Food and Drug Administration, Center for Food Safety and Applied Nutrition, Office of the Coordinated Outbreak Response and Evaluation Network, College Park, Maryland. ORCID: https://orcid.org/0000-0001-8788-1485.
Food and Drug Administration, Center for Food Safety and Applied Nutrition, Office of the Coordinated Outbreak Response and Evaluation Net-work, Portland, Oregon. ORCID: https://orcid.org/0000-0002-4711-1520.
J Emerg Manag. 2021 Mar-Apr;19(2):131-141. doi: 10.5055/jem.0567.
The Food Safety Modernization Act mandates building a national Integrated Food Safety System, which represents a seamless partnership among federal, state, local, territorial, and tribal agencies. During multistate foodborne illness outbreak investigations, local and state partners, the Centers for Disease Control and Prevention, the United States Food and Drug Administration (FDA), or the United States Department of Agriculture Food Safety Inspection Service, depending on the regulated food product, become engaged and assist in coordinating the efforts between partners involved and determine the allocation of resources. The FDA Center for Food Safety and Applied Nutrition (CFSAN) Office of the Coordinated Outbreak Response and Evaluation (CORE) Network coordinates foodborne illness outbreak surveillance, response, and post-response activities related to incidents involving multiple illnesses linked to FDA-regulated human food, dietary supplements, and cosmetic products. FDA has implemented the National Incident Management System (NIMS) Incident Command System (ICS) principles across the agency to coordinate federal response efforts, and CORE has adapted NIMS ICS principles for the emergency management of multistate foodborne illness outbreaks. CORE's implementation of ICS principles has provided several benefits to the operational cycle of foodborne illness outbreak investigations, including establishing a consistent, standardized, and transparent step-by-step approach to outbreak investigations. ICS principles have been instrumental in the development of a national platform for rapid and systematic laboratory, traceback, and epidemiologic information sharing, data analysis, and decision-making. This allows for partners across jurisdictions to reach a consensus regarding outbreak goals and objectives, deploy resources, and take regulatory and public health actions.
《食品安全现代化法案》要求建立一个全国性的综合食品安全系统，这代表了联邦、州、地方、地区和部落机构之间的无缝合作关系。在多州食源性疾病暴发调查期间，地方和州的合作伙伴、疾病控制和预防中心、美国食品和药物管理局（FDA）或美国农业部食品安全检验局（根据受监管的食品产品而定）会参与并协助协调涉及的合作伙伴之间的努力，并确定资源的分配。FDA 食品安全与应用营养中心（CFSAN）协调暴发应对和评估（CORE）网络办公室协调食源性疾病暴发监测、应对和与涉及 FDA 监管的人类食品、膳食补充剂和化妆品产品相关的多起疾病相关的事后应对活动。FDA 已在整个机构实施了国家事件管理系统（NIMS）事件指挥系统（ICS）原则，以协调联邦应对工作，CORE 已将 NIMS ICS 原则适用于多州食源性疾病暴发的紧急管理。CORE 实施 ICS 原则为食源性疾病暴发调查的运营周期带来了多项益处，包括建立一致、标准化和透明的逐步调查方法。ICS 原则对于快速和系统的实验室、溯源和流行病学信息共享、数据分析和决策制定的国家平台的发展至关重要。这使得各司法管辖区的合作伙伴能够就暴发目标达成共识，部署资源，并采取监管和公共卫生行动。
