CDC FoodCORE Year Nine Cumulative Metrics Data - Salmonella, Shiga Toxin-producing Escherichia coli (STEC), and Listeria (SSL) plus Shigella and Campylobacter

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 Salmonella, STEC, Listeria, Shigella, and Campylobacter
Performance Metrics:
(See FoodCORE website for complete language and definitions)
Salmonella Mean (Range) STEC Mean (Range) Listeria Mean (Range) Shigella Mean (Range) Campylobacter Mean (Range)
1a. Total number of isolates and isolate-yielding specimens 1104 (349–1831)
n=9
293 (74–565)
n=9
22 (2–53)
n=9
152 (49–576)
n=8
439 (72–1179)
n=8
1b. Number of primary isolates/isolate-yielding specimens 1010 (318–1869)
n=9
242 (72–498)
n=9
19 (2–43)
n=9
143 (41–546)
n=8
414 (78–1153)
n=8
2a. Total number of preliminary positive clinical specimens 884 (385–1935)
n=8
472 (145–1128)
n=9
n/a 150 (80–338)
n=7
622 (81–1553)
n=7
2b. Number; Percent isolate-yielding preliminary positive clinical specimens 786 (350–1831)
90% (74%–98%)
n=8
239 (72–565)
53% (22%–77%)
n=9
n/a 78 (25–177)
51% (29%–71%)
n=7
442 (80–1179)
73% (31%–99%)
n=7
3. Median days from isolation/isolate-yielding specimen collection to receipt at PHL 4 (1–9)
n=9
4 (1–12)
n=9
4 (2–8)
n=9
4 (2–6)
n=8
4 (2–5)
n=8
4. Median days from receipt of isolate-yielding specimens at PHL to recovery of isolate 2 (1–3)
n=5
4 (2–6)
n=5
1 (0–3)
n=6
2 (2–3)
n=5
2 (1–3)
n=6
5. Percent of primary isolates with serotype information 98% (84%–100%)
n=9
77% (28%–100%)
n=9
n/a 100% (99%–100%)
n=8
81% (8%–100%)
n=5
6. Median days from isolate receipt (or recovery) to serotype result 4 (2–6)
n=9
4 (1–8)
n=9
n/a 2 (1–4)
n=7
3 (1–8)
n=5
7a. Percent of primary isolates with PFGE information** 45% (33%–56%)
n=8
37% (0%–56%)
n=8
19% (0%–100%)
n=7
26% (0%–55%)
n=6
11% (0%–54%)
n=5
7b. Percent of primary isolates with WGS information 98% (92%–100%)
n=9
99% (97%–100%)
n=9
99% (93%–100%)
n=9
74% (2%–100%)
n=7
80% (0%–100%)
n=7
8a. Median days from isolate receipt (or recovery) to PFGE upload to PulseNet** 5 (2–7)
n=8
5 (2–9)
n=7
3 (0–5)
n=3
7 (6–8)
n=4
4 (0–6)
n=3
8b. Median days from isolate receipt (or recovery) to WGS sequence being shared 8 (4–17)
n=9
8 (5–13)
n=9
6 (0–10)
n=9
9 (5–11)
n=7
13 (8–21)
n=6
8c. Median days from isolate receipt (or recovery) at PFGE lab to upload to PulseNet** 3 (1–4)
n=8
3 (1–4)
n=7
2 (0–4)
n=3
4 (3–5)
n=4
3 (0–5)
n=3
8d. Median days from isolate receipt (or recovery) at WGS lab to upload to sequence being shared 7 (3–14)
n=9
6 (3–9)
n=9
6 (4–8)
n=9
7 (3–10)
n=7
9 (3–20)
n=6
9a. Number of reported laboratory confirmed cases 864 (303–1686)
n=10
218 (41–433)
n=10
18 (2–38)
n=10
168 (43–581)
n=8
765 (381–1813)
n=9
9b. Number of reported probable cases 106 (20–283)
n=10
196 (59–543)
n=10
n/a 157 (23–530)
n=8
626 (172–1840)
n=9
9c. Number of reported suspect cases 2 (0–18)
n=10
5 (0–29)
n=10
n/a 1 (0–9)
n=8
n/a
10a.1 Percent of confirmed cases with attempted interview 99% (95%–100%)
n=10
99% (91%–100%)
n=10
98% (86%–100%)
n=10
92% (64%–100%)
n=8
84% (9%–100%)
n=9
10a.2 Percent of probable/suspect cases with attempted interview 95% (83%–100%)
n=10
94% (67%–100%)
n=10
n/a 85% (9%–99%)
n=8
84% (7%–100%)
n=9
10b. Median days from confirmed/probable/suspect case report to interview attempt 1 (0–3)
n=10
1 (0–3)
n=10
1 (0–7)
n=10
1 (0–6)
n=8
2 (0–5)
n=9
10c. Median days from confirmed/probable/suspect case report to completed interview 2 (1–5)
n=10
2 (0–5)
n=10
3 (1–7)
n=10
2 (0–8)
n=8
4 (0–13)
n=9
10d. Percent of confirmed cases with complete demographic data 94% (88%–100%)
n=10
93% (81%–100%)
n=10
95% (79%–100%)
n=10
90% (71%–100%)
n=8
73% (0%–98%)
n=9
10e. Percent of confirmed cases with exposure history 84% (76%–91%)
n=10
90% (84%–94%)
n=10
87% (54%–100%)
n=10
71% (0%–88%)
n=8
63% (0%–90%)
n=9
10e.1 Percent of confirmed cases with full exposure interview 83% (27%–99%)
n=10
86% (39%–98%)
n=10
70% (0%–100%)
n=10
79% (0%–100%)
n=7
80% (0%–99%)
n=7
10f. Percent of confirmed cases with serotype information 95% (80%–99%)
n=10
83% (60%–100%)
n=10
n/a 92% (74%–100%)
n=8
n/a
10g. Percent of confirmed cases with PFGE information** 41% (31%–55%)
n=9
35% (0%–56%)
n=9
19% (0%–100%)
n=8
22% (0%–56%)
n=7
10% (0%–48%)
n=7
10g.1 Percent of confirmed cases with PFGE with complete epi data** 83% (61%–95%)
n=9
88% (82%–96%)
n=8
40% (0%–100%)
n=5
82% (71%–94%)
n=4
61% (0%–92%)
n=4
10h.1 Reasons for not interviewing cases;
Number; Percent Lost to Follow-up/Refused Interview
144 (48–354)
17% (8%–33%)
n=10
23 (0–60)
10% (0%–19%)
n=10
2 (0–11)
11% (0%–39%)
n=10
n/a n/a
10h.2 Reasons for not interviewing cases;
Number; Percent Lag Time Too Long
2 (0–11)
0% (0%–1%)
n=9
1 (0–9)
0% (0%–3%)
n=9
0 (0–0)
0% (0%–0%)
n=9
n/a n/a
10h.3 Reasons for not interviewing cases;
Number; Percent Other
26 (0–97)
2% (0%–7%)
n=10
3 (0–10)
1% (0%–4%)
n=10
1 (0–3)
2% (0%–11%)
n=10
n/a n/a
11. Number of investigations 56 (22–98)
n=10
14 (0–40)
n=10
2 (0–7)
n=10
n/a n/a
12a. Number; Percent of investigations with routine interview of cases 40 (0–84)
72% (0%–100%)
n=10
13 (0–40)
79% (0%–100%)
n=10
2 (0–7)
83% (0%–100%)
n=8
n/a n/a
12b. Number; Percent of investigations with supplemental/targeted interviewing of cases 13 (1–26)
24% (2%–58%)
n=9
4 (0–8)
30% (0%–62%)
n=9
1 (0–1)
40% (0%–100%)
n=7
n/a n/a
12c. Number; Percent of investigations where an analytic epidemiologic study conducted 2 (0–6)
15% (0%–100%)
n=10
1 (0–4)
9% (0%–23%)
n=10
0 (0–3)
13% (0–100%)
n=8
n/a n/a
13. Number; Percent of investigations with suspect vehicle/source identified 6 (0–18)
14% (0%–45%)
n=10
3 (0–6)
20% (0%–46%)
n=10
1 (0–2)
50% (0%–100%)
n=8
n/a n/a
14. Number; Percent of investigations with confirmed vehicle/source identified 8 (0–19)
14% (0%–36%)
n=10
3 (0–11)
17% (0%–43%)
n=10
0 (0–1)
13% (0%–100%)
n=8
n/a n/a
15a. Number; Percent of investigations with source identified with exclusion of ill person(s) 4 (0–14)
6% (0%–17%)
n=9
2 (0–6)
12% (0%–46%)
n=9
0 (0–1)
5% (0%–33%)
n=7
n/a n/a
15b. Number; Percent of investigations with source identified with remediation or closure 2 (0–8)
3% (0%–8%)
n=9
1 (0–3)
6% (0%–23%)
n=9
0 (0–1)
21% (0%–100%)
n=7
n/a n/a
15c. Number; Percent of investigations with source identified with educational campaign 2 (0–5)
4% (0%–18%)
n=8
1 (0–8)
13% (0%–62%)
n=8
0 (0–0)
0% (0%–0%)
n=6
n/a n/a
15d. Number; Percent of investigations with source identified with media/public messaging 4 (0–12)
9% (0%–27%)
n=9
2 (0–5)
12% (0%–38%)
n=9
0 (0–1)
19% (0%–100%)
n=7
n/a n/a
15e. Number; Percent of investigations with source identified with regulatory action (recall, hold) 2 (0–5)
4% (0%–14%)
n=8
2 (0–4)
11% (0%–31%)
n=8
0 (0–1)
22% (0%–100%)
n=6
n/a n/a
16. Number; Percent of investigations linked to a restaurant/food establishment with EHA 5 (1–11)
32% (4%–100%)
n=10
2 (0–4)
32% (0%–100%)
n=10
0 (0–1)
5% (0%–33%)
n=7
n/a n/a
17. Number; Percent of investigations with food/environmental sample collected for testing 4 (0–14)
11% (0%–36%)
n=10
1 (0–3)
7% (0%–23%)
n=10
1 (0–1)
33% (0%–100%)
n=8
n/a n/a
18. Number; Percent of investigations where environmental health partners were contacted 9 (1–26)
19% (2%–58%)
n=9
3 (0–5)
22% (0%–43%)
n=9
1 (0–3)
44% (0%–100%)
n=7
n/a n/a
19. Number; Percent of outbreaks with NORS form completed 11 (1–23)
83% (13%–100%)
n=10
4 (0–11)
70% (0%–100%)
n=9
0 (0–1)
43% (0%–100%)
n=7
n/a n/a

*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.

**Starting in 2018, CDC PulseNet implemented whole genome sequencing (WGS) to replace pulsed-field gel electrophoresis (PFGE) testing as the national, primary subtyping method for enteric pathogens. Reporting for PFGE metrics (SSL 7a, 8a, 8c, 10g, and 10g.1) became optional in 2019.

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