Mission Possible: a Food-Borne Illness (FBI) Scenario

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Mission Possible a Food-Borne Illness (FBI)
Scenario
The Case of the Potluck Poisoning

• TLC Business
• Health Care Integrated Activity

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Your Mission

• This is a Health Care activity to experience what
  it is like to work in Health Informatics
  Occupations. GOOD LUCK!
• Your mission is to solve the Case of the Potluck
  Poisoning a Food Borne Illness scenario by
• Using this presentation
• Filling out medical forms in your student binder
• Exploring the Health Informatics Occupations
• Deciding from the facts what caused the Potluck
  Poisoning

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Health Informatics Occupations

• These occupations collect, manage, organize, and
  analyze information in the Health Care Field.
• These occupations require computer technology
  skills and knowledge of health care office
  software.

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You will be exploring these occupations

• The Admitting Clerk that records the patients
  personal and insurance information.
• The Epidemiologist that collects all the facts
  and solves the case.

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The Community Potluck was organized by 4
individuals

• Molly is a local housewife who runs a day care
  center.
• Mike runs the towns meat packing plant.
• Abram is the manager of the Roto Rooter
  Fertilizer Outlet.
• John is a hard-working local dairy farmer.

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Activity 1 Identify the 4 Contributors to the
Potluck Dinner

• Locate your Health Informatics Activity 1
  worksheet in your student binder.
• Describe the people as you watch the presentation
• Match the people to the pictures that represent
  their part in this scenario by writing the LETTER
  of the person in the square to the left of the
  picture
• Use the next 4 slides to find the answers.

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Molly

• She is a local housewife who runs a day care
  center for 9 children approximately 1-8 years
  old.
• She was asked to cook 15 hams.
• The day of the banquet, she and 3 of her older
  day care children spent most of the day preparing
  the hams in her kitchen.
• She also has a soft spot for birds and cats you
  are told she has 4 birds and 12 cats.

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Mike

• He runs the towns meat packing plant.
• He and his wife donated some 150 pounds of beef
  and pork which, when you arrive, are being cooked
  over several open pit barbeques.
• Several kids, ages 5-9, are playing near some of
  the uncovered meat.
• You also note several flies camping on the beef,
  and a no-pest strip hanging close by.

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Abram

• He is the manager of the Roto Rooter Fertilizer
  Outlet in the states capitol, about 290 miles
  away.
• He has been ill recently and only helped mix the
  salad after nobody else would volunteer to do it.
  
• Symptoms of his recent illness include double
  vision, diarrhea, high fever and skin lesions.
• He feels fine now.

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John

• He is a hard-working local dairy farmer who has
  been asked to bring 200 gallons of red fruit
  punch.
• Lacking anything else to bring the punch in, he
  uses several of his milk cans.
• The milk cans have just recently ha repaired from
  several years of use.

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The Case of the Potluck Poisoning

• It could happen anywhere.
• On the evening of September 23, at approximately
  830 p.m., your phone rings.
• Upon answering, a nurse from your local hospital
  frantically tells you of some 95 people who are,
  as she describes it, Lying all over the place.
  
• They are vomiting, they have diarrhea and some
  are in such pain that they wont even move from
  the hallways of the hospital and the front lawn
  of the community center.

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The Community Potluck Dinner

• From what you can gather at the emergency room,
  there was a community potluck dinner, which was
  attended by some 350 people.
• The dinner began at 800 p.m.
• The first sick patients began arriving at the
  hospital around 825 p.m.

It is time to explore 2 occupations to help you
solve the case...
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Gather information from the patients to admit
them into the hospital

• As the Admitting Clerk of the Hospital you are
  responsible to get personal and medical insurance
  information from all patients
• Family members begin to arrive and you get
  information from them.

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Activity 2 Patient Record

• Locate your Health Informatics Activity 2
  worksheet in your student binder.
• Accuracy is required!!! No mistakes.
• Work with a partner and fill out their
  information on YOUR paper.
• You should make up your information about your
  age, if you are married, phone number, etc.
• Finish this activity before going on to the next
  slide.

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Explore the duties of the Admitting Clerk

• The Admitting Clerk and the Medical Records
  Technicians have similar duties

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To continue

• The ambulance driver begins to talk about a
  community potluck dinner where several hundred
  people are in attendance. He says that more
  people will probably be coming.
• Going in through the side door, you meet 6 other
  victims experiencing similar symptoms.
• We are informed by Environmental Health Services
  that this seems to be a larger than normal
  outbreak and they have called an Epidemiologist.

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The Epidemiologist arrives

• It is only 20 minutes later as the Epidemiologist
  arrives at the hospital.
• In the ensuing time, an additional 20 individuals
  have arrived - all with similar symptoms.
• The Epidemiologist begins to collect information
  by setting up his laptop computer and using the
  latest version of the EPI Info web site.
• In the meantime, 3 Environmental Health
  Specialists are sent to the dinner to collect
  food samples, which are transported to the public
  health laboratory at the hospital.

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To Be Continued

• The Epidemiologist begins to piece together a
  story from the sick people, which involves
• People at a community dinner become sick
  displaying nausea, vomiting, diarrhea, severe
  headache, but no fever.
• The Environmental Specialists collect the
  containers the food and drink were served in.
• By early the next morning, several patients are
  ready to be interviewed.
• The Epidemiologist interviews people who brought
  the food and drink.

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Activity 3 Epidemiologist Chart

• Locate your Health Informatics Activity 3
  worksheet in your student binder.
• Complete the Epidemiologist Chart.
• Enter a 1 for what the 5 people ate. The
  totals at the bottom of the chart are filled in.
• You need to study the formulas at the bottom and
  then enter the last formulas and analyze the
  numbers.
• What percent of people will reveal what food
  item made them sick?
• Continue on to the next slide to get the
  information about the first 5 people and what
  they ate so you can complete the chart.

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Information For the Epidemiologist Chart

• Enter the following information in your
  epidemiologist chart about each of the people
  below. Then figure out the numbers at the bottom
  of the chart.
• TANNER - Did not get sick. He ate the ham
  salad. He drank water only. He is on a diet and
  is limiting his sugar intake.
• ANA - Did get sick. She ate the ham, salad and
  drank the fruit punch.
• MEGAN - Did get sick. She ate salad and had the
  fruit punch.
• JIM - Did get sick. He ate the ham, salad, and
  drank the fruit punch.
• BRIANN - Did not get sick. She ate the salad and
  drank water.
• Finish this activity before going on to the next
  slide.

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There are many reasons why people get sick.

• Viruses and bacteria may cause infections likes
  strep throat and influenza (flu).
• Some bacteria and viruses can live in food
  causing food-borne illnesses like salmonella and
  hepatitis A.
• Exposure to excessive amounts of chemicals or
  chemical elements (also called minerals) can
  cause illness like heavy metal poisoning from
  lead or cadmium.

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Activity 4 Classify Illnesses

• Locate your Health Informatics Activity 4
  worksheet in your student binder to learn more
  about 5 illnesses
• Record the cause of each illness
• Record the time it takes to get sick
• Record what happens to the patient
• This information will help you solve the case
• Use the next 4 slides to find the answers

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Influenza (Flu)

• Cause of the illness This is an extremely
  contagious infection caused by a virus.
• It attacks the nose, throat, and lungs.
• Time for symptoms to occur is short and the
  symptoms come on quickly.
• Symptoms are fever, headache, fatigue, dry
  cough, sore throat, congested nose, and body
  aches.
• Most people will recover in one to two weeks, but
  a few people will progress to pneumonia and other
  complications including death. An average of
  35,000 Americans die annually from Influenza.

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Hepatitis A

• Cause of the illness Is a viral infection that
  causes liver damage.
• This particular virus is transmitted by food or
  water that has been contaminated with feces from
  an infected person.
• This obviously means you should always wash your
  hands after going to the bathroom AND before
  handling food.
• Time for symptoms to occur is within 2 to 4
  weeks.
• The symptoms include jaundice (yellow skin and
  eyes), fatigue, abdominal pain, loss of appetite,
  nausea, and vomiting.
• There is no treatment for Hepatitis A.

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Salmonella

• Cause of the illness This is a bacterial
  infection that may occur after eating
  contaminated food such as raw chicken or raw
  eggs. Some animals, such as reptiles, baby
  chicks, and baby ducks, may also carry salmonella
  and pass it in their feces. Cats and dogs can
  also carry salmonella in their feces as well.
• Time for symptoms to occur they begin one to
  three days after the infection.
• Salmonella infection causes diarrhea, fever, and
  stomach pain.

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Lead Poisoning

• Cause of the illness Lead is a soft, heavy blue
  gray metal naturally occurring in the earths
  crust. Lead used to be common in paints, and is
  still found in batteries, solder used for
  repairing metal containers, bullets, and roofing
  materials. It also exists in food cans that
  have not been soldered properly.
• Time for symptoms to occur within 30 minutes to
  an hour.
• Lead poisoning can cause stomach pain, diarrhea,
  and vomiting. Prolonged exposure can damage the
  kidneys, cause mental retardation, coma,
  seizures, and death.

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Cadmium Poisoning

• Cause of the illness Cadmium is a metal, which
  can be very poisonous to the body. It is highly
  corrosion resistant and is desirable in the
  automotive, electronics, marine, and aerospace
  industries. It has also been used in soldering
  and in the production of metal cans.
• Time for symptoms to occur within 30 minutes to
  an hour.
• If cadmium is ingested, it can immediately cause
  choking attacks, vomiting, abdominal pains,
  diarrhea, dizziness, and a loss of consciousness.
  

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The case continues

• Within 24 hours the first results of the food
  come back negative. The food items were not
  spoiled with bacteria.
• Investigation shifts to chemical or metal
  poisoning.
• The symptoms presented by the patients mimics
  that of heavy metals.
• The question was where did the heavy metals come
  from?

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Activity 5 Fact Review Questions

• Locate your Health Informatics Activity 5
  worksheet in your student binder and analyze the
  information found in Activity 1 The Types of
  Illnesses and Activity 4 The Epidemiologist
  Chart.
• As the Epidemiologist, answer the following
  questions to help identify what item made
  everyone sick and how it made them sick.
• Finish this activity before going on to the next
  slide.

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Did you solve the case correctly?

• The food-borne illness was caused by
• John took the milk cans to get repaired, the
  repair shop used metal solder that contained lead
  and cadmium.
• Everyone who drank the fruit punch became sick
  within 30 minutes.

heavy metal poisoning
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Congratulations!

• Next time everyone will know better to use
  containers that will not contaminate the food or
  drink they contain.
• Make sure when you use food containers that they
  are made of plastic or stainless steel any
  non-corrosive material.

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Close the PowerPoint program and refer back to
your instruction binder for the next activity in
this unit.