| Outbreaks of food borne diseases in the Lazio region, Italy: the results of epidemiological field investigations. | |
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MedLine Citation:
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PMID: 12952146 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: More thorough information about risks, exposures and vehicles of food borne diseases can be obtained from epidemiological field investigations than from infectious disease reports or laboratory data. METHODS: We analysed the results of 410 field investigations of food borne disease outbreaks reported from 1996 to 2000 and conducted as cohort studies. RESULTS: The incidence of food borne outbreaks increased from 0.8/100,000 in 1996 to 2.0 in 1999, as did the incidence of salmonellosis (from 16/100,000 to 21 in the same period) and diarrhoea episodes reported by laboratories (from 12/100,000 in 1997 to 29 in 1999). Of the food borne disease outbreaks, 264 (64.4%) occurred in private homes; 5 (1.2%) in hospitals; 31 (7.6%) in canteens and refectories, 84 (20.5%) in restaurants, 41 of which occurred during special functions. The home outbreaks exposed few people (average of 7), had high attack rates (61.7% average) and a high proportion of known aetiology (66%), while food borne disease outbreaks in canteens and restaurants (during special functions) exposed many people (300 and 81, respectively), had medium attack rates (19.7 and 34.5%, respectively) and a higher proportion of confirmed vehicles (50 and 49%, respectively), compared to those occurring at home (21%). Salmonella spp. was the most frequent agent detected in each setting (67% of confirmed cases). The most frequent vehicles at home were mushrooms and sweets containing eggs and cream; in canteens, meat and vegetables and in restaurants, shellfish. CONCLUSIONS: Outbreak characteristics varied according to the setting. This implies the need for a different approach of field investigations, and different preventive measures. |
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Authors:
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A Faustini; P Giorgi Rossi; C A Perucci; |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: European journal of epidemiology Volume: 18 ISSN: 0393-2990 ISO Abbreviation: Eur. J. Epidemiol. Publication Date: 2003 |
Date Detail:
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Created Date: 2003-09-03 Completed Date: 2003-11-17 Revised Date: 2009-11-19 |
Medline Journal Info:
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Nlm Unique ID: 8508062 Medline TA: Eur J Epidemiol Country: Netherlands |
Other Details:
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Languages: eng Pagination: 699-702 Citation Subset: IM |
Affiliation:
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Department of Epidemiology, Local Health Unit RME, Rome, Italy. malinf1@asplazio.it |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Agaricales Cohort Studies Dairy Products / microbiology Diarrhea / epidemiology, microbiology Disease Notification Disease Outbreaks / statistics & numerical data* Eggs / microbiology Epidemiologic Studies Food Microbiology Food Service, Hospital / statistics & numerical data Foodborne Diseases / epidemiology*, microbiology Humans Incidence Italy / epidemiology Meat / microbiology Needs Assessment Questionnaires Restaurants / statistics & numerical data Risk Factors Salmonella Food Poisoning / epidemiology, microbiology Seasons Shellfish / microbiology Vegetables / microbiology |
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