Guidelines for foodborne disease outbreak response

"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." - prefaceSuggested Citation: Council to Improve Foodborne Outbreak Response (CIFOR). Guidelines for Foodborne Disease Outbreak Response. Atlanta: Council of State and Territorial Epidemiologists, 2009.Publication supported by Centers for Disease Control and Prevention Cooperative Agreement Number 1U38HM000414.CIFORGuidelinesforFoodborneDiseaseOutbreakResponse.pdf1. Overview of CIFOR guidelines -- 2. Fundamental concepts of public health surveillance and foodborne disease -- 3. Planning and preparation -- 4. Foodborne disease surveillance and outbreak detection -- 5. Investigation of clusters and outbreaks 6. Control measures -- 7. Special considerations for multijurisdictional outbreaks -- 8. Performance indicators for foodborne disease programs -- 9. Legal preparedness for the surveillance and control of foodborne disease outbreaks -- Appendix 1: Glossary -- Appendix 2: Onset, duration, and symptoms of foodborne illness and associated organism or toxin (from the US Food and Drug -- Administration Foodborne Pathogenic Microorganisms and Natural Toxins Handbook) -- Appendix 3: List of key Websites and resources cited.SupersededPrevention and ControlInfectious DiseaseCooperative Agreement Number 1U38HM00041