Evaluation of surveillance systems –Study design –Source attribution –Burden of disease Joint Epidemiology and Laboratory –Integrated surveillance –Risk assessment –Country Plans of Action –Advocacy and communication –Information sharing networks

8 Foodborne Outbreak Investigation, Hanoi, Vietnam 01 – 05 June 2009 www.antimicrobialresistance.dk/who/protocols.html Laboratory Manuals By pathogen –Salmonella –Campylobacter –E. coli O157 –Shigella By basic and molecular methods –Isolation, ID, Serotyping –AST, PCR, PFGE Various languages –English, French, Spanish, Russian, Chinese

9 Foodborne Outbreak Investigation, Hanoi, Vietnam 01 – 05 June 2009 Advanced workshops activities –Regional projects / surveillance enhancement –Conference style / workshop –Training in advanced methods Advanced Workshops

10 Foodborne Outbreak Investigation, Hanoi, Vietnam 01 – 05 June 2009 Participating provinces Henan Fujian Shanghai Chongqing Sichuan Guangdong Guangxi Beijing Workshops (all sites) Guangdong, 2006 Guilin, Guangxi, 2007 Beijing, 2008 Enhanced Salmonella Surveillance Project- China

11 Foodborne Outbreak Investigation, Hanoi, Vietnam 01 – 05 June 2009 WHO GSS – Country Databank To improve the understanding of the global and regional epidemiology of Salmonella serotypes and lead to the prevention and control of this pathogen. To provide food safety professionals with contact information of all WHO GSS members around the world  > 900 data sets  > 80 countries  > 1.5 million human isolates  ~ 360 000 non-human isolates

12 Foodborne Outbreak Investigation, Hanoi, Vietnam 01 – 05 June 2009 Opportunities to Apply Skills from Training External Quality Assurance System –Results entered at secured website –Instant report with suggestions for corrective action Focused Regional /National Projects –Pathogen-specific Projects (e.g. S Weltevreden, S Lamphun, S Corvalis) –Burden of Illness Studies (e.g. Jordan, Slovenia, the Caribbean) –Enhanced Surveillance Studies (e.g. China, Fiji, Philippines, Kazakhstan) Reference Services –Verification of findings –Reply to questions –Individual lab. courses or site visits –Participation in regional projects

13 Foodborne Outbreak Investigation, Hanoi, Vietnam 01 – 05 June 2009 S.Weltevreden: Characterization by PFGE and risk factor study – Southeast Asia, Western Pacific, North America and Denmark. S.Corvallis: Characterization of ESBL resistance and clonality – Bulgaria, Thailand and Denmark. S. Concord: description of spread of multidrug resistant S. Concord in Europe and the US among children adopted from Ethiopia S.Typhimurium: Characterization of ESBL resistance and clonality - Gomel region, Belarus. S.Schwarzengrund: Clonality study in relation to trade in strains from Thailand, Denmark and the US. Campylobacter ssp.: MIC determination of strains collected by AFRIMS in Thailand. Regional and national projects

14 Foodborne Outbreak Investigation, Hanoi, Vietnam 01 – 05 June 2009 Communication Electronic Discussion Group –Moderated listserv in English, Spanish, French, Portugese, Chinese, Russian –Since 2000 ca. 200 messages sent on foodborne diseases, programmatic issues, training information, and outbreaks Newsletter –Update on WHO GSS activities –In English, French, Chinese, Spanish, Arabic Web sites –www.who.int/salmsurv/en/ (English) –www.panalimentos.org/salmsurv/ (Spanish) –whogss.eu (English) –www.antimicrobialresistance.dk/who/protocols.html (laboratory protocols, English)

15 Foodborne Outbreak Investigation, Hanoi, Vietnam 01 – 05 June 2009 Perspectives Assure sustainability Integrate with other FOS and IHR activities –Help countries meet IHR core- capacities Liaise with FAO, OIE and others (e.g. EFSA) Increase input to the CDB Increase impact –National and regional political support –Region-specific programme –Participants (train-the-trainer) Increase output of programme –Update and translate training manuals –Newsletter, update website(s), EDG messages, articles

16 Foodborne Outbreak Investigation, Hanoi, Vietnam 01 – 05 June 2009 Perspectives Regionalize activities Target new geographical areas for training and EQAS Capacity-building platform –IHR (i.e. core capacities) –One World – One Health –SPS (i.e. development & health) –Burden of Disease –Early Warning & Emergency Communication (i.e. INFOSAN, GLEWS)

17 Foodborne Outbreak Investigation, Hanoi, Vietnam 01 – 05 June 2009 WHO Global Salm-Surv (WHO GSS) Building capacity to detect, control and prevent foodborne and other enteric infections

18 Foodborne Outbreak Investigation, Hanoi, Vietnam 01 – 05 June 2009 Global Foodborne Infections Network (GFN) Building capacity to detect, control and prevent foodborne and other enteric infections from farm to table

19 Foodborne Outbreak Investigation, Hanoi, Vietnam 01 – 05 June 2009 Thank you for your attention


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