Recommendations for when to consider an internationally coordinated investigation (tool 1)
These recommendations concern outbreaks affecting more than one country
Download
Tool 1.1: When to consider a coordinated approach - EN - [PDF-546.87 KB]
EWRS Technical Guidance Document - EN - [PDF-83.4 KB]
International Health Regulations, WHO - Technical guidance - EN - [PDF-236.23 KB]
Infosan - Technical guidance - EN - [PDF-19.04 KB]
There are different types of food- and waterborne (FWD) disease outbreaks that affect more than one country in the EU:
- FWD outbreaks caused by exposure in one country (e.g. outbreaks occurring at international events, mass gatherings, tourist destinations or during international travel)
- FWD outbreaks caused by exposure in several countries (e.g. by a contaminated food/drink items marketed or distributed in more than one country)
These outbreaks may be detected through different channels:
- Inquiry or alert posted through international alert systems or media (see also Tool 8)
- ECDC-FWD (EPIS)
- EWRS
- IHR (WHO)
- INFOSAN (WHO-FAO)
- Global Foodborne Infections Network (previous Global Salm-Surv)
- PulseNet International
- Other sources, eg CDC, ProMed, media etc.
- Clusters detected in surveillance data (national or European (Tessy))
- Reports of a food-borne hazard during a routine inspection or a food safety investigation with the potential to cause human illness (including incidents reported through RASFF)