Population & Public Health

WRHA Enteric Illness Operational Guidelines

1. Introduction

  1. Purpose of the Enteric Illness Operational Guidelines
  2. Goal of Enteric Illness Investigation
  3. Legislation

2. Surveillance and Outbreak Investigation Principles

  1. Definition of Enteric Illness

  2. Foodborne Disease Outbreak

  3. Waterborne Disease Outbreak

  4. Classification of Foodborne and Waterborne Diseases

  5. Surveillance and Investigation of Foodborne Diseases

3. Single Incident of an Enteric Illness

  1. Definition of Single incident

  2. Process for Investigation

  3. Roles and Responsibilities

4. Outbreak of an Enteric Illness

  1. Definition

  2. Outbreak Response Summary

  3. Roles and Responsibilities

5. Specimen Collection

  1. Stool specimen collection for outbreak situations

  2. Food / Water Sample Collection

6. Exclusion Process

7. Enteric Outbreak Reporting and Summary Report

  1. Outbreak Reporting Requirements

  2. Summary reports

8. Communication

  1. Internal

  2. External

  3. Media

9. Appendices

9.1   Enteric Infections and Common FB Diseases

9.2  Food Specific Attack Rate table

9.3   Stool Collection For Outbreaks

9.4  Enteric Illness Referral Form

9.5  CPL Explanation of Results

9.6  Microbial guidelines

9.7A  Food borne Illness Investigation Form

9.7B Food borne Illness Investigation Form- Event   

9.8  Summary of Cases

9.9  CPL Requisition

9.10  Sample Exclusion Letter

9.11  List of Contacts

10. Additional Resources


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The Winnipeg Regional Health Authority acknowledges that it provides health services in facilities located on the original lands of Treaty 1 and on the homelands of the Metis Nation. WRHA respects that the First Nation treaties were made on these territories and acknowledge the harms and mistakes of the past, and we dedicate ourselves to collaborate in partnership with First Nation, Metis and Inuit people in the spirit of reconciliation.
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