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Foodborne Disease Outbreak Investigation Team Training:. Epilogue to the Investigations. Implement control measures whenever sufficient information is available!. Mistakes Do Occur. Nationwide outbreak of cyclosporiasis One site announces outbreak due to California strawberries
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Foodborne Disease Outbreak Investigation Team Training: Epilogue to the Investigations
Implement control measures whenever sufficient information is available!
Mistakes Do Occur • Nationwide outbreak of cyclosporiasis • One site announces outbreak due to California strawberries • Strawberry market devastated • True source Guatemalan raspberries
How to Avoid Mistakes • Use body of evidence to make decisions • Follow the tenets of causation • Exposure precedes illness • Strength of association • Dose-response relationship • Consistency of data with other investigations • Biologic plausibility • Balance public health consequences of not taking action with quality of data and potential damage to business/industry