TJFACT LLC, Atlanta, Georgia (Ms Tilashalski) and Office of Program Support, Coordination, and Implementation, Division of Foodborne, Waterborne, and Environmental Diseases, US Centers for Disease Control and Prevention, Atlanta, Georgia (Mss Tilashalski, Sillence, and Newton, and Dr Biggerstaff).
J Public Health Manag Pract. 2022;28(4):E702-E710. doi: 10.1097/PHH.0000000000001470. Epub 2021 Dec 21.
Each year, foodborne diseases cause an estimated 48 million illnesses resulting in 128000 hospitalizations and 3000 deaths in the United States. Fast and effective outbreak investigations are needed to identify and remove contaminated food from the market to reduce the number of additional illnesses that occur. Many state and local health departments have insufficient resources to identify, respond to, and control the increasing burden of foodborne illnesses.
The Centers for Disease Control and Prevention (CDC) Foodborne Diseases Centers for Outbreak Response Enhancement (FoodCORE) program provides targeted resources to state and local health departments to improve completeness and timeliness of laboratory, epidemiology, and environmental health activities for foodborne disease surveillance and outbreak response.
In 2009, pilot FoodCORE centers were selected through a competitive application process and then implemented work plans to achieve faster and more complete surveillance and outbreak response activities in their jurisdiction. By 2019, 10 centers participated in FoodCORE: Colorado, Connecticut, Minnesota, New York City, Ohio, Oregon, South Carolina, Tennessee, Utah, and Wisconsin.
CDC and FoodCORE centers collaboratively developed performance metrics to evaluate the impact and effectiveness of FoodCORE activities. Centers used performance metrics to document successes, identify gaps, and set goals for their jurisdiction. CDC used performance metrics to evaluate the implementation of FoodCORE priorities and identify successful strategies to develop replicable model practices. This report provides a description of implementing the FoodCORE program during year 1 (October 2010 to September 2011) through year 9 (January 2019 to December 2019).
FoodCORE centers address gaps in foodborne disease response through enhanced capacity to improve timeliness and completeness of surveillance and outbreak response activities. Strategies resulting in faster, more complete surveillance and response are documented as model practices and are shared with state and local foodborne disease programs across the country.
每年，食源性疾病在美国导致约 4800 万人患病，导致 128000 人住院，3000 人死亡。需要快速有效地进行暴发调查，以识别和从市场上清除受污染的食物，从而减少发生的其他疾病数量。许多州和地方卫生部门资源不足，无法识别、应对和控制食源性疾病负担的增加。
疾病控制与预防中心（CDC）食源性疾病暴发应对增强中心（FoodCORE）项目向州和地方卫生部门提供有针对性的资源，以提高食源性疾病监测和暴发应对的实验室、流行病学和环境卫生活动的完整性和及时性。
2009 年，通过竞争申请程序选择了试点 FoodCORE 中心，然后实施了工作计划，以在其管辖范围内实现更快、更完整的监测和暴发应对活动。到 2019 年，有 10 个中心参加了 FoodCORE：科罗拉多州、康涅狄格州、明尼苏达州、纽约市、俄亥俄州、俄勒冈州、南卡罗来纳州、田纳西州、犹他州和威斯康星州。
疾病预防控制中心和 FoodCORE 中心合作制定了绩效指标，以评估 FoodCORE 活动的影响和有效性。中心使用绩效指标记录成功案例、发现差距，并为其管辖范围设定目标。疾病预防控制中心使用绩效指标评估 FoodCORE 优先事项的实施情况，并确定成功的策略，以制定可复制的示范实践。本报告介绍了在 2010 年 10 月至 2011 年 9 月至 2019 年 12 月期间实施 FoodCORE 项目的情况。
FoodCORE 中心通过增强改善监测和暴发应对活动的及时性和完整性的能力，解决食源性疾病应对方面的差距。记录更快、更完整的监测和应对策略作为示范实践，并与全国各州和地方食源性疾病计划共享。
