Annex 12: Canada's Foodborne Illness Outbreak Response Protocol (FIORP) 2010 – Template for outbreak debrief/review

Template for Outbreak Debrief/Review
Steps/Issues What worked well? What could work better next time? Recommendation
Establish the existence of an outbreak
(National Enteric Surveillance Program (NESP), PulseNet, surveillance systems, etc.)
Verify the diagnosis
(laboratory analysis, serotyping, PFGE, clinical information, etc.)
Define and identify cases
(case definitions, etc.)
Notifications
(provinces/territories, CDC, use of Public Health Alerts, senior management, duty officers, etc.)
Outbreak Investigation Coordination Committee
(activation, composition of OICC, communication within OICC, management of OICC calls, roles and responsibilities clearly understood, etc.)
Describe and orient the data in person, place and time
(line list, databases, epi summaries, etc.)
Develop hypotheses
(interviews, interaction with local/provincial/territorial representatives)
Evaluate hypotheses
(CDC collaboration, review of hypothesis generating interviews)
Refine hypotheses and carry out additional studies
(analytic study methodology, preparation, questionnaire development, implementation and interviewing, analysis)
Food safety investigation
(traceback data, risk assessments, recalls, plant investigation, food/environmental sampling, etc.)
Communications
(within OICC, with senior management and duty officers, public communications, media releases, etc.)
Public health measures
(what was done, implementation of control and prevention measures)
Report dissemination
(epi report format, distribution, translation, etc.)
Post-outbreak
(declare outbreak over, closing OICC, debrief session, final report, Outbreak Summaries, etc.)
Documentation
(involvement database, DIR, record-keeping, etc.)
Other issues?
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