global foodborne infections network (gfn) building capacity to detect, control and prevent foodborne...
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Global Foodborne Infections Network (GFN)
Building capacity to detect, control and prevent foodborne
and other enteric infections from farm to table
National Center for Emerging and Zoonotic Infectious Diseases
Division Of Foodborne, Waterborne, and Environmental Diseases
Nirali Desai, MPH
GFN Vision and Mission
Vision A world where all countries prevent and control
foodborne and other enteric infections
Mission To enable countries to detect, control, and prevent
foodborne and other enteric infections by: Building capacity for integrated surveillance Fostering collaboration among human health, veterinary,
food and other relevant sectors.
What is GFN?
A network of professionals and institutions working in veterinary, food and public health disciplines committed to enhancing capacity of countries to conduct integrated surveillance of foodborne and other enteric infections
GFN Steering Committee
GFN Main Activities
International and Regional training courses External Quality Assurance System (EQAS) Country Data Bank (CDB) Focused regional and national projects Reference services CDC-specific technical expertise
International Training Courses
Progressive training cycle Microbiologists and Epidemiologists (Human,
Veterinary, and Food Disciplines) National and International formats Courses run between 4-7 days Bench training and table top exercises
International Training Courses
Microbiology Bench Training Global/Region-specific pathogens
(e.g., Salmonella, Campylobacter, E. coli, V. cholerae, S. Typhie, Brucella, Shigella, Listeria, C. botulinum)
Quality assurance Biosafety Antimicrobial Susceptibility Testing Advanced methods
Epidemiology Training Outbreak detection and response Evaluation of surveillance systems Study design Source attribution Burden of disease Data management
Joint Epidemiology and Laboratory
Integrated surveillance Risk assessment Country Plans of Action Advocacy and
communication Information sharing
networks Project proposal writing
Cumulative Number of Participants Trained (2000-2013)
Focused Regional/National Projects Burden of Illness Studies (e.g. Jordan, Slovenia, the Caribbean) Enhanced Surveillance Studies (e.g. China, Fiji, Philippines, Kazakhstan)
Reference Services Verification of laboratory findings Assist with technical questions Participation in regional projects
CDC-specific technical expertise In 2012-2013, CDC GFN led and provided ongoing SME support and
training to institutions in:• Port-au-Prince, Haiti • Delhi, India• Almaty, Kazakhstan• Johannesburg, SA• CAREC• Brasilia, Brazil
After training – focus on project and program follow up
External Quality Assurance System (EQAS)
Aims To have laboratories evaluate their performance of
serotyping and antimicrobial susceptibility testing (AST)
To improve quality of surveillance data To assess the quality of Salmonella serotyping and
AST in laboratories worldwide To evaluate the effectiveness of the training
courses To identify barriers for serotyping and AST
External Quality Assurance System (EQAS)
Proficiency test 8 anonymous strains of Salmonella and Shigella 4 Campylobacter isolates 1 blank sample Supplier of reference strain
Results Submitted through secure website Instant individual evaluation reports
Yearly cumulative evaluation reports posted online In 2012, 192 labs in 93 countries participated with a
decline in correct tests in both Salmonella serotyping and AST
GFN Country Databank GFN member institutions asked to provide access
to information about top 15 Salmonella serotypes from both human and non-human sources
As of 2013, over 2 million isolates and 359 different serotypes reported Over 1 million S. Enteritidis 400,000 S. Typhimurium
Global Impact of DFWED Activities
Thank you