CDC FoodCORE Year Ten Cumulative Metrics Data – Norovirus, Other Etiology, and Unknown Etiology (NOU)

Data Report Period: January 1, 2020 to December 31, 2020

Ten state and local health departments participate in FoodCORE. Data are only reported when available from three or more centers; ‘n’ indicates the number of centers reporting each metric.*

Table showing the Mean (Range) for Norovirus, other etiology, and unknown etiology
Performance Metrics:
(See FoodCORE website for complete language and definitions)
Norovirus Mean (Range) Other Etiology Mean (Range) Unknown Etiology Mean (Range)
1a. Number of investigations 44 (2–137)
n=10
11 (2–48)
n=10
11 (1–37)
n=10
1b. Number of foodborne or point-source investigations 4 (0–11)
n=10
5 (0–9)
n=10
2 (0–6)
n=10
1c. Number of person-to-person investigations 40 (1–126)
n=10
2 (0–5)
n=10
9 (0–37)
n=10
2a.1 Number; Percent of investigations with clinical specimens submitted to any lab 19 (1–71)
59% (9%–100%)
n=10
10 (2–44)
88% (60%–100%)
n=10
3 (0–16)
45% (0%–100%)
n=10
2a.2 Number; Percent of investigations with clinical specimens submitted to PHL 11 (0–45)
28% (0%–58%)
n=10
9 (0–44)
67% (0%–100%)
n=10
2 (0–9)
37% (0%–100%)
n=10
2b. Number; Percent of investigations where clinical specimens were tested for GI viruses at PHL 11 (0–45)
90% (0%–100%)
n=10
1 (0–3)
27% (0%–100%)
n=10
2 (0–9)
38% (0%–100%)
n=8
2b.1 Number; Percent of investigations where specimens were tested for norovirus by RT-PCR at PHL 11 (0–45)
90% (0%–100%)
n=10
1 (0–3)
46% (0%–100%)
n=8
2 (0–9)
43% (0%–100%)
n=7
2b.1.1 Number; Percent of norovirus investigations with positive specimens sequenced and uploaded to CaliciNet 13 (4–33)
68% (0%–100%)
n=6
n/a n/a
2b.1.1.1 Median days from first norovirus detection via RT-PCR to upload to CaliciNet 4 (0–7)
n=6
n/a n/a
2b.2 Number; Percent of investigations where specimens were tested for other viruses at PHL 2 (0–9)
27% (0%–100%)
n=9
1 (0–3)
38% (0%–100%)
n=7
1 (0–6)
29% (0%–100%)
n=7
2c. Number; Percent of investigations where specimens were tested for pathogenic bacteria or their toxins, antigens, or antibodies at PHL 2 (0–13)
37% (0%–100%)
n=10
9 (0–41)
72% (0%–100%)
n=9
1 (0–6)
48% (0%–100%)
n=7
2c.1 Number; Percent of investigations where specimens were tested using culture-based diagnostics at PHL 2 (0–13)
24% (0%–100%)
n=10
9 (0–41)
56% (0%–100%)
n=8
0 (0–1)
14% (0%–100%)
n=7
2c.2 Number; Percent of investigations where clinical specimens were tested using non-culture-based diagnostics at PHL 1 (0–8)
26% (0%–100%)
n=10
1 (0–3)
22% (0%–100%)
n=8
0 (0–2)
29% (0%–100%)
n=7
2d. Number; Percent of investigations where clinical specimens were tested for parasites at PHL 0 (0–1)
20% (0%–100%)
n=10
2 (0–5)
34% (0%–100%)
n=9
1 (0–6)
24% (0%–100%)
n=7
3a. Number; Percent of foodborne or point-source investigations with exposure assessments conducted 3 (0–11)
54% (0%–100%)
n=10
4 (1–17)
68% (13%–100%)
n=9
1 (0–3)
15% (0%–100%)
n=9
3b. Number; Percent of foodborne or point-source investigations where an analytic epidemiologic study was conducted 2 (0–7)
32% (0%–100%)
n=10
3 (0–17)
30% (0%–100%)
n=9
4 (0–37)
13% (0%–100%)
n=9
4. Number; Percent of foodborne or point-source investigations with suspect vehicle/source identified 1 (0–4)
31% (0%–100%)
n=10
3 (0–8)
49% (0%–100%)
n=9
0 (0–0)
0% (0%–0%)
n=9
5. Number; Percent of foodborne or point-source investigations with confirmed vehicle/source identified 1 (0–7)
8% (0%–64%)
n=10
3 (0–7)
44% (0%–100%)
n=9
0 (0–3)
6% (0%–50%)
n=9
6. Number; Percent of foodborne or point-source investigations with identified source with:
a. Exclusion of ill person(s) 1 (0–5)
19% (0%–100%)
n=10
0 (0–1)
4% (0%–20%)
n=9
0 (0–0)
0% (0%–0%)
n=9
b. Remediation or closure 1 (0–5)
19% (0%–100%)
n=10
1 (0–5)
19% (0%–100%)
n=9
0 (0–0)
0% (0%–0%)
n=9
c. Educational campaign 0 (0–0)
0% (0%–0%)
n=10
1 (0–6)
12% (0%–100%)
n=9
0 (0–0)
0% (0%–0%)
n=8
d. Media/public messaging 0 (0–0)
0% (0%–0%)
n=10
1 (0–6)
18% (0%–100%)
n=9
0 (0–0)
0% (0%–0%)
n=9
e. Regulatory action (recall, hold) 0 (0–0)
0% (0%–0%)
n=10
1 (0–6)
15% (0%–100%)
n=9
0 (0–0)
0% (0%–0%)
n=9
7. Number; Percent of foodborne or point-source investigations linked to a common location where an on-site EHA was conducted 3 (0–11)
61% (0%–100%)
n=10
2 (0–5)
57% (0%–100%)
n=9
1 (0–5)
36% (0%–100%)
n=9
8. Number; Percent of foodborne or point-source investigations where food or environmental sample(s) were collected for testing 0 (0–1)
1% (0%–9%)
n=10
1 (0–5)
27% (0%–50%)
n=9
0 (0–0)
0% (0%–0%)
n=9
9. Number; Percent of foodborne or point-source investigations where environmental health partners were contacted 4 (0–11)
72% (0%–100%)
n=10
3 (0–7)
57% (0%–100%)
n=9
2 (0–6)
56% (0%–100%)
n=9
10. Number; Percent of outbreaks with NORS forms completed 39 (0–137)
77% (0%–100%)
n=10
6 (1–13)
75% (17%–100%)
n=10
5 (0–27)
77% (0%–100%)
n=10

All data are cumulative. Core performance metrics that are required for reporting are in bold.

*CDC FoodCORE centers reported on Year Ten (2020) cumulative metrics in 2021. Performance measures where n<10 may be indicative of limitations in reporting due to restricted staff capacity as state and local health departments prioritized activities related to COVID-19 response efforts.

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