Comparing the 2008 Canadian Listeriosis Outbreak and 2005 Hurricane Katrina Response

7/31/2019 Comparing the 2008 Canadian Listeriosis Outbreak and 2005 Hurricane Katrina Response

1/15


2/15

]jb 0>>2 eahmlaee gl Jrppciahb Fa}pcha ahm 0>>: Ecy}bpcgycy gr}`pbaf {bpb ha}cghae ipcyby lgp }jb

kg|bphobh}y gl }jb Rhc}bm Y}a}by gl Aobpcia ahm Iahama% pby~bi}c|bes( Baij b|bh} {ay a oa}}bp gl ~rèci jbae}j ahm

ybirpc}s( Jg{ bllbi}c|bes gllcicaey igoorhcia}bm {c}j baij g}jbp ahm }jb ~rèci mrpchk }jbyb }coby co~ai}bm }jb

bz}bh} gl egyy gl {bee/`bchk% ec|becjggm% ~pg~bp}s% ahm eclb( ]jcy ~a~bp {cee igo~apb ahm igh}pay} }jb igoorhcia}cgh

pby~ghyb gl }jgyb oahakchk baij ipcycy(

Pgeby'~pcgpc}cby

Oa~eb Ebal

]jb oahakbobh} }bao gl Oa~eb Ebal Lggmy% Chi( ~easbm a ipricae pgeb ch }jb 0>>: Ecy}bpcgycy gr}`pbaf ahm

pby~ghyb( ]jcy }bao chiermbm ^pbycmbh} ahm IBG Ocijabe OiIach% {jg g|bpya{ }jb igo~ahs ay c} chy}c}r}bm pbiaeey%

laicec}s iebahychk ahm yahc}cta}cgh bllgp}y% bo~egsbb }pachchk gh iebahechbyy ahm }jb mcybayb% ahm hb{ yalb}s

~pg}gigey( OiIach aeyg ybp|bm }g chlgpo ahm pbayyrpb }jb ~rèci `s jgemchk a ~pbyy ighlbpbhib mrpchk }jb gr}`pbaf(

Ahg}jbp |c}ae ~easbp ch }jb igo~ahs+y pby~ghyb }g }jb ipcycy {ay y~gfby~bpygh Echma Yoc}j {jg jahmebm obmca

chqrcpcby(

Ay }jbpb apb a hro`bp gl y}afbjgembpy ch|ge|bm ch a ~rèci jbae}j ahm lggm yalb}s ch|by}cka}cgh ahm pbiaee%

Oa~eb Ebal Lggmy% Chi( {gpfbm ch ighdrhi}cgh {c}j }jb Iahamcah lbmbpae kg|bphobh} mrpchk }jcy }cob( *Iahamcah

Lggm Chy~bi}cgh Akbhis VILCA_% 0>>3# ]jb oadgp akbhicby ch|ge|bm {bpb }jb Iahamcah Lggm Chy~bi}cgh Akbhis

*ILCA#% ^rèci Jbae}j Akbhis gl Iahama *^JAI#% % ahm Jbae}j Iahama *JI#( Gh Arkry} >:% }jb ]gpgh}g

^rèci Jbae}j Rhc} chlgpobm }jb ILCA gl }{g ecy}bpcgycy iayby a} a hrpychk jgob( ]jb akbhis+y Gllcib gl Lggm Yalb}s

ahm Pbiaee *GLYP# }jbh ighmri}bm a lggm yalb}s ch|by}cka}cgh% lpgo Arkry} ; }g }jb 09pm

% }ja} re}coa}bes echfbm }jb

Ecy}bpca }g oba}y ~pgmribm a} Oa~eb Ebal Lggmy+ @ap}gp Pgam Laicec}s( ]jb akbhis igh}ai}bm Oa~eb Ebal Lggmy ahm

cyyrbm a Jbae}j Jatapm Aebp}% }pckkbpchk }jb pbiaee ahm pb}pcb|ae gl igh}aocha}bm mbec oba}y(

Ch c}y 0>>: pb~gp}% }jb ^JAI gr}echbm c}y y}pghk lbmbpae ebambpyjc~ pgeb mrpchk }jb Ecy}bpcgycy gr}`pbaf ay

lgeeg{y4

]jb Gr}`pbaf Oahakbobh} Mc|cycgh ch }jb Ibh}pb lgp Lggm/`gphb% Bh|cpghobh}ae ahm Tgghg}ci

Chlbi}cgry Mcybayby iggpmcha}bm }jb ha}cghae b~cmbocgegkciae ch|by}cka}cgh(

]jb Ha}cghae Ocipg`cgegks Ea`gpa}gps ebm }jb ea`gpa}gps apo gl }jb ha}cghae gr}`pbaf ch|by}cka}cgh%iggpmcha}chk ahm ahaestchk aee ea`gpa}gps ma}a chiermchk pbyre}y kbhbpa}bm beyb{jbpb% ahm ~pg|cmchk

ahaesyby ahm ch}bp~pb}a}cgh gl kbhb}ci lchkbp~pch}y(


3/15


4/15

mcyay}bpy% aiicmbh}y% ahm g}jbp igh}chkbhicby6

Mb~bhmbh} r~gh Y}a}b ahm egiae ea{% jay bz}pagpmchaps ~g{bpy }g yry~bhm egiae ea{y ahm gpmchahiby%yrij ay }g by}aècyj a irplb{% mcpbi} b|aira}cghy% ahm% ch iggpmcha}cgh {c}j }jb egiae jbae}j ar}jgpc}s% }g

gpmbp a qrapah}chb6

^pg|cmby ebambpyjc~ ahm ~easy a fbs pgeb ch igoorhcia}chk }g }jb ~rèci% ahm ch jbe~chk ~bg~eb%`rychbyyby% ahm gpkahcta}cghy ig~b {c}j }jb ighybqrbhiby gl ahs }s~b gl mgoby}ci chicmbh} {c}jch }jb

drpcymci}cgh6

Hbkg}ca}by ahm bh}bpy ch}g or}rae acm akpbbobh}y {c}j g}jbp drpcymci}cghy }g laicec}a}b pbygrpib/yjapchk6 ahm

Pbqrby}y Y}a}b ahm% cl hbibyyaps% Lbmbpae ayycy}ahib }jpgrkj }jb Kg|bphgp gl }jb Y}a}b {jbh }jbdrpcymci}cghy ia~a`cec}cby ja|b `bbh bzibbmbm gp bzjary}bm(

CC(Ay a Y}a}by ijcbl bzbir}c|b% }jb Kg|bphgp cy pby~ghycèb lgp }jb ~rèci yalb}s ahm {belapb gl }jb ~bg~eb gl}ja} Y}a}b gp }bppc}gps( ]jb Kg|bphgp4

Cy pby~ghycèb lgp iggpmcha}chk Y}a}b pbygrpiby }g ammpbyy }jb lree y~bi}pro gl ai}cghy }g ~pb|bh}%~pb~apb lgp% pby~ghm }g% ahm pbig|bp lpgo chicmbh}y ch ah aee /jatapmy igh}bz} }g chiermb }bppgpcyo%

ha}rpae mcyay}bpy% aiicmbh}y% ahm g}jbp igh}chkbhicby6

Rhmbp ibp}ach bobpkbhis ighmc}cghy% }s~ciaees jay ~gecib ~g{bpy }g oafb% aobhm% ahm pbyichm gpmbpyahm pbkrea}cghy6

^pg|cmby ebambpyjc~ ahm ~easy a fbs pgeb ch igoorhcia}chk }g }jb ~rèci ahm ch jbe~chk ~bg~eb%`rychbyyby% ahm gpkahcta}cghy ig~b {c}j }jb ighybqrbhiby gl ahs }s~b gl mbieapbm bobpkbhis {c}jch

Y}a}b drpcymci}cgh6

Bhigrpakby ~ap}cic~a}cgh ch or}rae acm ahm co~ebobh}y ar}jgpc}cby lgp }jb Y}a}b }g bh}bp ch}g or}raeacm akpbbobh}y {c}j g}jbp Y}a}by% }pc`by% ahm }bppc}gpcby }g laicec}a}b pbygrpib/yjapchk6

Cy }jb Igooahmbp/ch/Ijcbl gl Y}a}b ocec}aps lgpiby *Ha}cghae Krapm {jbh ch Y}a}b Ai}c|b Mr}s gp]c}eb 90 Y}a}ry ahm }jb ar}jgpctbm Y}a}b ocec}cay#6 ahm

Pbqrby}y Lbmbpae ayycy}ahib {jbh c} `bigoby iebap }ja} Y}a}b gp }pcàe ia~a`cec}cby {cee b chyrllcicbh}gp ja|b `bbh bzibbmbm gp bzjary}bm(


5/15

CCC(]jb Ybipb}aps gl Jgobeahm Ybirpc}s cy pby~ghyc`eb lgp iggpmcha}chk Lbmbpae g~bpa}cghy {c}jch }jb Rhc}bmY}a}by }g ~pb~apb lgp% pby~ghm }g% ahm pbig|bp lpgo }bppgpcy} a}}aify% oadgp mcyay}bpy% ahm g}jbp bobpkbhicby(

JY^M/2 lrp}jbp mbyckha}by }jb Ybipb}aps gl Jgobeahm Ybirpc}s ay }jb ~pchic~ae Lbmbpae gllcicae lgp

mgoby}ci chicmbh} oahakbobh}( Ch }jcy pgeb% }jb Ybipb}aps cy aeyg pby~ghyc`eb lgp iggpmcha}chk Lbmbpae

pbygrpiby r}cectbm ch pby~ghyb }g gp pbig|bps lpgo }bppgpcy} a}}aify% oadgp mcyay}bpy% gp g}jbp bobpkbhicby cl

ahm {jbh ahs gl }jb lgeeg{chk lgrp ighmc}cghy a~~ecby4

*1# A Lbmbpae mb~ap}obh} gp akbhis ai}chk rhmbp c}y g{h ar}jgpc}s jay pbqrby}bm MJY ayycy}ahib6

*0# }jb pbygrpiby gl Y}a}b ahm egiae ar}jgpc}cby apb g|bp{jbeobm ahm Lbmbpae ayycy}ahib jay `bbh

pbqrby}bm6

*9# ogpb }jah ghb Lbmbpae mb~ap}obh} gp akbhis jay `bigob yr`y}ah}caees ch|ge|bm ch pby~ghmchk

}g }jb chicmbh}6 gp

*=# }jb Ybipb}aps jay `bbh mcpbi}bm }g ayyrob chicmbh} oahakbobh} pby~ghyc`cec}cby `s }jb

^pbycmbh}

@pg{h+y ~gyc}cgh ay Mcpbi}gp gl LBOA obah} jb {ay aeyg }jb Rhmbpybipb}aps lgp Bobpkbhis ^pb~apbmhbyy ahm

Pby~ghyb lgp }jb MJY( Ay jcy ~gyc}cgh ~eaibm jco rhmbp }jb ro`pbeea gl }jb Mb~ap}obh} gl Jgobeahm Ybirpc}s ahm

ch a ipc}ciae gllcib lgp ha}cghae mcyay}bp oahakbobh}% jb {ay a~~gch}bm `s }jb Ybipb}aps gl }jb MJY ay }jb ~pchic~eb

Lbmbpae gllcicae }g oahakb }jb Jrppciahb Fa}pcha yc}ra}cgh(

A oadgp cyyrb ch }jb jahmechk gl }jb Jrppciahb Fa}pcha pby~ghyb% jg{b|bp% {ay a eaif gl a iebap ahm

mbicyc|b ebambpyjc~ gp b|bh a iebap ijach gl igooahm( Ch 0>>}j}jb mas

al}bp lchae eahmlaee( Jg{b|bp% jb mcm hg} mbyckha}b }jb y}gpo ay a ia}ay}pg~jci b|bh}% {jcij {grem ja|b


6/15

}pckkbpbm ammc}cghae ~pg|cycghy gl }jb Ha}cghae Pby~ghyb ^eah *HP^#% iaeechk lgp a ogpb ~pgai}c|b

pby~ghyb(1 Ay a pbyre}% }jb lbmbpae ~gy}rpb kbhbpaees {ay }g {ac} lgp }jb allbi}bm y}a}by }g pbqrby} ayycy}ahib(

A} }jb yaob }cob% ygob lbmbpae pby~ghmbpy yrij }jb Igay} Krapm ahm MGM VMb~ap}obh} gl Mblbhyb_ mcm

ebah lgp{apm ch ~pgai}c|b bllgp}y ah}cic~a}chk a oadgp mcyay}bp( Lrp}jbpogpb% g}jbp lbmbpae akbhicby }ggf

~pgai}c|b y}b~y }g ~pb~apb lgp ahm pby~ghm }g }jb mcyay}bp% yrij ay }jb R(Y( ^gy}ae Ybp|cib ahm }jb Ha}cghae

Lchahib Ibh}bp

Ae}jgrkj }jb MJY Ybipb}aps mbyckha}bm a ^LG }g `b }jb lbmbpae kg|bphobh}y pb~pbybh}a}c|b rhmbp }jbHP^ y}pri}rpb ahm }g iggpmcha}b }jb lbmbpae pby~ghyb% }jb bllgp}y gl aee lbmbpae akbhicby ch|ge|bm ch }jb

pby~ghyb pboachbm mcydgch}bm `biaryb }jb ^LGy ebambpyjc~ pgeb {ay rhiebap( Ch }jb a`ybhib gl }cobes ahm

mbicyc|b ai}cgh ahm iebap ebambpyjc~ pby~ghyc`cec}s ahm aiigrh}a`cec}s% }jbpb {bpb ore}c~eb ijachy gl

igooahm% a ospcam gl a~~pgaijby ahm ~pgibyyby lgp pbqrby}chk ahm ~pg|cmchk ayycy}ahib% ahm ighlrycgh

a`gr} {jg yjgrem `b am|cybm gl pbqrby}y ahm {ja} pbygrpiby {grem `b ~pg|cmbm {c}jch y~biclci }cob

lpaoby( *[aefbp% 0>>


7/15

G|bpapijchk y}pa}bks ahm kgaey

Oa~eb Ebal

]jb g|bpapijchk kgae gl Oa~eb Ebal ch pby~ghmchk }g }jb ecy}bpcgycy gr}`pbaf jay `bbh co~pg|bm lggm yalb}s

ch aee gl }jb igo~ahs+y ~eah}y ahm }g chy}cee ahm'gp pb`rcem y}afbjgembp ighlcmbhib ch }jbcp ~pgmri}y ]jb ~eah }g

aiigo~ecyj }jcy kgae cy eacm gr} ch lgrp y}pa}bkcby( ]jbyb y}pa}bkcby chiermb co~pg|bm yahc}a}cgh ~pg}gigey% }by}chk%

}pachchk% ahm lggm yalb}s ebambpyjc~(

Jrppciahb Fa}pcha

Ch }jb ebam/r~ }g }jb eahmlaee gl Jrppciahb Fa}pcha% baij kg|bphobh} ch}bhmbm }g ybhm }jb obyyakb }g

ic}s'orhcic~ae% y}a}b% pbkcghae% ahm ha}cghae ~r`eciy }ja} }jbs {bpb ~pb~apbm }g pby~ghm }g c} ahm g}jbp oadgp

ia}ay}pg~jci b|bh}y bllbi}c|bes( ]jb g|bpapijchk kgaey ch ~pb~apchk lgp Jrppciahb Fa}pcha ahm ycoceap b|bh}y {ay }g

ochcoctb bz}pagpmchaps eb|bey gl oayy iayrae}cby% maoakb% gp mcypr~}cgh }ja} ecfbes {cee coobmca}bes g| bp{jbeo

y}a}b ahm egiae pby~ghmbpy( *KAG% 0>>


8/15

Ammchk yjpgrmy% yebb|by% ahm a~pghy }g bh}ps pbqrcpbobh}yY}pa}bks4 ]by}chk

Y}pbhk}jbhbm yao~eb% }by}chk% ahm ma}a ahaesycy

Mgrèbm }by}chk yc}by ahm hro`bp gl yao~eby gh b|bps echb ch }jb pbams/}g/ba} ~eah}

Pb|cb{ }by}chk yao~eby yb~apa}bes ahm ay a {jgeb Jay }{g kg|bphobh} aiipbmc}bm }by}chk ea`y ahm {cee yggh ja|b a }jcpm

Y}pa}bks4 ]pachchk

[pg}b hb{ ~pg}gige ch}g y}ahmapm g~bpa}chk ~pgibmrpb ]jgryahmy gl jgrpy y~bh} `s bo~egsbby ebaphchk hb{ ~pgibmrpby

Y}pa}bks4 Lggm yalb}s ebambpyjc~

Ipba}bm ~gyc}cgh gl Ijcbl Lggm Yalb}s Gllcibp *ILYG# irppbh}es jbem `s Mp( Pahmaee Jrlloah ILYG cmbh}clcby kegàe `by} ~pai}ciby ch lggm yalb}s ahm hb{ lggm yalb}s }bijhgegkcby Mb|beg~bm lggm yalb}s am|cygps igrhice ighycy}chk gl kegàe bz~bp}y ch lggm yalb}s% lggm ocipg`cgegks% ahm

lggm yicbhib

ILCA chy~bi}gpy apb gh yc}b }g oghc}gp aee lggm ~pgibyychk a} aee Oa~eb Ebal ~pgibyychk laicec}cby Aee ~eah}y apb lbmbpaees pbkcy}bpbm

Ah chmb~bhmbh} igo~ahs pb|cb{y ~pglcicbhis gl Oa~eb Ebal ocipg`cgegks }by}chk }jpbb }coby a sbap

]rphy}ceb bh}ps pby}pci}y aiibyy }g pbams/}g/ba} ~eah}y rh}ce cg/ybirpb jahm {ayjchk ahm yahc}cta}cgh cyigo~eb}b

âp}cic~a}by ch ahhrae lggm yalb}s armc}y ^bplgpoy qrap}bpes bzbpicyby }g }by} a`cec}s }g }paib ~pgmri} }jpgrkj }jb yr~~es ijach

Jrppciahb Fa}pcha

A ~ap}cae ecy} gl y}pa}bkcby ahm }ai}ciy rybm ebamchk r~ }g% mrpchk% ahm ch }jb al}bpoa}j gl Jrppciahb Fa}pcha

chiermb }jb lgeeg{chk4

Y}pa}bks4 R~ma}chk mcyay}bp ~pb~apbmhbyy ~eahy

Ighmri}bm }jb Jrppciahb âo mpceey ch @a}gh Pgrkb% Egrcycaha gh Dres 09% 0>>=( ]jbyb {bpb bzbpicybyrychk chlgpoa}cgh lpgo ahm ch|ge|chk }jb igg~bpa}cgh gl }jb Ha}cghae [ba}jbp Ybp|cib6 }jb R(Y( Apos

Igp~y gl Bhkchbbpy6 }jb EYR Jrppciahb Ibh}bp6 bobpkbhis gllcicaey lpgo 2> ~apcyj% y}a}b% lbmbpae ahm


9/15

|gerh}bbp gpkahcta}cghy6 ahm g}jbp y}a}b ahm lbmbpae akbhicby( ]jb ~rp~gyb gl }jbyb mpceey {ay }g jbe~

gllcicaey mb|beg~ dgch} pby~ghyb ~eahy lgp a ia}ay}pg~jci jrppciahb ch Egrcycaha(

Ipba}bm }jb Ha}cghae Pby~ghyb ^eah% a =0< ~akb mgirobh}% {jcij {ay }g aeckh Lbmbpae iggpmcha}cghy}pri}rpby% ia~a`cec}cby% ahm pbygrpiby ch}g a rhclcbm% aee/mcyic~echb% ahm aee/jatapmy a~~pgaij }g mgoby}ci

chicmbh} oahakbobh}( *MJY% 0>>=% ~( c#

Y}pa}bks4 Bobpkbhis pby~ghyb ~pgibmrpby

Egrcycaha Kg|( Fa}jebbh @eahig cyyrbm a y}a}b gl bobpkbhis gh Ark( 0< ahm gh Ark( 0: ybh} a eb}}bp }g^pbycmbh} @ryj pbqrby}chk a mcyay}bp mbieapa}cgh lgp }jb y}a}b ch gpmbp }g pbebayb lbmbpae ayycy}ahib

Ammc}cghaees% }jb eb}}bp jam }g }pa|be }jpgrkj ~gch}y ch LBOA `blgpb }jb lbmbpae kg|bphobh} igrem

pby~ghm( LBOA mb~egsbm pbkcghae pby~ghmbpy `blgpb Fa}pcha oamb eahmlaee% `r} a oadgp lbmbpae pby~ghyb

{ayh+} b|cmbh} rh}ce masy ea}bp( *Yjgr~% 0>>2% ~ap( 0>#

^pbycmbh} Kbgpkb [( @ryj mbieapbm a y}a}b gl bobpkbhis ch Egrcycaha% Ocyycyyc~~c% ahm Aea`aoa }{g masy`blgpb eahmlaee ahm gpmbpbm Lbmbpae acm }g yr~~ebobh} y}a}b ahm egiae pby~ghyb bllgp}y ch }jb ~apcyjby

egia}bm ch }jb ~a}j gl Jrppciahb Fa}pcha( *]jb [jc}b Jgryb Gllcib gl }jb ^pbyy Ybipb}aps% 0>>2#

Oasgp Hakch mbieapbm a y}a}b gl bobpkbhis ahm iaeebm lgp |gerh}aps b|aira}cgh gh Arkry} 0;% 0>>2 Oasgp Hakch gpmbpbm a oahma}gps b|aira}cgh lgp }jb bh}cpb ic}s gh Arkry} 0:% 0>>2% ghb mas `blgpb

eahmlaee ahm g~bhbm }jb Egrcycaha Yr~bpmgob ay a yjbe}bp gl eay} pbygp} V(((_ lgp }jgryahmy gl }jb apba+y

~ggp% jgobebyy ahm lpace *]jb Ayygica}bm pbyy% 0>>2#

Gh Arkry} 03% 0>>2% Jrppciahb Fa}pcha jc} }jb Krel Igay}% ahm }jb 1; }j Y}pbb} Iahae `pgfb iarychk Eafb^gh}ijap}pach }g leggm }jb ic}s( Ocijabe @pg{h rpkbm lcpy} pby~ghmbpy }g {ac} lgp pbqrby}y ahm ea{lre

mcy~a}ij `blgpb pby~ghmchk% ahm }jb Aobpciah Pbm Ipgyy {ay mcy~a}ijbm `r} mcm hg} bh}bp Hb{ Gpebahy

Kg|bphgp @eahig ahhgrhibm }ja} }jb Yr~bpmgob {grem ja|b }g `b b|aira}bm gh Arkry} 9> ahm b|aira}cgh`bkah gh Arkry} 91( ]jb Yr~bpmgob jam `bigob jgob }g yibhby gl lce}j ahm ocybps *Pgck/Lpahtca ,

Jyr% 0>>2#

Gh Yb~}bo`bp 1% }jb @ryj amochcy}pa}cgh ybh} Kg|bphgp @eahig a ~pg~gybm ebkae obogpahmro ayfchk jbp}g pbqrby} a lbmbpae }afbg|bp gl }jb b|aira}cgh gl Hb{ Gpebahy *Pgck/Lpahtca , Jyr% 0>>2#

Gh Yb~}bo`bp 0% ^pbycmbh} @ryj |cyc}bm Hb{ Gpebahy( Mrpchk }ja} }cob pbecbl ig~}bpy {bpb kpgrhmbm( Ighy}pri}cgh bqrc~obh} gh yc}b mrpchk }jb ^pbycmbh}+y |cyc} {ay pbog|bm lpgo }jb eb|bby gh Yb~}bo`bp 9(


10/15

Aeyg gh Yb~}bo`bp 9% ^pbycmbh} @ryj ahhgrhibm }jb bo~egsobh} gl ai}c|b mr}s kpgrhm }pgg~y ahm Oapchby

]cob echb ahm pbygrpiby

Oa~eb Ebal

]jb Iahamcah Kg|bphobh} ahm ebambpyjc~ ahm bo~egsbby a} Oa~eb Ebal ja|b yb} r~ oahs hb{ ~eahy ch

pby~ghyb }g }jb 0>>: ecy}bpcgycy gr}`pbaf( ]jb mas al}bp `bchk chlgpobm gl Ecy}bpca iayby a} }jb jbae}j rhc}% }jb ILCA+y

GLYP `bkah c}y ch|by}cka}cgh {jcij {ay ighmri}bm ch }jb y~ah gl a ec}}eb g|bp }{g {bbfy( ]jb GLYP coobmca}bes

pb~gp}bm c}y lchmchky }g Oa~eb Ebal Lggmy {jcij aeeg{bm }jb igo~ahs }g }afb coobmca}b ai}cgh( Aee }jb akbhicby

qrcifes r}cectbm }jb =P+y / bz~pbyychk pbkpb}% y}a}chk {ja} {cee `b mghb }g pbyge|b }jb cyyrb% pblgpochk% ahm

gllbpchk pby}c}r}cghch }jb ~pgibyy gl pby~ghmchk }g }jb ipcycy( ]jcy jbe~bm oach}ach gp pbia~}rpb ~rèci ighlcmbhib

ch }jb igo~ahs ahm }jb kg|bphobh} ch jahmechk ipcyby ahm ~pg|cmchk hbibyyaps ~pgmri}y ahm ybp|ciby( Oa~eb Ebal

ahm }jbyb kg|bphobh} akbhicby qrcifes mcy~a}ijbm aee hbibyyaps ~bpyghhbe ahm pbygrpiby }g oahakb }jb ~pgèbo(

]jcy chiermbm ch|by}cka}cghy% iegychk mg{h laicec}cby% pbiaeechk ~pgmri}y% iebahychk ahm y}bpcecta}cgh ~pai}ciby% ahm

}pachchk( ]jbyb ai}cghy {bpb }afbh {c}j a ore}c/oceecgh mgeeap igy} }g bhyrpb ~rèci jbae}j ahm ebyybh gp ~pb|bh}

lr}rpb egyy gl eclb mrb }g ycoceap igh}aocha}cgh(

]jb a}}c}rmb }afbh `s }jbyb ~ap}cby mcy~easbm a ybhyb gl pby~bi} lgp }jb oakhc}rmb gl }jb ipcycy% }jb ec|by

allbi}bm `s }jb b|bh}y% ahm }jbyb kpgr~y+ ygicae pby~ghyc`cec}cby( [c}jch ycz ogh}jy gl }jb gr}`pbaf% baij akbhis jam

pbebaybm c}y g{hEbyyghy Ebaphbmpb~gp} mb}acechk c}y ~ap} ch }jb pby~ghyb bllgp}y% c}y aiigrh}a`cec}s% ahm apbay {jbpb

co~pg|bobh} {ay hbbmbm( @s Dahraps 0>>3lc|b ogh}jy al}bp }jb gr}`pbafOa~eb Ebal jam ipba}bm }jb ~gyc}cgh

gl Ijcbl Lggm Yalb}s Gllcibp(

Jrppciahb Fa}pcha

Ch igh}pay}% ar}jgpc}cby ybbobm hg} }g ebaph gp a~~es ay orij ay qrcifes lpgo ~pb|cgry mcyay}bpy% chiermchk

Jrppciahb Ahmpb{ {jcij ja~~bhbm 19 sbapy ~pcgp }g Fa}pcha( A oadgp ~pgèbo ch Jrppciahb Fa}pcha {ay }cochk ahm

iggpmcha}cgh gl pbygrpiby( Ay baij eb|be bzjary}bm c}y pbygrpiby ahm a`cec}s }g bllbi}c|bes ig~b {c}j }jb ipcycy }jbs

pbqrby}bm ayycy}ahib lpgo jckjbp eb|bey gl kg|bphobh}( Aiirya}cghy ahm èaob {bpb iay} lpgo ahm r~gh aee eb|bey gl

kg|bphobh} ay ocy}afby iaob }g eckj}( Lpgo }jb egiae eb|be% gllcicaey igo~eachbm gl igoorhcia}cgh `pbafmg{hy

ahm }jb eaif gl ebambpyjc~ lpgo }jb lbmbpae kg|bphobh}% ~ap}cireapes lpgo LBOA Mcpbi}gp Ocijabe @pg{h( *Yjgr~%

0>>2% ~ap 00# ]jbyb lai}gpy rhmbpochbm ~rèci ighlcmbhib ch aee eb|bey gl R(Y( ebambpyjc~ pbkapmchk }jb ipcycy(

]jgrkj }jb kg|bphobh} pbibc|bm oahs gllbpy gl acm lpgo g}jbp y}a}by% `rychbyyby% ahm ch}bpha}cghae


11/15

kg|bphobh}y`blgpb ahm al}bp }jb jrppciahb+y eahmlaee / oahs gl }jbyb gllbpy mcm hg} kb} }jpgrkj }g oahclby} ay

ai}rae jbe~ }g }jgyb allbi}bm( Ay gl Yb~}bo`bp =% 0>>2% 23 igrh}pcby ahm ch}bpha}cghae gpkahcta}cghy jam gllbpbm acm

}g }jb Rhc}bm Y}a}by( Lgpbckh ha}cghy gllbpbm obmciae ahm {a}bp/}pba}obh} ybp|ciby% obmciae }baoy% jgy~c}aey%

}bo~gpaps jgrychk% ygemcbpy% lcpblckj}bpy% mcyay}bp y~bicaecy}y% lrbe% kbhbpa}gpy% ig}y% }bh}y% mgha}cghy }g }jb Aobpciah

Pbm Ipgyy ahm g}jbp acm( @r} {ja} ai}raees kg} mbec|bpbm {ay mb~bhmbh} r~gh LBOA+y cmbh}clcia}cgh gl hbbmy(

LBOA {ay cee/~pb~apbm }g jahmeb }jcy pby~ghyc`cec}s mrb }g }jb lgeeg{chk4

Hg fhg{ebmkb oahakbobh} ~eah bzcy}bm lgp chicmbh} pby~ghyb( ]jbpb {ay hg ibh}pae ecy} gl chlgpoa}cgh

hbbmy% gp ecy}chk gl ~g}bh}cae chlgpoa}cgh ygrpiby% }g jbe~ ~pcgpc}ctb pbighy}c}r}cgh bllgp}y( Dgch} }ayf lgpib

~jghb hro`bpy {bpb hg} ~pbayyckhbm% ahm yb|bpae hro`bpy ijahkbm {jceb }jb pby~ghyb {ay rhmbp{as( Ch

oahs iayby% fbs obyyakby {bpb ~pch}bm ahm jahm/iappcbm apgrhm igooahm ibh}bpy }g oafb yrpb chicmbh}

oahakbpy jam }jb pckj} chlgpoa}cgh( *Oceebp% h(m(% ~( 13;#

Aeyg4

]jbpb {bpb ijaeebhkby ch ch}bkpa}chk }jb bllgp}y gl }jb Yae|a}cgh Apos ahm yoaeebp gpkahcta}cghy% gl}bh

egiae ijrpijby ahm g}jbp lac}j/`aybm gpkahcta}cghy( Ch ammc}cgh% lbmbpae akbhicby ch|ge|bm ch oahakchk

}jb ch}bpha}cghae ayycy}ahib {bpb hg} ~pb~apbm }g iggpmcha}b% pbibc|b% mcy}pc`r}b% gp aiigrh} lgp }jb

ayycy}ahib( Akbhis gllcicaey ch|ge|bm ch }jb iayj ahm ch/fchm ch}bpha}cghae ayycy}ahib }gem ry }jb akbhicby

jam hg} ~eahhbm lgp }jb aiib~}ahib gl ch}bpha}cghae ayycy}ahib lgp ryb ch }jb Rhc}bm Y}a}by ahm% }jbpblgpb%

jam hg} mb|beg~bm ~pgibyyby ahm ~pgibmrpby }g ammpbyy }jcy yibhapcg( *[aefbp% 0>>


12/15

co~ebobh}bm }gg ea}b gp hg} a} aee( Pbchlgpibobh} gp pb/bhkchbbpchk }jb eb|bby ahm ipricae y}pri}rpby ch Hb{ Gpebahy

igrem ja|b mbipbaybm ~pgà`cec}s gl }jb `pbaij( ]jcy {grem ja|b ebyybhbm mby}pri}cgh ahm egyy gl eclb }ja} pbyre}bm

lpgo }jb eb|bby `pbafchk( ]jgrkj ar}jgpc}cby {bpb ecfbes a}}bo~}chk }g ~pb|bh} a ~ahci ahm rhhbibyyaps

ch}bppr~}cghy }g pbkcghae eclb ahm bighgos `s {ac}chk rh}ce Arkry} 0: }g gpmbp }jb oahma}gps b|aira}cgh% }jcy oas

{bee ja|b `bbh }jb {pghk ryakb gl iar}cgh( Jam }jbs `bbh iar}cgry ch ah ae}bpha}c|b oahhbp% `s gpmbpchk }jb

oahma}gps b|aira}cgh ygghbp% }jbs ockj} ja|b pba~bm yb|bpae `bhblc}y( ]jbpb {grem ja|b `bbh ogpb }cob ahm ebyy gl

ah rpkbh} yc}ra}cgh ch }pallci gr} gl Hb{ Gpebahy( Ogp}aec}s mrpchk }jb b|aira}cgh igrem ja|b `bbh ebyybhbm( Ogpb

~bg~eb {grem ja|b `bbh aèb }g oafb ~eahy }g b|aira}b {c}j }jb bz}pa }cob a|aceaèb% ~r}}chk ebyy gl a y}pach gh

yjbe}bpy gl eay} pbygp}% ahm ecfbes mbipbaychk }jb g|bpaee ogp}aec}s pa}b gl }jb mcyay}bp ahm mby}pri}cgh al}bp{apm `s

}jgyb ebl} `bjchm(

Obayrpbobh}

Ch ipcycy yc}ra}cghy% obayrpbobh} iah b mcllcire}% by~bicaees }afchk ch}g aiigrh} |apcaèby ch baij yibhapcg(

Jg{b|bp% ibp}ach ob}jgmy gl ayybyyobh} ory} `b mb|beg~bm }g karkb ahm igo~apb ~ay}% ~pbybh}% ahm lr}rpb

~bplgpoahib ahm bllbi}c|bhbyy( Lgp Oa~eb Ebal% ghb ob}jgm gl obayrpbobh} ockj} `b ma}a gh gr}`pbafy }ja} }paib

àif }g igh}aocha}bm ~pgmri}y lpgo }jbcp laicec}cby( Lb{bp pb~gp}y gl ceehbyy ahm mba}j {grem `b a yckh gl

co~pg|bobh} ahm bzjc`c} }jb igo~b}bhib gl kg|bphobh} ahm igp~gpa}b oahakbobh} ahm ~g}bhis gl hb{ yalb}s

obayrpby( ]jbs ockj} aeyg ybbf }g co~pg|b ipcycy pby~ghyb }cob{jcij cy ah cmba }ja} {ay hg mgr`} }afbh ch}g

aiigrh} ch mb|beg~chk }jb qrap}bpes }paichk bzbpicyby(

Lgp }jb Rhc}bm Y}a}by Kg|bphobh}% c} {grem `b ryblre }g igo~apb egyy ahm mby}pri}cgh mrb }g ha}rpae

mcyay}bpy( Ah bzao~eb gl }jcy {grem `b ma}a igo~apchk }jb bllbi}y gl jrppciahby jc}}chk }jb R(Y( / ahm ch ~ap}cireap

}jb Krel Igay} pbkcghmrpchk }jb 0>}j

ibh}rps }g }jb bllbi}y gl Jrppciahb Fa}pcha( Aee y}afbjgembpy gl R(Y( Ha}rpae

mcyay}bpy {grem `bhblc} lpgo a qrcifbp pby~ghyb% {jcij iah `b obayrpbm `s jg{ qrcifes acm ahm pbygrpiby apb aèb

}g pbaij }jgyb ch hbbm( ^bpja~y ghb gl }jb ogy} ipricae obayrpbobh}y {grem `b lckrpby gl jg{ oahs{ja}

~bpibh}akb gl }jb }g}ae ~g~rea}cgh / {bpb ebl} `bjchm ch b|aira}bm apbay% {ja} ~bpibh}akb {bpb aèb }g b|aira}b

yalbes% jg{ yggh }jb oadgpc}s gp aee {bpb b|aira}bm *{c}jch jg{ oahs masy gp jg{ oahs masy ~pcgp }g eahmlaee#% ahm

}jb `by} by}coa}by lgp }jb g|bpaee ogp}aec}s pa}b( Aee eb|bey gl kg|bphobh}ae akbhicby yjgrem ybbf }g mbipbayb }jb

~bpibh}akb ebl} `bjchm ay eg{ ay ~gyycèb% chipbayb }jb ~bpibh}akb aèb }g b|aira}b% ahm mb|beg~ a yalbp {chmg{ gl

}cob lgp b|aira}cgh( Ahm co~gp}ah}es% }jbyb gpkahcta}cghy ory} ybbf }g ieapcls igoorhcia}cghy }g aeeb|ca}b


13/15

ighlrycgh% `eaob kaoby% ahm a ipc~~ebm pby~ghyb bllgp}( ]jbs yjgrem ybbf }g pbgpkahctb ahm y}pbaoechb }jb ijach

gl igooahm ahm }jbh chipbayb }jb hro`bp gl chmc|cmraey {jg fhg{ {jg jgemy {ja} ar}jgpc}s ch ipcycy yc}ra}cghy(

Ighierycgh

Oahs ch|by}cka}cghy ja|b `bbh ighmri}bm ahm pb~gp}y ja|b `bbh pbebaybm `s }jb RY ahm Iahamcah

kg|bphobh}y ch pby~ghyb }g }jbyb ipcyby( ]jbyb pb~gp}y ahm mcyigrpyb gh jg{ }g oahakb }jbyb yc}ra}cghy apb ipricae

}g jahmechk lr}rpb b|bh}y gl a ycoceap ha}rpb( [jceb }jb Oa~eb Ebal pby~ghyb {ay qrcif ahm mbicyc|b ahm }ggf ogpb

gl ah a~~pgaij }g igh}ach ahm igrh}bpai}% rhlgp}rha}bes lgp }jb |ci}coy gl Jrppciahb Fa}pcha% }jb yaob igrem hg} `b

yacm gl }jb RY oahakbobh} gl }ja} ipcycy( Oa~eb Ebal jay oahs ~pg}gigey ch ~eaib }g ~pb|bh} ahm bllbi}c|bes igh}ach

lr}rpb gr}`pbafy mrb }g igh}aocha}bm ~pgmri}( Al}bp ycoceap b|bh}y / ~ap}cireapes }jb lacpes pbibh} Jrppciahb Ahmpb{

/ }jb Rhc}bm Y}a}by yjgrem ja|b ch hbapes }jb yaob ~gyc}cgh% cl hg} `b}}bp( ]ja} cy% }jb kg|bphobh} yjgrem ja|b `bbh

ogpb }jgpgrkjes ~pb~apbm lgp yb|bpae b|bh}raec}cby gl yrij a mcyay}bp ahm `bbh ogpb ~pgai}c|b ahm ebyy pbai}c|b(

Jg~blrees% Aobpciah ebambpyjc~ jay hg{ bhkakbm ch ogpb ai}cghy }ja} bo`gms }jcy a}}c}rmb( Ar}jgpc}cby%

y}afbjgembpy% ahm igoorhcia}gpy iah ryb }jb jchmyckj} gl }jbyb yibhapcgy ay chyckj} ahm lgpbyckj} lgp lr}rpb b|bh}y(

^prmbhib {grem ja|b ry aifhg{ebmkb }ja} }jbyb chicmbh}y apb hbc}jbp rh~pbibmbh}bm hgp rhecfbes }g pbirp ahm c} cy

aee }jb ogpb rpkbh} }ja} {b mpa{ a~~pg~pca}b ebyyghy lpgo }jbyb bz~bpcbhiby( *Oceebp% h(m(% ~( 131#


14/15

PBLBPBHIBY

Ayygica}bm ^pbyy( *0>>2% Arkry} 0:#( RYA]GMAS(igo / Hb{ Gpebahy lebby ay Fa}pcha a~~pgaijby Krel Igay}(

Pb}pcb|bm Gi}g`bp 01% 0>>3% lpgo j}}~4''{{{(rya}gmas(igo'{ba}jbp'y}gpoibh}bp'0>>2/>:/0:/fa}pcha/

krelWz(j}o

Iahamcah Lggm Chy~bi}cgh Akbhis( *0>>3#( Ebyyghy ebaphbm4 ]jb Iahamcah Lggm Chy~bi}cgh Akbhis+y pbiaee

pby~ghyb }g }jb 0>>: ecy}bpcgycy gr}`pbaf*Pb~(#( Pb}pcb|bm Gi}g`bp 0>% 0>>3% lpgo

j}}~4''{{{(chy~bi}cgh(ki(ia'bhkecyj'akbh'b|ae'ecy}bpca1'ecy}bpca1b(yj}oe

Lgpbpg% D(% , [bcyoah% Y( P( *0>>2% Yb~}bo`bp >=#( R(Y( aeecby% ahm g}jbpy% ybhm gllbpy gl ayycy}ahib(]jb Hb{ Sgpf

]coby( Pb}pcb|bm Gi}g`bp 01% 0>>3% lpgo

j}}~4''{{{(hs}coby(igo'0>>2'>3'>='ch}bpha}cghae'aobpciay'>=gllbpy(j}oe7Wp?1,amzhhe?1,amzhhez?1102

31191:/AYDl90Y`1E]P|pZc0gAI]k

Jbae}j Iahama( *0>>3#(Ebyyghy ebaphbm4 Jbae}j Iahama+y pby~ghyb }g }jb 0>>: ecy}bpcgycy gr}`pbaf bzbir}c|b

yrooaps *Pb~(#( Pb}pcb|bm Gi}g`bp 0>% 0>>3% lpgo j}}~4''{{{(ji/yi(ki(ia'lh/ah'~r`y'ybirpc}'bzbi/

ecy}bpcgycy/pby/bhk(~j~

Oceebp% P( *h(m(#(Jrppciahb Fa}pcha4 Igoorhcia}cghy , chlpay}pri}rpb co~ai}y*Pb~(#( Pb}pcb|bm Gi}g`bp 00% 0>>3%

lpgo Ha}cghae Mblbhyb Rhc|bpyc}s {b`yc}b4

j}}~4''{{{(iapecyeb(apos(oce'MCOB'mgirobh}y'Jrppciahb"0>Fa}pcha"0>Igoorhcia}cghy"0>,"0>Chlpa

y}pri}rpb"0>Co~ai}y(~m

Hceby% P( *Bm(#( *0>>2% Yb~}bo`bp >;#( A }cobechb gl kg|bphobh} pby~ghyb }g Jrppciahb Fa}pcha( Pb}pcb|bm Gi}g`bp

01% 0>>3% lpgo j}}~4''{{{(gdp(gpk'gdp'{cfc'Fa}pchaW]cobechb'

^r`eci Jbae}j Akbhis gl Iahama( *0>>3#(Ebyyghy ebaphbm4 ^r`eci jbae}j akbhis gl Iahama+y pby~ghyb }g }jb

0>>: ecy}bpcgycy gr}`pbaf*Pb~(#( Pb}pcb|bm Gi}g`bp 0>% 0>>3% lpgo

j}}~4''{{{(~jai/ay~i(ki(ia'ly/ya'ecy}bpca'0>>:/ebyyghy/ebighy/bhk(~j~

Pgck/Lpahtca% O(% , Jyr% Y( *0>>2% Yb~}bo`bp#( Oahs b|aira}bm% `r} }jgryahmy y}cee {ac}chk( ]jb

[ayjchk}gh ^gy}( Pb}pcb|bm Gi}g`bp 01% 0>>3% lpgo

j}}~4''{{{({ayjchk}gh~gy}(igo'{~/msh'igh}bh}'ap}cieb'0>>2'>3'>9'AP0>>2>3>9>1(j}oe

Yjgr~% A( *0>>2% Yb~}bo`bp >3#( ]jb ghechb Hb{yJgrp4 Al}bp Jrppciahb Fa}pcha u LBOA+y pgeb u( Pb}pcb|bm

Gi}g`bp 0>% 0>>3% lpgo


15/15

Documents

Comparing the 2008 Canadian Listeriosis Outbreak and 2005 Hurricane Katrina Response