Journal of Environmental Health 2014 Abstracts - page 44

July/August 2014
Abstracts (77.1)
Copyright 2014, National Environmental Health Association
Norovirus Outbreak at a Wildland Fire Base Camp Ignites Investigation of
Restaurant Inspection Policies
Carla L. Britton, MS, PhD,
Alaska Native Tribal Health Center
Patrick L. Guzzle, MA, MPH, REHS,
Idaho Department of Health and Welfare
Christine G. Hahn, MD,
Idaho Department of Health and Welfare
Kris K. Carter, DVM, MPVM, DACVPM,
Office of Public Health Preparedness and
Centers for Disease Control and Prevention
Norovirus outbreaks occur worldwide and have been associated with congregate
settings (e.g., military and recreational camps). Investigation of a norovirus outbreak at a
wildland fire base camp identified 49 (27%) illnesses among approximately 180
responders. Epidemiologic evidence implicated a restaurant as the infection source. Eight
(89%) of nine wildland fire responder groups who ate at the restaurant had ill members;
no groups who ate elsewhere reported ill members. An environmental health specialist
restaurant inspection identified lack of managerial knowledge to protect against
foodborne disease one year after the restaurant’s opening; earlier inspection after opening
might have led to earlier intervention. States were surveyed to determine existence of any
policy or rule for food establishment inspection after opening and inspection timing.
Among 18 states, five had no state rule or policy; nine had a policy in place; and four
required postopening inspection by rule. Further research is needed to evaluate
postopening inspection efficacy and timing.
Incorporating Occupational Risk in Heat Stress Vulnerability Mapping
Kyle G. Crider, MPA,
School of Engineering
University of Alabama at Birmingham
Elizabeth H. Maples, MPH, PhD,
School of Public Health
University of Alabama at
Julia M. Gohlke, MS, PhD,
School of Public Health
University of Alabama at
Both obesity and strenuous outdoor work are known risk factors for heat-related
illness (HRI). These risk factors may be compounded by more and longer periods of
extreme heat in the southeastern U.S. To quantify occupational risk and investigate the
possible predictive value of a GIS-based tool, a weighted occupation-based metabolic
equivalent (MET) index was created. The correlation between current MET-weighted
employment rates or obesity rates and 2012 HRI report rates in Alabama were then
determined. With the current dataset, results indicate occupational and obesity rates may
explain some of the geographical variation seen in HRI report rates,
although results are
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