Evaluation of the Council to Improve Foodborne Outbreak Response (CIFOR) Guidelines for Foodborne Disease Outbreak Response and Associated Toolkit


Book Description

Foodborne disease is a significant public health problem. Estimates from the U.S. Centers for Disease Control and Prevention (CDC) indicate that, in 2011, approximately one in six individuals in the United States was affected by a foodborne disease, resulting in 127,839 hospitalizations and roughly 3,000 deaths (Centers for Disease Control and Prevention, 2011; Scallan et al., 2011). With reducing the burden of foodborne disease among its primary goals, CIFOR developed the Guidelines for Foodborne Outbreak Response (2009) and a companion Toolkit (2011) to facilitate improvements in foodborne disease outbreak detection and response at the state and local levels. The objective of this study is to assess the distribution and use of the CIFOR Guidelines and Toolkit to determine whether and to what extent they are reaching their intended users and achieving their intended goals. Findings from this evaluation provide important information about how the dissemination, content, and structure of the Guidelines and Toolkit can be changed to facilitate their use and further improve foodborne outbreak response.




Guidelines for Food Disease Outbreak Response


Book Description

"The Council to Improve Foodborne Outbreak Response (CIFOR) Guidelines for Foodborne Disease Outbreak Response were developed to aid government agencies responsible for preventing and managing foodborne disease. The Guidelines focuses on local and state agencies, including public health, environmental health, agriculture, and other agencies responsible for food safety, because they investigate most of the outbreaks of foodborne disease in the United States. However, the Guidelines also supports the federal public health and regulatory agencies critical to the U.S. food-safety infrastructure. The Guidelines describes the overall approach to outbreaks of foodborne diseases, including preparation, detection, investigation, control, and follow-up. The Guidelines also describes the roles of all key organizations involved in these outbreaks, provides recommendations for processes to improve communication and coordination among multiple agencies during multijurisdictional outbreaks, and identifies indicators that different organizations can use to gauge their performance in responding to foodborne disease outbreaks. Even though the Guidelines document provides comprehensive information for individuals and organizations involved in foodborne disease, it is not intended to replace existing procedure manuals. Agencies and individuals should use the Guidelines to compare existing procedures, fill gaps in and update site-specific procedures, create procedures where they do not exist, and train program staff. CIFOR intends the Guidelines to serve as a foundation for epidemiologists, laboratorians, environmental health specialists, and others involved in food-safety programs. Many local, state, and federal government agencies work to solve outbreaks of foodborne diseases, and CIFOR hopes this document will standardize foodborne disease investigation across all those agencies. Technical experts from different government and academic organizations across the country, representing a wide variety of disciplines, have compiled the information in the Guidelines. The Guidelines have undergone a comprehensive public review process. CIFOR considers these Guidelines a consensus document that captures best practices and identifies emerging new practices in outbreak response to foodborne diseases."--Preface.










Foodborne Disease Outbreaks


Book Description

"These guidelines have been written for public health practitioners, food and health inspectors, district and national medical officers, laboratory personnel and others who may undertake or participate in the investigation and control of foodborne disease outbreaks."--P. 4 of cover.







Enhancing Food Safety


Book Description

Recent outbreaks of illnesses traced to contaminated sprouts and lettuce illustrate the holes that exist in the system for monitoring problems and preventing foodborne diseases. Although it is not solely responsible for ensuring the safety of the nation's food supply, the U.S. Food and Drug Administration (FDA) oversees monitoring and intervention for 80 percent of the food supply. The U.S. Food and Drug Administration's abilities to discover potential threats to food safety and prevent outbreaks of foodborne illness are hampered by impediments to efficient use of its limited resources and a piecemeal approach to gathering and using information on risks. Enhancing Food Safety: The Role of the Food and Drug Administration, a new book from the Institute of Medicine and the National Research Council, responds to a congressional request for recommendations on how to close gaps in FDA's food safety systems. Enhancing Food Safety begins with a brief review of the Food Protection Plan (FPP), FDA's food safety philosophy developed in 2007. The lack of sufficient detail and specific strategies in the FPP renders it ineffectual. The book stresses the need for FPP to evolve and be supported by the type of strategic planning described in these pages. It also explores the development and implementation of a stronger, more effective food safety system built on a risk-based approach to food safety management. Conclusions and recommendations include adopting a risk-based decision-making approach to food safety; creating a data surveillance and research infrastructure; integrating federal, state, and local government food safety programs; enhancing efficiency of inspections; and more. Although food safety is the responsibility of everyone, from producers to consumers, the FDA and other regulatory agencies have an essential role. In many instances, the FDA must carry out this responsibility against a backdrop of multiple stakeholder interests, inadequate resources, and competing priorities. Of interest to the food production industry, consumer advocacy groups, health care professionals, and others, Enhancing Food Safety provides the FDA and Congress with a course of action that will enable the agency to become more efficient and effective in carrying out its food safety mission in a rapidly changing world.







Public Health Laboratories


Book Description

"Public Health Laboratories: Analysis, Operations, and Management presents a unique exploration of the inner workings of PHLs for students in the field of health care, including clinical laboratory sciences, healthcare management, and environmental health." "This singular text-the only book of its kind - delves into the science and management of PHLs in the United States, from the basics of microbial, chemical, and radiological analysis to personnel, certification, and budget issues. More than a litany of tests and procedures, Public Health Laboratories: Analysis, Operations, and Management details the background of each disease, compound, or agent in question and explains the range of analyses and algorithms available for its evaluation." "Public Health Laboratories: Analysis, Operations, and Management places the work of PHLs into a contemporary context, examining their critical importance with regard to terrorism preparedness, disaster relief, and infectious disease response as --




Biodiversity and Human Health


Book Description

The implications of biodiversity loss for the global environment have been widely discussed, but only recently has attention been paid to its direct and serious effects on human health. Biodiversity loss affects the spread of human diseases, causes a loss of medical models, diminishes the supplies of raw materials for drug discovery and biotechnology, and threatens food production and water quality. Biodiversity and Human Health brings together leading thinkers on the global environment and biomedicine to explore the human health consequences of the loss of biological diversity. Based on a two-day conference sponsored by the National Institutes of Health, the National Science Foundation, and the Smithsonian Institution, the book opens a dialogue among experts from the fields of public health, biology, epidemiology, botany, ecology, demography, and pharmacology on this vital but often neglected concern. Contributors discuss the uses and significance of biodiversity to the practice of medicine today, and develop strategies for conservation of these critical resources. Topics examined include: the causes and consequences of biodiversity loss emerging infectious diseases and the loss of biodiversity the significance and use of both prescription and herbal biodiversity-derived remedies indigenous and local peoples and their health care systems sustainable use of biodiversity for medicine an agenda for the future In addition to the editors, contributors include Anthony Artuso, Byron Bailey, Jensa Bell, Bhaswati Bhattacharya, Michael Boyd, Mary S. Campbell, Eric Chivian, Paul Cox, Gordon Cragg, Andrew Dobson, Kate Duffy-Mazan, Robert Engelman, Paul Epstein, Alexandra S. Fairfield, John Grupenhoff, Daniel Janzen, Catherine A. Laughin, Katy Moran, Robert McCaleb, Thomas Mays, David Newman, Charles Peters, Walter Reid, and John Vandermeer. The book provides a common framework for physicians and biomedical researchers who wish to learn more about environmental concerns, and for members of the environmental community who desire a greater understanding of biomedical issues.