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10. Food Safety

Goal: Reduce foodborne illnesses.
ORIGINAL OBJECTIVE
10-1. Reduce infections caused by key foodborne pathogens.
Target and baseline:
ObjectiveReduction in Infections Caused by Microorganisms1997
Baseline		2010
Target
Cases per 100,000
10-1a.Campylobacter species24.612.3
10-1b.Escherichia coli O157:H72.11.0
10-1c.Listeria monocytogenes0.4710.242
10-1d.Salmonella species13.636.8
10-1e.Cyclospora cayetanensisDevelopmental
10-1f.Postdiarrheal hemolytic uremic syndromeDevelopmental
10-1g.Congenital Toxoplasma gondii Developmental
Target setting method: 50 percent improvement.
Data source : Foodborne Disease Active Surveillance Network (FoodNet), CDC, NCID; FDA, CFSAN; FSIS, OPHS; and State agencies.
Potential data source: Toxoplasmosis data—National Notifiable Diseases Surveillance System (NNDSS), CDC, NCID.
1 (Baseline revised from 0.5 after November 2000 publication)
2 (Target revised from 0.25 because of baseline revision after November 2000 publication)
3 (Baseline revised from 13.7 after November 2000 publication)
OBJECTIVE WITH REVISIONS (Including Subobjectives Proposed for Deletion)
10-1. Reduce infections caused by key foodborne pathogens.
Target and baseline:
Objective† Reduction in Infections Caused by Microorganisms 1997
Baseline
(unless noted) 		2010
Target
Cases per 100,000
10-1a.Campylobacter species24.612.3
10-1b.Escherichia coli O157:H72.11.0
10-1c.Listeria monocytogenes0.4710.242
10-1d.Salmonella species13.636.8
10-1e.(Subobjective proposed for deletion due to lack of data source)† Cyclospora cayetanensis Developmental
10-1f.Postdiarrheal hemolytic uremic syndrome (HUS) in children less than 5 years of age 1.80 (2000) 0.90
10-1g.(Subobjective proposed for deletion due to change in science)
Congenital Toxoplasma gondii 		Developmental
†(For data control purposes, subobjectives are not renumbered.) Read information regarding the deletion of an objective due to lack of data source.
Target setting method: 50 percent improvement.
Data source : Foodborne Disease Active Surveillance Network (FoodNet), CDC, NCID; FDA, CFSAN; FSIS, OPHS; and State agencies.
1 (Baseline revised from 0.5 after November 2000 publication)
2 (Target revised from 0.25 because of baseline revision after November 2000 publication)
3 (Baseline revised from 13.7 after November 2000 publication)
REVISED OBJECTIVE
10-1. Reduce infections caused by key foodborne pathogens.
Target and baseline:
Objective†Reduction in Infections Caused by Microorganisms1997
Baseline
(unless noted) 		2010
Target
Cases per 100,000
10-1a.Campylobacter species24.612.3
10-1b.Escherichia coli O157:H72.11.0
10-1c.Listeria monocytogenes0.4710.242
10-1d.Salmonella species13.636.8
10-1f.Postdiarrheal hemolytic uremic syndrome (HUS) in children less than 5 years of age1.80 (2000)0.90
†(For data control purposes, subobjectives are not renumbered.)
Target setting method: 50 percent improvement.
Data source : Foodborne Disease Active Surveillance Network (FoodNet), CDC, NCID; FDA, CFSAN; FSIS, OPHS; and State agencies.
1 (Baseline revised from 0.5 after November 2000 publication)
2 (Target revised from 0.25 because of baseline revision after November 2000 publication)
3 (Baseline revised from 13.7 after November 2000 publication)


NO CHANGE IN OBJECTIVE
10-2. Reduce outbreaks of infections caused by key foodborne bacteria.
Target and baseline:
Objective Reduction in Infections Caused by Foodborne Bacteria1997 Baseline2010 Target
Number of Outbreaks per Year
10-2a. Escherichia coli O157:H7 2211
10-2b. Salmonella serotype Enteritidis44 22
Target setting method: 50 percent improvement.
Data source : Foodborne Disease Outbreak Surveillance System, CDC, NCID.


ORIGINAL OBJECTIVE
10-3. Prevent an increase in the proportion of isolates of Salmonella species from humans and from animals at slaughter that are resistant to antimicrobial drugs.
Target and baseline:
Objective Prevention of Increase in Proportion of Salmonella species from humans and from animals at slaughter that are resistant to antimicrobial drugs. 1997 Baseline 2010 Target
    Percent of Isolates
  Salmonella from humans that are resistant to:  
10-3a. Fluoroquinolones 0 0
10-3b. Third-generation cephalosporins 0 0
10-3c. Gentamicin 3 3
10-3d. Ampicillin 18 18
  Salmonella from cattle at slaughter that are resistant to:    
10-3e. Fluoroquinolones Developmental
10-3f. Third-generation cephalosporins Developmental
10-3g. Gentamicin Developmental
10-3h. Ampicillin Developmental
  Salmonella from broilers at slaughter that are resistant to:    
10-3i. Fluoroquinolones Developmental
10-3j. Third-generation cephalosporins Developmental
10-3k. Gentamicin Developmental
10-3l. Ampicillin Developmental
  Salmonella from swine at slaughter that are resistant to:    
10-3m. Fluoroquinolones Developmental
10-3n. Third-generation cephalosporins Developmental
10-3o. Gentamicin Developmental
10-3p. Ampicillin Developmental
Target setting method: No increase.
Data source s: National Antimicrobial Resistance Monitoring System: Enteric Bacteria–Salmonella (NARMS: Enteric Bacteria), CDC, NCID; FDA, CVM; USDA, FSIS, APHIS, and ARS; Foodborne Disease Active Surveillance Network (FoodNet), CDC, FDA, and USDA, FSIS.
OBJECTIVE WITH REVISIONS (Including Subobjectives Proposed for Deletion)
10-3. Prevent an increase in the proportion of isolates of non-Typhi Salmonella species from humans and from animals at slaughter that are resistant to antimicrobial drugs.
Target and baseline:
Objective† Prevention of Increase in Proportion of Isolates of non-Typhi Salmonella species From Humans That Are Resistant to Antimicrobial Drugs 1997 Baseline 2010 Target
Percent of Isolates
Salmonella from humans that are resistant to:
10-3a. Fluoroquinolones 0.0  0.0 
10-3b. Third-generation cephalosporins 0.0  0.0 
10-3c. Gentamicin 3 3
10-3d. Ampicillin 18 18
Salmonella from cattle at slaughter that are resistant to:
10-3e. (Subobjective proposed for deletion due to lack of data source)†
Fluoroquinolones 		Developmental
10-3f. (Subobjective proposed for deletion due to lack of data source)†
Third-generation cephalosporins 		Developmental
10-3g. (Subobjective proposed for deletion due to lack of data source)†
Gentamicin 		Developmental
10-3h. (Subobjective proposed for deletion due to lack of data source)†
Ampicillin 		Developmental
Salmonella from broilers at slaughter that are resistant to:
10-3i. (Subobjective proposed for deletion due to lack of data source)†
Fluoroquinolones		 Developmental
10-3j. (Subobjective proposed for deletion due to lack of data source)†
Third-generation cephalosporins 		Developmental
10-3k. (Subobjective proposed for deletion due to lack of data source)†
Gentamicin 		Developmental
10-3l. (Subobjective proposed for deletion due to lack of data source)†
Ampicillin 		Developmental
Salmonella from swine at slaughter that are resistant to:
10-3m. (Subobjective proposed for deletion due to lack of data source)†
Fluoroquinolones 		Developmental
10-3n. (Subobjective proposed for deletion due to lack of data source)†
Third-generation cephalosporins		 Developmental
10-3o. (Subobjective proposed for deletion due to lack of data source)†
Gentamicin 		Developmental
10-3p. (Subobjective proposed for deletion due to lack of data source)†
Ampicillin 		Developmental
†(For data control purposes, subobjectives are not renumbered.) Read information regarding the deletion of an objective due to lack of data source.
Target setting method: No increase.
Data source : National Antimicrobial Resistance Monitoring System: Enteric Bacteria–Salmonella (NARMS: Enteric Bacteria), CDC, NCID; FDA, CVM; USDA, FSIS, APHIS, and ARS; Foodborne Disease Active Surveillance Network (FoodNet), CDC, FDA, and USDA, FSIS.
REVISED OBJECTIVE
10-3. Prevent an increase in the proportion of isolates of non-Typhi Salmonella species from humans that are resistant to antimicrobial drugs.
Target and baseline:
Objective† Prevention of Increase in Proportion of Isolates of non-Typhi Salmonella species From Humans That Are Resistant to Antimicrobial Drugs. 1997 Baseline 2010 Target
    Percent of Isolates
  Salmonella from humans that are resistant to:  
10-3a. Fluoroquinolones 0.0 0.0
10-3b. Third-generation cephalosporins 0.0 0.0
10-3c. Gentamicin 3 3
10-3d. Ampicillin 18 18
†(For data control purposes, subobjectives are not renumbered.)
Target setting method: No increase.
Data source s: National Antimicrobial Resistance Monitoring System: Enteric Bacteria–Salmonella (NARMS: Enteric Bacteria), CDC, NCID; FDA, CVM; USDA, FSIS, APHIS, and ARS; Foodborne Disease Active Surveillance Network (FoodNet), CDC, FDA, and USDA, FSIS.


ORIGINAL OBJECTIVE
10-4. (Developmental) Reduce deaths from anaphylaxis caused by food allergies.
Potential data source: National Vital Statistics System (NVSS), CDC, NCHS.
OBJECTIVE WITH REVISIONS
10-4. (Developmental)Reduce deaths and illness from severe food allergies from anaphylaxis caused by food allergies.
Target and baseline:
ObjectiveReduction in Deaths From Anaphylaxis Caused by Food Allergies and in Severe Allergic Reactions to Food Among Adults 2001 Baseline2010 Target
Percent
10-4a. Deaths Developmental
10-4b.Severe allergic reactions among adults aged 18 years and older 26 21
Target setting method: 22 percent improvement for 10-4b.
Potential dData source s: National Vital Statistics System—Mortality (NVSS—M), CDC, NCHS; Food Safety Survey (FSS), FDA and USDA, FSIS.
REVISED OBJECTIVE
10-4. Reduce deaths and illness from severe food allergies.
Target and baseline:
ObjectiveReduction in Deaths From Anaphylaxis Caused by Food Allergies and in Severe Allergic Reactions to Food Among Adults2001 Baseline2010 Target
Percent
10-4a.DeathsDevelopmental
10-4b.Severe allergic reactions among adults aged 18 years and older2621
Target setting method: 22 percent improvement for 10-4b.
Data source s: National Vital Statistics System—Mortality (NVSS—M), CDC, NCHS; Food Safety Survey (FSS), FDA and USDA, FSIS.


NO CHANGE IN OBJECTIVE
(Data updated and footnoted)
10-5. Increase the proportion of consumers who follow key food safety practices.
Target: 79 percent.
Baseline: 731 percent of consumers aged 18 years and older followed key food safety practices in 1998, based on total population of adults who engaged in the practice.
Target setting method: Better than the best.
Data source : Food Safety Survey (FSS), FDA and USDA, FSIS.
1 (Baseline revised from 72 after November 2000 publication)


ORIGINAL OBJECTIVE
10-6. (Developmental) Improve food employee behaviors and food preparation practices that directly relate to foodborne illnesses in retail food establishments.
Potential data source : Retail Food Database of Foodborne Illness Risk Factors, FDA, CFSAN.
OBJECTIVE WITH REVISIONS
10-6. (Developmental)Improve food employee behaviors and food preparation practices that directly relate to foodborne illnesses in retail food establishments.
Target and baseline:
Objective Increase in Safe Retail Food Preparation Practices 1998 Baseline2010 Target
Percent
10-6a. Hospital 80 85
10-6b. Nursing home 82 87
10-6c.Elementary school 80 85
10-6d.Fast food restaurant 74 81
10-6e.Full-service restaurant 60 70
10-6f.Deli department 73 80
10-6g.Meat/poultry department 81 86
10-6h.Produce department 76 82
10-6i.Seafood department 83 87
Target setting method: 25 percent improvement of observable out-of-compliance risk factors. 
Potential dData source : Retail Food Database of Foodborne Illness Risk Factors, FDA, CFSAN.
REVISED OBJECTIVE
10-6. Improve food employee behaviors and food preparation practices that directly relate to foodborne illnesses in retail food establishments.
Target and baseline:
Objective Increase in Safe Retail Food Preparation Practices1998 Baseline2010 Target
Percent
10-6a. Hospital 8085
10-6b. Nursing home8287
10-6c.Elementary school80 85
10-6d.Fast food restaurant74 81
10-6e.Full-service restaurant60 70
10-6f.Deli department73 80
10-6g.Meat/poultry department81 86
10-6h.Produce department76 82
10-6i.Seafood department83 87
Target setting method: 25 percent improvement of observable out-of-compliance risk factors.
Data source : Retail Food Database of Foodborne Illness Risk Factors, FDA, CFSAN.


OBJECTIVE PROPOSED FOR DELETION
10-7. (Objective proposed for deletion due to negligible presence of organophosphate pesticide residues found in foods) (Developmental) Reduce human exposure to organophosphate pesticides from food.

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