Overview of FDA Office of Regulatory Affairs (ORA) and Office of Regulatory Science (ORS)

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FDA/ORA/ORS and FERN Update
FDA/ORA/ORS and FERN Update
Ruiqing Pamboukian, Ph.D.
Office of Regulatory Affairs/Office of Regulatory Science
U.S. Food and Drug Administration
AAFCO Mid-Year Meeting
San Antonio, Texas
January 11 - 15, 2015
2
ORA Organizational Chart
3
Office of Operations
Office of Regulatory Science (ORS)
organizational chart
 
 
5
ORS Website
http://inside.fda.gov:9003/ORA/OfficeofRegionalOperations/Division
ofFieldScience/default.htm
ORA Laboratory Locations
ORA Regulatory Lab
ORA Regulatory/Specialty Lab
6
 
 
MA
NY
OH
MI
GA
PA
AR
KS
CO
CA
WA
PR
WEAC
Winchester,
MA
Radionuclides
FCC
Cincinnati, OH
Forensic
Chemistry
Lab Director
Quality System 
Manager
Chemistry Branch
Director
Microbiology 
Branch Director
Drug Chemistry 
Supervisor
Food Chemistry
Supervisor
Micro 
Supervisor
Sensory/Filth 
Supervisor*
 Analysts
 Lab
Technicians
 Analysts
 Lab
Technicians
Support Staff
:
Admin
Industrial Hygienist
Sample Custodian
Local Structure of an ORA Laboratory
ORA Science
Executive at Office
of Reg Science
Future line of command
Regional Food and
Drug Director
(RFDD)
Current line of 
command
7
*Sensory/Filth groups
may also appear under 
Chemistry Branch in 
some labs’ organization.
The Food and Feed Scientific Staff (FFSS)
responsibilities cover scientific issues (e.g. methodology,
lab selection) involving food and feed testing conducted
under FDA jurisdiction.
Their testing coordination activities involve the 13 labs in
the FDA/ORA network as well as the cooperative
agreement laboratories within the Food Emergency
Response Network (FERN).
The staff coordinates various testing assignments and
programs involving numerous FDA food safety issues as
well as FERN activities.
Roles and Responsibilities
Food and Feed Scientific Staff
Examples include:
Import and Domestic Acidified and Low-Acid Canned
Foods
Domestic and Imported Cheese and Cheese Products
Pesticides and Industrial Chemicals in Domestic and
Imported Foods
Domestic and Imported Fish and Fishery Products
Infant Formula Program
Deep Water Horizon Testing Program (Reopening of
Gulf States fisheries)
FERN: Proficiency testing Program, training program,
Cooperative Agreement Program
ISO Laboratory Accreditation Program
Roles and Responsibilities
Food and Feed Scientific Staff
Coordinate all activities related to CDER, CDRH and CTP.
Coordinate analytical response to pharmacy compounding
events
Coordinate and provide analytical/compliance strategy for
drug/device/tobacco programs and assignments
Solicit research interest from ORA laboratories in new
method development/validation to bridge analytical gaps
Manage and prioritize capital equipment budget
Manage workplan projections in drug/device/tobacco arena
Identify new technology platforms to perform program work
Form collaborations with Centers on analytical projects
Roles and Responsibilities
Medical Products and Tobacco Scientific Staff
Laboratory Information Management System (LIMS)
Electronic Laboratory Exchange (eLEXNET)
Mobile Labs, Chemistry and Microbiology screening labs
FDA web posting Lab Information Bulletins (LIB)
Method Development and Validation Program (MDVP)
Component Automated Research Tracking System
(CARTS)
National Sample Distribution (NSD)
Equipment purchasing: VITEK, VIDAS
Technology transfer/development
ORS Science Seminar.
Whole Genome Sequence
Roles and Responsibilities
Laboratory Operations Scientific Staff
12
ORA Labs Program Work
Work plan
 – Annual map for allocation of ORA resources (inspectional, collections, analytical
testing) to different areas of concern.
Centers, in dialogue with Field Committees, determine how ORA resources should be distributed.
ORA utilizes analytical capabilities in areas of chemistry, microbiology, radiochemistry, and engineering to
perform the designated program work.
ORA supports the various Centers in the following areas of testing.
ORA Analytical Capability Snapshot
13
14
15
16
17
18
Internal
Collaboration
External
Collaboration
Committees leading
collaboration
Scientific
Collaboration areas:
food and feed,
medical device and
radiation emitting
product, Tabaco and
pharmaceuticals
19
Food Emergency Response Network (FERN) – State Labs
 
Areas of interaction:
 
Sample analysis (complementary capacity, surge capacity)
 
Intelligence sharing
 
Data sharing
 
Augmentation of enforcement authority
 
Capability sharing/building
 
FERN labs augmented ORA analytical response in following incidents:
 
Melamine Contamination in Foods/Feeds (2008)
 
Deepwater Horizon Oil Spill (2010)
 
Peanut Butter from Peanut Butter Corporation of America (2008)
 
Toxic Metals Surveillance (2013-2014)
 
High Volume Microbiology Surveillance – Avocados (2014)
ORA External Collaborations
20
ORA External Collaborations
  
  
FERN Update – FDA large scale
surveillance assignment
21
BACKGROUND OF THE
ASSIGNMENT
The Food Safety Modernization Act (FSMA) outlines a new
approach to food safety that is 
risk-informed and preventive
 in
focus
Sampling process - serves as a mechanism to actively identify
risks and – when possible – identify areas where preventive
controls can be put into place to better protect public health 
As FDA increases its understanding of the sources of
contamination in high risk commodities/practices, it can more
effectively allocate resources to address public health risks
through compliance sampling, targeted sampling or other risk
mitigation strategies.
22
WHY AVOCADO?
A CFSAN working group was established to perform a five year
review of microbiological sampling data.
Development of a new analytical tool which calculated risk
scores of each commodity collected and analyzed over the past
five years based on the risk criteria
Based on the ranking results from the analytical tool, the
following commodities were selected for FY 2014:  sprouts
(seeds, spent irrigation water, and finished product), raw milk
cheese (aged 60 days), and avocados (whole pit fruit and pulp)
23
WHY AVOCADO?
 
24
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Food regularly comes in contact with
contaminated sources (water, or soil or
equipment) during growing, harvesting,
processing, or at retail 
Food is intended to be cooked by
consumer 
Processed or manufactured in a manner
without a "kill step"
Food consistently causing illnesses or
linked to outbreaks
High consumption level; and/or
consumed by a high risk
Ready-to-eat (RTE) food population 
Ingredient in ready-to-eat (RTE)
products
MORE INFORMATION
CDC reported the rise of guacamole and salsa as common
vehicles in foodborne outbreaks 
Emergence of Salsa and Guacamole as Frequent Vehicles of
Foodborne Disease Outbreaks in the United States, 1973–2008
FDA’s limited sampling of avocado indicates the potential for a
high incidence of contamination in this commodity. 
Avocado products have been associated with six (6) recalls due
to the presence of foodborne pathogens from 2004-2011:
Salmonella
 in fresh avocado (n=1) and 
L. monocytogenes
 in
frozen/processed products (n=5)
25
OBJECTIVES OF
 THE ASSIGMENT 
To explore new processes and parameters for sample
collections and analysis that will enhance the current FDA system
- usage of the FERN labs
To fill knowledge gaps of microbiological hazards by determining
the prevalence of selected microbiological hazards (
Salmonella)
in whole pit fresh  avocados and 
L. monocytogenes 
in 
avocado
pulp 
To take appropriate enforcement action when positive samples
and environmental sampling findings are observed
26
REPORTING
(FERN labs and FDA staff)
eLEXNET project folder housed all documents
related to the assignment
Data reporting:
FERN website – activation module
Emails
FDA FACTS data entry
Communication from ORS to CFSAN, district offices
(both import and domestics)
27
RESULTS SUMMARY
~689 samples received
~682 sample analysis
completed 
70 L. mono confirmed and
CRO (~18% soak method) 
     -  1 confirmed 
L. mono  
(pulp
method)
10 confirmed 
Salmonella
positive (~1.4%)
28
FERN LAB SAMPLE DISTRIBUTION
29
States Receiving Samples
Number of Sample Received
PFGE/SEROTYPING/WGS
30
FL serves as the primary 
Listeria
 serotyping and PFGE lab
79 Isolates submitted for PFGE
232 Isolates submitted for serology
~106 uploads to the PulseNet Database via CFSAN
WGS: 19 
L. mono 
and 10 
Salmonella
 isolates have been
sequenced by FDA Labs.
Questions?
31
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This information provides insights into the organizational structure and functions of the FDA Office of Regulatory Affairs (ORA) and the Office of Regulatory Science (ORS). It includes organizational charts, details about ORA laboratory locations, and the local structure of an ORA laboratory. Additionally, it mentions key personnel, such as the ORS Director and Deputy Directors. Links to relevant websites are also provided.


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  1. FDA/ORA/ORS and FERN Update Ruiqing Pamboukian, Ph.D. Office of Regulatory Affairs/Office of Regulatory Science U.S. Food and Drug Administration AAFCO Mid-Year Meeting San Antonio, Texas January 11 - 15, 2015

  2. 2 ORA Organizational Chart

  3. 3 Office of Operations Office of Operations Office of Medical Products and Tobacco Operations Office of Enforcement and Import Operations Office of Food and Feed Operations Office of ORA Regions Regulatory Science Food and Feed Scientific Staff Northeast Region Medical Products and tobacco Scientific Staff Southeast Region Laboratory Operations and Support Staff Central Region Southwest Region Pacific Region

  4. Office of Regulatory Science (ORS) organizational chart ORS Director Brian Baker (acting) Deputy Director of Medical Products and Tobacco Selen Stromgren Deputy Director of Food and Feed Tim McGrath Laboratory Operations and Support Staff Director: LCDR Jean Paul Food and Feed Scientific Staff Director: Michael McLaughlin Medical Products and Tobacco Staff Director: George Salem

  5. 5 ORS Website http://inside.fda.gov:9003/ORA/OfficeofRegionalOperations/Division ofFieldScience/default.htm

  6. 6 ORA Laboratory Locations FCC Cincinnati, OH Forensic Chemistry WA MA NY MI PA WEAC Winchester, MA Radionuclides OH KS CA CO AR GA PR ORA Regulatory Lab ORA Regulatory/Specialty Lab

  7. 7 Local Structure of an ORA Laboratory ORA Science Executive at Office of Reg Science Regional Food and Drug Director (RFDD) Current line of command Future line of command Lab Director Chemistry Branch Director Quality System Manager Microbiology Branch Director Drug Chemistry Supervisor Food Chemistry Supervisor Analysts Lab Technicians Sensory/Filth Supervisor* Micro Supervisor Support Staff: Admin Industrial Hygienist Sample Custodian Analysts Lab Technicians *Sensory/Filth groups may also appear under Chemistry Branch in some labs organization.

  8. Roles and Responsibilities Food and Feed Scientific Staff The Food and Feed Scientific Staff (FFSS) responsibilities cover scientific issues (e.g. methodology, lab selection) involving food and feed testing conducted under FDA jurisdiction. Their testing coordination activities involve the 13 labs in the FDA/ORA network as well as the cooperative agreement laboratories within the Food Emergency Response Network (FERN). The staff coordinates various testing assignments and programs involving numerous FDA food safety issues as well as FERN activities.

  9. Roles and Responsibilities Food and Feed Scientific Staff Examples include: Import and Domestic Acidified and Low-Acid Canned Foods Domestic and Imported Cheese and Cheese Products Pesticides and Industrial Chemicals in Domestic and Imported Foods Domestic and Imported Fish and Fishery Products Infant Formula Program Deep Water Horizon Testing Program (Reopening of Gulf States fisheries) FERN: Proficiency testing Program, training program, Cooperative Agreement Program ISO Laboratory Accreditation Program

  10. Roles and Responsibilities Medical Products and Tobacco Scientific Staff Coordinate all activities related to CDER, CDRH and CTP. Coordinate analytical response to pharmacy compounding events Coordinate and provide analytical/compliance strategy for drug/device/tobacco programs and assignments Solicit research interest from ORA laboratories in new method development/validation to bridge analytical gaps Manage and prioritize capital equipment budget Manage workplan projections in drug/device/tobacco arena Identify new technology platforms to perform program work Form collaborations with Centers on analytical projects

  11. Roles and Responsibilities Laboratory Operations Scientific Staff Laboratory Information Management System (LIMS) Electronic Laboratory Exchange (eLEXNET) Mobile Labs, Chemistry and Microbiology screening labs FDA web posting Lab Information Bulletins (LIB) Method Development and Validation Program (MDVP) Component Automated Research Tracking System (CARTS) National Sample Distribution (NSD) Equipment purchasing: VITEK, VIDAS Technology transfer/development ORS Science Seminar. Whole Genome Sequence

  12. 12 ORA Labs Program Work Work plan Annual map for allocation of ORA resources (inspectional, collections, analytical testing) to different areas of concern. Centers, in dialogue with Field Committees, determine how ORA resources should be distributed. ORA utilizes analytical capabilities in areas of chemistry, microbiology, radiochemistry, and engineering to perform the designated program work. ORA supports the various Centers in the following areas of testing. Product Areas of Testing/Analytical Activities Performed by ORA Pesticides, dioxins, mycotoxins, chemotherapeutics, color additives, toxic metals, filth, select radioisotopes Foods & Feeds Pharmaceutical Products Active pharmaceutical ingredient testing, dissolution testing Risk-identified products such as infusion pumps, catheters, surgical tools Devices Flavor compounds in cigarettes, contaminants testing, substantial equivalence Tobacco Products Nanotechnology Method development and research activities All products Private lab package reviews Analysts-on-inspections

  13. 13 ORA Analytical Capability Snapshot Test Main Instrument Platform Targeted Analytes Representative Picture 200px-P%2Cp%27-dichlorodiphenyltrichloroethane Pesticide Testing (fresh produce) GCMSD, LC-MS/MS, GCQQQ Up to 670 pesticides covered 150px-Melamine Melamine Testing (pet food, dairy products, protein containing processed foods) GCMSD and LCMSMS Melamine, cyanuric acid, ammelide and ammeline Oil Markers Testing (seafood during Deepwater Horizon Oil Spill) LC-FLD and LCMSMS Polyaromatic hydrocarbons (12 total, 7 being carcinogenic), dispersant, toxic metals napthalene 200px-Naphthalene-2D-Skeletal 300px-Polychlorinated_biphenyl_structure Persistent Organic Pollutants Testing (feed, seafood) GC X GC TOF, HRMS 40 compounds that include dioxins, PCBs and PBDEs 220px-Gamma_Decay Radionuclide Testing (milk, fresh produce after Fuskushima Meltdown) Gamma counters Cs-134, Cs-137, I-131

  14. 14 Test Main Instrument Platform Targeted Analytes Representative Picture ANd9GcRdI1VgF88faARtplVZZNnRus47I5a9cJEAp46BTjlYigRsaHzTYOfE2lRP Filth Analysis (bulk ingredients) Optical Microscopes Insects, glass shards, metal scraps, etc Toxic Metals (candy, dinnerware, seafood, juice, rice) ICP-MS, portable XRF, HPLC-ICPMS (speciation), ICP-OES Pb, Hg, Cd, Cr, As, etc ANd9GcRNYHzeZz4wUlS8FIACwRqqA3G4W6ojAuGmOPWtRmdAVLkoxVMjcNsQQXQ ANd9GcSCzd7iwD_TehFHAa3JqBEBaYhAaO_TA40eH7OuNsoFDOmqRlMD4hAH3dXR ANd9GcToMB8oxBBzEcmfyKD3VsgyRBDWa_6lzp_KFPg9oLWlKZx1aiJdPUi2zis Microbiology (fresh produce, cheese, seafood, etc) ELISA tests, selective media, PCR, PFGE, WGS Salmonella, E. Coli, Shigella, Campylobacter, Cyclospora ANd9GcQ_caCr-KNG06zVL7QYuiQHJIbtUpWdSd-pYFN-mghQCHDrnajHWiimYWDg Mycotoxins (grains, nuts, seeds, juice) LCMSMS, HPLC Aflatoxin, patulin, deoxynivalenol, fumonisins, ochratoxin A Aflatoxin Acidified and Low-Acid Canned Foods (canned foods) pH Meters, headspace GCMS Preservation: pH and water activity

  15. 15 Test Main Instrument Platform Targeted Analytes Representative Picture Color / Food Additives (processed foods) TLC, LCMSMS Banned colors, additives such as rhodamine B, sulfites in shrimp, dried fruits/vegs, coumarin in vanilla products, nitrosamines in baby bottle nipples, benzoates in beverages Cosmetics (face creams, hair sprays, lipsticks, henna, hair/skin dyes) TLC, XRF, LCMSMS, ICP-MS, microbiological kits Metals, microbiological contamination ANd9GcSfV4x3XiA8WB0dbc4ff8qVrYnb6jtW0hKm-CRCJZG2Lq7_80Tu2orGT-A ANd9GcTqTWuB5-aosS2f2HBJaUeIywOHXzOpaVMVbje_PO4-L3o-poHi-IsM7CM Forensic Chemistry (drugs, tobacco, tampered products) General chemistry, microbiology, molecular methods Packaging features, product featuers, contaminant profiles, country-of-origin analysis Economic Adulteration (honey, maple syrup, pomegranate juice, olive oil, pet jerky treats, juices) GCMS, LCMSMS, HPLC, isotope ratio MS Anthocyanin pigment profile, sugar profile, fatty acid profile, protein profile ANd9GcTPB1xN_MxZMDOCSX19G3xVFP2WGSCmWpSy4Pqhsd3bH4QA8pORtSE6DJA Veterinary Drug Residues (seafood, milk) LCMSMS, LC-QTOF, ELISA Kits Vet drug residues such as chloramphenicols, fluorquinolones ANd9GcRHb9qDQ2MilmjgGlt8Dg12y-NBD1McodV6DcyLR8iZrf9wg3BGp7wJzTCz

  16. 16 Test Main Instrument Platform Targeted Analytes Representative Picture Pharmaceutical Survey Testing (finished dosage forms, raw APIs, parenterals, excipients) HPLC, dissolution apparati, spectroscopic techniques Drug potency, content uniformity, split pill testing, impurities testing Spiked Active Pharmaceutical Ingredients in Dietary Supplements (dietary supplements with health claims) LCMSMS Erectile dysfunction active drugs, weight loss drugs, anabolic steroids, mood-altering drugs Microbiology testing in drugs (finished dosage forms, injectables, parenteral bags, compounded human/vet products) Sterility testing equipment, endotoxin test strips Bacteria, fungi, bacterial endotoxins Consumer Complaints, Adverse Events and Outbreaks (drugs, foods, pet foods, devices) All available chemical, microbiological, physical tools Broad-band investigative testing to identify causative agent: chemical contaminant, microbiological agent, manufacturing defect, etc

  17. 17 Test Main Instrument Platform Targeted Analytes Representative Picture Shelf Life Extension Testing (finished dosage forms) HPLC, dissolution apparati, stability chambers Drug potency, dissolution, pH, water content, physical appearance, functionality tests Device Testing (thermometers, catheters, intrauterine devices, forceps, tubing, pumps, radiological health) Various instruments to conduct engineering investigations fracture/fatigue tests, software tests Medical devices, radiological health devices Tobacco Testing (cigarettes) LCMSMS, GCMS, Smoking Machines Flavor compounds, hazardous and potentially hazardous compound testing, nicotine levels, substantial equivalence testing Nanotechnology (dietary supplements, food packaging, feeds, sunscreens) Various physical chemistry instruments TEM, SEM, XRD, DLS Broad-band testing to characterize nanoparticles and elucidate their physico-chemical properties

  18. 18 Internal Collaboration Committees leading collaboration Scientific Collaboration areas: food and feed, medical device and radiation emitting product, Tabaco and pharmaceuticals CDER CDRH CTP 13 field labs CVM OP CFSAN ORS OFVM NCTR External Collaboration APHL AAFCO AFDO EPA CDC ACIL Networks: FERN ICLN NATRLN USDA CBP

  19. 19 ORA External Collaborations Food Emergency Response Network (FERN) State Labs Areas of interaction: Sample analysis (complementary capacity, surge capacity) Intelligence sharing Data sharing Augmentation of enforcement authority Capability sharing/building FERN labs augmented ORA analytical response in following incidents: Melamine Contamination in Foods/Feeds (2008) Deepwater Horizon Oil Spill (2010) Peanut Butter from Peanut Butter Corporation of America (2008) Toxic Metals Surveillance (2013-2014) High Volume Microbiology Surveillance Avocados (2014)

  20. 20 ORA External Collaborations Organization Interaction Association of Public Health Laboratories /Association of Food and Drug Officials/Association of American Feed Control Officials (APHL/AFDO/AAAFCO) Building a mutually reliant food/feed safety network of labs to promote food/feed safety. American Council of Independent Laboratories (ACIL) Collaborating on standardizing analytical requirements in submissions from private labs to ORA in preparation for conforming to FSMA mandates. Science Board to the FDA ORA is preparing for its cyclical Science Board Review (performed on a rotating basis for every Center/ORA). ORA has requested that the Science Board review ORA s investment in FERN and ISO Laboratory Accreditation as a mechanism to create increased laboratory food safety capacity. ORA s last Science Board review occurred in 2008. Centers for Disease Control (CDC) Analytical reliance: ORA obtained microbial ID, fungal sequencing training from CDC. Customs & Border Protection (CBP) Analytical reliance: CBP obtained training in melamine testing methods from ORA. North American Tobacco Research Laboratory Network (NATRLN) Alcohol and Tobacco Tax and Trade Bureau, FDA/CTP, FDA/ORA, Health Canada, CDC, USDA forum to collaborate on setting common tobacco standards: methods, terminology, etc

  21. 21 FERN Update FDA large scale surveillance assignment

  22. BACKGROUND OF THE ASSIGNMENT The Food Safety Modernization Act (FSMA) outlines a new approach to food safety that is risk-informed and preventive in focus Sampling process - serves as a mechanism to actively identify risks and when possible identify areas where preventive controls can be put into place to better protect public health As FDA increases its understanding of the sources of contamination in high risk commodities/practices, it can more effectively allocate resources to address public health risks through compliance sampling, targeted sampling or other risk mitigation strategies. 22

  23. WHY AVOCADO? A CFSAN working group was established to perform a five year review of microbiological sampling data. Development of a new analytical tool which calculated risk scores of each commodity collected and analyzed over the past five years based on the risk criteria Based on the ranking results from the analytical tool, the following commodities were selected for FY 2014: sprouts (seeds, spent irrigation water, and finished product), raw milk cheese (aged 60 days), and avocados (whole pit fruit and pulp) 23

  24. WHY AVOCADO? FDA ranked foods based on a variety of criteria and identify three foods to serve as surveillance sampling pilot programs. Food consistently causing illnesses or linked to outbreaks High consumption level; and/or consumed by a high risk Ready-to-eat (RTE) food population Ingredient in ready-to-eat (RTE) products Food regularly comes in contact with contaminated sources (water, or soil or equipment) during growing, harvesting, processing, or at retail Food is intended to be cooked by consumer Processed or manufactured in a manner without a "kill step" 24

  25. MORE INFORMATION CDC reported the rise of guacamole and salsa as common vehicles in foodborne outbreaks Emergence of Salsa and Guacamole as Frequent Vehicles of Foodborne Disease Outbreaks in the United States, 1973 2008 FDA s limited sampling of avocado indicates the potential for a high incidence of contamination in this commodity. Avocado products have been associated with six (6) recalls due to the presence of foodborne pathogens from 2004-2011: Salmonella in fresh avocado (n=1) and L. monocytogenes in frozen/processed products (n=5) 25

  26. OBJECTIVES OF THE ASSIGMENT To explore new processes and parameters for sample collections and analysis that will enhance the current FDA system - usage of the FERN labs To fill knowledge gaps of microbiological hazards by determining the prevalence of selected microbiological hazards (Salmonella) in whole pit fresh avocados and L. monocytogenes in avocado pulp To take appropriate enforcement action when positive samples and environmental sampling findings are observed 26

  27. REPORTING (FERN labs and FDA staff) eLEXNET project folder housed all documents related to the assignment Data reporting: FERN website activation module Emails FDA FACTS data entry Communication from ORS to CFSAN, district offices (both import and domestics) 27

  28. RESULTS SUMMARY Labs # of POS MN 14 TX 10 (2 SLM) ~689 samples received ~682 sample analysis completed 70 L. mono confirmed and CRO (~18% soak method) - 1 confirmed L. mono (pulp method) 10 confirmed Salmonella positive (~1.4%) PA 8 WA 7 IL 5 FL 3 OH 3 NC 2 CO 2 VA 2 MI 2 NMSU 1 NH 1 RI 1 28

  29. FERN LAB SAMPLE DISTRIBUTION 90 80 Number of Sample Received 70 60 50 40 30 20 10 0 NMSU OH MI MN VA NC IL TX WA PA RI FL CO NH States Receiving Samples 29

  30. PFGE/SEROTYPING/WGS FL serves as the primary Listeria serotyping and PFGE lab 79 Isolates submitted for PFGE 232 Isolates submitted for serology ~106 uploads to the PulseNet Database via CFSAN WGS: 19 L. mono and 10 Salmonella isolates have been sequenced by FDA Labs. 30

  31. 31 Questions?

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