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Interviewer name:___ Date of interview: ___/___/___Standard foodborne disease outbreak case questionnaire Introductory note This questionnaire is an adaptation of a standardized questionnaire developed
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How to fill out foodborne illness investigation and

01
Gather all relevant information about the foodborne illness incident.
02
Document the symptoms and timeline of the illness.
03
Identify and collect samples of the suspected food.
04
Conduct interviews with affected individuals to gather more information.
05
Record and analyze the details of food preparation and handling practices.
06
Consult local health authorities for guidance on reporting and investigation procedures.
07
Collaborate with other agencies, such as the FDA or USDA, if necessary.
08
Continuously update and document the investigation findings.
09
Communicate the investigation results to the appropriate stakeholders.

Who needs foodborne illness investigation and?

01
Food establishments, such as restaurants, cafes, and food processing facilities.
02
Public health departments and agencies responsible for monitoring food safety.
03
Healthcare professionals treating patients with suspected foodborne illnesses.
04
Consumers who have experienced symptoms of a foodborne illness.
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Foodborne illness investigation is a process conducted to identify the sources and causes of illnesses that arise from consuming contaminated food. It involves the collection of data from affected individuals, analysis of food samples, and assessment of food handling practices.
Food businesses, healthcare providers, and local health authorities are typically required to file foodborne illness investigations when an outbreak is suspected or confirmed.
To fill out a foodborne illness investigation form, gather relevant information such as the details of the suspected food, the individuals affected, symptoms reported, and any medical treatment received. Complete each section accurately and submit it to the appropriate health authority.
The purpose of foodborne illness investigation is to protect public health by identifying sources of contamination, preventing further outbreaks, and implementing measures to reduce the risk of foodborne illnesses.
Information that must be reported includes the names and contact details of affected individuals, the type of food consumed, symptoms experienced, the timeline of illness onset, and any medical treatments sought.
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