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Food Safety

Goal

Introduction

Modifications to Objectives and Subobjectives

Progress Toward Healthy People 2010 Targets

Progress Toward Elimination of Health Disparities

Opportunities and Challenges

Emerging Issues

Progress Quotient Chart

Disparities Table (See below)

Race and Ethnicity

Gender and Education

Income and Disability

Objectives and Subobjectives

References

Related Objectives From Other Focus Areas

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Midcourse Review  >  Table of Contents  >  Focus Area 10: Food Safety  >  Objectives and Subobjectives
Midcourse Review Healthy People 2010 logo
Food Safety Focus Area 10

Objectives and Subobjectives


Goal: Reduce foodborne illnesses.

As a result of the Healthy People 2010 Midcourse Review, changes were made to the Healthy People 2010 objectives and subobjectives. These changes are specific to the following situations:

  • Changes in the wording of an objective to more accurately describe what is being measured.
  • Changes to reflect a different data source or new science.
  • Changes resulting from the establishment of a baseline and a target (that is, when a formerly developmental objective or subobjective became measurable).
  • Deletion of an objective or subobjective that lacked a data source.
  • Correction of errors and omissions in Healthy People 2010.

Revised baselines and targets for measurable objectives and subobjectives do not fall into any of the above categories and, thus, are not considered a midcourse review change.1

When changes were made to an objective, three sections are displayed:

  1. In the Original Objective section, the objective as published in Healthy People 2010 in 2000 is shown.
  2. In the Objective With Revisions section, strikethrough indicates text deleted, and underlining is used to show new text.
  3. In the Revised Objective section, the objective appears as revised as a result of the midcourse review.

Details of the objectives and subobjectives in this focus area, including any changes made at the midcourse, appear on the following pages.

1See Technical Appendix for more information on baseline and target revisions.


Clinical Preventive Care


ORIGINAL OBJECTIVE
10-1. Reduce infections caused by key foodborne pathogens.

Target and baseline:
Objective Reduction in Infections Caused by Microorganisms
1997 Baseline

Cases per 100,000
2010 Target

Cases per 100,000
10-1a. Campylobacter species
24.6
12.3
10-1b. Escherichia coli O157:H7
2.1
1.0
10-1c. Listeria monocytogenes
0.471
0.242
10-1d. Salmonella species
13.63
6.8
10-1e. Cyclospora cayetanensis
Developmental
Developmental
10-1f. Postdiarrheal hemolytic uremic syndrome
Developmental
Developmental
10-1g. Congenital Toxoplasma gondii
Developmental
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 deleted)
10-1. Reduce infections caused by key foodborne pathogens.

Target and baseline:
Objective* Reduction in Infections Caused by Microorganisms
1997 Baseline (unless noted)

Cases per
100,000
2010 Target


Cases per 100,000
10-1a. Campylobacter species
24.6
12.3
10-1b. Escherichia coli O157:H7
2.1
1.0
10-1c. Listeria monocytogenes
0.471
0.242
10-1d. Salmonella species
13.63
6.8
10-1e. (Subobjective deleted due to lack of data source)† Cyclospora cayetanensis
Developmental
Developmental
10-1f. Postdiarrheal hemolytic uremic syndrome (HUS) in children less than 5 years of age
1.80 (2000)
0.90
10-1g. (Subobjective deleted due to change in science Congenital Toxoplasma gondii
Developmental
Developmental

* 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.

REVISED OBJECTIVE
10-1. Reduce infections caused by key foodborne pathogens.

Target and baseline:
Objective* Reduction in Infections Caused by Microorganisms
1997 Baseline (unless noted)

Cases per
100,000
2010 Target


Cases per 100,000
10-1a. Campylobacter species
24.6
12.3
10-1b. Escherichia coli O157:H7
2.1
1.0
10-1c. Listeria monocytogenes
0.471
0.242
10-1d. Salmonella species
13.63
6.8
10-1f. Postdiarrheal hemolytic uremic syndrome (HUS) in children less than 5 years of age
1.80 (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 Bacteria
1997 Baseline

Number of Outbreaks per Year
2010 Target

Number of Outbreaks per Year
10-2a. Escherichia coli O157:H7
22
11
10-2b. Salmonella serotype Enteritidis
44
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



Percent of Isolates
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
Developmental
10-3f.
Third-generation cephalosporins
Developmental
Developmental
10-3g.
Gentamicin
Developmental
Developmental
10-3h.
Ampicillin
Developmental
Developmental
Salmonella from broilers at slaughter that are resistant to:
10-3i.
Fluoroquinolones
Developmental
Developmental
10-3j.
Third-generation cephalosporins
Developmental
Developmental
10-3k.
Gentamicin
Developmental
Developmental
10-3l.
Ampicillin
Developmental
Developmental
Salmonella from swine at slaughter that are resistant to:
10-3m.
Fluoroquinolones
Developmental
Developmental
10-3n.
Third-generation cephalosporins
Developmental
Developmental
10-3o.
Gentamicin
Developmental
Developmental
10-3p.
Ampicillin
Developmental
Developmental

Target setting method: No increase.

Data sources: 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 deleted)
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



Percent of Isolates
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 deleted due to lack of data source)* Fluoroquinolones
Developmental
Developmental
10-3f.
(Subobjective deleted due to lack of data source)* Third-generation cephalosporins
Developmental
Developmental
10-3g.
(Subobjective deleted due to lack of data source)* Gentamicin
Developmental
Developmental
10-3h.
(Subobjective deleted due to lack of data source)* Ampicillin
Developmental
Developmental
Salmonella from broilers at slaughter that are resistant to:
10-3i.
(Subobjective deleted due to lack of data source)* Fluoroquinolones
Developmental
Developmental
10-3j.
(Subobjective deleted due to lack of data source)* Third-generation cephalosporins
Developmental
Developmental
10-3k.
(Subobjective deleted due to lack of data source)* Gentamicin
Developmental
Developmental
10-3l.
(Subobjective deleted due to lack of data source)* Ampicillin
Developmental
Developmental
Salmonella from swine at slaughter that are resistant to:
10-3m.
(Subobjective deleted due to lack of data source)* Fluoroquinolones
Developmental
Developmental
10-3n.
(Subobjective deleted due to lack of data source)* Third-generation cephalosporins
Developmental
Developmental
10-3o.
(Subobjective deleted due to lack of data source)* Gentamicin
Developmental
Developmental
10-3p.
(Subobjective deleted due to lack of data source)* Ampicillin
Developmental
Developmental

* For data control purposes, subobjectives are not renumbered.

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

Percent of Isolates
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 sources: 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:
Objective Reduction in Deaths From Anaphylaxis Caused by Food Allergies and in SevereAllergic Reactions to Food Among Adults
2001 Baseline


Percent
2010 Target


Percent
10-4a. Deaths
Developmental
Developmental
10-4b. Severe allergic reactions among adults aged 18 years and older
26
21

Target setting method: 19 percent improvement for 10-4b.

Potential dData sources: 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:
Objective Reduction in Deaths From Anaphylaxis Caused by Food Allergies and in Severe Allergic Reactions to Food Among Adults
2001 Baseline

Percent
2010 Target

Percent
10-4a. Deaths
Developmental
Developmental
10-4b. Severe allergic reactions among adults aged 18 years and older
26
21

Target setting method: 19 percent improvement for 10-4b.

Data sources: 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 Baseline

Percent
2010 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 Practices
1998 Baseline

Percent
2010 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.

Data source: Retail Food Database of Foodborne Illness Risk Factors, FDA, CFSAN.




OBJECTIVE DELETED
10-7. (Objective deleted due to negligible presence of organophosphate pesticide residues found in foods) (Developmental) Reduce human exposure to organophosphate pesticides from food.



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