FoodCORE (Foodborne Diseases Centers for Outbreak Response Enhancement) : Improving foodborne disease outbreak response capacity in state and local health departments, year one summary report.
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FoodCORE (Foodborne Diseases Centers for Outbreak Response Enhancement) : Improving foodborne disease outbreak response capacity in state and local health departments, year one summary report.

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      At head of title: FoodCORE: Year one summary report Each year foodborne diseases cause illness in approximately 1 in 6 Americans, resulting in 128,000 hospitalizations and 3,000 deaths. Decreasing resources impact the ability of public health officials to identify, respond to, and control foodborne disease outbreaks. The Foodborne Diseases Centers for Outbreak Response Enhancement (FoodCORE) program was established to address gaps in foodborne disease outbreak response by improving laboratory, epidemiologic, and environmental health capacity. FoodCORE addresses gaps in foodborne disease response through improved capacity to improve timeliness and completeness of outbreak response activities. FoodCORE promotes the evaluation and application of model practices to improve detection, investigation, and control of foodborne disease outbreaks. Successes are documented using performance metrics based on the Council for Improving Foodborne Outbreak Response Guidelines. FoodCORE centers regularly convene, provide quarterly reports, and collaborate with other foodborne diseases programs to discuss, document, and share model practices. The FoodCORE centers during Year One (October 2010-September 2011) included: New York City, North Carolina, Ohio, South Carolina, Tennessee, Utah, and Wisconsin. Centers improved completeness and timeliness for laboratory and epidemiologic activities. On average, over 95% of Salmonella, Shiga toxin-producing Escherichia coli, and Listeria (SSL) isolates were subtyped. Epidemiology staff followed up with nearly 90% of all reported SSL cases. FoodCORE centers routinely engage environmental health and/or regulatory partners, and are active participants in national outbreak surveillance. During Year One, FoodCORE centers improved timeliness and completeness of their foodborne disease outbreak response programs and used a newly developed set of performance metrics to document progress. Leveraging laboratory, epidemiology, and environmental health capacity, centers successfully applied model practices to build capacity for routine and surge capacity needs, making faster, more complete investigations possible. Enhanced outbreak response can identify sources of infection faster, limit additional illnesses, and help prevent future foodborne disease outbreaks. Executive summary -- Introduction -- Methods -- Results -- Disease burden and structure -- Isolate-based metrics -- Discussion -- Improving laboratory capacity -- Improving epidemiology capacity -- Improving cross-cutting activities -- Improving partnerships and collaborations -- Limitations -- Conclusions -- Acknowledgements -- References -- Table 1. FoodCORE Center organizational structure, disease burden, and center-specific work plan details, Y1. -- Table 2. Median and range for turn-around times for serotyping, PFGE subtyping, and attempting an interview, Y1. -- Appendix A. FoodCORE Year One (Y1) Cumulative Metrics Data (Report Period: October 1, 2010 to September 30, 2011). 8/8/2013 -- date from document properties CS242143. 11 p.
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