Progress of Strategies Developed and Implemented to Maintain a Human and Animal Food Rapid Response Team

弗吉尼亚快速反应小组（Virginia Rapid Response Team，VA RRT） 背景资料： 2009年，弗吉尼亚州农业和消费者服务部获得了食品和药物管理局的一笔赠款。 美国食品和药物管理局（FDA）制定战略，提高食品和饲料快速反应能力 弗吉尼亚联邦境内。弗吉尼亚州快速反应小组成立， 来自弗吉尼亚州联邦内主要食品安全机构的代表， 多学科小组应对食品和动物饲料紧急情况。 联邦资金也为VA RRT核心团队成员提供了许多继续培训的机会 和国家响应伙伴。RRT核心团队成员参加FDA HAF2E地区会议， 快速反应小组会议和国家环境卫生协会区域会议 会议.在上一个供资期间，退伍军人权利审查小组能够提供三次培训活动， 引入并实施州食品应急计划（VA FERP），以应对州和地方紧急情况 反应机构。 在之前的五年资助期内，弗吉尼亚州快速反应小组启动协调 对39起食源性疫情和不良事件报告以及7起紧急情况 天气事件 研究方法： VA RRT针对这些多机构疫情启动，以促进所有机构之间的沟通。 合作伙伴VDH、FDA巴尔的摩地区办事处、人类和动物食品2 East（FDA HAF2E）、VDACS、 DCLS和美国农业部在疫情应对期间使用修改后的事件指挥结构， FDA HAF2E紧急响应协调员（ERC）。应对措施需要协调， 与几个机构合作伙伴的沟通，包括联合设施检查，环境， 成分和产品取样。检测与疫情和采集的样本相匹配的病例 由VA RRT完成，由国家卫生实验室，综合实验室司 （DCLS）。 结果如下： 弗吉尼亚州快速反应小组（VA RRT）的发展和实施， 加强国家中央办公室和地方卫生部门之间的合作与协调， 弗吉尼亚州农业和消费者服务部（VDACS）食品，乳制品和农产品安全 计划，VDACS农业商品计划，国家卫生实验室（DCLS），美国农业部， 弗吉尼亚州应急管理部、FDA HAF2E和FDA核心团队。资金 RRT合作协议中规定，提供团队培训和这些团队之间的合作 缩短食源性暴发调查响应时间，提高发现根源的可能性 疫情爆发的原因，并收集有价值的信息，以预防疫情。关于RRT 与弗吉尼亚州应急管理部合作，提供两次全州范围的培训 研讨会介绍VA FERP。退伍军人事务部编写的故意污染桌面练习 RRT核心小组和VDEM与新的机构合作伙伴一起实施和测试VA FERP的工作已经完成 在最近的融资期内。

The Virginia Rapid Response Team (VA RRT) Background: In 2009, the Virginia Department of Agriculture and Consumer Services was awarded a grant by the Food and Drug Administration (FDA) to develop strategies to improve food and feed rapid response capabilities within the Commonwealth of Virginia. The Virginia Rapid Response Team was formed to include representation from the major food safety agencies operating within the Commonwealth of Virginia as a multidiscipline team for response to food and animal feed emergencies. Federal funding also provided many opportunities for continual training for VA RRT core team members and state response partners. RRT core team members attend FDA HAF2E district meetings, the national Rapid Response Team meetings and National Environmental Health Association (NEHA) regional meetings. The VA RRT was able to provide three training events during the previous funding period, to introduce and exercise the state Food Emergency Response Plan (VA FERP) to state and local emergency response agencies. During the previous five-year funding period, the Virginia Rapid Response Team activated to coordinate multi-agency responses to thirty-nine foodborne outbreaks and adverse event reports and seven emergency weather events. Methods: The VA RRT was activated for these multi-agency outbreaks to facilitate communication between all partners VDH, FDA Baltimore District Office, Human and Animal Foods 2 East (FDA HAF2E), VDACS, DCLS and USDA during the outbreak response using a using a modified Incident Command Structure with the FDA HAF2E Emergency Response Coordinator (ERC). The responses required coordination and communication with several agency partners and included joint facility inspections, environmental, ingredient and product sampling. Tests to detect cases matching into the outbreaks and samples collected by the VA RRT were completed by the state health laboratory, Division of Consolidated Laboratories (DCLS). Results: The development and implementation of the Virginia Rapid Response Team (VA RRT) has greatly increased cooperation and coordination between the state central offices and local health departments, the Virginia Department of Agriculture and Consumer Services (VDACS) Food, Dairy and Produce Safety Programs, the VDACS Agriculture Commodities Program, the state health laboratory (DCLS), USDA, the Virginia Department of Emergency Management, FDA HAF2E and the FDA CORE TEAM. Funding provided in the RRT cooperative agreement provides team training and collaboration between these groups to decrease foodborne outbreak investigation response time, increasing the probably of detecting the root cause of the outbreak and collecting valuable information for outbreak prevention. The VA RRT collaborated with Virginia Department of Emergency Management to provide two statewide training seminars to introduce the VA FERP. An intentional contamination tabletop exercise written by the VA RRT core team and VDEM to implement and test the VA FERP with new agency partners was completed during the recent funding period.