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Second level Food Investigation
Third level
Suspected Outbreak
Fourth level
Fifth level
INVESTIGASI MAKANAN OUTBREAK YANG
DITANGGUNG

Tujuan:
- Memperoleh kepastian adanya kejadian luar biasa
- Memperoleh gambaran kejadian luar biasa berdasarkan variabel orang
tempat dan waktu.
- Mengidentifikasi penyebab kejadian luar biasa Menetapkan sumber dan cara
(pola) penularan penyakit risiko terjadinya kasus KLB
- Merumuskan saran untuk tindakan menghentikan kejadian luar biasa
Cakupan:
1. Penyampaian komplain
2. Penerimaan informasi, mengumpulkan data/ makanan (barang bukti)
3. Pengecekkan food sample, metode pengolahan
4. Verifikasi dan analisa kesimpulan
5. Tindaklanjut perbaikan

Food Investigation Suspected Outbreak

FOOD INVESTIGATION SUSPECTED OUTBREAK

Purpose:
- Obtain certainty of extraordinary events
- Obtain an overview of extraordinary events based on people's variables, place
and time.
- Identifying the causes of extraordinary events Establishing sources and
methods (patterns) of transmission of disease risk of occurrence of outbreak
cases
- Formulate suggestions for actions to stop extraordinary events
Scope:
1. Submission of complaints
2. Receiving information, collecting data / food (evidence)
3. Check food samples, processing methods
4. Verification and analysis of conclusions
5. Follow-up improvements
Food Investigation Suspected Outbreak
INVESTIGASI MAKANAN OUTBREAK YANG
DITANGGUNG

Definisi:
KLB=Outbreaks
Outbreaks adalah peningkatan kejadian penyakit yang melebihi ekspektasi normal secara mendadak pada
suatu komunitas, dibatasi tempat dan periode waktu tertentu.

Batasan tempat yang dimaksud adalah administrasi (desa, kecamatan, kabupaten, provinsi), institusi
(sekolah, panti asuhan, pesantren), pemukiman, wilayah geografis, kapal.

Epidemi
Keadaan dimana kejadian penyakit meningkat dalam waktu singkat dan penyebarannya telah mencakup
wilayah yang luas.

Endemi
Keadaan dimana suatu kejadian penyakit pada wilayah tertentu menetap dalam waktu lama, berkenaan
dengan adanya penyakit yang secara normal biasa timbul dalam suatu wilayah tertentu.

Food Investigation Suspected Outbreak

FOOD INVESTIGATION SUSPECTED OUTBREAK

Definition:
Outbreak = Outbreaks
Outbreaks are an increase in the incidence of illness that exceeds normal expectations suddenly in a
community, limited to a certain place and time period.

The boundaries of the place in question are administration (village, sub-district, district, province), institution
(school, orphanage, boarding school), settlement, geographical area, ship.

Epidemic
Circumstances where the incidence of disease increases in a short time and its spread has covered a large
area.

Endemic
Circumstances in which a disease occurrence in a particular area persists for a long time, with regard to the
presence of a normally normal disease occurring in a particular area.
Food Investigation Suspected Outbreak
INVESTIGASI MAKANAN OUTBREAK YANG
DITANGGUNG

LANGKAH-LANGKAH INVESTIGASI
1. Persiapan investigasi di lapangan
2. Memastikan adanya wabah
3. Memastikan diagnosis
4. a. Membuat definisi kasus
b. Menemukan dan menghitung kasus
5. Menemukan deskriptif (waktu, tempat, orang)
6. Membuat hipotesis
7. Menilai hipotesis
8. Memperbaiki hipotesis dan megadakan penelitian tambahan
9. Melaksanakan pengendalian dan pencegahan
10. Menyampaikan hasil penyelidikan/ laporan KLB

Food Investigation Suspected Outbreak

FOOD INVESTIGATION SUSPECTED OUTBREAK

INVESTIGATION STEPS
1. Investigation preparation in the field
2. Ensure an outbreak
3. Ensure diagnosis
4. a. Make a case definition
b. Find and count cases
5. Descriptive find (time, place, person)
6. Make a hypothesis
7. Assessing hypotheses
8. Correcting hypotheses and holding additional research
9. Carry out controls and prevention
10. Submits the results of the KLB investigation / report
Food Investigation Suspected Outbreak
INVESTIGASI MAKANAN OUTBREAK YANG
DITANGGUNG

Kriteria untuk Wabah Akibat Keracunan Makanan

1. Ditemukannya dua/lebih penderita penyakit serupa yang biasanya berupa
gejala gangguan pencernaan sesudah memakan makanan yang sama
2. Hasil penyelidikan epidemiologi menunjukkan makanan sebagai sumber
penularan
3. Perkecualian diadakan untuk keracunan akibat toksin (racun) atau akibat
bahan-bahan kimia, didapatkan seorang penderita sudah dianggap suatu KLB.

Food Investigation Suspected Outbreak

FOOD INVESTIGATION SUSPECTED OUTBREAK

Criteria for Outbreaks Due to Food Poisoning

1. Found two / more sufferers of similar diseases that are usually symptoms of
digestive disorders after eating the same food
2. The results of epidemiological investigations show food as a source of
transmission
3. Exceptions are held for poisoning due to toxins (poison) or due to chemicals,
found that a patient is considered an outbreak.

Food Investigation Suspected Outbreak

INVESTIGASI MAKANAN OUTBREAK YANG
DITANGGUNG
Diagram alir menangani komplain/ Flow of Handling Complaint
Pelanggan Customer

Pengajuan pengaduan ke Manager Area / Personal

Incharge
Complaint submission to Area Manager/ Personall
Incharge

Email / Telp / Komunikasi Langsung Catatan :

Email/ Telp/ Direct Communicate
Pelanggan Customer
Menunjukkan/ Mengirimkan bukti
Showing/ Delivering Evidence
Bukti Fisik
Physical Evidence
Komunikasikan segera di
area messhall dan untuk
paket makanan harus
dilaporkan tidak lebih
dari dua jam sejak terjadi
ketidaksesuaian
Note :
Communicate immediately
in messhall area an for
pack meal needs to be
reporte not more than two
hours since
nonconformance occur

Spv/ Coord/ Asst. Mgr/ Mgr/ DPM/ PM

Melakukan konfirmasi keluhan pertama dengan pelapor Tidak

dan/ atau berkomunikasi dengan pemimpin (Supervisor / No
Manager) Butuh Tim
Conduct first confirmation of complaint with the Investigasi?
complainant and/ or communicate to the leader Need
(Supervisor/ Manager) Investigation
Team?
Formulir Keluhan / Email Bukti Fisik Ya
Form Complaint/ Email Physical Evidence Yes

Food Investigation Suspected Outbreak

INVESTIGASI MAKANAN OUTBREAK YANG
DITANGGUNG
Diagram alir menangani komplain/ Flow of PM/ Area Manager

Handling Complaint Butuh Tim

Tetapkan tim investigasi yang anggotanya adalah
antar departemen dan keahlian terkait (PSU, IH,)
Assign a investigation team that members are
Spv/ Coord/ Asst. Mgr/ Mgr/ DPM/ PM Investigasi?
Tidak Ya interdepartmental and related expertise (PSU, IH,
Need
Komunikasikan dan verifikasikan No Yes Catering Representativ)
Investigation
keluhan. Buat permintaan maaf dan Team? Tim Investigasi
tindakan perbaikan
Communicate and verify complaints. Investigation Team
Make apologies and corrective actions

Penggantian Produk (Jika diperlukan)

Tim Investigasi
Product Replacement (If Needed)
Investigation Team

Melakukan proses investigasi, mengumpulkan

Admin / Dokumen Kontrol bukti empiris, uji laboratorium jika ada analisis,
Admin / Document Controller kesimpulan, rekomendasi untuk perbaikan
Conduct investigation process, collecting empirical
Mengisi keluhan dokumen dan evidence, laboratory test if any analysis,
menindaklanjuti conclusions, recommendations for improvement
Filling the document complaints and
follow up on Laporan Investigasi
Investigation Report
Laporan tindakan perbaikan
Corrective Action Report
Area Manager
Manager Area
Kasus Ditutup
Komunikasi ulang dengan pelanggan/ pengadu dan orang lain yang terkait dan menindaklanjuti
Kasus Ditutup Closed Case
rekomendasi untuk perbaikan dan mengkomunikasikan status perbaikan kepada Manajemen Top / PM
Closed Case
Laporan Tindakan Recommunication to customer/ complainer and others related and follow up the recommendation for
Perbaikan improvement and communicate the improvement status to Top Management/ PM
Corrective Action
Report Daftar Peserta/ Email/ Korespondensi
Attend. List/ Email/ Corespondance

Food Investigation Suspected Outbreak

INVESTIGASI MAKANAN OUTBREAK YANG
DITANGGUNG
Diagram alir investigasi dugaan wabah
Management
Investigator
Menerima informasi terkait suspected outbreak dari klinik
atau pihak terkait Investigasi sampel makanan

(Email / Telp / Komunikasi Langsung) (fisik dan Labor)

Management
TIDAK Hasil ? YA
Menerima bukti suspected outbreak dan verifikasi menu
yang di konsumsi (packmeal/ di messhall) Investigator Investigator

Klarifikasi kepada klinik/pihak terkait Mengecek metode pengolahan makanan

Packmeal Di messhall (penyimpanan hingga service)

Investigator
Verifikasi safe time consumtion Kasus Ditutup
(setelah diterima) dan penyimpanan Analisa hasil investigasi

>2 jam <2 jam

Investigator

Report Incident
Konfirmasi
/klarifikasi

Kasus Ditutup

Kasus Ditutup

Food Investigation Suspected Outbreak

FOOD INVESTIGATION SUSPECTED OUTBREAK

Flow chart investigation suspect outbreak

Management
Investigator
Receive information regarding suspected outbreaks
Food sample investigation
from clinics or related parties
(physical and labor)
(Email / Tel / Direct Communication)

Management NO Result ? YES

Receive evidence of suspected outbreaks and verification

of menus consumed (packmeal / in messhall) Investigator Investigator

Clarification to clinics / related parties Check food processing methods (storage

Packmeal In messhall to service)

Investigator
Safe time consumtion verification Case is closed
(after receipt) and storage Analysis of the results of the investigation

>2 hours <2 hours

Investigator

Report Incident
Confirmation /
clarification

Case is closed

Case is closed

Food Investigation Suspected Outbreak