FoodCORE: Foodborne Diseases Centers for Outbreak Response Enhancement - Improving Foodborne Disease Outbreak Response Capacity in State and Local Health Departments
Methods: FoodCORE Centers implement work plans designed to make outbreak response activities faster and more complete in their jurisdiction. Performance metrics, developed through a collaborative process involving FoodCORE Centers and CDC, are used to quantitatively evaluate the impact and effectiveness of program activities. Strategies resulting in faster, more complete surveillance and response are documented and shared with other FBD programs. The current Centers, selected through competitive award, are Colorado, Connecticut, Minnesota, New York City, Ohio, Oregon, South Carolina, Tennessee, Utah, and Wisconsin.
Results: From October 2010 to December 2013, the Centers increased the proportion of Salmonella, Shiga toxin-producing E. coli, and Listeria (SSL) isolates with molecular subtyping from 86% to 99% and reduced the average time to complete this testing from a median of 8 days to 4 days. Centers increased the proportion of SSL case-patients contacted for epidemiologic interviews from 93% to 99% and attempted these interviews faster, reducing the average time to attempt an interview from a median of 4 days to 2 days. The Centers document the practices that result in these improvements and have developed model practices on streamlining and standardizing case-patient interviewing, isolate receipt and testing, and student interview teams. Additional model practices are forthcoming.
Conclusions: FoodCORE Centers have leveraged additional resources to strengthen their FBD programs to conduct better, faster, and more complete laboratory surveillance and outbreak investigations. These improvements have helped the Centers identify and solve outbreaks more quickly within their jurisdiction and have allowed them to contribute critical information to help quickly solve multistate outbreaks and remove contaminated foods from commerce. Lessons learned are documented as FoodCORE model practices and disseminated to other programs to inform efforts to improve outbreak response in settings with similar infrastructures.
Learning Areas:Conduct evaluation related to programs, research, and other areas of practice
Environmental health sciences
Protection of the public in relation to communicable diseases including prevention or control
Public health or related education
Public health or related laws, regulations, standards, or guidelines
Name three core areas of foodborne disease outbreak response that focus FoodCORE improvement strategies. Describe how FoodCORE performance metrics are used to document successful strategies for improving outbreak response. Discuss the FoodCORE model practices presented.
Keyword(s): Food Safety, Public Health Infrastructure
Qualified on the content I am responsible for because: I am a public health advisor in the Outbreak Response and Prevention Branch at the National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention (CDC). I help coordinate the FoodCORE program and provide technical, scientific, epidemiologic, and logistic support for program participants and partners.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.