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Indiana State Health Improvement Plan (I-SHIP) - State of Indiana

Indiana State Health Improvement Plan (I-SHIP) - State of Indiana

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<strong>Health</strong> Promotion<br />

Assure Food Safety<br />

Priority: Food Safety<br />

Systems Change<br />

(Policy/Resources)<br />

<strong>Health</strong><br />

Communications<br />

Community<br />

Interventions<br />

Other<br />

TERTIARY PREVENTION<br />

Outcomes Activities Responsible Partners(s)<br />

Reduce the amount <strong>of</strong> time between<br />

identification <strong>of</strong> an outbreak and<br />

notification with health care providers<br />

during a FBI outbreak.<br />

Improve information sharing between<br />

epidemiology, environmental, and<br />

laboratory.<br />

Increase response to suspect FBI cases<br />

by having a dedicated rapid response<br />

team for FBI outbreaks.<br />

Improve notification system <strong>of</strong> FBI to<br />

regulatory staff.<br />

Conduct food defense investigations if<br />

intentional contamination is suspected.<br />

Food industry will take immediate<br />

necessary mitigation steps to stop FBI<br />

outbreak or enforcement options will<br />

follow.<br />

To reduce the reoccurrence <strong>of</strong> a similar<br />

issue, <strong>of</strong>fer education and assistance.<br />

Require food industry to mitigate<br />

problem and establish permanent<br />

controls for prevention.<br />

Notify hospitals and physicians about FBI<br />

using the <strong>Indiana</strong> <strong>Health</strong> Alert Network<br />

(IHAN) and email distribution lists both<br />

internal and through field staff.<br />

Have all-inclusive discussions when a current<br />

FBI is suspect or occurring. Promote<br />

information sharing and educate on roles via<br />

Epi-Ready training.<br />

Establish an environmental and epidemiology<br />

investigative team with laboratory support by<br />

actively pursuing the Outbreak Sentinel Grant.<br />

Notify staff through ―For Official Use Only‖<br />

information that a FBI outbreak is suspect.<br />

Work with involved parties to help prevent<br />

future contamination and raise awareness <strong>of</strong><br />

food defense.<br />

Enforcement options, including:<br />

� Embargo<br />

� Recalls<br />

� Civil Penalties<br />

� Hearings<br />

� Cease and Desist<br />

Provide educational opportunities based <strong>of</strong>f <strong>of</strong><br />

specific incidences. Offer guidance for the<br />

industry to recover.<br />

ISDH, LHDs<br />

ISDH, LHDs, healthcare providers<br />

ISDH, BOAH, LHDs<br />

ISDH, BOAH<br />

ISDH, BOAH, law enforcement, food industry<br />

ISDH, BOAH, LHDs<br />

ISDH, BOAH, LHDs<br />

Recovery and mitigation assistance. Food industry, ISDH, BOAH, LHDs

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