Enteric outbreaks, like those caused by norovirus, may be detected through consumer complaints rather than laboratory detection methods (e.g., PulseNet). This session will provide a back-to-basics style overview of how to detect, investigate, and respond to complaint-based outbreaks.

This session will use a real-life outbreak example to walk participants through the process of identifying outbreak contributing factors and environmental antecedents. An environmental assessment is a process conducted during outbreak investigations to determine how and why pathogens entered the outbreak environment and spread to make people sick. Identifying the how (contributing factors) and the why (environmental antecedents) are key elements of an outbreak investigation and are crucial to ensure that appropriate corrective actions are implemented to prevent future outbreaks. This session will provide hands-on learning exercises to help identify the root causes of outbreaks.

In 2019, FDA/CORE launched the Outbreak Analytics (OA) Team. The OA Team’s mission is to publicly communicate specific foodborne illness outbreak response efforts, conduct analytical work aimed at highlighting patterns in adverse public health events, and share expertise with intra- and interagency food safety collaborations. Conducting outbreak analyses and broadly communicating outbreak investigation findings enhances CORE’s abilities to anticipate, address, and learn from outbreaks, with the goal of guiding and supporting preventive measures to reduce the frequency and limit the impact of future foodborne outbreaks. OA will highlight key work in analytical and publication efforts that would be of great interest to the outbreak response community.

At the end of this session, the participant will: Understand surveillance challenges caused by polyclonal outbreaks Understand how to validate new laboratory methods for PulseNet surveillance with special focus on the NextSeq 1000/2000 system Understand how to validate new bioinformatics methods for reference identification, including implications for accreditation

Although the region of Latin America and the Caribbean has always been characterized by its strength and joint work, given the speed with which laboratory methodologies have evolved both for the diagnosis and for the surveillance of food pathogens, during the last years, it has been a challenge to be able to migrate towards the new paradigm of genomics.

In 2019, FDA/CORE launched the Outbreak Analytics (OA) Team. The OA Team’s mission is to publicly communicate specific foodborne illness outbreak response efforts, conduct analytical work aimed at highlighting patterns in adverse public health events, and share expertise with intra- and interagency food safety collaborations. Conducting outbreak analyses and broadly communicating outbreak investigation findings enhances CORE’s abilities to anticipate, address, and learn from outbreaks, with the goal of guiding and supporting preventive measures to reduce the frequency and limit the impact of future foodborne outbreaks. OA will highlight key work in analytical and publication efforts that would be of great interest to the outbreak response community.

In the first hour, each CoE will highlight collaborations with a partner state. In the remaining time, they will solicit feedback from attendees on their ease of finding CoE resources and what they would like to see implemented.

The National Outbreak Reporting System (NORS) is a web-based platform used by health departments in the United States to report all waterborne, foodborne, and enteric disease outbreaks to CDC. In early 2023, CDC released a new NORS user interface (“NORS 3.0”), which reflects a revised, streamlined NORS form and allows reporting of fungal disease outbreaks. The CDC NORS Team will provide a walkthrough of NORS 3.0 and demonstrate key features of the system, including the NORSDirect data upload function. The training session will also include an open Q & A portion.

Traceback provides valuable information during foodborne outbreak investigations to determine if there is a link between illnesses and a specific food product. This presentation will describe how FSIS conducts traceback and the importance of epidemiologic information in prioritizing and directing traceback activities.

This session will discuss the following topics: introduction to the PulseNet 2.0 platform, analyzing data in PulseNet 2.0, interpreting and reporting sequence data, Questions and Answers related to analysis of PulseNet Data. At the conclusion of this session, the participant will be able to: Understand the process of analyzing sequences using PulseNet 2.0.

CDC investigates reoccurring, emerging, and persisting strains (REPs) to understand ways people continue to become infected with enteric bacteria and identify novel prevention approaches. Examples of active REPs include REPEXH01 (E. coli O157 “CAZ strain”), REPEXH02 (E. coli O157 “SMS strain”), and REPJJP03 (Salmonella Newport “Delmarva strain”). CDC will be joined by the New York CoE to facilitate a roundtable discussion of REP strains. At the start of the session, the forum will be open for audience, engagement, questions, discussion. Topics covered may include any and all of the following: clarification of state expectations for REP strain follow-up, national and local level tracking of REP strains, criteria for coding and investigating REPs, discussing the differences in response to REPs, and much more. A brief summary of REPs strains work at CDC may follow depending on audience interest.

Please join us for an evening reception to kick-off the conference! Meet with your colleagues for face-to-face networking and enjoy light hors d’oeuvres as we welcome you to Washington, D.C. Cash bar is available.