Abstract

In order to collect more accurate data on the incidence and causes of foodborne diseases the Food Safety and Inspection Service (FSIS), the Food and Drug Administration (FDA), and the Centers for Disease Control and Prevention (CDC) began a collaborative effort with state and local health departments in July of 1995 known as the Foodborne Diseases Active Surveillance Network (FoodNet). Under FoodNet, the FSIS, CDC, and FDA, along with health departments in California, Oregon, Minnesota, Georgia, Connecticut, Maryland, and New York have formed a direct working link to monitor the yearly incidence of foodborne illness and develop a network to respond to emerging foodborne diseases. Data is collected through population-based surveys, laboratory surveys, physician surveys, and case-control studies. These studies aim to identify pathogens responsible for foodborne illnesses, to determine behaviors related to food handling and pathogen exposure, and to identify health care practices related to diarrheal diseases. FoodNet completed its first year of data collection the end of 1996 and all data at this time is preliminary. FoodNet found 7,322 laboratory-confirmed diarrheal cases, from a population of 13.2 million, attributable to the 7 bacterial pathogens targeted. Of those cases, 45.9 percent were attributed to Campylobacter. Salmonella was identified in 28.3 percent, Shigella in 17.4 percent, E. coli O157:H7 in 5.3 percent, Yersinia in 2 percent, Listeria in 0.9 percent, and Vibrio in 0.5 percent. FSIS will use the FoodNet data to evaluate the effectiveness of new food safety programs and regulations in reducing foodborne pathogens on meat and poultry.

Highlights

  • Foodborne diseases are common; an estimated 6 to 33 million cases occur each year in the United States

  • The public health challenges of foodborne diseases are changing rapidly; in recent years, new and reemerging foodborne pathogens have been described, and changes in food production have led to new food safety concerns

  • Current “passive” surveillance systems rely upon reporting of foodborne diseases by clinical microbiology laboratories to state health departments, which in turn report to Centers for Disease Control and Prevention (CDC)

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Summary

News and Notes

The Foodborne Diseases Active Surveillance Network (FoodNet) is the foodborne disease component of the Emerging Infections Program (EIP) of the Centers for Disease Control and Prevention (CDC). For a bacterial infection to be included in the passive surveillance system, it must pass through the following steps: a person becomes ill with a diarrheal disease, the patient must go to a doctor, the doctor must order a bacterial stool culture, the assigned microbiology laboratory must culture for this organism and report the infection to the state health department, and the state health department in turn must report the infection to CDC. This passive surveillance system is the means by which the number of cases of foodborne illness is currently determined at CDC; if any step does not occur, foodborne illness is not reported. FoodNet is designed to collect information along each step of this pyramid

FoodNet Components
Findings
FoodNet Working Group*
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