Madhura S. Vachon , Alexandra R. Edmundson , Alice E. White , Thuy N. Kim , Hillary A. Booth , Melanie J. Firestone , Elaine J. Scallan Walter , Craig W. Hedberg
{"title":"CDC Directed Funding Improves Foodborne Outbreak Reporting in U.S. States, 2009–2022","authors":"Madhura S. Vachon , Alexandra R. Edmundson , Alice E. White , Thuy N. Kim , Hillary A. Booth , Melanie J. Firestone , Elaine J. Scallan Walter , Craig W. Hedberg","doi":"10.1016/j.jfp.2025.100581","DOIUrl":null,"url":null,"abstract":"<div><div>Through Epidemiology and Laboratory Capacity (ELC) cooperative agreements, the US Centers for Disease Control and Prevention (CDC) has funded three programs focused on enhancing foodborne illness outbreak detection and response at the state level—the Foodborne Diseases Centers for Outbreak Response Enhancement (FoodCORE), the Integrated Food Safety Centers of Excellence (Food Safety CoE), and OutbreakNet Enhanced (OBNE). Data from the CDC’s Foodborne Disease Outbreak Surveillance System (FDOSS) were used to assess the effect of ELC-funded foodborne programs on single-state foodborne illness outbreak reporting from 2009 to 2022. Based on 2022 program status, participation in these programs was associated with higher rates of reporting compared to states not enrolled in any ELC programs. Average foodborne outbreak reporting rates per million population were 1.54 for states enrolled in No Programs, 2.40 for OBNE states, 3.75 for FoodCORE states, and 4.16 for Food Safety CoE states. For <em>Salmonella</em>, Shiga toxin-producing <em>E. coli,</em> and <em>Listeria</em> (SSL) outbreaks, average reporting rates per million population were 0.37 for states enrolled in No Programs, 0.46 for OBNE states, and 0.69 for FoodCORE and 0.67 for Food Safety CoE states. Overall ELC funding was associated with increased outbreak reporting rates. A one-dollar increase in average ELC funding was associated with an estimated 0.88 (95% CI 0.69, 1.07) unit increase in the single-state foodborne outbreak reporting rate and an estimated 0.14 (95% CI 0.09, 0.19) unit increase in the SSL outbreak reporting rate. Federal support for public health surveillance improves the detection and reporting of foodborne illness.</div></div>","PeriodicalId":15903,"journal":{"name":"Journal of food protection","volume":"88 9","pages":"Article 100581"},"PeriodicalIF":2.8000,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of food protection","FirstCategoryId":"97","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0362028X25001334","RegionNum":4,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"BIOTECHNOLOGY & APPLIED MICROBIOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Through Epidemiology and Laboratory Capacity (ELC) cooperative agreements, the US Centers for Disease Control and Prevention (CDC) has funded three programs focused on enhancing foodborne illness outbreak detection and response at the state level—the Foodborne Diseases Centers for Outbreak Response Enhancement (FoodCORE), the Integrated Food Safety Centers of Excellence (Food Safety CoE), and OutbreakNet Enhanced (OBNE). Data from the CDC’s Foodborne Disease Outbreak Surveillance System (FDOSS) were used to assess the effect of ELC-funded foodborne programs on single-state foodborne illness outbreak reporting from 2009 to 2022. Based on 2022 program status, participation in these programs was associated with higher rates of reporting compared to states not enrolled in any ELC programs. Average foodborne outbreak reporting rates per million population were 1.54 for states enrolled in No Programs, 2.40 for OBNE states, 3.75 for FoodCORE states, and 4.16 for Food Safety CoE states. For Salmonella, Shiga toxin-producing E. coli, and Listeria (SSL) outbreaks, average reporting rates per million population were 0.37 for states enrolled in No Programs, 0.46 for OBNE states, and 0.69 for FoodCORE and 0.67 for Food Safety CoE states. Overall ELC funding was associated with increased outbreak reporting rates. A one-dollar increase in average ELC funding was associated with an estimated 0.88 (95% CI 0.69, 1.07) unit increase in the single-state foodborne outbreak reporting rate and an estimated 0.14 (95% CI 0.09, 0.19) unit increase in the SSL outbreak reporting rate. Federal support for public health surveillance improves the detection and reporting of foodborne illness.
期刊介绍:
The Journal of Food Protection® (JFP) is an international, monthly scientific journal in the English language published by the International Association for Food Protection (IAFP). JFP publishes research and review articles on all aspects of food protection and safety. Major emphases of JFP are placed on studies dealing with:
Tracking, detecting (including traditional, molecular, and real-time), inactivating, and controlling food-related hazards, including microorganisms (including antibiotic resistance), microbial (mycotoxins, seafood toxins) and non-microbial toxins (heavy metals, pesticides, veterinary drug residues, migrants from food packaging, and processing contaminants), allergens and pests (insects, rodents) in human food, pet food and animal feed throughout the food chain;
Microbiological food quality and traditional/novel methods to assay microbiological food quality;
Prevention of food-related hazards and food spoilage through food preservatives and thermal/non-thermal processes, including process validation;
Food fermentations and food-related probiotics;
Safe food handling practices during pre-harvest, harvest, post-harvest, distribution and consumption, including food safety education for retailers, foodservice, and consumers;
Risk assessments for food-related hazards;
Economic impact of food-related hazards, foodborne illness, food loss, food spoilage, and adulterated foods;
Food fraud, food authentication, food defense, and foodborne disease outbreak investigations.