Foodborne Illness Outbreaks Reported to National Surveillance, United States, 2009-2018

被引:60
作者
White, Alice E. [1 ]
Tillman, Alexandra R. [1 ]
Hedberg, Craig [2 ]
Bruce, Beau B. [3 ]
Batz, Michael [4 ]
Seys, Scott A. [5 ]
Dewey-Mattia, Daniel [3 ]
Bazaco, Michael C. [4 ]
Walter, Elaine Scallan [1 ]
机构
[1] Colorado Sch Publ Hlth, Aurora, CO 80045 USA
[2] Univ Minnesota, Minneapolis, MN USA
[3] Ctr Dis Control & Prevent, Atlanta, GA USA
[4] US FDA, College Pk, MD USA
[5] US Dept Agr Food Safety Inspect Serv, Washington, DC USA
关键词
DISEASE OUTBREAKS; NETWORK;
D O I
10.3201/eid2806.211555
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Foodborne outbreaks reported to national surveillance systems represent a subset of all outbreaks in the United States; not all outbreaks are detected, investigated, and reported. We described the structural factors and outbreak characteristics of outbreaks reported during 2009-2018. We categorized states (plus DC) as high (highest quintile), middle (middle 3 quintiles), or low (lowest quintile) reporters on the basis of the number of reported outbreaks per 10 million population. Analysis revealed considerable variation across states in the number and types of food-borne outbreaks reported. High-reporting states reported 4 times more outbreaks than low reporters. Low reporters were more likely than high reporters to report larger outbreaks and less likely to implicate a setting or food vehicle; however, we did not observe a significant difference in the types of food vehicles identified. Per capita funding was strongly associated with increased reporting. Investments in public health programming have a measurable effect on outbreak reporting.
引用
收藏
页码:1117 / 1127
页数:11
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