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

Data Report Period: January 1, 2019 to December 31, 2019

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.* All data are cumulative.

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 109 (9–254)
n=10
18 (2–40)
n=10
24 (1–55)
n=10
1b. Number of foodborne or point-source investigations 14 (2–38)
n=10
11 (2–20)
n=10
5 (0–16)
n=10
1c. Number of person-to-person investigations 92 (4–237)
n=10
6 (0–22)
n=10
16 (0–38)
n=10
2a.1 Number; Percent of investigations with clinical specimens submitted to any lab 55 (9–144)
60% (21%–100%)
n=10
14 (1–28)
77% (44%–100%)
n=10
7 (1–18)
41% (9%–100%)
n=10
2a.2 Number; Percent of investigations with clinical specimens submitted to PHL 36 (7–93)
41% (10%–89%)
n=10
8 (0–24)
42% (0%–77%)
n=10
4 (1–16)
33% (4%–100%)
n=10
2b. Number; Percent of investigations where clinical specimens were tested for GI viruses at PHL 36 (7–93)
98% (79%–100%)
n=10
3 (0–8)
31% (0%–75%)
n=9
4 (0–16)
90% (0%–100%)
n=10
2b.1 Number; Percent of investigations where specimens were tested for norovirus by RT-PCR at PHL 35 (7–93)
100% (95%–100%)
n=10
2 (0–7)
65% (0%–100%)
n=9
4 (0–16)
85% (0%–100%)
n=10
2b.1.1 Number; Percent of norovirus investigations with positive specimens sequenced and uploaded to CaliciNet 36 (11–69)
86% (55%–100%)
n=6
n/a n/a
2b.1.1.1 Median days from first norovirus detection via RT-PCR to upload to CaliciNet 3 (2–4)
n=6
n/a n/a
2b.2 Number; Percent of investigations where specimens were tested for other viruses at PHL 9 (0–46)
25% (0%–100%)
n=8
2 (0–6)
64% (0%–100%)
n=8
1 (0–5)
41% (0%–100%)
n=8
2c. Number; Percent of investigations where specimens were tested for pathogenic bacteria or their toxins, antigens, or antibodies at PHL 14 (2–58)
49% (2%–100%)
n=10
7 (1–15)
79% (25%–100%)
n=9
2 (1–3)
80% (13%–100%)
n=10
2c.1 Number; Percent of investigations where specimens were tested using culture-based diagnostics at PHL 8 (0–38)
32% (0%–100%)
n=8
5 (1–15)
73% (50%–100%)
n=8
1 (0–2)
77% (0%–100%)
n=8
2c.2 Number; Percent of investigations where clinical specimens were tested using non-culture-based diagnostics at PHL 9 (0–47)
54% (0%–100%)
n=8
3 (0–13)
26% (0%–87%)
n=8
1 (0–2)
59% (0%–100%)
n=8
2d. Number; Percent of investigations where clinical specimens were tested for parasites at PHL 2 (0–8)
20% (0%–100%)
n=9
3 (0–12)
25% (0%–75%)
n=9
1 (0–2)
32% (0%–100%)
n=9
3a. Number; Percent of foodborne or point-source investigations with exposure assessments conducted 10 (1–28)
75% (29%–100%)
n=10
7 (2–20)
73% (33%–100%)
n=10
3 (0–9)
67% (0%–100%)
n=10
3b. Number; Percent of foodborne or point-source investigations where an analytic epidemiologic study was conducted 7 (0–19)
44% (0%–100%)
n=10
3 (0–11)
19% (0%–64%)
n=10
1 (0–4)
25% (0%–100%)
n=10
4. Number; Percent of foodborne or point-source investigations with suspect vehicle/source identified 3 (0–11)
28% (0%–67%)
n=10
3 (1–8)
40% (5%–100%)
n=10
1 (0–3)
16% (0%–100%)
n=10
5. Number; Percent of foodborne or point-source investigations with confirmed vehicle/source identified 1 (0–4)
5% (0%–15%)
n=10
4 (1–7)
38% (13%–64%)
n=10
0 (0–1)
3% (0%–33%)
n=10
6. Number; Percent of foodborne or point-source investigations with identified source with:
a. Exclusion of ill person(s) 4 (0–13)
25% (0%–76%)
n=9
2 (0–6)
10% (0%–30%)
n=9
0 (0–1)
1% (0%–10%)
n=9
b. Remediation or closure 3 (0–13)
19% (0%–50%)
n=9
2 (0–5)
13% (0%–38%)
n=9
1 (0–2)
8% (0%–50%)
n=9
c. Educational campaign 0 (0–2)
2% (0%–6%)
n=9
1 (0–3)
9% (0%–29%)
n=9
0 (0–1)
1% (0%–10%)
n=9
d. Media/public messaging 0 (0–2)
1% (0%–12%)
n=9
1 (0–5)
8% (0%–38%)
n=9
0 (0–1)
11% (0%–100%)
n=9
e. Regulatory action (recall, hold) 0 (0–1)
1% (0%–6%)
n=9
1 (0–3)
7% (0%–29%)
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 11 (2–26)
85% (67%–100%)
n=10
5 (0–10)
53% (0%–100%)
n=10
3 (0–9)
65% (0%–100%)
n=10
8. Number; Percent of foodborne or point-source investigations where food or environmental sample(s) were collected for testing 1 (0–6)
8% (0%–50%)
n=9
2 (0–6)
21% (0%–50%)
n=9
0 (0–1)
12% (0%–100%)
n=9
9. Number; Percent of foodborne or point-source investigations where environmental health partners were contacted 12 (0–29)
76% (0%–100%)
n=9
6 (2–12)
61% (15%–100%)
n=9
4 (0–9)
80% (0%–100%)
n=9
10. Number; Percent of outbreaks with NORS forms completed 95 (5–254)
88% (28%–100%)
n=10
14 (2–33)
85% (33%–100%)
n=10
16 (1–47)
80% (4%–100%)
n=10

*CDC FoodCORE centers reported on Year Nine (2019) cumulative metrics in 2020. 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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