Food-borne illness

Question 1

what is included in the changing epidemiology of food-borne disease

Answer 1

intensification and concentration of food production; changes in eating patters; changes in populations, pathogens and environment; advances in diagnostic tools

Question 2

what can intensification and concentration of food production lead to

Answer 2

increased risk of large disperse outbreaks

Question 3

what changes in eating patterns have been seen

Answer 3

healthier foods; ready to eat foods

Question 4

what has advanced diagnostic tools led to

Answer 4

increased capacity to relate seemingly unrelated events

Question 5

what is surveillance

Answer 5

ongoing, systematic collection, analysis, interpretation and dissemination of data regarding a health-related event for use in public health action to reduce morbidity and mortality and to improve health

Question 6

what is surveillance

Answer 6

ongoing, systematic collection, analysis, interpretation and dissemination of data regarding a health-related event for use in public health action to reduce morbidity and mortality and to improve health

Question 7

what are 3 uses of PH surveillance data

Answer 7

understand trends and patterns of disease; estimate magnitude or burden of a health problem; identify resources needed during and after PH emergencies

Question 8

where is surveillance for foodborne disease done

Answer 8

local, provincial, national, international

Question 9

where is surveillance for foodborne disease done

Answer 9

local, provincial, national, international

Question 10

what is pulsenet canada

Answer 10

a large repository of PFGE data

Question 11

what is foodnet canada

Answer 11

integrated surveillance system at sentinel sites (ontario, BC, AB);

Question 12

what does foodnet canada do

Answer 12

monitors trends in human enteric disease, risk factors and sources of exposure within communities (retail, agriculture, animals, water)

Question 13

what does CIPARS stand for

Answer 13

canadian integrated program for antimicrobial resistance surveillance

Question 14

what does CIPARS do

Answer 14

monitors trends in antimicrobial use and antimicrobial resistance in bacteria from human and agri-food sectors nationally

Question 15

what does CNDSS stand for

Answer 15

canadian notifiable disease surveillance system

Question 16

what does CNDSS do

Answer 16

collects the number of laboratory confirmed illnesses reported to local public health units/regions to provincial public health authorities and to the national level on an annual basis

Question 17

what does the enhanced national listeriosis surveillance do

Answer 17

collects detailed case level data from invasive listeriosis cases in participating provinces

Question 18

what does the enhanced national listeriosis surveillance do

Answer 18

collects detailed case level data from invasive listeriosis cases in participating provinces

Question 19

what pathogen causes the greatest number of illnesses for food-borne disease

Answer 19

norovirus

Question 20

what is required for a case of food-borne illness to be reported

Answer 20

to be ill enough to go to the doctor; doctor requests a sample; sample is tested

Question 21

what are the steps in a food-borne outbreak investigation and response

Answer 21

Question 22

what does PFGE stand for?

Answer 22

pulse-field gel electrophoresis

Question 23

incubation period of E. coli 0157 in humans

Answer 23

3-4d (range of 1-10d)

Question 24

what illness does E. coli 0157 cause in humans

Answer 24

diarrhea (ranges from mild and non-bloody to virtually all blood)

Question 25

what is a major complication of human illness with E. coli 0157

Answer 25

hemolytic uremic syndrome (HUS)

Question 26

what is the major reservoir of E. coli 0157

Answer 26

intestines of cattle and other animals

Question 27

how is E. coli 0157 transmitted

Answer 27

primarily through ingested of contaminated food or water; can also occur by people-people transmission

Question 28

what are the 3 pillars of a food-borne outbreak investigation

Answer 28

laboratory investigation, epidemiological investigation, food safety/environmental investigation