Foodborne Illness
Foodborne illness (commonly known as food poisoning) is a disease caused by consuming contaminated food or drink. There are more than 250 known foodborne illnesses. The majority are infections caused by bacteria, viruses or parasites. Other foodborne illnesses are caused by toxins entering the body after consuming contaminated food.
A foodborne illness outbreak is defined as an incident in which two or more persons from separate households experience a similar illness resulting from the ingestion of a common food or drink. Outbreak investigations of foodborne illness may involve an onsite investigation referred to as an environmental assessment.
Environmental Assessments
Environmental assessments (EAs) are an important part of foodborne illness outbreaks and responses. Food safety programs can use environmental assessments to stop the transmission of an outbreak as well as prevent future outbreaks from occurring.
An EA is a detailed and focused visit to a food establishment in response to illness. Typically, the pathogen and food item of focus are known before the visit. An EA differs from a routine restaurant inspection in that the EA is focused and the routine inspection is broad. The EA looks for clues to determine the contributing factors and environmental antecedents of the outbreak.
IDOH Environmental Assessment Guidance Documents
National Environmental Assessment Reporting System (NEARS)
NEARS is a CDC surveillance system to capture EA data. This data is analyzed and used to improve food safety programs and foodborne illness response.
CDC Environmental Assessments Training
Outbreak Investigations
A foodborne illness outbreak is defined as an incident in which two or more persons from separate households experience a similar illness resulting from the ingestion of a common food or drink. There are typically three parts to a foodborne illness outbreak response: environmental health, epidemiology, and laboratory. Environmental health focuses on the food item and how it was prepared. Epidemiology focuses on the people and collecting their interview data. The laboratory focuses on testing stool, food, and environmental samples. All three partners play an equally important role in confirming the cause of an outbreak.
The Indiana Department of Health works closely with our local health departments in investigating outbreaks. They may visit the food establishment to watch food preparation practices, collect food and environmental samples, and/or collect invoice information for tracebacks. Local health departments may also interview cases (ill people) and complainants to gather more information about their illness as well as collect stool samples.
File a complaint of foodborne illness.
Food Safety Basics
There are four basic steps to food safety: clean, separate, cook and chill. Use these tips to keep you and your loved ones healthy. Other helpful tips include: washing your hands, not washing raw meat in the sink before cooking it, washing produce before eating, not thawing food on the counter, and promptly refrigerating uneaten food after a meal.