sampling and hpa update 2012 east midlands councils 5 pack 1 rob johnston health protection agency
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Sampling (and HPA) Update 2012 East Midlands Councils 5 Pack + 1 Rob Johnston Health Protection Agency. Health Protection Agency and Partners The HPA and Public Health England The HPA and FW&E Laboratory Update The HPA - working with partners on Olympic Activities

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sampling and hpa update 2012 east midlands councils 5 pack 1 rob johnston health protection agency

Sampling (and HPA) Update 2012East Midlands Councils 5 Pack + 1 Rob JohnstonHealth Protection Agency

slide2

Health Protection Agency and Partners

  • The HPA and Public Health England
  • The HPA and FW&E Laboratory Update
  • The HPA - working with partners on Olympic Activities
  • Infectious diseases – few incidents of interest
  • Working together on public health, sampling and food safety
health protection agency to april 2013 public health england
Health Protection Agency – to April 2013 …………….Public Health England
  • Public Health White Paper 2010
  • Deliver specialist public health services to national and local government and the NHS (including lab services)
  • Deliver information and intelligence to support effective action, locally and nationally
  • Provide national leadership and coordination of public health emergency preparedness and response
health protection functions of phe
Health Protection Functions of PHE
  • Surveillance
  • Expert advice
  • Public Health Response
  • Specialist reference and diagnostic laboratory services
  • Research
  • Training
  • Expert advice and support to international agencies
updates in the hpa fw e network 2011 2012
Updates in the HPA FW&E Network 2011 - 2012
  • HPA FW&E laboratories reconfiguration
  • Relocation of Southampton to Porton 2011
  • Relocation of Leeds to York
  • Closure of Bristol laboratory
  • Appointment of more Food Examiners
fw e sample transport
FW&E Sample Transport
  • Cool boxes supplied by the HPA
  • Data loggers and sample packing system
  • CitySprint - the courier for FW&E samples
sample transport and fw e laboratory service provision
Sample Transport and FW&E Laboratory Service Provision
  • FW&E Micro lab York
  • FW&E Micro lab Birmingham
proactive sampling studies
Proactive Sampling Studies

Reactive sampling; outbreaks, incidents interventions etc

HPA studies – to go onto the ‘Knowledge Hub’ –

https://knowledgehub.local.gov.uk/

fw e laboratory olympic activities how did we do it and what did we do
FW&E Laboratory Olympic Activities;How did we do it ….. and what did we do?
  • Working in partnership ….
  • Advice, Training and Sampling Support
  • Local support and advice as normal
  • On-call rota of FW&E microbiologists during Olympic period (24 hours, 7 days per week)
  • Training to JLARS, LOCOG, LAs, PHAs, FW&E
    • sampling and sampling support
  • User Manual
  • On site expert support
fw e laboratory olympic activities monitoring
FW&E Laboratory Olympic Activities: Monitoring
  • In collaboration with JLARS, LOCOG, Local Authorities, Port Health Authorities & DWI

Drinking water monitoring on Olympic sites, particularly the park

Verification of the commissioning process

Results converted into public health interventions

          • relaying water pipe runs
          • assurance of cleaning for water fountains

Water, food and environmental monitoring

Marinas, hotels training camps and ships used by competitors and Olympic staff

        • swimming pools
        • spa pools
        • Water systems
        • Food service

Mobile food vendors around routes for:

        • torch
        • cycling
        • running

Seawater monitoring (Weymouth)

Monitoring of other sites around Olympic Park

water quality of a water feature

fw e laboratory olympic activities1
FW&E Laboratory Olympic Activities:
  • 4 hygiene problems with food manufacturers in Olympics food chain
  • FBOs producing sandwiches (x2), meat pies, sliced meats
  • Sampling resulting from monitoring and incident investigation
  • Initial sampling sometimes in different parts of country
  • Microbiological results and advice to LAs, FSA and HPUs
  • Improvements in manufacturers’ environments
  • No adverse public health events detected
  • 2 Norovirus outbreaks amongst athletes
  • Advice to LAs and HPUs
  • Legionella pneumophila detected in water system of ship
  • Results from routine monitoring
  • Ship providing accommodation to Olympic Park staff
  • Advice to London Port Health Authority and HPU
  • Supporting the media messages
2012 not just the olympics
2012 - not just the Olympics
  • Anthrax –
  • Botulism –
  • Bacillus –
  • Campylobacter –
  • injecting drug users
  • in Italian olives
  • shepherds pie and (haricot beans)
  • in chicken liver pate
has 2012 just been the olympics
Has 2012 just been the Olympics?
  • Cryptosporidium -
  • E coli and an open park –
  • Legionnaires’ disease –
  • Pseudomonas
  • … in water and food??
  • ?
  • Edinburgh, Stoke and a place near you?
  • Not just pool water ….
legionnaires disease local authorities hse pct and hpa
Legionnaires’ diseaseLocal Authorities, HSE, PCT and HPA

Legionnaires’ disease – cooling towers, spa pools and water systems

multi agency working foods that aren t the usual suspects
Multi-agency Working –Foods that aren’t the usual suspects ???
  • Pork pie purchased from Boston
  • Case travels home to Hants – becomes ill
  • Further food sample bought from Boston; pork pie and pate and taken to Hants
  • Food samples tested at HPA FW&E Porton
  • Listeria isolated and sent to HPA Ref lab at Colindale
  • fAFLP typing links food isolates with previous cases
  • LA, HPA, FSA involvement in incident

Barnsley

Sheffield

Boston

Colindale

Porton

hpa in the east midlands outbreak management
HPA in the East Midlands Outbreak Management
  • East Midlands North and South Joint Outbreak Control Plans / Operational Framework - 2012
  • Determination of an outbreak
  • Outbreak management
  • Outbreak response
  • Outbreak/incident control
  • Closure of the outbreak
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