Envirnomental Health Specialist Network

通过联邦资助的食源性疾病暴发和病例对照研究 疾病主动监测网络(FoodNet)在以下方面显示出重要的食品安全问题 商业食品店。EHS-Net就是为了解决这一问题而成立的。明尼苏达州 卫生(MDH)参与了EHS-Net的形成，一直是一个积极和富有成效的 该计划从一开始就是该计划的参与者。该计划帮助MDH汇集了一个 与流行病学家合作以识别和预防环境卫生的环境卫生专家 导致食源性疾病的因素。同样，EHS-Net也增加了MDH和本地的容量 卫生部门在社区内提供环境卫生服务。 关于水传播疾病和水的流行病学和环境健康的整合 安全措施还不够完善。由娱乐用水引起的疫情经常被记录在案。 饮用水暴发虽然记录的频率较低，但可以以惊人的方式发生，并具有 对公共健康的巨大影响。两项散发性隐孢子虫病病例对照研究 明尼苏达州居民认为井水消费是一个风险因素。因此，更深入的公众 饮用水安全的健康评价显然是必要的。 MDH关于EHS-Net的总体目标如下：1)继续使用该计划以 确定明尼苏达州商业食品机构存在的食品安全问题，并确定和实施 切实的预防措施，以减轻这些问题；和2)制定EHS-Net方案，以确定 与水有关的公共卫生问题，特别是来自小系统的饮用水，并确定 落实预防措施，减少水源性疾病的发生。 关于食品和饮用水安全的具体目标包括：1)监测和记录风险 疫情和常规环境卫生检查中的因素和预防政策；2)进行 关于致病因素的应用行为、环境、流行病学和实验室研究 传播；3)评估食品和饮用水安全服务计划及其活动；4) 实施和评估预防和干预试点项目；以及5)制定和传播 向环境和公共卫生界宣传网络活动和项目的成果。食品安全 活动将包括完成正在进行的研究和启动由EHS确定的新研究- NET指导委员会。拟议的水安全活动包括对饮用水的详细说明 ？明尼苏达州关于小型、非安全饮用水来源的指南和活动，以及详细研究 评估人类隐孢子虫病和贾第鞭毛虫病病例与这些系统的潜在关系。

Foodborne disease outbreaks and case-control studies conducted through the federally funded Foodborne Diseases Active Surveillance Network (FoodNet) have demonstrated important food safety problems at commercial food establishments. EHS-Net was formed to address this issue. The Minnesota Department of Health (MDH) was integrally involved with the formation of EHS-Net, and has been an active and productive participant in the program since its inception. This program has helped MDH bring together a network of environmental health specialists who collaborate with epidemiologiststo identify and preventenvironmental factors contributing to foodborne disease. Likewise, EHS-Net has increased the capacity of MDH and local health departments to deliver environmental health services in thecommunity. The integration of epidemiology and environmental health with regard to waterborne disease and water safety has been less complete. Outbreaks due to recreational water are documented rather frequently. Drinking water outbreaks, while documented less frequently, can occur in spectacular fashion and have enormous public health effects. Two case-control studies of sporadic cryptosporidiosis cases among Minnesota residents have identified well water consumption as a risk factor. Thus, more in-depth public health evaluation of drinking water safety is clearly needed. MDH's overall objectives with regard to EHS-Net are as follows: 1) to continue to use the program to identify food safety problems in commercial food establishment in Minnesota and to identify and implement practical prevention measures to mitigate these problems; and 2) to develop an EHS-Net program to identify public health problems associated with water, particularly drinking water from small systems, and to identify and implement prevention measures to reduce the occurrence of waterborne disease. Specific aims with regard to food and drinkingwater safety include: 1) to monitor and document risk factors and prevention policies during outbreaks and routine environmental health inspections; 2) to conduct applied behavioral, environmental, epidemiologic, and laboratory research on factors contributingto disease transmission; 3) to evaluate food and drinking water safety service programs and their activities; 4) to implement and evaluate pilot prevention and interventionprojects; and 5) to develop and disseminate the results of network activities and projects to the environmental and public health communities. Food safety activities will include completion of ongoing studies and initiationof new studies as determined by the EHS- Net Steering Committee. Proposed water safety activities include a detailed description of drinking water ?rograms and activities in Minnesota for small, non-Safe Drinking Water Act Sources, and detailed studies to ivaluate the potential relationship of human cryptosporidiosis and giardiasis cases to these systems.