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2016 FDA Foodborne Illness Risk Factor Study at FCHD
David A. Crum, DVM
Fairfax County Health Department (FCHD) – David Lawrence, Environmental Health Specialist III
INTRODUCTION
BACKGROUND
For	
  every	
  one	
  unit	
  
change	
  in	
  the	
  
standard	
  deviation	
  of	
  
life	
  purpose	
  and	
  
satisfaction,	
  there	
  will	
  
be	
  a	
  positive	
  0.486	
  
unit	
  change	
  in	
  the	
  
quality	
  of	
  life	
  in	
  the	
  
past	
  month	
  when	
  
controlling	
  for	
  the	
  
standard	
   REFERENCES
WORK	
  SUMMARY
CRITICAL	
  REFLECTION
The	
  responsibilities	
  of	
  the	
  internship	
  entailed	
  assisting	
  
the	
  FDA	
  Grant	
  Project	
  Coordinator	
  with	
  data	
  entry	
  and	
  
analytics	
  for	
  the	
  2016	
  Foodborne	
  Illness	
  Risk	
  Factor	
  Study	
  
conducted	
  by	
  the	
  Fairfax	
  County	
  Health	
  Department	
  
Environmental	
  Health	
  Staff.	
  	
  
The	
  Practicum	
  Objectives	
  were	
  the	
  following:
1. Obtain	
  data	
  analytics	
  of	
  restaurant	
  compliance	
  
regarding	
  risk	
  factors	
  for	
  foodborne	
  illness	
  based	
  on	
  
the	
  2016	
  Foodborne	
  Illness	
  Risk	
  Factor	
  Survey	
  Update	
  
Collection	
  Form.
2. Assist	
  with	
  entering	
  the	
  data	
  collected	
  by	
  the	
  2016	
  
Foodborne	
  Illness	
  Risk	
  Factor	
  Survey.
3. Assist	
  with	
  formulating	
  a	
  report	
  on	
  the	
  trends	
  of	
  the	
  
occurrence	
  of	
  risk	
  factors	
  in	
  food	
  service	
  
establishments	
  based	
  on	
  the	
  compiled	
  results	
  
collected	
  from	
  the	
  2016	
  Foodborne	
  Illness	
  Risk	
  Factor	
  
Survey.
Fairfax	
  County	
  
Health	
  Department
Vision:	
  
• Healthy	
  People	
  in	
  Healthy	
  Communities
Mission:	
  	
  
• Protect,	
  Promote	
  and	
  Improve	
  Health	
  and	
  Quality	
  of	
  
Life	
  for	
  All	
  in	
  Our	
  Community
Values:
• Customer	
  Service,	
  Respect,	
  Integrity,	
  Making	
  a	
  	
  	
  	
  	
  	
  
Difference,	
  Excellence
The	
  Voluntary	
  National	
  Retail	
  Food	
  Regulatory	
  
Program	
  Standards	
  
• Created	
  by	
  the	
  FDA	
  in	
  1996	
  to	
  “oversee	
  the	
  operation	
  
and	
  management	
  of	
  a	
  retail	
  food	
  regulatory	
  program	
  
and	
  focus	
  on	
  the	
  reduction	
  of	
  foodborne	
  illness	
  risk	
  
factors	
  through	
  the	
  application	
  of	
  effective	
  active	
  
managerial	
  control	
  intervention	
  strategies”.	
  	
  
• Standard	
  9	
  entails	
  program	
  assessment	
  and	
  mandates	
  
that	
  a	
  Risk	
  Factor	
  Study	
  be	
  conducted	
  every	
  5	
  years	
  to	
  
identify	
  risk	
  factors	
  areas	
  that	
  “require	
  priority	
  
attention	
  and	
  evaluate	
  trends	
  over	
  time	
  to	
  assess	
  
progress	
  towards	
  the	
  reduction	
  the	
  occurrence	
  of	
  
foodborne	
  illness	
  factors”.	
  
The	
  information	
  from	
  the	
  Risk	
  Factor	
  Study	
  can	
  be	
  used	
  
for	
  several	
  purposes.	
  	
  
• Helps	
  local	
  municipalities	
  to	
  identify	
  risk	
  factors	
  that	
  
require	
  immediate	
  attention	
  in	
  their	
  jurisdiction.
• Provide	
  valuable	
  information	
  in	
  regards	
  to	
  resource	
  
allocation	
  and	
  lead	
  to	
  improvements	
  regarding	
  
foodborne	
  illness	
  prevention	
  program	
  
implementation.	
  	
  
• Enhance	
  uniformity	
  within	
  and	
  between	
  regulatory	
  
agencies	
  and	
  improve	
  industry	
  and	
  food	
  protection	
  
programs	
  as	
  a	
  whole.
All	
  project	
  goals	
  and	
  deliverables	
  were	
  presented	
  within	
  
the	
  timeframe	
  established	
  at	
  the	
  start	
  of	
  the	
  internship.	
  	
  
• Developed,	
  maintained,	
  and	
  finalized	
  the	
  data	
  set	
  that	
  
was	
  obtained	
  from	
  2016	
  Foodborne	
  Illness	
  Risk	
  Factor	
  
Study	
  data	
  collected	
  in	
  the	
  field	
  by	
  health	
  specialists.
• Analyzed	
  trends	
  and	
  obtained	
  the	
  necessary	
  
information	
  for	
  modification	
  of	
  current	
  practices	
  and	
  
future	
  policy	
  development.	
  
• Assisted	
  with	
  the	
  formulation	
  of	
  the	
  report	
  that	
  will	
  
convey	
  this	
  information	
  to	
  the	
  senior	
  staff	
  and	
  policy	
  
makers	
  at	
  the	
  Fairfax	
  County	
  Health	
  Department	
  and	
  
Fairfax	
  County	
  Government.	
  
2016	
  RISK	
  FACTOR	
  STUDY	
  RESULTS
2005-­‐2016	
  RISK	
  FACTOR	
  STUDY	
  TRENDS
Objective	
  #3:
• Formulation	
  of	
  the	
  report	
  based	
  on	
  the	
  findings	
  of	
  The	
  
2016	
  Foodborne	
  Illness	
  Risk	
  Factor	
  Study	
  required	
  
aspects	
  of	
  critical	
  thinking	
  and	
  analysis	
  in	
  order	
  to	
  
make	
  inferences	
  and	
  draw	
  conclusions	
  from	
  the	
  
qualitative	
  and	
  quantitative	
  data.	
  
• Principles	
  of	
  strategic	
  planning	
  were	
  utilized	
  to	
  
develop	
  community	
  based	
  initiatives.	
  
• Effective	
  communication	
  and	
  presentation	
  skills	
  were	
  
required	
  to	
  convey	
  the	
  necessary	
  information	
  to	
  
stakeholder	
  and	
  policymakers.	
  
RELEVANT	
  GCH	
  COUREWORK
• GCH	
  600:	
   Health	
  Promotion	
  Methods
• GCH	
  601:	
   Introduction	
  to	
  Biostatistics	
  
• GCH	
  691:	
   Project	
  Management	
  in	
  Public	
  Health	
  
• GCH	
  712:	
  	
  Introduction	
  to	
  Epidemiology
• GCH	
  762:	
   Environmental	
  Epidemiology
• GCH	
  804:	
   Advanced	
  Quantitative	
  Data	
  Analysis	
  
Methods	
  for	
  Health	
  Care	
  Research	
  I
This	
  experience	
  at	
  the	
  Fairfax	
  County	
  Health	
  Department	
  
was	
  a	
  great	
  success.	
  
• Provided	
  the	
  opportunity	
  to	
  utilize	
  the	
  skill	
  sets	
  
acquired	
  in	
  pursuit	
  of	
  a MPH	
  and	
  apply	
  them	
  in	
  a	
  
practical	
  situation.	
  
• Opportunity	
  to	
  network	
  and	
  develop	
  contacts	
  that	
  will	
  
assist	
  with	
  the	
  transition	
  from	
  clinical	
  veterinary	
  
practice	
  to	
  the	
  public	
  health	
  field.
Fairfax	
  County	
  Health	
  Department	
  Website.	
  
http://www.fairfaxcounty.gov/hd/.	
  
Food	
  and	
  Drug	
  Administration	
  Website.	
   Voluntary	
  
National	
  Retail	
  Food	
  Regulatory	
  Program	
  Standards.	
  
http://www.fda.gov/Food/GuidanceRegulation/RetailFoo
dProtection/ProgramStandards/ucm245409.htm.	
  
CRITICAL	
  REFLECTION
WHY	
  CONDUCT	
  THE	
  RISK	
  FACTOR	
  STUDY?
CONCLUSIONS
Objective	
  #1:	
  
• The	
  2016	
  Foodborne	
  Illness	
  Risk	
  Factor	
  Study	
  utilized	
  
aspects	
  of	
  public	
  health	
  administration	
  by	
  employing	
  a	
  
county	
  wide	
  approach	
  to	
  address	
  the	
  specific	
  public	
  
health	
  issue	
  of	
  foodborne	
  illness.	
  
• Scientific	
  knowledge	
  principles	
  were	
  utilized	
  through	
  
the	
  use	
  of	
  a	
  standardized	
  data	
  collection	
  form	
  and	
  
highly	
  trained	
  staff	
  to	
  collect	
  the	
  data.	
  
• Communication	
  of	
  a	
  shared	
  public	
  health	
  vision	
  was	
  
achieved	
  by	
  explaining	
  the	
  importance	
  of	
  the	
  Risk	
  
Factor	
  Study	
  and	
  reduction	
  of	
  foodborne	
  illness	
  risk	
  
factors	
  to	
  the	
  establishments	
  that	
  were	
  included	
  in	
  the	
  
survey.	
  
Objective	
  #2:	
  
• Database	
  development,	
  data	
  entry	
  and	
  data	
  
management	
  required	
  the	
  effective	
  use	
  of	
  project	
  
management	
  principles	
  and	
  practices	
  to	
  ensure	
  that	
  
the	
  project	
  remained	
  on	
  task	
  and	
  time.	
  
• Team	
  leadership	
  and	
  management	
  skills	
  were	
  needed	
  
to	
  address	
  the	
  multidisciplinary	
  issue	
  of	
  foodborne	
  
illness	
  prevention.

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2016 FDA Foodborne Illness Risk Factor Study Results at FCHD

  • 1. 2016 FDA Foodborne Illness Risk Factor Study at FCHD David A. Crum, DVM Fairfax County Health Department (FCHD) – David Lawrence, Environmental Health Specialist III INTRODUCTION BACKGROUND For  every  one  unit   change  in  the   standard  deviation  of   life  purpose  and   satisfaction,  there  will   be  a  positive  0.486   unit  change  in  the   quality  of  life  in  the   past  month  when   controlling  for  the   standard   REFERENCES WORK  SUMMARY CRITICAL  REFLECTION The  responsibilities  of  the  internship  entailed  assisting   the  FDA  Grant  Project  Coordinator  with  data  entry  and   analytics  for  the  2016  Foodborne  Illness  Risk  Factor  Study   conducted  by  the  Fairfax  County  Health  Department   Environmental  Health  Staff.     The  Practicum  Objectives  were  the  following: 1. Obtain  data  analytics  of  restaurant  compliance   regarding  risk  factors  for  foodborne  illness  based  on   the  2016  Foodborne  Illness  Risk  Factor  Survey  Update   Collection  Form. 2. Assist  with  entering  the  data  collected  by  the  2016   Foodborne  Illness  Risk  Factor  Survey. 3. Assist  with  formulating  a  report  on  the  trends  of  the   occurrence  of  risk  factors  in  food  service   establishments  based  on  the  compiled  results   collected  from  the  2016  Foodborne  Illness  Risk  Factor   Survey. Fairfax  County   Health  Department Vision:   • Healthy  People  in  Healthy  Communities Mission:     • Protect,  Promote  and  Improve  Health  and  Quality  of   Life  for  All  in  Our  Community Values: • Customer  Service,  Respect,  Integrity,  Making  a             Difference,  Excellence The  Voluntary  National  Retail  Food  Regulatory   Program  Standards   • Created  by  the  FDA  in  1996  to  “oversee  the  operation   and  management  of  a  retail  food  regulatory  program   and  focus  on  the  reduction  of  foodborne  illness  risk   factors  through  the  application  of  effective  active   managerial  control  intervention  strategies”.     • Standard  9  entails  program  assessment  and  mandates   that  a  Risk  Factor  Study  be  conducted  every  5  years  to   identify  risk  factors  areas  that  “require  priority   attention  and  evaluate  trends  over  time  to  assess   progress  towards  the  reduction  the  occurrence  of   foodborne  illness  factors”.   The  information  from  the  Risk  Factor  Study  can  be  used   for  several  purposes.     • Helps  local  municipalities  to  identify  risk  factors  that   require  immediate  attention  in  their  jurisdiction. • Provide  valuable  information  in  regards  to  resource   allocation  and  lead  to  improvements  regarding   foodborne  illness  prevention  program   implementation.     • Enhance  uniformity  within  and  between  regulatory   agencies  and  improve  industry  and  food  protection   programs  as  a  whole. All  project  goals  and  deliverables  were  presented  within   the  timeframe  established  at  the  start  of  the  internship.     • Developed,  maintained,  and  finalized  the  data  set  that   was  obtained  from  2016  Foodborne  Illness  Risk  Factor   Study  data  collected  in  the  field  by  health  specialists. • Analyzed  trends  and  obtained  the  necessary   information  for  modification  of  current  practices  and   future  policy  development.   • Assisted  with  the  formulation  of  the  report  that  will   convey  this  information  to  the  senior  staff  and  policy   makers  at  the  Fairfax  County  Health  Department  and   Fairfax  County  Government.   2016  RISK  FACTOR  STUDY  RESULTS 2005-­‐2016  RISK  FACTOR  STUDY  TRENDS Objective  #3: • Formulation  of  the  report  based  on  the  findings  of  The   2016  Foodborne  Illness  Risk  Factor  Study  required   aspects  of  critical  thinking  and  analysis  in  order  to   make  inferences  and  draw  conclusions  from  the   qualitative  and  quantitative  data.   • Principles  of  strategic  planning  were  utilized  to   develop  community  based  initiatives.   • Effective  communication  and  presentation  skills  were   required  to  convey  the  necessary  information  to   stakeholder  and  policymakers.   RELEVANT  GCH  COUREWORK • GCH  600:   Health  Promotion  Methods • GCH  601:   Introduction  to  Biostatistics   • GCH  691:   Project  Management  in  Public  Health   • GCH  712:    Introduction  to  Epidemiology • GCH  762:   Environmental  Epidemiology • GCH  804:   Advanced  Quantitative  Data  Analysis   Methods  for  Health  Care  Research  I This  experience  at  the  Fairfax  County  Health  Department   was  a  great  success.   • Provided  the  opportunity  to  utilize  the  skill  sets   acquired  in  pursuit  of  a MPH  and  apply  them  in  a   practical  situation.   • Opportunity  to  network  and  develop  contacts  that  will   assist  with  the  transition  from  clinical  veterinary   practice  to  the  public  health  field. Fairfax  County  Health  Department  Website.   http://www.fairfaxcounty.gov/hd/.   Food  and  Drug  Administration  Website.   Voluntary   National  Retail  Food  Regulatory  Program  Standards.   http://www.fda.gov/Food/GuidanceRegulation/RetailFoo dProtection/ProgramStandards/ucm245409.htm.   CRITICAL  REFLECTION WHY  CONDUCT  THE  RISK  FACTOR  STUDY? CONCLUSIONS Objective  #1:   • The  2016  Foodborne  Illness  Risk  Factor  Study  utilized   aspects  of  public  health  administration  by  employing  a   county  wide  approach  to  address  the  specific  public   health  issue  of  foodborne  illness.   • Scientific  knowledge  principles  were  utilized  through   the  use  of  a  standardized  data  collection  form  and   highly  trained  staff  to  collect  the  data.   • Communication  of  a  shared  public  health  vision  was   achieved  by  explaining  the  importance  of  the  Risk   Factor  Study  and  reduction  of  foodborne  illness  risk   factors  to  the  establishments  that  were  included  in  the   survey.   Objective  #2:   • Database  development,  data  entry  and  data   management  required  the  effective  use  of  project   management  principles  and  practices  to  ensure  that   the  project  remained  on  task  and  time.   • Team  leadership  and  management  skills  were  needed   to  address  the  multidisciplinary  issue  of  foodborne   illness  prevention.