Binational Collaboration Investigating an Outbreak of Vibrio - PowerPoint PPT Presentation

2015 ARIZONA INFECTIOUS DISEASE TRAINING & EXERCISE Binational Collaboration Investigating an Outbreak of Vibrio parahaemolyticus Associated with Travel to Puerto Peñasco, Sonora, Mexico Catherine Golenko & Mariana Casal- Arizona Department of Health Services Healt lth a and W Welln llness f for all ll Arizonans

Vibrio parahaemolyticus Healt lth a and W Welln llness f for all ll Arizonans Photo: Janice Carr Content Providers(s): CDC/ Janice Carr

Photo by: Mik e and dirtyboxfac Healt lth a and W Welln llness f for all ll Arizonans

Photo by Shawn Hoke (CC BY-NC-ND 2.0) Healt lth a and W Welln llness f for all ll Arizonans

Photo by Visualogica (CC BY-NC 2.0) Healt lth a and W Welln llness f for all ll Arizonans

Photo by Bart Everson (CC BY 2.0) Healt lth a and W Welln llness f for all ll Arizonans

2 Arizona (Pima county) residents with Vibrio parahaemolyticus Healt lth a and W Welln llness f for all ll Arizonans

AZ Case 1: 44 year old female* Rest. A *Symptomatic uncle also Healt lth a and W Welln llness f for all ll Arizonans

AZ Case 2: 46 year old female Rest. A Healt lth a and W Welln llness f for all ll Arizonans

Puerto Peñasco, Sonora, MX Healt lth a and W Welln llness f for all ll Arizonans

Healt lth a and W Welln llness f for all ll Arizonans Photo by Ken Bosma (CC BY 2.0)

Notification to UIEE Sonora, MX SO AZ Healt lth a and W Welln llness f for all ll Arizonans

Sonora update: Foodborne outbreak in progress in Puerto Penasco Rest. A 0 cases Rest. B x cases Rest. C x cases Healt lth a and W Welln llness f for all ll Arizonans Photo by Larry and Ted page (CC BY 2.0)

Arizona updates: Arizona counties, CDC US-MX unit, CDC shellfish unit, and US border health colleagues CDC Quarantine Stations Healt lth a and W Welln llness f for all ll Arizonans

Sonora update: Rest. B 9 Rest. C 1 7 Rest. A Rest. B Rest. C Healt lth a and W Welln llness f for all ll Arizonans

Line list of California residents identified in Sonora Healt lth a and W Welln llness f for all ll Arizonans

Arizona (Maricopa county) identifies 3 rd case of V. parahaemolyticus Healt lth a and W Welln llness f for all ll Arizonans

AZ Case 3: 25 year old male Rest. D *Symptomatic brother also Healt lth a and W Welln llness f for all ll Arizonans

Arizona notifies CDC and Sonora SO update: CDC recommendations: H ealth A lert N etwork NEG Message Healt lth a and W Welln llness f for all ll Arizonans

Arizona notifies US Foodborne colleagues LA County responds … Healt lth a and W Welln llness f for all ll Arizonans

LA County case 1 ?? Healt lth a and W Welln llness f for all ll Arizonans

Arizona sends a HAN 10 Healt lth a and W Welln llness f for all ll Arizonans

No more new cases! Outbreak is over, but still more updates on cases Healt lth a and W Welln llness f for all ll Arizonans

Investigation Highlights 23 cases 10 8 5 Healt lth a and W Welln llness f for all ll Arizonans

Investigation Highlights 23 cases 11 12 Healt lth a and W Welln llness f for all ll Arizonans

Investigation Highlights 23 cases 12 4 7 Healt lth a and W Welln llness f for all ll Arizonans

Binational vibrio parahaemolyticus confirmed and probable cases, by state of residence, 7/28/2014- 8/10/2014 20 Number of cases 15 10 5 0 Date event AZ Confirmed AZ Probable CA confirmed CA probable N=23 SO confirmed SO probable Healt lth a and W Welln llness f for all ll Arizonans

The culprit? 83% Photo by Ilee_wu (CC BY-ND 2.0) Healt lth a and W Welln llness f for all ll Arizonans

50 % Photo by Farrukh (CC BY-NC 2.0) Healt lth a and W Welln llness f for all ll Arizonans

83% Photo by Phu Thinh Co (CC BY-SA 2.0) Healt lth a and W Welln llness f for all ll Arizonans

Two months later… Healt lth a and W Welln llness f for all ll Arizonans

Sonora Final Investigation Rest. A Rest. B Rest. C Rest. D CLOSED + + + Healt lth a and W Welln llness f for all ll Arizonans

Sonora Final Investigation POSITIVE for Vibrio NEGATIVE parahaemolyticus Healt lth a and W Welln llness f for all ll Arizonans

Binational Collaboration Healt lth a and W Welln llness f for all ll Arizonans

Language barriers Healt lth a and W Welln llness f for all ll Arizonans Photo by Samuel Abram(CC BY-NC 2.0)

Patient confidentiality Healt lth a and W Welln llness f for all ll Arizonans

Secure and quick information exchange Healt lth a and W Welln llness f for all ll Arizonans Photo by UK Ministry of Defence (CC BY-NC 2.0)

Resources Healt lth a and W Welln llness f for all ll Arizonans Photo by Picture of Money(CC BY 2.0)

Accuracy of information/ quality of information exchange Photo by SparkCBC (CC BY-SA 2.0) and Tex Batmart (CC BY-NC-ND 2.0) Healt lth a and W Welln llness f for all ll Arizonans

Points of contact Healt lth a and W Welln llness f for all ll Arizonans

Prioritization Photo by Jeffrey Beall Healt lth a and W Welln llness f for all ll Arizonans (CC BY-ND 2.0)

Different surveillance methods Photo by Bryan Jones and Allan Foster (CC BY-NC-ND 2.0) Healt lth a and W Welln llness f for all ll Arizonans

Conclusions • Binational outbreaks can be investigated • Follow basic public health measures when you travel • As the old people said “Don’t eat raw seafood  in months without ‘R’” Healt lth a and W Welln llness f for all ll Arizonans

Questions? • Catherine.golenko@azdhs.gov • Mariana. casal@azdhs.gov Healt lth a and W Welln llness f for all ll Arizonans