Get Enteric Illness Outbreak Investigation Termination Form - Michigan

Filling out the Enteric Illness Outbreak Investigation Termination Form is an important step in addressing suspected enteric illness outbreaks. This guide provides you with clear, step-by-step instructions on how to accurately complete the form online.

Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin filling out the preliminary information section. Include the agency or county related to the case, the date the complaint was received, and the date the Michigan Department of Agriculture (MDA) was notified. Make sure to also note the complaint number.
3. In the preliminary information section, enter the number of individuals who have fallen ill and the number of people who were exposed. Document the date and time when the meal was consumed and when the index case became ill.
4. Provide details about the establishment or event where the food was prepared, including the name and address. If the location where the food was consumed differs, mention that as well.
5. Proceed to the outbreak investigation section. For the epidemiological investigation, input the number of ill individuals and those interviewed. Record the age, incubation period, and duration of illness for the cases.
6. List the specific symptoms experienced by individuals, including diarrhea, abdominal cramps, headache, vomiting, nausea, fever, and any other symptoms.
7. Document all foods and beverages consumed during the suspected meal, categorizing them by type such as drinks, appetizers, salads, entrées, and desserts.
8. Indicate whether 72-hour meal histories were obtained for all cases to rule out shared exposures to other foods. Specify any other potential routes of transmission.
9. Move to the laboratory investigation section. Document any food and clinical samples collected, the results, and the respective laboratories handling the tests.
10. For fewer than five cases, list individual values; for five or more, provide average values to illustrate person, place, and time connections between cases.
11. Proceed to the environmental investigation section. Include the date of the site visit and answer whether the worker who prepared food was ill and if the food may have been mishandled.
12. Discuss the conclusions of the investigation, including whether the initial complaint met the regulatory definition of a foodborne illness outbreak and document the disposition.
13. Finally, ensure that you sign and date the form. Provide your phone number for any follow-up communications.
14. Once all sections are completed, save your changes, download the form, print it, or share it as necessary.

Take the next step in addressing enteric illness outbreaks by completing the Enteric Illness Outbreak Investigation Termination Form online today.