WHO / Fabeha Monir
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Strengthening foodborne disease surveillance

Foodborne diseases (FBD) represent a significant global public health burden, leading to millions of illnesses, economic losses and a strain on health systems each year. A robust surveillance system is critical for detecting outbreaks, assessing risks and guiding policies to improve food safety. Integrated food chain surveillance is the ultimate goal, ensuring that human health, animal health and food monitoring data are regularly shared and used for risk analysis.

An effective foodborne disease surveillance system incorporates several key components:

  • event-based surveillance: rapidly reporting unusual health events to detect outbreaks;
  • indicator-based surveillance: routine laboratory-based surveillance to track trends in notifiable foodborne diseases;
  • multisectoral collaboration: coordination between public health, food safety, veterinary and environmental sectors to improve prevention, detection and response;
  • ad-hoc studies: targeted investigations to support source attribution, burden estimation, and risk assessments, thus filling critical data gaps where routine surveillance may be insufficient; and
  • response: capacity at national and subnational levels to conduct investigations and implement effective control measures.

These components are driven by data from human, animal and food monitoring systems ensuring a holistic, One Health approach to surveillance.

With climate change influencing pathogen distribution and antimicrobial resistance complicating treatment options, strengthening FBD surveillance is more urgent than ever. WHO supports countries through technical guidance, capacity building and global networks like the WHO Alliance for Food Safety. These efforts help to enhance global surveillance capacity and support progress towards achieving the surveillance target and objectives set out in the WHO Global Strategy for Food Safety.

1.5/5

2022 baseline score

Represents the limited global capacity for foodborne disease surveillance

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26 countries

out of 196

Have reported a fully developed multisectoral collaboration mechanism for food safety event response

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79 million cases

of salmonellosis

and 59,000 deaths estimated annually

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Publications

Whole genome sequencing as a tool to strengthen foodborne disease surveillance and response: module 1: introductory module

Whole genome sequencing (WGS) is a laboratory technique that has the potential to change how we detect and monitor microbial hazards in the food chain,...

Whole genome sequencing as a tool to strengthen foodborne disease surveillance and response: module 2: whole genome sequencing in foodborne disease outbreak investigations

Whole genome sequencing (WGS) is a laboratory technique that has the potential to change how we detect and monitor microbial hazards in the food chain,...

Whole genome sequencing as a tool to strengthen foodborne disease surveillance and response: module 3: whole genome sequencing in foodborne disease routine surveillance

Whole genome sequencing (WGS) is a laboratory technique that has the potential to change how we detect and monitor microbial hazards in the food chain,...

Strengthening surveillance of and response to foodborne diseases: a practical manual. Stage 1: investigating foodborne disease outbreaks

Users of this module are encouraged to read first the introductory module of this manual, which sets the context for the guidance contained here and defines...

Strengthening surveillance of and response to foodborne diseases: a practical manual. Stage 3: integrating surveillance data to better understand risks across the food chain

This module is intended for countries that are in stage 3 of strengthening their surveillance and response system for foodborne diseases and contains...

Strengthening surveillance of and response to foodborne diseases: introductory module

The new WHO manual, Strengthening surveillance of and response to foodborne diseases, describes how countries can strengthen their current foodborne disease...

Strengthening surveillance of and response to foodborne diseases: a practical manual. Stage 2: strengthening indicator-based surveillance 

This module is intended for countries that are in stage 2 of strengthening their surveillance and response system for foodborne diseases, and contains...

Strengthening surveillance of and response to foodborne diseases: a practical manual. Stage 1: using indicator- and event-based surveillance to detect foodborne events

This module is intended for countries that are in stage 1 of strengthening their surveillance and response system for foodborne diseases, and contains...

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