Amy Saupe, MPH1, Alida Sorensen2, Joshua M Rounds, MPH1, Nicole Hedeen, MS, RS3, Carol Hooker4, Erica H Bagstad5, Roee Reinberg6, Mary Elizabeth Horn1, Ginette Dobbins1, Elizabeth Cebelinski1 and Kirk Smith, DVM, MS, PhD1, (1)Minnesota Department of Health, St. Paul, MN, (2)Minnesota Department of Agriculture, St. Paul, MN, (3)Minnesota Department of Health, St Paul, MN, (4)Hennepin County Human Services and Public Health Department, Hopkins, MN, (5)Hennepin County Human Services and Public Health, Hopkins, MN, (6)City of Minneapolis Health Department, Minneapolis, MN