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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:
-
In the
Original Objective section, the objective as published in Healthy People 2010 in
2000 is shown.
-
In the
Objective With Revisions section, strikethrough indicates text deleted, and
underlining is used to show new text.
-
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 |
|
|
10-1d. |
Salmonella species |
|
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 |
|
|
10-1d. |
Salmonella species |
|
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 |
|
|
10-1d. |
Salmonella species |
|
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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