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

弗吉尼亚州快速反应小组(VA RRT) 背景： 2009年，弗吉尼亚州农业和消费者服务部获得了美国食品和药物管理局的拨款 美国食品和药物管理局(FDA)制定战略，提高食品和饲料的快速反应能力 在弗吉尼亚州联邦内。弗吉尼亚州快速反应小组的成立包括 来自弗吉尼亚州联邦内主要食品安全机构的代表 应对食品和动物饲料紧急情况的多学科团队。 联邦资助也为退伍军人管理局RRT核心团队成员提供了许多持续培训的机会 和国家应对伙伴。RRT核心团队成员参加FDA HAF2E地区会议，全国 快速反应小组会议和国家环境卫生协会(NEHA)区域会议 开会。退伍军人事务部在上一个供资期间能够提供三项培训活动，以 针对州和地方突发事件，出台并实施国家粮食应急预案(VA FERP 响应机构。 在之前的五年资助期间，弗吉尼亚州快速反应小组启动以协调 多机构应对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。 方法： 针对这些多机构疫情，启动了退伍军人管理局RRT，以促进所有 合作伙伴VDH，FDA巴尔的摩地区办事处，人和动物食品2东部(FDA HAF2E)，VDACS， DCLS和USDA在疫情响应期间使用修改后的事件命令结构 FDA HAF2E紧急响应协调员(ERC)。应对措施需要协调和 与几个机构合作伙伴进行沟通，包括联合设施检查、环境、 成分和产品抽样。检测与疫情和采集的样本相匹配的病例 由退伍军人事务部完成的RRT由国家卫生实验室联合实验室部门完成 (DCLS)。 结果： 弗吉尼亚快速反应小组(VA RRT)的发展和实施极大地促进了 加强国家中央办公室和地方卫生部门之间的合作和协调， 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 项目，VDACS农业商品项目，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。资金来源 RRT合作协议提供团队培训和这些团队之间的协作 缩短食源性暴发调查响应时间，增加发现病根的概率 疫情的起因，并为预防疫情收集宝贵的信息。退伍军人管理局RRT 与弗吉尼亚州应急管理部合作，在全州范围内提供两项培训 举办研讨会，介绍退伍军人管理局FERP。退伍军人事务部撰写的故意污染桌面练习 RRT核心团队和VDEM完成了与新机构合作伙伴实施和测试VA FERP 在最近的资助期内。

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.