Download Criminal Epidemiological Training Brief

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JOINT CRIMINAL – EPIDEMIOLOGICAL
(CRIM – EPI) INVESTIGATIONS
Enhancing Relationships to Improve Readiness
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THE CRIM-EPI MODEL
Problem
• Increased opportunities for intentional misuse of
biological material for nefarious purposes
• Discriminating between intentional and naturallyoccurring biological incidents
Separate Law Enforcement and
Public Health Investigations
Impede awareness and
communications
Delay in determining if event is
intentional and apprehending
those responsible
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THE CRIM-EPI MODEL
Solution
• By working together, Public Health and Law
Enforcement can achieve their separate but
often overlapping goals.
Six Strategic Elements:
• Build Relationships
• Information Sharing
• Joint Threat Assessments
• Joint Investigations
• Joint Protocols/Memorandums of Understanding
• Joint Training and Exercises
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BENEFITS OF JOINT INVESTIGATIONS
For Public Health
For Law Enforcement
Access to LE info which
could be critical to PH
mission
Access to infectious
disease subject matter
experts
Confirm info provided
during interviews
Access to relevant
medical/health
information
Mitigate future impact on
public health resources
LE liaison with Public
Health Department
Operations Center
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JOINT INVESTIGATIONS: PROTOCOL/MOU
• Various jurisdictions possess a joint
investigations MOU
– New York, Miami, Los Angeles
– Ohio, Kansas
• Field office MOU canvass in 2016
• CDC–FBI MOU
– Investigations
– Laboratory Testing
– Environmental Sampling
• Model MOU
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CRIM-EPI WORKSHOPS
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Since 2003, 50 courses conducted; ~4200 participants
2–day curriculum
Reinforces key concepts of Crim-Epi Model
Presentations, Case Studies, Breakout Groups, and TTX
Participants may include:
PH
• Epidemiology
• Infection
Control
• Laboratory
LE
• Local police
• State police
• Federal
agencies
Emerg
Services
• Fire
• Emergency
Medical
Services
• Emergency
Management
Others
• Military
• Food and
Agriculture
• Private
Industry
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TRAINING RESULTS
• Reports of successful investigations where shared methods
and improved communications were helpful in responding
to threat agent investigations
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Inhalational Anthrax-PA (2006)
THC (marijuana) Poisoning (2006)
Norovirus Cruise Ship (2009)
Border Research Incident (2009)
Gastrointestinal Anthrax (2009)
Inhalational Anthrax-MN (2011)
Ricin/Castor Bean Letters (2013)
Castor Bean/Suicide Attempt (2015)
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2016-17 CRIM-EPI WORKSHOP SCHEDULE
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October 19-20, 2016 – Seattle
December 14-15, 2016 – San Antonio
February 27-28, 2017 – Honolulu
April 12-13, 2017 – Pittsburgh
June 14-15, 2017 – St. Louis
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CRIM-EPI RESOURCES
Crim-Epi Handbook
• Overview of criminal and
epidemiological investigations
procedures and methodologies
• Resources
• Sample Procedures
– CDC Model MOU
– Joint Threat Assessment
– http://www.nasemso.org/projects/domestic
preparedness/documents/jimoufinal.pdf
– Joint Interview Procedure
– “The Eighth Patient” joint interview
– Joint Interview Questions
video
– http://vimeo.com/87104548
Accessible Online:
https://www.fbi.gov/investigate/wmd
(bottom of page)
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CRIM-EPI RESOURCES CONT’D
HIPAA Macro Tool Application
• Samsung Application
• User friendly with standard templates
• Accessible in the field
• Timely exchange of information
• Available to a larger audience (WMDC,
JTTF etc.)
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MICRO CRIM-EPI
• One (1) day Curriculum package
• Executed by Field office
• Covers key concepts of the Crim-Epi
investigative model
– Builds relationships and develops joint Law
Enforcement-Public Health protocols
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ADVANCED TRAINING MODULES
• State–specific HIPAA Training
• FBI/PH Memorandum of Understanding
• Joint Interviewing
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SUMMARY
Joint LE and PH Investigations
– Mutually beneficial due to overlapping goals
– Combine the expertise of law enforcement and public
health
– Allow for enhanced LE and PH awareness and
understanding of the event
– Results in a more efficient response, ultimately
protecting the health and safety of the public
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QUES TIONS?
MAPA Rebecca (Riley) Ackerman
Biological Countermeasures Unit
Weapons of Mass Destruction Directorate
Federal Bureau of Investigation
Barbara Cooper
Public Health Advisor
Division of Preparedness and Emerging Infections
National Center for Zoonotic and Emerging Infectious Diseases
Centers for Disease Control and prevention
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