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Five Keys to Safer    Food

 


Summary

 

AUTHORS

INTRODUCTION

CHAPTER I.

GENERAL PRINCIPLES OF SURVEILLANCE OF FOOD-BORNE DISEASES (FBD).

CHAPTER II.

ORGANIZATION OF THE FOOD-BORNE DISEASE SURVEILLANCE SYSTEM

Chapter III.

INVESTIGATION OF OUTBREAKS

STEPS IN AN OUTBREAK INVESTIGATION

STEP 1: Determine existence of the outbreak

STEP 2: Confirm a diagnosis

STEP 3: Determine the number of cases

STEP 4:Organize information according to time, place and persons

STEP 5: Determine who is at risk of becoming sick

STEP 6:Formulate hypotheses

STEP 7: Do analysis of data

 

CHAPTER IV.

INTERVENTION MEASURES

STEP 8: Develop control measures

CHAPTER V.

CONCLUSIONS AND DISSEMINATION

STEP 9: Make conclusions and recommendations

STEP 10: Do a final report

 

ANNEXES

 

ANNEX A.

Selection of FBDs arranged according to the International Classification of Diseases

 

ANNEX B.

Food-borne Disease Surveillance System forms

 

FBD SURVEILLANCE FORM 1. Individual Survey

FBD SURVEILLANCE FORM 2. Collective Report

FBD SURVEILLANCE FORM 3. Report on Collection of Samples

FBD SURVEILLANCE FORM 4. Record of Food Handlers in an FBD Outbreak

FBD SURVEILLANCE FORM 5. Sanitary Inspection Guide for Sale of Food

FBD SURVEILLANCE FORM 6. Attack Rate of Food Served in an Outbreak

FBD SURVEILLANCE FORM 7. Combined Attack Rate according to Food Consumption

FBD SURVEILLANCE FORM 8. Flow chart of treatment of the suspected food

FBD SURVEILLANCE FORM 9. Guide for the Final Report on the FBD Outbreak

 

ANNEX C.

Equipment and Instructions for Sampling in FBD Research

 

ANNEX D.

Guidelines for Selection of Samples and indicated Laboratory Tests in Patients and Food Handlers according to the Incubation Period and Predominant Signs and Symptoms

 

ANNEX E.

Food-borne Diseases. Classified by Symptoms, Incubation Periods and Types of Agents

 

ANNEX F.

Criteria for Confirming FBD Outbreaks in Relation to the Laboratory Results or Epidemiological History

 

ANNEX G.

Determinant Factors in Food-borne Diseases - contamination, survival and multiplication.

 

ANNEX H.

Relation of signs and symptoms to the study of the outbreak cases.

 

ANNEX I.

Glossary

 

ANNEX J.

Recommended reading

 

ANNEX K.

Example of Case definition