Evaluation of the Council to Improve Foodborne Outbreak Response (CIFOR) Guidelines for Foodborne Disease Outbreak Response and Associated Toolkit

by Jeanne S. Ringel, Christina Y. Huang, Kristy Gonzalez Morganti

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Foodborne disease is a significant public health problem. Reducing the burden of foodborne disease is a primary goal of the multidisciplinary Council to Improve Foodborne Outbreak Response (CIFOR). Toward this end, CIFOR developed the Guidelines for Foodborne Outbreak Response (2009) and a companion Toolkit (2011) to facilitate improvements in foodborne disease outbreak detection and response at the state and local levels. This study assesses the distribution and use of the CIFOR Guidelines and Toolkit to determine whether and to what extent they are reaching their intended users and achieving their goals. The results show that the awareness of these resources is high among their intended users. They also show that many jurisdictions are using the resources and implementing some of the recommendations they provide. The methods and extent of use, however, vary across jurisdictions. In many jurisdictions, the primary barrier to greater implementation is a lack of resources. Overall, intended users find the CIFOR Guidelines and Toolkit to be valuable resources and believe the development of additional tools and resources related to the Guidelines would be beneficial.

Table of Contents

  • Chapter One:


  • Chapter Two:


  • Chapter Three:


  • Chapter Four:

    Study Limitations

  • Chapter Five:


  • Appendix:

    Brief Description of the CIFOR Guidelines and Toolkit

The research described in this report was sponsored by the Council of State and Territorial Epidemiologists and was conducted within RAND Health, a division of the RAND Corporation.

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