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Food Safety Program

Foodborne illness in the United States is estimated by the Centers for Disease Control and Prevention (CDC) to cause 48 million cases of illnesses, more than 128,000 hospitalizations, and 3,000 deaths annually. Hospitalizations due to foodborne illnesses are estimated to cost more than $3 billion dollars and lost productivity is estimated to cost between $20 billion and $40 billion each year. The U.S. Department of Agriculture (USDA) estimates that foodborne illnesses are costing the United States economy more than $15.6 billion annually. NACCHO strives to support and work with local health departments to improve food safety and prevent foodborne illness. Click here to learn more about NACCHO's Food Safety Project.

In the Spotlight
NACCHO Raw Milk Webinar Series

NACCHO’s Raw Milk webinar series is now available to view. 

Part I: "Legal Aspects of Raw Milk" webinar provides a general overview of the raw milk regulations in the US, as well as a detailed account of recent raw milk regulations and outbreaks in Utah. Click here to view.

Part II: "Raw Milk and the Public's Health: Stories from the Local Health Departments" feature presentations from state and local health departments in Colorado, Iowa and West Virginia about recent outbreaks, legislation and educational materials related to raw milk. Click here to view.

New CIFOR Products
Revised CIFOR Toolkit

The Second Edition of the CIFOR Toolkit for the Guidelines for Foodborne Disease Outbreak Response is now available. The Second Edition of the Toolkit has been developed to aid in the implementation of the second edition of the Guidelines for Foodborne Disease Outbreak Response, which was released in 2014. The Toolkit is intended to further the ability of state and local health departments to understand the contents of the Guidelines, to conduct a self-assessment of their outbreak detection and investigation procedures, and to implement appropriate recommendations from the nine chapters in the Guidelines.

The Toolkit walks public health practitioners through a series of worksheets divided into eleven "Focus Areas". The Focus Areas are designed to help jurisdictions identify recommendations from the Guidelines that would be most useful for their jurisdiction. The Toolkit covers the most critical elements of outbreak response, guiding users through a range of activities, including: describing current activities and procedures, prioritizing CIFOR Guidelines recommendations to address needed improvements, and finally, making plans to implement the selected recommendations.

CIFOR Guidelines and Toolkit Implementation Webinar Series:

Two upcoming webinars, one for managers and directors of local and state environmental and public health departments (the decision makers) and one for public health professionals responsible for the investigation and control of foodborne diseases and outbreaks (the worker bees), will describe the CIFOR Guidelines, Toolkit, and other available resources to improve foodborne disease outbreak response. Learn more at

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NACCHO Toolbox

The NACCHO Food Safety toolkit is a free, online collection of local public health tools produced by members of the public health community. Tools within the toolkit are materials and resources public health professionals and other external stakeholders can use to inform and improve their work in the promotion and advancement of food safety objectives. Current examples of tools include, but are not limited to case examples, presentations, fact sheets, drills, evaluations, protocols, templates, reports, and training materials. More »

Join NACCHO's Food Safety Leaders' List

Are you a leader or champion for food safety? NACCHO is recruiting local health department staff interested in receiving emails on food safety news, policy updates, events, and call to action items. As a subscriber to the Food Safety Leaders' List, you will have the opportunity to provide input on NACCHO's food safety positions and advocacy efforts that helps shape policy across the nation at local health departments. To subscribe, please email with your email address, name, organization/agency, and position.