Document Detail

Risk factors for transmission of foodborne illness in restaurants and street vendors in Jakarta, Indonesia.
MedLine Citation:
PMID:  15473149     Owner:  NLM     Status:  MEDLINE    
In a previous risk factor study in Jakarta we identified purchasing street food as an independent risk factor for paratyphoid. Eating from restaurants, however, was not associated with disease. To explain these findings we compared 128 street food-vendors with 74 food handlers from restaurants in a cross-sectional study in the same study area. Poor hand-washing hygiene and direct hand contact with foods, male sex and low educational level were independent characteristics of street vendors in a logistic regression analysis. Faecal contamination of drinking water (in 65 % of samples), dishwater (in 91 %) and ice cubes (in 100 %) was frequent. Directly transmittable pathogens including S. typhi (n = 1) and non-typhoidal Salmonella spp. (n = 6) were isolated in faecal samples in 13 (7 %) vendors; the groups did not differ, however, in contamination rates of drinking water and Salmonella isolation rates in stools. Poor hygiene of street vendors compared to restaurant vendors, in combination with faecal carriage of enteric pathogens including S. typhi, may help explain the association found between purchasing street food and foodborne illness, in particular Salmonella infections. Public health interventions to reduce transmission of foodborne illness should focus on general hygienic measures in street food trade, i.e. hand washing with soap, adequate food-handling hygiene, and frequent renewal of dishwater.
A M Vollaard; S Ali; H A G H van Asten; I Suhariah Ismid; S Widjaja; L G Visser; Ch Surjadi; J T van Dissel
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Epidemiology and infection     Volume:  132     ISSN:  0950-2688     ISO Abbreviation:  Epidemiol. Infect.     Publication Date:  2004 Oct 
Date Detail:
Created Date:  2004-10-11     Completed Date:  2004-10-21     Revised Date:  2010-05-17    
Medline Journal Info:
Nlm Unique ID:  8703737     Medline TA:  Epidemiol Infect     Country:  England    
Other Details:
Languages:  eng     Pagination:  863-72     Citation Subset:  IM    
Department of Infectious Diseases, Leiden University Medical Centre, Leiden, The Netherlands.
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MeSH Terms
Cross-Sectional Studies
Food Handling*
Food Microbiology*
Foodborne Diseases / epidemiology*,  microbiology
Indonesia / epidemiology
Middle Aged
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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