Revitalizing Tennessee's Core Environmental Health Programs: Food Safety and Wate

振兴田纳西州的核心环境健康计划：食品安全和水

• 批准号: 8124943
• 负责人: Rand Carpenter
• 金额: $ 35万
• 依托单位: TENNESSEE STATE DEPARTMENT 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/8124943
• 关键词: Revitalizing; Tennessee; Core; Environmental; Health

DESCRIPTION (provided by applicant): Abstract-Tennessee EHS-Net Application 2010 Foodborne and waterborne pathogens cause substantial burden of illness. The Tennessee Department of Health (TDH) considers involvement in EHS-Net vital to promoting safe practices, educating environmentalists and epidemiologists in outbreak investigation, preventing illness, adding to the body of generalizable knowledge about food/water safety and environmental contamination, and demonstrating to the public the value of food and water safety measures. This application will demonstrate our EHS-Net objectives, our history of EHS-Net accomplishments, and our future EHS- Net plans. We will continue the interagency approach in EHS-Net Food Program by supporting two full- time environmentalists in two of the state's large, comprehensive food safety programs. These environmental specialists and the EHS-Net PI will actively contribute to all aspects of multi-state food safety projects and participate in steering committee and working group calls. New projects will include the following: 1) complete an introductory survey to fully characterize the 232 grocery stores in Nashville, Davidson County; 2) implement food flow and contributing factor evaluation in restaurant- associated foodborne outbreaks statewide; 3) evaluate the effectiveness of an ongoing remedial food safety training on the long-term performance low-scoring restaurants; 4) integrate use of a standard foodborne illness complaint form into the state's environmental health information system; 5) as follow- on to a previous project, analyze the previous eight years of statewide restaurant inspection data. Continued participation in multi-state EHS-Net studies will also remain a high priority. Tennessee's involvement in the EHS-Net Water Safety Program since 2005 has led to numerous improvements in waterborne disease prevention, detection, and investigation. Numerous projects and investigations have enabled interaction with local, state, and federal stakeholders. During 2008-2009, we conducted multi-agency outbreak investigations, including a household sewage outlet cross connected to the water main supplying a small community, a source water contamination in a small community water system, and a municipal waste water treatment bypass to surface streams. With EHS-Net support, the state public health laboratory gained capacity to isolate and speciate Cryptosporidium from stool and environmental field samples. We will continue multistate EHS-Net projects and begin two new locally designed projects identified as priorities for additional study and data collection: 1) to identify and understand species-specific factors associated with the increased reports of cryptosporidiosis in east Tennessee, and 2) collect detailed location and use information for private water wells and onsite sewage disposal systems in Tennessee. PUBLIC HEALTH RELEVANCE: EHS-Net Food Safety-Tennessee 1) Introduction to application Each year in the U.S., foodborne pathogens such as Salmonella, Campylobacter, and E. coli O157:H7 cause millions of illnesses, sometimes with severe outcomes. In recent years, as people eat more food served by restaurants and as ready-to-eat food products are distributed over wider areas, illness and outbreaks caused by contamination of food have gained wider publicity, yet the public does not always consider food safety regulation and food recalls as effective tools in preventing illness. We at the Tennessee Department of Health (TDH) are concerned with preventing foodborne outbreaks by promoting safe food handling practices and by working on local and national levels to understand how these outbreaks occur. We consider involvement in projects such as Environmental Health Specialist (EHS)-Net and FoodNet vital to our work of promoting safe food handling practices, educating environmentalists and epidemiologists in outbreak investigation, preventing illness, and adding to the body of generalizable knowledge about food safety and environmental contamination. This application for funding through Centers for Disease Control (CDC) will demonstrate our objectives in working with EHS-Net, our

描述（由申请人提供）： 摘要-田纳西州EHS网络应用2010食源性和水媒病原体造成重大疾病负担。田纳西州卫生部（TDH）认为，参与EHS网络对于促进安全做法、教育环境学家和流行病学家进行疫情调查、预防疾病、增加有关食品/水安全和环境污染的普遍知识以及向公众展示食品和水安全措施的价值至关重要。此应用程序将展示我们的EHS网络目标，我们的EHS网络成就的历史，以及我们未来的EHS网络计划。 我们将继续在EHS-净食品计划的机构间方法，支持两个全职环保主义者在国家的两个大，全面的食品安全计划。这些环境专家和EHS-Net PI将积极为多州食品安全项目的各个方面做出贡献，并参与指导委员会和工作组的呼吁。新项目将包括以下内容：1）完成一项介绍性调查，以充分描述戴维森县纳什维尔232家杂货店的特征; 2）在全州范围内与餐馆相关的食源性疫情中实施食品流动和促成因素评估; 3）评估正在进行的针对长期绩效低分餐馆的补救性食品安全培训的有效性; 4）将标准食源性疾病投诉表格的使用整合到州环境卫生信息系统中; 5）作为前一个项目的后续工作，分析前八年全州餐馆检查数据。继续参与多州EHS网络研究也将仍然是一个高度优先事项。 自2005年以来，田纳西州参与了EHS网络水安全计划，导致了水传播疾病预防，检测和调查的许多改进。许多项目和调查使地方、州和联邦利益相关者能够互动。在2008-2009年期间，我们进行了多机构爆发调查，包括与一个小社区供水主管道交叉连接的家庭污水出口，一个小社区供水系统中的水源污染，以及一个通往地表河流的城市废水处理旁路。在EHS-Net的支持下，国家公共卫生实验室获得了从粪便和环境现场样本中分离隐孢子虫和对其进行物种鉴定的能力。我们将继续多州EHS网络项目，并开始两个新的本地设计的项目，确定为额外的研究和数据收集的优先事项：1）确定和了解与田纳西州东部隐孢子虫病报告增加相关的物种特异性因素，2）收集详细的位置和使用信息的私人威尔斯和现场污水处理系统在田纳西州。 公共卫生相关性： EHS-净食品安全-田纳西州1）应用介绍每年在美国，食源性病原体如沙门氏菌、弯曲杆菌和大肠杆菌。大肠杆菌O 157：H7导致数百万人患病，有时会导致严重后果。近年来，随着市民进食食肆供应的食物增加，以及即食食品的分布范围扩大，因食物受污染而引致的疾病及爆发已广为人知，但市民并不总是认为食物安全规管及食物回收是预防疾病的有效工具。 我们田纳西州卫生部（TDH）关注通过促进安全的食品处理方法和在地方和国家层面上了解这些疫情如何发生来预防食源性疫情。我们认为参与环境卫生专家（EHS）-Net和FoodNet等项目对我们的工作至关重要，这些工作包括促进安全食品处理做法，教育环境学家和流行病学家进行疫情调查，预防疾病，以及增加有关食品安全和环境污染的一般知识。 通过疾病控制中心（CDC）的资金申请将展示我们与EHS-Net合作的目标，