Environmental Health Specialist Network

环境健康专家网络

• 批准号: 8155321
• 负责人: Richard Norman Danila
• 金额: $ 35万
• 依托单位: MINNESOTA STATE DEPT OF HEALTH
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-07-01 至 2015-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8155321
• 关键词: Environmental; Health; Specialist; Network

DESCRIPTION (provided by applicant): The long-term objective of the proposed work is to reduce foodborne and waterborne illness in Minnesota and the entire U.S. Specific aims are to: 1) increase and improve environmental assessments conducted during foodborne and waterborne outbreak investigations, identify risk factors associated with outbreaks, and implement appropriate disease prevention efforts; 2) identify and understand environmental factors associated with sporadic foodborne and waterborne illnesses through special studies; 3) evaluate food safety and water safety programs in Minnesota; and 4) develop and disseminate the findings from EHS-Net research projects to the environmental health community, food service industry, and providers/users of drinking and recreational water. MDH has been a leader and active participant in both the food and water safety components of EHS-Net since the inception of both programs and will continue EHS-Net involvement in the same fashion. Environmental health specialists from the MDH Division of Environmental Health and epidemiologists from the MDH Acute Disease Investigation and Control Section will comprise the MDH EHS-Net team and will work closely together to conduct EHS-Net activities. Active population-based surveillance for reportable bacterial and protozoal pathogens will be conducted, along with state-of the art outbreak detection and investigation. Environmental assessments will be conducted on all foodborne outbreaks in commercial food establishments and all waterborne (i.e., drinking and recreational water) outbreaks in Minnesota using the standard tools designated by EHS-Net. Special studies to identify practices, behaviors, or other risk factors that lead to sporadic foodborne illness will be conducted at random samples of restaurants in previously selected sampling frameworks. Special studies to identify the burden of Cryptosporidium, Shiga toxin-producing E. coli, and Campylobacter infections due to drinking water, along with practices, behaviors, or other risk factors that lead to sporadic waterborne infections, will revolve around interviews of all reported cases (including specific questions about well water and other exposures), and application of GIS using data sources such as cattle density, geologic sensitivity to groundwater contamination, and climate variables (e.g., flooding). MDH will continue to build communication and collaborations with EHS-Net partners (other states, CDC, FDA, and EPA) and will actively participate in multi-site studies decided on by the EHS-Net Steering Committee. Education of environmental health specialists and industry groups throughout Minnesota, based on lesson learned from EHS-Net, will be actively pursued. . . PUBLIC HEALTH RELEVANCE: Foodborne and waterborne illness continue to be important public health problems in Minnesota. Foodborne and waterborne outbreaks occur commonly, and case-control studies have implicated eating at restaurants as a source of nonoutbreak-associated infection with several disease agents (e.g., Salmonella, Campylobacter, and E. coli O157:H7); these studies were a primary reason for formation of EHS-Net. In addition, studies conducted by the Minnesota Department of Health (MDH) and FoodNet have implicated well water consumption as a risk factor for cryptosporidiosis and possibly other disease agents as well.

描述(由申请人提供)： 拟议工作的长期目标是减少明尼苏达州和整个美国的食源性和水源性疾病。具体目标是：1)增加和改进在食源性和水源性疫情调查期间进行的环境评估，确定与疫情爆发相关的风险因素，并实施适当的疾病预防工作；2)通过专项研究确定和了解与零星食源性和水源性疾病相关的环境因素；3)评估明尼苏达州的食品安全和水安全计划；以及4)开发EHS-Net研究项目并将其结果传播给环境健康社区、食品服务业、饮用水和娱乐用水的提供者/使用者。自这两个计划开始以来，马德兰卫生局一直是EHS-Net食品和水安全部分的领导者和积极参与者，并将以同样的方式继续参与EHS-Net。MDH环境卫生司的环境卫生专家和MDH急性疾病调查和控制科的流行病学家将组成MDH EHS-Net小组，并将密切合作开展EHS-Net活动。将对可报告的细菌和原虫病原体进行积极的基于人群的监测，同时进行最先进的暴发检测和调查。将使用EHS-Net指定的标准工具对商业食品机构的所有食源性疫情和明尼苏达州的所有水源性(即饮用水和娱乐用水)疫情进行环境评估。将在先前选定的抽样框架内对餐馆随机抽样进行特别研究，以确定导致零星食源性疾病的做法、行为或其他危险因素。为确定饮用水引起的隐孢子虫、志贺毒素产生菌和弯曲杆菌感染的负担，以及导致零星水传播感染的做法、行为或其他风险因素，特别研究将围绕所有报告病例的访谈(包括关于井水和其他暴露的具体问题)，以及使用牛密度、对地下水污染的地质敏感性和气候变量(例如洪水)等数据来源应用地理信息系统。MDH将继续与EHS-Net合作伙伴(其他州、CDC、FDA和EPA)建立沟通和合作，并将积极参与EHS-Net指导委员会决定的多地点研究。将根据从EHS-Net吸取的经验教训，积极开展对整个明尼苏达州的环境健康专家和行业团体的教育。。。 公共卫生相关性： 食源性和水源性疾病仍然是明尼苏达州的重要公共卫生问题。食源性和水源性暴发经常发生，病例对照研究表明，在餐馆进食是几种疾病病原体(例如沙门氏菌、弯曲杆菌和大肠杆菌O157：H7)非暴发相关感染的来源；这些研究是形成EHS-Net的主要原因。此外，明尼苏达州卫生局(MDH)和FoodNet进行的研究表明，井水消耗是隐孢子虫病的风险因素，可能还会导致其他疾病。