Recommendations for when to consider an internationally coordinated investigation (tool 1)

Tools for public health

These recommendations concern outbreaks affecting more than one country

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)
    • EWRS
    • IHR (WHO)
    • 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)

Related publications