Binational Collaboration Investigating an Outbreak of Vibrio - - PowerPoint PPT Presentation

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Binational Collaboration Investigating an Outbreak of Vibrio - - PowerPoint PPT Presentation

Nov 16, 2022 206 likes •662 views

2015 ARIZONA INFECTIOUS DISEASE TRAINING & EXERCISE Binational Collaboration Investigating an Outbreak of Vibrio parahaemolyticus Associated with Travel to Puerto Peasco, Sonora, Mexico Catherine Golenko & Mariana Casal- Arizona

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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

2015 ARIZONA INFECTIOUS DISEASE TRAINING & EXERCISE

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Vibrio parahaemolyticus

Photo: Janice Carr Content Providers(s): CDC/ Janice Carr

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Photo by: Mik e and dirtyboxfac

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Photo by Shawn Hoke (CC BY-NC-ND 2.0)

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Photo by Visualogica (CC BY-NC 2.0)

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Photo by Bart Everson (CC BY 2.0)

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2 Arizona (Pima county) residents with Vibrio parahaemolyticus

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AZ Case 1: 44 year old female*

*Symptomatic uncle also

  • Rest. A
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AZ Case 2: 46 year old female

  • Rest. A
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Puerto Peñasco, Sonora, MX

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Photo by Ken Bosma (CC BY 2.0)

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Notification to UIEE Sonora, MX

AZ SO

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Sonora update: Foodborne outbreak in progress in Puerto Penasco

  • Rest. A
  • Rest. B
  • Rest. C

0 cases x cases x cases

Photo by Larry and Ted page (CC BY 2.0)

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Arizona updates: Arizona counties, CDC US-MX unit, CDC shellfish unit, and US border health colleagues

CDC Quarantine Stations

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Sonora update:

  • Rest. B

9

  • Rest. C

7 1

  • Rest. B Rest. C
  • Rest. A
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Line list of California residents identified in Sonora

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Arizona (Maricopa county) identifies 3rd case of

  • V. parahaemolyticus
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AZ Case 3: 25 year old male

  • Rest. D

*Symptomatic brother also

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Arizona notifies CDC and Sonora

CDC recommendations: Health Alert Network Message

SO update: NEG

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Arizona notifies US Foodborne colleagues

LA County responds …

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LA County case 1

??

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Arizona sends a HAN

10

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No more new cases! Outbreak is over, but still more updates on cases

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Investigation Highlights 23 cases 10 8 5

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Investigation Highlights 23 cases 12 11

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Investigation Highlights 23 cases 7 4 12

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5 10 15 20 Number of cases Date event

Binational vibrio parahaemolyticus confirmed and probable cases, by state of residence, 7/28/2014- 8/10/2014

AZ Confirmed AZ Probable CA confirmed CA probable SO confirmed SO probable

N=23

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The culprit?

83%

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50 %

Photo by Farrukh (CC BY-NC 2.0)

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83%

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Two months later…

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Sonora Final Investigation

  • Rest. B
  • Rest. C
  • Rest. A
  • Rest. D

+ + +

CLOSED

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Sonora Final Investigation

POSITIVE for Vibrio parahaemolyticus

NEGATIVE

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Binational Collaboration

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Language barriers

Photo by Samuel Abram(CC BY-NC 2.0)

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Patient confidentiality

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Secure and quick information exchange

Photo by UK Ministry of Defence (CC BY-NC 2.0)

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Resources

Photo by Picture of Money(CC BY 2.0)

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Accuracy of information/ quality of information exchange

Photo by SparkCBC (CC BY-SA 2.0) and Tex Batmart (CC BY-NC-ND 2.0)

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Points of contact

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Prioritization

Photo by Jeffrey Beall (CC BY-ND 2.0)

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Different surveillance methods

Photo by Bryan Jones and Allan Foster (CC BY-NC-ND 2.0)

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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’”

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Questions?

  • Catherine.golenko@azdhs.gov
  • Mariana. casal@azdhs.gov