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

Data Report Period: January 1, 2022 to December 31, 2022

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.

CDC FoodCORE Year Twelve Cumulative Metrics Data – Norovirus, Other Etiology, and Unknown Etiology (NOU)
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 87 (3–219)
n=10
27 (4–86)
n=10
20 (1–68)
n=10
1b. Number of foodborne or point-source investigations 11 (0–26)
n=10
9 (0–16)
n=10
4 (0–16)
n=10
1c. Number of person-to-person investigations 75 (1–201)
n=10
10 (0–46)
n=10
15 (0–57)
n=10
2a.1 Number; Percent of investigations with clinical specimens submitted to any lab 38 (3–95)
58% (16%–100%)
n=9
19 (4–86)
83% (40%–100%)
n=9
5 (0–16)
28% (0%–71%)
n=9
2a.2 Number; Percent of investigations with clinical specimens submitted to PHL 28 (2–89)
40% (5%–100%)
n=10
14 (0–86)
53% (0%–100%)
n=10
2 (0–10)
19% (0%–59%)
n=10
2b. Number; Percent of investigations where clinical specimens were tested for GI viruses at PHL 27 (1–89)
95% (50%–100%)
n=10
3 (0–11)
34% (0%–100%)
n=10
3 (0–10)
65% (0%–100%)
n=10
2b.1 Number; Percent of investigations where specimens were tested for norovirus by RT-PCR at PHL 26 (1–80)
93% (50%–100%)
n=10
3 (0–11)
54% (0%–100%)
n=9
2 (0–10)
61% (0%–100%)
n=9
2b.1.1 Number; Percent of norovirus investigations with 2+ specimens confirmed positive for norovirus by conventional RT-PCR at the PHL where at least one specimen was sequenced and uploaded to CaliciNet 17 (3–40)
77% (50%–100%)
n=6
n/a n/a
2b.1.1.1 Median days from first norovirus detection via RT-PCR to upload to CaliciNet 5 (2–8)
n=6
n/a n/a
2b.2 Number; Percent of investigations where specimens were tested for other viruses at PHL 7 (0–38)
38% (0%–100%)
n=9
2 (0–11)
47% (0%–100%)
n=9
1 (0–2)
47% (0%–100%)
n=9
2c. Number; Percent of investigations where specimens were tested for pathogenic bacteria or their toxins, antigens, or antibodies at PHL 10 (0–40)
49% (0%–100%)
n=10
14 (1–81)
79% (22%–100%)
n=10
2 (0–5)
50% (0%–100%)
n=10
2c.1 Number; Percent of investigations where specimens were tested using culture-based diagnostics at PHL 4 (0–25)
36% (0%–100%)
n=9
12 (0–81)
67% (0%–100%)
n=9
1 (0–5)
39% (0%–100%)
n=9
2c.2 Number; Percent of investigations where clinical specimens were tested using non-culture-based diagnostics at PHL 8 (0–38)
56% (0%–100%)
n=9
1 (0–7)
18% (0%–88%)
n=9
0 (0–2)
28% (0%–100%)
n=9
2d. Number; Percent of investigations where clinical specimens were tested for parasites at PHL 2 (0–12)
21% (0%–100%)
n=10
2 (0–9)
19% (0%–82%)
n=10
0 (0–2)
12% (0%–50%)
n=10
3a. Number; Percent of foodborne or point-source investigations with exposure assessments conducted 8 (0–25)
69% (0%–100%)
n=10
6 (0–15)
60% (0%–100%)
n=10
2 (0–4)
44% (0%–100%)
n=10
3b. Number; Percent of foodborne or point-source investigations where an analytic epidemiologic study was conducted 3 (0–16)
31% (0%–100%)
n=10
3 (0–14)
28% (0%–100%)
n=10
1 (0–3)
21% (0%–75%)
n=10
4. Number; Percent of foodborne or point-source investigations with suspect vehicle/source identified 3 (0–7)
24% (0%–63%)
n=10
4 (0–8)
36% (0%–70%)
n=10
1 (0–2)
20% (0%–100%)
n=10
5. Number; Percent of foodborne or point-source investigations with confirmed vehicle/source identified 1 (0–6)
15% (0%–50%)
n=10
3 (0–9)
26% (0%–60%)
n=10
0 (0–1)
10% (0%–50%)
n=10
6. Number; Percent of foodborne or point-source investigations with identified source with:
a. Exclusion of ill person(s) 3 (0–10)
21% (0%–53%)
n=10
1 (0–3)
16% (0%–50%)
n=10
0 (0–1)
3% (0%–25%)
n=10
b. Remediation or closure 2 (0–9)
22% (0%–100%)
n=10
3 (0–9)
25% (0%–60%)
n=10
1 (0–3)
11% (0%–50%)
n=10
c. Educational campaign 1 (0–4)
4% (0%–21%)
n=10
0 (0–2)
6% (0%–22%)
n=10
0 (0–1)
1% (0%–6%)
n=10
d. Media/public messaging 0 (0–1)
1% (0%–4%)
n=10
1 (0–9)
8% (0%–60%)
n=10
0 (0–2)
8% (0%–50%)
n=10
e. Regulatory action (recall, hold) 1 (0–6)
4% (0%–32%)
n=10
0 (0–3)
4% (0%–33%)
n=10
0 (0–1)
15% (0%–100%)
n=10
7. Number; Percent of foodborne or point-source investigations linked to a common location where an on-site EHA was conducted 8 (0–24)
69% (0%–100%)
n=10
5 (0–14)
50% (0%–100%)
n=10
2 (0–5)
53% (0%–100%)
n=10
8. Number; Percent of foodborne or point-source investigations where food or environmental sample(s) were collected for testing 1 (0–8)
5% (0%–31%)
n=10
2 (0–10)
24% (0%–67%)
n=10
0 (0–0)
0% (0%–0%)
n=10
9. Number; Percent of foodborne or point-source investigations where environmental health partners were contacted 9 (0–25)
77% (0%–100%)
n=10
6 (0–14)
54% (0%–100%)
n=10
2 (0–5)
66% (0%–100%)
n=10
10. Number; Percent of outbreaks with NORS forms completed 78 (0–219)
86% (0%–100%)
n=10
12 (2–20)
83% (23%–100%)
n=10
9 (0–49)
80% (0%–100%)
n=10

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

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