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Food Safety Program Resources
NACCHO Food Safety Resources

Webinar: Legal Aspects of Raw Milk
The webinar provides a general overview of the raw milk regulations in the US, as well as a detailed account of recent raw milk regulations and outbreaks in Utah. Click here to view.

Webinar: Raw Milk and the Public's Health: Stories from the Local Health Departments
This webinar feature presentations from state and local health departments in Colorado, Iowa and West Virginia about recent outbreaks, legislation and educational materials related to raw milk. Click here to view.

Study of Retail Food Establishment Inspection Scoring and Grading Systems
This is a NACCHO research brief that examines the way that LHDs use scores or grades to convey the results of their retail food establishment inspections. Click here to read.

Interactive Food Defense Workshop
NACCHO, in collaboration with the FDA’s Food Defense Oversight Team, hosted an interactive Food Defense workshop at the NACCHO Annual Conference. The Food Defense workshop included a discussion about the use of the FDA’s Food Related Emergency Exercise Bundle (FREE-B) and updates related to existing and new funding opportunities. Click here to view the webinar.

Hot Trends: Food Allergies Webinar
How do local health departments participate in the education and awareness of food allergies in the food service industry? The hour long webinar features an expert panel discussion with Betsy Craig, CEO and co-founder of MenuTrinfo, Mike Spigler, Vice President of Education at Food Allergy Research and Education, and Suzanne Krippel, Program Manager Food Defense at Cuyahoga County Health Department. Click here to to view webinar.

Food Safety Toolkit
NACCHO's Food Safety Toolkit contains food safety resources developed by state and local health agencies, laboratories, academic institutions, non-governmental organizations, and governmental agencies.

NACCHO Retail Program Standards Mentorship Program Webpage
The Mentorship Program for the Voluntary National Retail Food Regulatory Program Standards (Retail Program Standards) is funded through a five-year cooperative agreement between NACCHO and the Food and Drug Administration (FDA). Learn about the program and resources available.

FDA Retail Program Standards Example Policies and Forms
View example policies and forms shared by NACCHO Retail Program Standards Mentorship Program participants. Click here.

Food Safety Demo Sites Project
In collaboration with the Centers for Disease Control and Prevention's National Center for Environmental Health, NACCHO has selected 12 local health departments to implement innovative programs in food safety. Click here.

Foodborne Illness Systems Demonstration Sites
The Foodborne Illness Systems Demonstration Sites responds to the need for standardization and coordination of foodborne illness reporting and outbreak investigation at the local level. Click here.

Model Practices
NACCHO's Model Practices honor local health departments for innovative and promising practices that demonstrate how local health departments and their community partners can effectively collaborate to address local public health concerns. Search the Model Practice Database for a collection of best practices across public health areas including food safety.

Council to Improve Foodborne Outbreak Response (CIFOR) Resources
Council to Improve Foodborne Outbreak Response (CIFOR)
The Council to Improve Foodborne Outbreak Response (CIFOR) is a multidisciplinary working group convened to increase collaboration across the country and across relevant areas of expertise in order to reduce the burden of foodborne illness in the United States. Click here.

The CIFOR Informational Flyer
CIFOR has released a flyer that includes information on currently available CIFOR tools and resources. Click here.

The CIFOR Guidelines for Foodborne Disease Outbreak Response
The Second Edition of the CIFOR Guidelines for Foodborne Disease Outbreak Response are meant to assist government agencies at the local, state, and federal levels tasked with preventing and managing foodborne disease within their communities. Click here.

The CIFOR Toolkit for the Guidelines for Foodborne Disease Outbreak Response
CIFOR has a toolkit with worksheets to help public health practitioners identify and implement appropriate recommendations found in the CIFOR Guidelines for Foodborne Disease Outbreak Response. Click here.

Development of Target Ranges for Selected Performance Measures in the CIFOR Guidelines
Chapter 8 of the CIFOR Guidelines was developed for use by state and local public health agencies to evaluate the performance of their foodborne disease surveillance, outbreak investigation, and control programs. Standardized performance criteria and metrics promote a common understanding of the key elements of surveillance, outbreak investigation, and control activities, facilitate training of staff, and allow for the aggregation of data to evaluate program effectiveness and identify specific needs for improvement. The aim of the metrics project was to develop specific metrics and target ranges for 16 selected performance indicators in Chapter 8 of the Guidelinesto help agencies demonstrate their public health performance and effectiveness for foodborne disease surveillance, outbreak investigation, and control activities. The project outputs include an abridged version of the 16 metrics and target ranges and the full project report which describes the methodologies used to develop the 16 metrics and target ranges. Click here.

CIFOR Foodborne Illness Response Guidelines for Owners, Operators and Managers of Food Establishments (CIFOR Industry Guidelines)
These guidelines were developed as voluntary guidance for managers of retail food establishments ("Industry") to help outline, clarify, and explain Industry's recommended role in a foodborne illness outbreak investigation. Click here.

CIFOR Law Project Documents
CIFOR has tools available to help public health agencies and jurisdictions to improve their legal preparedness to conduct surveillance for foodborne diseases and respond to outbreaks. These documents provide guidance for outbreaks both within agencies' jurisdictions and across multiple states and other jurisdictional boundaries. Click here.

Federal Resources
CDC Food Safety Webpage for Environmental Health Practitioners
The webpage addresses environmental causes of foodborne illnesses by bringing together all of CDC's food safety resources for environmental health practitioners. Learn more.

Integrated Food Safety Centers of Excellence
The Integrated Food Safety Centers of Excellence provide assistance and training to other state and local health departments to build their capacity to track and investigate foodborne disease. CDC named Colorado, Florida, Minnesota, Oregon, and Tennessee state health departments and their partner academic institutions as the Centers under the authority of the Food Safety Modernization Act (FSMA). Learn more.

FDA Research Study: Consumer Vegetable and Fruit Washing Practices in the United States
FDA has published a research study on food safety in the Food Protection Trends journal. The researchers conducted a telephone survey to track consumers' knowledge, attitudes, and behaviors toward vegetable and fruit washing. The FDA found that there should be targeted educational campaigns that emphasize the importance of washing produce, especially fruits with hard rinds. Click to read.

Risk of Drinking Raw (Unpasteurized) Milk
The CDC and the U.S. Department of Health and Human Services have posted resources on their websites on the risks of drinking raw (unpasteurized) milk. The resources discuss what harmful bacteria are present in raw milk, who is at risk of getting ill from drinking raw milk, why raw or natural foods are not necessarily better than processed foods, how milk gets contaminated, what information is available on raw milk-related outbreaks, and how to minimize the risk of getting sick. Learn more at CDC raw milk feature and HHS raw milk.

Preparedness during an Emergency 
The Food and Drug Administration has provided information about food safety precautions during hurricanes, power outages, and floods. Click to read.

FDA Retail Food Safety Initiative 
The FDA's retail food safety initiative calls for more funding and training to bolster our nation's corps of local food inspectors to ensure that the food we buy at grocery stores, restaurants, and other retail outlets is safe. Specific action steps include seeking additional funding for multi-year grants supporting local and state programs and expanding high-quality, universally accessible training opportunities for local food regulators. Click for more.

CDC 2011 Estimates of Foodborne Illness 
The full 2011 burden of foodborne illness release is available on the Centers for Disease Control and Prevention (CDC) website and includes information about incidence, mortality, and methodology. Click to read.

Department of Homeland Security (DHS) "If You See Something, Say Something" Campaign 
The DHS campaign "If You See Something, Say Something" provides information on how to improve the food security in food service and retail food establishments. Learn more.

Healthy People 2020: Food Safety Objectives 
The Department of Health and Human Services released its Healthy People 2020 objectives for food safety. Learn more.

CDC's Vital Signs: Making Food Safer to Eat 
CDC has a Vital Signs specifically on food safety. This edition "Incidence and Trends of Infection with Pathogens Transmitted Commonly through Food - Food Borne Diseases Active Surveillance Network, 10 U.S. Sites, 1996 - 2010" summarizes 2010 surveillance data and describes trends in food safety since 1996. Learn more.

GAO Report on FDA's Food Advisory and Recall Process
The United States Government Accountability Office (GAO) has released a new report, FDA's Food Advisory and Recall Process Needs Strengthening, which presents their findings and recommendations on the FDA's food recall process. Learn more.

RRT Manual of Best Practices 
The manual features tools for program improvement on response, such as communication standard operating procedures (SOPs), traceback, joint investigations, etc. This manual along with the upcoming volume will establish metrics for rapid response capabilities that will allow RRTs to assess their status, create improvement plans, and measure accomplishments and impact. The manual is available upon requests to the Division of Federal-State Relations (DFSR) at dfsr@fda.hhs.gov.

FDA Food Defense 101 
Food Defense 101 provides training in preparedness against an intentional attack against our food supply. The courses provide an understanding of and guidance for developing a Food Defense Plan(s) based on a common sense approach. Learn more.

FDA Food Defense Builder 
The Food Defense Plan Builder is a user-friendly software program designed to assist owners and operators of food facilities with developing personalized food defense plans for their facilities. Learn more.

FDA Educational Videos to Enhance Retail Food Safety Efforts
FDA's Oral Culture Learner Project provides materials and methods to help food employees understand the reasons why following proper food safety practices is important to prevent illnesses, deaths, and loss of income and reputation resulting from food-related outbreaks. Learn more.

CDC e-Learning on Environmental Assessment of Foodborne Illness Outbreaks 
The e-Learning on Environmental Assessment of Foodborne Illness Outbreaks is a free interactive online course to help prepare individuals to serve on a team that investigates foodborne illness outbreaks in restaurants and other food service venues. Continuing education units are available. Learn more.

The National Voluntary Environmental Assessment Information System (NVEAIS
The National Voluntary Environmental Assessment Information System (NVEAIS) is a new surveillance system targeted to jurisdictions that inspect and regulate restaurants and other food venues such as banquet facilities, schools, and other institutions. The system provides an avenue to capture underlying environmental assessment data that describes what happened and how events most likely led to a foodborne illness outbreak. Learn more.

Foodborne Outbreak Online Database (FOOD) 
The FOOD tool is a web-based platform for searching CDC's Foodborne Disease Outbreak Surveillance System database. FOOD provides access to national information and is intended to be used for limited descriptive summaries of outbreak data. Learn more.

Other Resources
IOM Report on Enhancing Food Safety
The Institute of Medicine (IOM) released a report, "Enhancing Food Safety: The Role of the Food and Drug Administration." The report calls for a risk-based, prevention-oriented approach to food safety and recommends supportive legislation and continued investment and data to implement these changes.

Stronger Partnership for Safer Food Report 
Stronger Partnerships for Safer Food: An Agenda for Strengthening State and Local Roles in the Nation's Food Safety System reports on the strengths and weakness of state and local food safety programs and how they interact with the federal government. While there are many positives in the current food safety system, the report finds that agencies are hampered by chronic underfunding, wide disparities in food safety capacity and practice, and substantial legal, resource, and institutional barriers to collaboration.

National School Safety Coalition (NSSC) Recalled Product Information
NSSC has launched the website, ClickCheckandProtect.org that local health departments can use to promote awareness about recalled items, including food. Learn more.

NEHA Environmental Health Regulatory Food Safety Program Capacity Assessment 
The National Environmental Health Association (NEHA) has a report on the Environmental Health Regulatory Food Safety Program Capacity Assessment it administered in Spring of 2011. Click here for more.

NEHA Assessment of Foodborne Illness Outbreak Response and Investigation Capacity in U.S. Environmental Health Food Safety Regulatory Programs 
The National Environmental Health Association (NEHA) released a report on the assessment of the capacity of local and state agencies to undertake foodborne illness outbreak investigation and response. The report includes information on the potential impacts of ongoing budget reductions on staffing, training, outbreak response, control, and prevention activities, as well as the current status of inter-agency cooperation to share resources. The assessment findings reveal a significant overall reduction in foodborne illness program capacity. Click here to read.