CDC Directed Funding Improves Foodborne Outbreak Reporting in U.S. States, 2009–2022

IF 2.8 4区 农林科学 Q3 BIOTECHNOLOGY & APPLIED MICROBIOLOGY
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
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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.
美国疾病控制与预防中心指导的资金改善了2009-2022年美国各州食源性疫情报告。
通过流行病学和实验室能力(ELC)合作协议,美国疾病控制和预防中心(CDC)资助了三个项目,重点是在州一级加强食源性疾病爆发的检测和反应——食源性疾病爆发反应增强中心(FoodCORE)、综合食品安全卓越中心(Food Safety CoE)和爆发网络增强中心(OBNE)。来自CDC食源性疾病暴发监测系统(FDOSS)的数据用于评估elc资助的食源性项目对2009-2022年单州食源性疾病暴发报告的影响。根据2022年的项目状态,与没有参加任何ELC项目的州相比,参加这些项目的州报告率更高。在没有计划的州,每百万人口平均食源性爆发报告率为1.54,在OBNE州为2.40,在FoodCORE州为3.75,在食品安全CoE州为4.16。对于沙门氏菌、产志贺毒素的大肠杆菌和李斯特菌(SSL)爆发,在没有项目的州,每百万人口的平均报告率为0.37,在OBNE州为0.46,在FoodCORE州为0.69,在食品安全CoE州为0.67。ELC的总体资助与疫情报告率的提高有关。ELC平均资助每增加1美元,单州食源性暴发报告率估计增加0.88(95%可信区间0.69,1.07)个单位,SSL暴发报告率估计增加0.14(95%可信区间0.09,0.19)个单位。联邦政府对公共卫生监测的支持改善了食源性疾病的发现和报告。
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来源期刊
Journal of food protection
Journal of food protection 工程技术-生物工程与应用微生物
CiteScore
4.20
自引率
5.00%
发文量
296
审稿时长
2.5 months
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.
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