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Article ; Online: Consumer Interest and Preferred Formats for Disclosure of Restaurant Inspection Results, Minnesota 2019.

Firestone, Melanie J / Hedberg, Craig W

2019 Volume 83, Issue 4, Page(s) 715–721

MeSH term(s)	Adolescent ; Adult ; Disclosure ; Food Inspection ; Foodborne Diseases/epidemiology ; Foodborne Diseases/prevention & control ; Humans ; Minnesota/epidemiology ; Restaurants
Language	English
Publishing date	2019-12-04
Publishing country	United States
Document type	Journal Article
ZDB-ID	243284-5
ISSN	1944-9097 ; 0362-028X
ISSN (online)	1944-9097
ISSN	0362-028X
DOI	10.4315/JFP-19-517
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Surveillance for Unexplained Deaths of Possible Infectious Etiologies During the COVID-19 Pandemic-Minnesota, 2020-2021.

Firestone, Melanie J / Thorell, Linnea / Kollmann, Leslie / Fess, Lydia / Ciessau, Greta / Strain, Anna K / Danila, Richard / Lynfield, Ruth / Holzbauer, Stacy

Public health reports (Washington, D.C. : 1974)

2024 Volume 139, Issue 3, Page(s) 325–332

Abstract: Objectives: Surveillance systems for unexplained deaths that might have an infectious etiology are rare. We examined the Minnesota Department of Health Unexplained Deaths and Critical Illnesses of Possible Infectious Etiology and Medical Examiner ... ...

Abstract	Objectives: Surveillance systems for unexplained deaths that might have an infectious etiology are rare. We examined the Minnesota Department of Health Unexplained Deaths and Critical Illnesses of Possible Infectious Etiology and Medical Examiner Infectious Deaths (UNEX/MED-X) surveillance system,-a system that expanded postmortem surveillance for infectious diseases during the COVID-19 pandemic by leveraging standard (medical examiner [ME]) and expanded (mortuary) surveillance to identify COVID-19-related deaths. Methods: MEs, coroners, or morticians collected postmortem swabs from decedents with an infectious prodrome or with SARS-CoV-2 exposure before death but with no known recent infectious disease testing. The Minnesota Department of Health Public Health Laboratory used nucleic acid amplification, viral culture, and standard algorithms to test specimens collected postmortem for SARS-CoV-2, influenza virus, and other infectious pathogens. We reviewed UNEX/MED-X data from March 2, 2020, through December 31, 2021, and characterized decedents by location of swab collection (ie, ME or mortuary). Results: From March 2, 2020, through December 31, 2021, the UNEX/MED-X surveillance system received samples from 182 decedents from mortuaries and 955 decedents from MEs. Mortuary decedents were older than ME decedents (median age, 78 vs 46 y). Seventy-three mortuary decedents (40.1%) and 197 ME decedents (20.6%) had SARS-CoV-2 detections. The UNEX/MED-X system identified 212 COVID-19-related deaths, representing 2.0% of total COVID-19-related deaths in Minnesota. Eighty-nine decedents (42.0%) were from racial and ethnic minority populations, representing 6.1% more COVID-19-related deaths among people from racial and ethnic minority populations than would have been detected without this surveillance system. Practice implications: Expanded and standard UNEX/MED-X surveillance builds capacity and flexibility for responding to emerging public health threats. Similar programs should be considered elsewhere as resources allow.
MeSH term(s)	Humans ; COVID-19/mortality ; COVID-19/epidemiology ; Minnesota/epidemiology ; Middle Aged ; Male ; Adult ; Female ; Aged ; SARS-CoV-2/isolation & purification ; Adolescent ; Cause of Death ; Young Adult ; Coroners and Medical Examiners ; Child ; Pandemics ; Child, Preschool ; Aged, 80 and over ; Infant ; Population Surveillance/methods
Language	English
Publishing date	2024-01-11
Publishing country	United States
Document type	Journal Article
ZDB-ID	120953-x
ISSN	1468-2877 ; 0033-3549
ISSN (online)	1468-2877
ISSN	0033-3549
DOI	10.1177/00333549231218283
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Article: A Public Health Informatics Solution to Improving Food Safety in Restaurants: Putting the Missing Piece in the Puzzle.

Firestone, Melanie J / Rajamani, Sripriya / Hedberg, Craig W

Online journal of public health informatics

2021 Volume 13, Issue 1, Page(s) e5

Abstract: Foodborne illnesses remain an important public health challenge in the United States causing an estimated 48 million illnesses, 128,000 hospitalizations, and 3,000 deaths per year. Restaurants are frequent settings for foodborne illness transmission. ... ...

Abstract	Foodborne illnesses remain an important public health challenge in the United States causing an estimated 48 million illnesses, 128,000 hospitalizations, and 3,000 deaths per year. Restaurants are frequent settings for foodborne illness transmission. Public health surveillance - the continual, systematic collection, analysis, and interpretation of reports of health data to prevent and control illness - is a prerequisite for an effective food control system. While restaurant inspection data are routinely collected, these data are not regularly aggregated like traditional surveillance data. However, there is evidence that these data are a valuable tool for understanding foodborne illness outbreaks and threats to food safety. This article discusses the challenges and opportunities for incorporating routine restaurant inspection data as a surveillance tool for monitoring and improving foodborne illness prevention activities. The three main challenges are: 1) lack of a national framework; 2) lack of data standards and interoperability; and 3) limited access to restaurant inspection data. Tapping into the power of public health informatics represents an opportunity to address these challenges. Advancing the food safety system by improving restaurant inspection information systems and making restaurant inspection data available to support decision-making represents an opportunity to practice smarter food safety.
Language	English
Publishing date	2021-04-09
Publishing country	United States
Document type	Journal Article
ZDB-ID	2606835-7
ISSN	1947-2579
ISSN	1947-2579
DOI	10.5210/ojphi.v13i1.11087
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Restaurant Inspection Letter Grades and Salmonella Infections, New York, New York, USA.

Firestone, Melanie J / Hedberg, Craig W

Emerging infectious diseases

2018 Volume 24, Issue 12, Page(s) 2164–2168

Abstract: Rates of Salmonella infection in the United States have not changed over the past 20 years. Restaurants are frequent settings for Salmonella outbreaks and sporadic infections. Few studies have examined the effect of posting letter grades for restaurant ... ...

Abstract	Rates of Salmonella infection in the United States have not changed over the past 20 years. Restaurants are frequent settings for Salmonella outbreaks and sporadic infections. Few studies have examined the effect of posting letter grades for restaurant inspections on the incidence of foodborne illness. We compared Salmonella infection rates in New York, New York, USA (NYC), with those in the rest of New York state before and after implementation of a letter grade system for restaurant inspections in NYC. We calculated a segmented regression model for interrupted time series data. After implementation of letter grading, the rate of Salmonella infections decreased 5.3% per year in NYC versus the rest of New York state during 2011-2015, compared with the period before implementation, 2006-2010. Posting restaurant inspection results as letter grades at the point of service was associated with a decline in Salmonella infections in NYC and warrants consideration for broader use.
MeSH term(s)	Food Contamination ; Food Safety ; Foodborne Diseases/epidemiology ; Foodborne Diseases/microbiology ; Humans ; New York/epidemiology ; Prevalence ; Public Health Surveillance ; Restaurants ; Salmonella Infections/epidemiology ; Salmonella Infections/microbiology
Language	English
Publishing date	2018-11-20
Publishing country	United States
Document type	Journal Article
ZDB-ID	1380686-5
ISSN	1080-6059 ; 1080-6040
ISSN (online)	1080-6059
ISSN	1080-6040
DOI	10.3201/eid2412.180544
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Article: Consumer Interest and Preferred Formats for Disclosure of Restaurant Inspection Results, Minnesota 2019

Firestone, Melanie J / Hedberg, Craig W

Journal of food protection. 2020 Apr. 1, v. 83, no. 4

2020

Abstract: In recent years, numerous state and local health departments have developed systems to disclose restaurant inspection results to consumers. Public disclosure of restaurant inspection results can reduce transmission of food borne illness by driving ... ...

Abstract	In recent years, numerous state and local health departments have developed systems to disclose restaurant inspection results to consumers. Public disclosure of restaurant inspection results can reduce transmission of food borne illness by driving improvements in sanitary conditions. In Minnesota, restaurant inspection results are not readily accessible for consumers to use to make decisions about where to eat. The objective of this study was to assess the consumer interest among Minnesota adults in having better access to restaurant inspection results and to identify preferred formats for disseminating this information. We conducted a survey among 1,188 Minnesota residents aged 18 years or older at the 2019 Minnesota State Fair. Overall, 94.4% of respondents wanted better access to restaurants' inspection information. More than three-quarters (77.1%) of respondents stated that they would use this information to decide where to eat. Respondents wanted to see inspection results online (71.6%) and at restaurants (62.1%). Increasing public access to inspection results could reinforce efforts by public health agencies and food service operators to improve the safety of foods prepared away from home.
Keywords	adults ; decision making ; exhibitions ; food contamination ; foodborne illness ; public health ; restaurants ; surveys ; Minnesota
Language	English
Dates of publication	2020-0401
Size	p. 715-721.
Publishing place	International Association for Food Protection.
Document type	Article
ZDB-ID	243284-5
ISSN	1944-9097 ; 0362-028X
ISSN (online)	1944-9097
ISSN	0362-028X
DOI	10.4315/JFP-19-517
Database	NAL-Catalogue (AGRICOLA)

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Article: Rapid onset of functional tic-like behaviors among adolescent girls-Minnesota, September-November 2021.

Firestone, Melanie J / Holzbauer, Stacy / Conelea, Christine / Danila, Richard / Smith, Kirk / Bitsko, Rebecca H / Klammer, Susan M / Gingerich, Stefan / Lynfield, Ruth

Frontiers in neurology

2023 Volume 13, Page(s) 1063261

Abstract: Background: On October 15, 2021, the Minnesota Department of Health began investigating a school cluster of students experiencing tic-like behaviors thought to be related to recent COVID-19. The objective of this report is to describe the investigation, ...

Abstract	Background: On October 15, 2021, the Minnesota Department of Health began investigating a school cluster of students experiencing tic-like behaviors thought to be related to recent COVID-19. The objective of this report is to describe the investigation, key findings, and public health recommendations. Methods: Affected students and proxies were interviewed with a standardized questionnaire including validated depression and anxiety screens. Results: Eight students had tic-like behaviors lasting >24 h after initial report with onset during September 26-October 30, 2021. All eight students were females aged 15-17 years. All students either had a history of depression or anxiety or scored as having more than minimal anxiety or depression on validated screens. Four students previously had confirmed COVID-19: the interval between prior COVID-19 and tic symptom onset varied from more than a year prior to tic symptom onset to at the time of tic symptom onset. Conclusion: The onset of tic-like behaviors at one school in Minnesota appeared to be related more to underlying mental health conditions than recent COVID-19. These findings highlight the need to better understand functional tic-like behaviors and adolescent mental health.
Language	English
Publishing date	2023-01-19
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2564214-5
ISSN	1664-2295
ISSN	1664-2295
DOI	10.3389/fneur.2022.1063261
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Age and Racial/Ethnic Differences in Dietary Sources of Protein, NHANES, 2011-2016.

Beasley, Jeannette M / Firestone, Melanie J / Popp, Collin J / Russo, Rienna / Yi, Stella S

Frontiers in nutrition

2020 Volume 7, Page(s) 76

Abstract: Background: ...

Abstract	Background:
Language	English
Publishing date	2020-06-26
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2776676-7
ISSN	2296-861X
ISSN	2296-861X
DOI	10.3389/fnut.2020.00076
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Self-Rated Diet Quality and Cardiometabolic Health Among U.S. Adults, 2011-2018.

Sullivan, Valerie K / Johnston, Emily A / Firestone, Melanie J / Yi, Stella S / Beasley, Jeannette M

American journal of preventive medicine

2021 Volume 61, Issue 4, Page(s) 563–575

Abstract: Introduction: Self-rated health has been extensively studied, but the utility of a similarly structured question to rate diet quality is not well characterized. This study aims to assess the relative validity of self-rated diet quality, compared with ... ...

Abstract	Introduction: Self-rated health has been extensively studied, but the utility of a similarly structured question to rate diet quality is not well characterized. This study aims to assess the relative validity of self-rated diet quality, compared with that of a validated diet quality measure (Healthy Eating Index-2015) and to examine the associations with cardiometabolic risk factors. Methods: Analyses were conducted in 2020-2021 using cross-sectional data from the National Health and Nutrition Examination Survey, 2011-2018. Nonpregnant adults who responded to the question: How healthy is your overall diet? and provided 2 dietary recalls were eligible (n=16,913). Associations between self-rated diet quality (modeled as a 5-point continuous variable, poor=1 to excellent=5) and Healthy Eating Index-2015 scores and cardiometabolic risk factors were assessed by linear regression, accounting for the complex survey design and adjusting for demographic and lifestyle characteristics. Results: Self-rated diet quality was positively associated with total Healthy Eating Index-2015 scores (p < 0.001) and with all components except with Dairy (p=0.94) and Sodium (p=0.66). Higher self-rated diet quality was associated with lower BMI, waist circumference, glucose, insulin, triglycerides, and HbA1c and with higher high-density lipoprotein cholesterol (all p<0.01). Positive associations with total diet quality persisted across all racial/ethnic groups, although the associations with individual dietary components varied. Higher self-ratings were most consistently associated with better-scored diet quality among individuals with BMI <30 kg/m Conclusions: Self-rated diet quality was associated with Healthy Eating Index-2015 scores and cardiometabolic disease risk factors. This single-item assessment may be useful in time-limited settings to quickly and easily identify patients in need of dietary counseling to improve cardiometabolic health.
MeSH term(s)	Adult ; Cardiovascular Diseases/epidemiology ; Cross-Sectional Studies ; Diet ; Humans ; Nutrition Surveys
Language	English
Publishing date	2021-07-08
Publishing country	Netherlands
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	632646-8
ISSN	1873-2607 ; 0749-3797
ISSN (online)	1873-2607
ISSN	0749-3797
DOI	10.1016/j.amepre.2021.04.033
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Article ; Online: Foodborne Outbreak Rates Associated with Restaurant Inspection Grading and Posting at the Point of Service: Evaluation Using National Foodborne Outbreak Surveillance Data.

Kim, Thuy N / Wildey, Laura / Gleason, Brigette / Bleser, Julia / Firestone, Melanie J / Bare, Gina / Bliss, Jesse / Dewey-Mattia, Daniel / Stueven, Harlan / Brown, Laura / Dyjack, David / Hedberg, Craig W

Journal of food protection

2022 Volume 85, Issue 7, Page(s) 1000–1007

MeSH term(s)	Cross-Sectional Studies ; Disease Outbreaks ; Foodborne Diseases/epidemiology ; Humans ; Reproducibility of Results ; Restaurants
Language	English
Publishing date	2022-02-15
Publishing country	United States
Document type	Journal Article ; Research Support, U.S. Gov't, P.H.S. ; Research Support, Non-U.S. Gov't
ZDB-ID	243284-5
ISSN	1944-9097 ; 0362-028X
ISSN (online)	1944-9097
ISSN	0362-028X
DOI	10.4315/JFP-22-007
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Article ; Online: Restaurant Inspection Letter Grades and Salmonella Infections, New York, New York, USA

Melanie J. Firestone / Craig W. Hedberg

Emerging Infectious Diseases, Vol 24, Iss 12, Pp 2164-

2018 Volume 2168

Abstract	Rates of Salmonella infection in the United States have not changed over the past 20 years. Restaurants are frequent settings for Salmonella outbreaks and sporadic infections. Few studies have examined the effect of posting letter grades for restaurant inspections on the incidence of foodborne illness. We compared Salmonella infection rates in New York, New York, USA (NYC), with those in the rest of New York state before and after implementation of a letter grade system for restaurant inspections in NYC. We calculated a segmented regression model for interrupted time series data. After implementation of letter grading, the rate of Salmonella infections decreased 5.3% per year in NYC versus the rest of New York state during 2011–2015, compared with the period before implementation, 2006–2010. Posting restaurant inspection results as letter grades at the point of service was associated with a decline in Salmonella infections in NYC and warrants consideration for broader use.
Keywords	Salmonella ; restaurants ; food inspection ; bacteria ; food safety ; enteric infections ; Medicine ; R ; Infectious and parasitic diseases ; RC109-216
Language	English
Publishing date	2018-12-01T00:00:00Z
Publisher	Centers for Disease Control and Prevention
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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