Tough Nut to Crack

A Walk Through the Outbreak Museum

In this mini-sode, we end episode 4 with a trip to the International Outbreak Museum in Portland, OR. Join us as we talk with epidemiologists who guide us through the museum, tell us about their favorite exhibits, and share memories of the museum’s creator, Dr. William “Bill” Keene. Guests * Hillary Booth, President of the International Outbreak Museum Board of Directors * June Bancroft, Senior Epidemiologist, Oregon Health Authority Resources The International Outbreak Museum Website [https://www.outbreakmuseum.com/]

Slice of Advice

In this episode, we gathered advice straight from our season one experts on what it means to work on these investigations. Join us, as we chat with them about the biggest challenges and the greatest rewards in the field of infectious disease outbreak epidemiology. We hope you take a pizza advice with you from these experts in their dough-main. Guests * Hillary Booth, President of the International Outbreak Museum Board of Directors * Dr. Lyndsay Bottichio; Platforms Division Director, Office of Public Health Data, Surveillance, and Technology; Centers for Disease Control and Prevention * Dr. Allison Longenberger, Epidemiologist Supervisor, Pennsylvania Department of Health * Dr. Kirk Smith, Manager - Foodborne, Waterborne, Vectorborne, and Zoonotic Diseases Section, Minnesota Department of Health * Josh Rounds, Epidemiologist Senior - Foodborne Diseases Unit, Minnesota Department of Health  * June Bancroft, Senior Epidemiologist, Oregon Health Authority * Dr. Sam Crowe; Senior Advisor, Office of Policy, Performance, and Evaluation; CDC Resources * Washington Integrated Food Safety Center of Excellence Trainings [https://foodsafety.uw.edu/training] * Northwest Center for Public Health Practice Training Site [https://www.nwcphp.org/training/essentially-public-health] * Integrated Food Safety Centers of Excellence – Central Training Site [https://foodsafetycoe.org/]

Knead to Dough Basis

In this episode, we dive into the 2016 E. coli outbreak traced to raw flour, a surprising source that caught many off guard. Follow the investigation as public health experts uncovered how this everyday ingredient posed serious health risks, leading to significant changes in food safety practices and public awareness. This is one outbreak you just have to roll with. Guests * Dr. Lyndsay Bottichio; Platforms Division Director, Office of Public Health Data, Surveillance, and Technology; Centers for Disease Control and Prevention * Dr. Sam Crowe; Senior Advisor, Office of Policy, Performance, and Evaluation; CDC Resources * 2016 E. coli Outbreak Linked to Flour, CDC [https://archive.cdc.gov/www_cdc_gov/ecoli/2016/o121-06-16/index.html#:~:text=On%20May%2031%2C%202016%2C%20General,to%20include%20more%20production%20dates.] * International Outbreak Museum Exhibit – Raw Flour E. coli [https://www.outbreakmuseum.com/ecoli/raw-flour-e-coli/] * Shiga Toxin–Producing E. coli Infections Associated with Flour, New England Journal of Medicine, 2017 [https://www.nejm.org/doi/10.1056/NEJMoa1615910?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200www.ncbi.nlm.nih.gov] * About Escherichia coli infection, CDC [https://www.cdc.gov/ecoli/about/index.html] * Handling flour safely, FDA [https://www.fda.gov/food/buy-store-serve-safe-food/handling-flour-safely-what-you-need-know]

Truth or Dairy

In this episode, we explore the 2012 Campylobacter jejuni outbreak linked to raw milk from a Pennsylvania dairy farm. Join us as we uncover how public health professionals investigated the source, addressed the risks of unpasteurized dairy, and gained crucial insights that continue to inform food safety today. This was one udderly difficult outbreak. Guest * Dr. Allison Longenberger, Epidemiologist Supervisor, Pennsylvania Department of Health Resources * Notes from the Field: Recurrent Outbreak of Campylobacter jejuni Infections Associated with a Raw Milk Dairy — Pennsylvania, April–May 2013, MMWR [https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6234a4.htm] * International Outbreak Museum Exhibit - Pennsylvania Raw Milk [https://www.outbreakmuseum.com/campylobacter/pennsylvania-raw-milk/] * About Campylobacter infection, CDC [https://www.cdc.gov/campylobacter/about/index.html] * Raw milk food safety, CDC [https://www.cdc.gov/food-safety/foods/raw-milk.html?CDC_AAref_Val=https://www.cdc.gov/foodsafety/rawmilk/raw-milk-questions-and-answers.html]

Tough Nut to Crack

In this episode, we trace the path of a 2011 E. coli O157 outbreak linked to nuts that affected people across the U.S. Follow along as experts recount the challenges of linking cases across state lines, the innovative techniques used to uncover the source, and the critical lessons learned for future outbreaks. This was one tough nut to crack. Guests * Josh Rounds, Epidemiologist Senior - Foodborne Diseases Unit, Minnesota Department of Health * Dr. Kirk Smith, Manager - Foodborne, Waterborne, Vectorborne, and Zoonotic Diseases Section, Minnesota Department of Health Resources * 2011 E. coli Outbreak Linked to In-Shell Hazelnuts, CDC [https://archive.cdc.gov/www_cdc_gov/ecoli/2011/hazelnuts-4-7-11.html] * International Outbreak Museum Exhibit – E. coli O157:H7 Hazelnuts [https://www.outbreakmuseum.com/ecoli/e-coli-o157h7-hazelnuts/#:~:text=A%20multi-state%20outbreak%20of,H7%20infections%20associated%20with%20hazelnuts.&text=On%20February%207%2C%202011%2C%20the,surveillance%20had%20indistinguishable%20PFGE%20patterns] * Use of traceback methods to confirm the source of a multistate Escherichia coli O157:H7 outbreak due to in-shell hazelnuts, Journal of Food Protection, 2012 [https://pubmed.ncbi.nlm.nih.gov/22289593/] * About Escherichia coli infection, CDC [https://www.cdc.gov/ecoli/about/index.html]