Table 1: Training Topics that over 50% of respondents identified as important a
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1 Table 1: Training Topics that over 50% of respondents identified as important a General Planning and Preparedness Topic Total Response* Our state would benefit from using metrics (i.e. CIFOR Performance Measures or FoodCORE metrics) to measure foodborne surveillance and outbreak response performance Our state would like help implementing a more effective food recall protocol Our state would benefit from resources targeted to producers/food-processing facilities/food-service establishments for communicating foodborne disease outbreak investigation results and findings in order to prevent future outbreaks Challenges in FBO Investigations Increasing use of Culture Independent Diagnostic Testing (CIDT) Increasing use of Whole Genome Sequencing (WGS) Availability of overall resources (e.g., trained staff, protocols, tools) Understanding legal issues in surveillance/outbreaks Writing outbreak reports Communications and Metrics Our state would benefit from guidance about using the CIFOR Guidelines Toolkit Our state would benefit from guidance in looking for data for the 16 CIFOR metrics with target ranges (see: 89 Food Safety Core Competency Training Meat processing and production Chemical food safety hazards Food production, processing and distribution in general Seafood processing and production Use of binomials, the pop survey, and other online tools Fungal foodborne pathogens and mycotoxins
2 Interpreting molecular subtyping data/results Traceback/traceforward investigations Protozoan foodborne pathogens Debriefing among investigators following each outbreak response and refining outbreak response planning based on lessons learned. Environmental investigations using the CDC National Environmental Assessment Reporting System (NEARS) Risk communication * N/A responses not included a Responses to all questions are listed in Supplemental Tables 1a-1c
3 Table 2: Training Topics that over 50% of respondents in each respective field identified as important a Topic Topics Identified by Environmental Health Specialists Our staff at the state level have access to and utilize the CDC s National Outbreak Reporting System (NORS) Our staff at the state level have access to and utilize the CDC s National Environmental Assessment Reporting System (NEARS) Total Response* 9 33** 50** Topics Identified by Laboratory Staff Our lab uses Whole Genome Sequencing at the state level for subtyping of foodborne pathogen isolates Our lab uses Ribotyping at the state level for subtyping of foodborne pathogen isolates The lab has protocols for analyzing food samples for viral pathogens The lab has protocols for analyzing food samples for parasites Our state would benefit from electronic resources to facilitate communication between lab and epidemiology, environmental health and other state agencies involved in foodborne outbreak response There is a need for additional resources and efforts to facilitate communication between lab and epidemiology, environmental health and other state agencies involved in foodborne outbreak response 8 9 9** 12** 20** 22** Topics Identified by Epidemiology Staff Our state would benefit from training/guidance on how to use data from Whole Genome Sequencing for routine foodborne pathogen surveillance Our state would benefit from training/guidance on how to use CDC s Palantir SEDRIC platform. Our state would benefit from electronic resources (software, web programs, online databases) to organize, analyze and report data collected from interviews Our state uses data from Whole Genome Sequencing for routine foodborne pathogen surveillance Our state would benefit from student teams and/or other resources (for example, a Team Diarrhea ) that can help with patient interviews ** 88
4 Our state has well established student teams and/or other resources (for example, a Team Diarrhea ) that can help with patient interviews ** * N/A responses not included **low indicates important, or training need for this topic a Responses to all questions are listed in Supplemental Tables 1a-1c
5 Table 3: Effective Training Program Formats as Determined by All Respondents Training program format Short on-line training (< 60 min per program) Hands-on workshops and training (e.g., field training on environmental investigations (1 to 2 days) In person lecture-based training (1 to 2 days) Longer on-line training programs (1 to 8 h programs that can be completed over multiple sessions) In person lecture-based training (2 to 5 days) Hands-on in-depth workshops and training (e.g., field training on environmental investigations (3 to 5 days) Comprehensive on-line training programs (8-60 h, can be completed over multiple weeks and months)
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