i) Membership of the VTEC/E. coli O157 Action Group:
Edward Coyle - NHS Fife (Chair)
Bob Adak - Public Health England
Mark Aitken/Calum McPhail - Scottish Environment Protection Agency
James Beattie - Royal Hospital for Sick Children, Glasgow
Gareth Brown - Scottish Government Health Protection Team (succeeded by Simon Cuthbert-Kerr)
John Coia - Scottish Salmonella Shigella and Clostridium difficile Reference Laboratory
John Cowden - Health Protection Scotland
Lucy Denvir - NHS Dumfries & Galloway
Jim Dixon - Society of Chief Officers of Environmental Health in Scotland
Alison Duncan - Scottish Government Corporate Project Office (Project Support)
Mary Hanson - Scottish E. coli O157/VTEC Reference Laboratory
Robert Howe - Royal Environmental Health Institute of Scotland
Helen Howie - Consultants in Public Health Medicine Group
Frances Kelly/David Coackley - Health & Safety Executive
John Locke - NHS Dumfries & Galloway
Mary Locking - Health Protection Scotland
Chris Low/Geoff Foster - Scottish Agricultural College (now SRC)
Ishbel MacKinnon - Haemolytic Uraemic Syndrome Help (HUSH)
Charlotte Maltin - Quality Meat Scotland
Jacqui McElhiney - Food Standards Agency in Scotland
Dominic Mellor - Health Protection Scotland/University of Glasgow
Nigel Millar - National Farmer's Union Scotland
Alison Motion - Royal Highland Educational Trust
Kevin Pollock - Health Protection Scotland
Andrew Riley - Scottish Government Health Protection Team (succeeded by Duncan McCormick)
Colette Robertson-Kellie - Drinking Water Quality Regulator
Roland Salmon - Public Health Wales
Janet Sneddon - Scottish Government Health Protection Team
Abhayadevi Tissington/Lynn Byers - Health Protection Nurse Specialists Group
Andrew Todd - Monklands Hospital, Motherwell
Sheila Voas - Scottish Government Animal Health Division
David Williamson - Scottish Government Drinking Water Quality Division
ii) Remit and Terms of Reference of the VTEC/E. coli O157 Action Group:
To reduce the risk and consequences of VTEC infection to the Scottish population
- Produce a VTEC Action Plan, identifying priorities and recommendations to specified stakeholder groups, to be implemented within agreed timescales.
- Recommendations will include:
- Risk reduction strategies.
- Communication, health education, research and surveillance initiatives.
- Monitor the implementation and effectiveness of these strategies and initiatives.
The Action Plan will:
- Identify the precise responsibilities of key stakeholders e.g. Scottish Government Departments, Health Protection Scotland, NHSScotland, Food Standards Agency (Scotland), Local Authorities, Drinking Water Quality Regulator (Scotland).
- Review, revise, and assign to stakeholder groups, the VTEC Task Force recommendations.
Monitoring will consist of:
- Ascertaining from VTEC AG members their progress on implementation of Action Plan recommendations.
- The VTEC AG will conduct an annual review of overall progress on implementation.
- Evaluating the effectiveness of recommendations in terms of:
- Their immediate consequences (e.g. public knowledge, attitude, and behaviour); and:
- Attempting to assess the overall impact of the Action Plan recommendations as a whole.
- The Action Plan will be owned by Scottish Government.
- The Action Group will have no formal accountability, but will advise SG, HPS, Health Protection Network Steering Group (HPNSG), and, if appropriate, other stakeholder groups, on its assessment of the VTEC Action Plan's performance, appropriateness and effectiveness.
- The Action Group will meet at a frequency appropriate to its tasks.
Scottish Government will lead the Action Group, delegating specific functions to other agencies e.g. HPS, FSAS.
The Action Group will:
- Communicate with SG, HPS, HPNSG, Health Protection Agency (HPA) and other stakeholder groups via their VTEC Action Group members.
- Produce an annual statement of progress.
- Continue to meet as necessary after producing the Action Plan, in order to monitor the progress and impact of recommendations.
iii) Abbreviations and Acronyms:
CAR - The Water Environment (Controlled Activities) (Scotland) Regulations, 2011 (known as the "CAR Regulations")
CFA - Chilled Foods Association
DPMAG - Diffuse Pollution Management Advisory Group
DWQR - Drinking Water Quality Regulator
EC - European Commission
EFSA - European Food Safety Authority
EU - European Union
FBOs - Food Business Operators
FCI - Food Chain Information
FHIS - Food Hygiene Information Scheme
FSAS - Food Standards Agency in Scotland
GAP - Good Agricultural Practice
GP - General Practitioner
HACCP - Hazard Analysis and Critical Control Point
HB - Health Board
HPA - Health Protection Agency
HPNSG - Health Protection Network Steering Group
HPS - Health Protection Scotland
HPT - Health Protection Team (in NHS board)
HS - Health Scotland
HSE - Health and Safety Executive
HUS - Haemolytic Uraemic Syndrome
ICoP - Industry Code of Practice
IMT - Incident Management Team
LA - Local Authority
LAEMS - Local Authority Enforcement Monitoring System
NFUS - National Farmers Union Scotland
PEPFAA - Prevention of Environmental Pollution from Agricultural Activity (the PEPFAA Code)
POU - Point-of-use
PT - Phage type
PwC - Price Waterhouse Cooper
PWS - Private water supply/supplies
QMS - Quality Meat Scotland
REHIS - Royal Environmental Health Institute for Scotland
RELU - Rural Economy and Land Use
RTE - Ready to eat
SCSWIS - Social Care and Social Work Improvement Scotland
SEPA - Scottish Environment Protection Agency
SERL - Scottish E. coli O157/VTEC Reference Laboratory
SG - Scottish Government
SRC - Scottish Rural College (formerly Scottish Agricultural College)
SoCOEHS - Society of Chief Officers of Environmental Health for Scotland
SW - Scottish Water
UKAS - United Kingdom Accreditation Service
UKFSS - UK Food Surveillance System
UV - Ultraviolet
VTEC Verotoxigenic E. coli
VTEC AG - VTEC/E. coli O157 Action Group
WHO/FAO - World Health Organisation/Food & Agriculture Organisation
WSP - Water Safety Plan
WTW - Water Treatment Works
- Animal visitor attractions e.g. Open farms/farm parks; animal petting/handling areas within other attractions (including zoos); educational establishments e.g. city farms; working farms with livestock that occasionally open to the public, e.g. for school visits, Open Farm Sundays, etc; rare breed/rescue centres; markets, agricultural shows or country fairs where livestock are present; mobile menageries or petting/handling enterprises; other visitor facilities where the public have animal contact, even if (like stables) they represent a lower risk of VTEC carriage than premises with ruminants; and any picnic/play areas these attractions include that could be contaminated e.g. by faeces tracked in by humans or animals.
- Contamination - the presence, or potential presence, of VTEC organisms in or on the animal, human, substance or environment concerned.
- High risk groups:
- - Groups at higher risk of acquiring infection - i.e. groups such as children, the elderly or those who are immunocompromised, who have characteristics that make them more vulnerable to becoming infected - [as opposed to "At special risk of passing on infection [see below].
- Groups at special risk of passing on infection - as defined by the VTEC Guidance - e.g. the under 5s or others likely to have immature or poor personal hygiene, and those whose work includes food handling or personal care tasks for others [as opposed to "At higher risk of acquiring infection", see above]; also know as Risk Groups A to D.
- Private water supplies - anything other than a public water supply. They are the responsibility of the owners and users of the supplies.
- Public water supply - a water supply provided by Scottish Water as part of its core function as a water authority.
- Raw meat - meat that has not been heat-treated.
- Type A PWS - defined as supplying 50 or more persons; or 10 or more cubic metres of water; or regardless of size, any supply for a commercial or public activity.
- Type B PWS - defined as any non-Type A supply.
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