Envirnomental Health Specialist Network

食源性疾病暴发和通过联邦资助的食源性 疾病主动监测网络（FoodNet）已经证明了重要的食品安全问题， 商业食品企业。EHS-Net就是为了解决这个问题而成立的。明尼苏达州教育部 健康（MDH）整体参与了EHS网络的形成，并一直是一个积极和富有成效的 自成立以来，该计划的参与者。该计划帮助MDH汇集了一个网络， 环境卫生专家与流行病学家合作， 导致食源性疾病的因素。同样，EHS-Net也提高了MDH和当地 卫生部门提供环境卫生服务的城市。 关于水传播疾病和水的流行病学和环境卫生的一体化 安全性不太完整。由于娱乐用水而引起的暴发记录相当频繁。 饮用水暴发虽然记录不太频繁，但可能以壮观的方式发生， 巨大的公共卫生影响。两项散发性隐孢子虫病病例对照研究 明尼苏达州居民已将井水消耗量确定为一个风险因素。因此，更深入的公众 显然需要对饮用水安全进行卫生评价。 MDH关于EHS网络的总体目标如下：1）继续使用该程序， 确定明尼苏达州商业食品机构食品安全问题，并确定和实施 缓解这些问题的切实可行的预防措施;以及2）制定EHS-Net计划以识别 与水有关的公共卫生问题，特别是来自小型系统的饮用水， 并采取预防措施，减少水传播疾病的发生。 食品和饮用水安全的具体目标包括：1）监测和记录风险 在爆发期间的因素和预防政策以及例行的环境卫生检查; 2）进行 应用行为学、环境学、流行病学和实验室对疾病因素的研究 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; 5）制定和传播 向环境和公共卫生界提供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EHS确定的新研究- 网络指导委员会。拟议的水安全活动包括对饮用水的详细说明 ?在明尼苏达州的小型，非安全饮用水法案的来源，和详细的研究， 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.