FLORIDA’S INTEGRATED

RAPID RESPONSE TEAM

F L I R R TF L I R R TF L I R R TF L I R R T

BACKGROUND

� FDA Cooperative Agreement

� Develop an infrastructure to rapidly respond to an all hazard food/feed incident in our state

FLIRRT

� Use ICS structure

� Include all entities involved in food/feed safety in our state

� Enroll in the Manufactured Foods Regulatory Program Standards

� Related to FDA contract work

� Currently 9 Pilot State with RRTs

FLIRRT’S STRUCTURE

� Steering Committee

� Core Team

FLIRRT

� Regional Leadership

� Subject Matter Experts

FLIRRT’S STEERING

COMMITTEE

� Original purpose was to assess and guide the development of a Florida Rapid Response Team

� DOACS – Food Safety, Fruit & Vegetables, Office of Emergency Preparedness, Animal Feed

FLIRRT

Emergency Preparedness, Animal Feed

� DOH – Food & Waterborne Surveillance

� They are the Point of Contact for other sections within the FL DOH, such as Facilities

� DBPR – Division of Hotels & Restaurants

� FDA – Florida District as well as Ex-Officio FDA’s SE Emergency Response Coordinator

FLIRRT – CORE TEAM

� Currently 17 individuals specifically assigned to FLIRRT

� Selected-option to be part of the team; their choice

Shown much ability and competence and reliability

FLIRRT

� Shown much ability and competence and reliability

� Receive higher level training in ICS and are SMEs

and receiving enhancements in commodity/process

specific training

� Expected to be leaders during an incident to

coordinate field staff, other agencies, etc.

� Leaders of Strike Teams/Task Forces

FLIRRT – REGIONAL

LEADERS

� State divided into 4 distinct geographical regions

encompassing 14 districts

� Each region has a leader and alternate leader

FLIRRT

� Each region has a leader and alternate leader

� These leaders have the same

training/qualifications – two necessary as if one

leader is not available there is someone else who

has the right qualities and knows the area

� Also, these leaders can relieve each other during

a long incident

FLIRRT - SMES

� Have a long list of potential SMEs based on their

expertise which include:

� Staff from all impacted agencies� Staff from all impacted agencies

� Academia

� Industry

FLIRRT’S PURPOSE

� Communication improvement with all food/feed

safety partners

� Local, state, federal, industry

FLIRRT

� Local, state, federal, industry

� To work efficiently together

� Count on each other when the Agency Having

Jurisdiction demands exceeds its own capability

� To expedite a response with increased manpower

� A resource in Florida’s Food Emergency Response Plan

TAKING CARE OF

BUSINESS

� The Retail Food program has been taking care of

food-related incidents/outbreaks, etc.

� Use of a Rapid Response Team/Network can

FLIRRT

� Use of a Rapid Response Team/Network can

assist you if you exceed your capability to handle

an incident

� Utilize pre-trained manpower, subject matter

experts, equipment/gear, Incident Management

Teams, etc.

� Example: Recalls

VOLUNTARY NATIONAL RETAIL

FOOD REGULATORY PROGRAM

STANDARDS

� WHAT THE RRT CAN DO FOR YOU:

� Standard 5 – Foodborne Illness and Food Defense

Preparedness and Response

FLIRRT

Preparedness and Response

-- Surveillance, investigation, response and

subsequent review of alleged food-related

incidents and emergencies, either unintentional

or deliberate, which results in foodborne illness,

food-related injury, and outbreaks.

STANDARD 5 -

REQUIREMENTS

A Collaborative Approach:

� Investigative Procedures

FLIRRT

� Reporting Procedures

� Laboratory Support Documentation

� Traceback Procedures

� Recalls

� Media Management

� Data Review and Analysis

12 Response to Disasters

Most disasters are handled by Local and State governmentsMost disasters are handled by Local and State governments

LEVELS OF GOVERNMENT INVOLVED IN THE RESPONSE

Local State Regional FederalLocal State Regional Federal

NUMBER OF NUMBER OF

INCIDENTSINCIDENTS

SEVERITY AND MAGNITUDE OF SEVERITY AND MAGNITUDE OF

DISASTERDISASTER

RRT BEST PRACTICES MANUAL(KEY COMPONENTS OF EFFECTIVE RAPID RESPONSE FOR

FOOD/FEED EMERGENCIES)

� 9 Pilot States -The Manual describes best practices in food/feed emergency response to inform any group involved in responding to food and feed emergencies

� Dynamic document and is free for your use; located

FLIRRT

� Dynamic document and is free for your use; located on FoodSHIELD www.foodshield.org

� 7 Chapters - currently, other chapters forthcoming

� Each chapter designed to be used as a stand-alone document

� Probable training available to agencies on each chapter in the near future; not just a reference document

RRT BEST PRACTICES

MANUAL

� TABLE OF CONTENTS

� EXECUTIVE SUMMARY

� I. INTRODUCTION

FLIRRT

� 1. Purpose of the RRT Best Practices Manual

� 2. Background

� 3. Audience of the RRT Manual

� 4. How to Use the RRT Manual

� 5. Future Plans for the RRT Manual

7 CURRENT CHAPTERS

� 1. Working With Other Agencies

� 2. Food Emergency Response Plans (FERPs)

3. Communication Standard Operating Procedures (SOPs)

FLIRRT

� 3. Communication Standard Operating Procedures (SOPs)

� 4. Incident Command System – Best Practices

� 5. Rapid Response Team (RRT) Training

� 6.Tracebacks

� 7. Joint Inspections & Investigations

HIGHLIGHT 3 CHAPTERS

� Working well with other Agencies

� ICS

FLIRRT

� Joint Investigations

Note: Training is proposed to be offered on every

chapter of the RRT Best Practices Manual to

make it come to life and be applicable to your

specific program and/or structure for

functionality.

WORKING WITH OTHER

AGENCIES (WWOA)

� Building Relationships

FLIRRT

� Defining Roles and Responsibilities in an

Investigation/Response

� Maintaining Infrastructure

Process Description – in every chapter — the meat of

each chapter

WWOA -ACHIEVEMENT

LEVELS

� 1 No formal written “working with other agencies” Standard Operating Procedure (SOP).

� 2 Formal written “working with other agencies” SOP which properly identifies all relevant partners.

FLIRRT

which properly identifies all relevant partners.

� 3 All parties included in the SOP know the procedure exists, know its location, and clearly understand their respective roles as they are explained in the plan.

� 4 The SOP is utilized during incident response and/or planned exercises.

� 5 The SOP includes a formal review and update process.

WWOA– PROCESS

DESCRIPTION

� Standard practices – how to get started

� Building relationships –multiagency teams; legal framework; memorandum of understanding; joint management teams; regularly scheduled meetings;

FLIRRT

management teams; regularly scheduled meetings; joint trainings; joint exercises; task forces;

� Defining roles and responsibilities in an investigation/response –epidemiology to laboratory; epidemiology to environmental; laboratory to epidemiology; laboratory to environmental; environmental to epidemiology; environmental to laboratory; state to federal agencies; federal to state.

� Maintaining relationships

ICS – INCIDENT COMMAND

STRUCTURE

� ICS—basically a specific management system; those who received the cooperative agreement are to use this system as part of the agreement

FLIRRT

� It was designed by fire fighters; however, it can be applied to any event or incident

� Food folks (us) appear to have some problem with applicability as most of the training has been fire/haz-mat related

� FDA developed 100a through FEMA which is food based

ICS – INCIDENT COMMAND

STRUCTURE

� Works well at any event

� Need to use it whenever you can to be familiar

with it

FLIRRT

with it

� Will be especially useful when working with

other agencies within your realm or at the

regional or national level

� All will speak the same language and know the

responsibilities and duties of assigned roles

LEVELS IN RRT MANUAL -

ICS

� Level 1 ‐ Novice ‐ Responders identified and

initial FEMA training completed

� Level 2 ‐ Intermediate ‐ Use of ICS in response is

FLIRRT

� Level 2 ‐ Intermediate ‐ Use of ICS in response is

exercised and after‐action reports completed

� Level 3 ‐ Advanced ‐ More advanced/complex

exercises, training, and responses completed

NOVICE – LEVEL 1

ACHIEVEMENTS

� 1. Identify individuals within an

agency/department that will occupy a position

on, or provide support to, an incident

management team

FLIRRT

management team

� 2. Take FEMA’s ICS 100, 200, 700 and 800 online.

� 3. State and federal partners should take ICS 300

and 400 as face‐to‐face courses together when

possible

INTERMEDIATE – LEVEL 2 -

ACHIEVEMENTS

� 4. Exercise (discussion, workshop, or tabletop format) an incident with trained staff)

� 5. Conduct an after‐action report to identify strengths and weaknesses and assign a corrective action report

FLIRRT

and weaknesses and assign a corrective action report

� 6. Enhance training of incident management team command and general staff with FEMA’s position‐specific courses

� 7. Conduct an exercise or actual response with fully trained incident management team to generate an IAP

ADVANCED – LEVEL 3 -

ACHIEVEMENTS

� 8. Conduct a joint exercise between state and federal partners

� 9. Conduct an after‐action report to identify

FLIRRT

� 9. Conduct an after‐action report to identify strengths and weaknesses and assign a corrective action report

� 10. Enhance training of incident management teams with FEMA’s course for the development of incident management teams

� 11. Seek additional position‐specific shadowing opportunities on major incidents

FL ENV. SAMPLING - ICS

IC

FLIRRT

Planning

Tech

Specialists

Operations

Env. Sampling Team

Logistics

INCIDENT COMMANDER

�Delegated roles/chose personnel in command staff position

�Operations Chief

FLIRRT

�Operations Chief

�Planning Chief

�Logistics Chief

�Notified lab of expected sampling type/number

�Coordinate Pre-Planning meeting

PLANNING CHIEF

� Responsibilities were to gather intelligence on the firm

� Inspection of firm/Adverse practices at the firm

8a 7a

Freezer Freezer Burner

Smoker 10

New

Smoker

Room 9

Retail

Room

8 Smokers

Multivac room 7

Yannis room

Vest

3

Vacuum sealed Vestibule

multivac room

Utensils

FLIRRT

� Accurate diagram/layout

� Flow of the process

� Potential zones/sampling points

� Product list

� All written reports/documentation

5 4 2 Office

Dry cure room Dry room Box breakdown area

Restroom

11a

Freezer

6

Brinnig room

Smokers

11

Sam's room

13a 1

13 Smoker chiller Receiving area

Red room

12

Production room

11b

Vestibule

Office Vestibule 14

Dispatch area Exhibit # 1 1 of 15

Restroom The Macknight Smokehouse Inc

Blast FEI #

Freezer Shipping Date of inspection

3002583975

4/19/2011

Page

OPERATIONS CHIEF

� Planned the specifics of

the operation

� Selected sampling

FLIRRT

� Selected sampling

team members

� Reviewed plan with

team based on

information from

Planning

� Responsible for the

operation

LOGISTICS CHIEF

� Responsible for:

� Adequate supplies

� Correct items and

number

FLIRRT

number

� Organized supplies for

efficiency

� Food plan for the day

� Arrange shipment to lab

ENVIRONMENTAL SAMPLING

TEAM

�Swabber/Sponger

�Assistant to the

Swabber

FLIRRT

Swabber

�Scribe

�Photographer

�Data Entry

SUMMARY

� ICS Structure was most

beneficial

� All knew our roles

FLIRRT

� Allowed us to properly

organize the event

� Increasing our comfort

level of ICS

� Will increase our use of ICS FLIRRTDOACS, DOH, DBPR,

FDA, USDA

WRAP UP

� To have a complete safety net for a food/feed event we need to have ALL stakeholders involved – in advance

� If you are in a cooperative program it is imperative

FLIRRT

� If you are in a cooperative program it is imperative that you be “plugged in” to a multiagency response

� Increases resources for all involved parties such as manpower; experts; supplies/gear; legal authorities; documentation, etc

� Ease your burden and you may ease another agency’s burden. We are in this together and we must work to function together in an efficient and rapid manner