Outbreaks of Food Borne Diseases in the Lazio Region, Italy: The Results of Epidemiological Field Investigations
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 outbr...
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| Veröffentlicht in: | European journal of epidemiology 2003-01, Vol.18 (7), p.699-702 |
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| creator | Faustini, A. Rossi, P. Giorgi Perucci, C. A. Food Borne Outbreak Control Teams |
| description | 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. |
| doi_str_mv | 10.1023/A:1024884416468 |
| format | Article |
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Giorgi ; Perucci, C. A. ; Food Borne Outbreak Control Teams</creator><creatorcontrib>Faustini, A. ; Rossi, P. Giorgi ; Perucci, C. A. ; Food Borne Outbreak Control Teams ; Food borne Outbreak Control Teams</creatorcontrib><description>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.</description><identifier>ISSN: 0393-2990</identifier><identifier>EISSN: 1573-7284</identifier><identifier>DOI: 10.1023/A:1024884416468</identifier><identifier>PMID: 12952146</identifier><identifier>CODEN: EJEPE8</identifier><language>eng</language><publisher>Dordrecht: Kluwer Academic Publishers</publisher><subject>Agaricales ; Bacterial diseases ; Bacterial diseases of the digestive system and abdomen ; Biological and medical sciences ; Cohort Studies ; Dairy Products - microbiology ; Diarrhea - epidemiology ; Diarrhea - microbiology ; Disease ; Disease Notification ; Disease outbreaks ; Disease Outbreaks - statistics & numerical data ; Eggs ; Eggs - microbiology ; Epidemiologic Studies ; Epidemiology ; Etiology ; Field tests ; Food ; Food Microbiology ; Food processing ; Food safety ; Food Service, Hospital - statistics & numerical data ; Foodborne diseases ; Foodborne Diseases - epidemiology ; Foodborne Diseases - microbiology ; Foodborne illnesses ; Hospitals ; Human bacterial diseases ; Humans ; Incidence ; Infectious Diseases ; Italy - epidemiology ; Meat ; Meat - microbiology ; Medical sciences ; Needs Assessment ; Outbreaks ; Public health ; Restaurants - statistics & numerical data ; Risk Factors ; Salmonella ; Salmonella Food Poisoning - epidemiology ; Salmonella Food Poisoning - microbiology ; Seasons ; Shellfish ; Shellfish - microbiology ; Surveys and Questionnaires ; Toxins ; Vegetables ; Vegetables - microbiology ; Vehicles</subject><ispartof>European journal of epidemiology, 2003-01, Vol.18 (7), p.699-702</ispartof><rights>Copyright 2003 Kluwer Academic Publishers</rights><rights>2004 INIST-CNRS</rights><rights>Copyright (c) 2003 Kluwer Academic Publishers</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c371t-97d9d4aaf11f1e7e7896032bb3d8d36e6d067c35f29b97affd336d487ade09303</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/3583085$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/3583085$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,780,784,803,27924,27925,58017,58250</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15041332$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12952146$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Faustini, A.</creatorcontrib><creatorcontrib>Rossi, P. Giorgi</creatorcontrib><creatorcontrib>Perucci, C. A.</creatorcontrib><creatorcontrib>Food Borne Outbreak Control Teams</creatorcontrib><creatorcontrib>Food borne Outbreak Control Teams</creatorcontrib><title>Outbreaks of Food Borne Diseases in the Lazio Region, Italy: The Results of Epidemiological Field Investigations</title><title>European journal of epidemiology</title><addtitle>Eur J Epidemiol</addtitle><description>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.</description><subject>Agaricales</subject><subject>Bacterial diseases</subject><subject>Bacterial diseases of the digestive system and abdomen</subject><subject>Biological and medical sciences</subject><subject>Cohort Studies</subject><subject>Dairy Products - microbiology</subject><subject>Diarrhea - epidemiology</subject><subject>Diarrhea - microbiology</subject><subject>Disease</subject><subject>Disease Notification</subject><subject>Disease outbreaks</subject><subject>Disease Outbreaks - statistics & numerical data</subject><subject>Eggs</subject><subject>Eggs - microbiology</subject><subject>Epidemiologic Studies</subject><subject>Epidemiology</subject><subject>Etiology</subject><subject>Field tests</subject><subject>Food</subject><subject>Food Microbiology</subject><subject>Food processing</subject><subject>Food safety</subject><subject>Food Service, Hospital - statistics & numerical data</subject><subject>Foodborne diseases</subject><subject>Foodborne Diseases - epidemiology</subject><subject>Foodborne Diseases - microbiology</subject><subject>Foodborne illnesses</subject><subject>Hospitals</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infectious Diseases</subject><subject>Italy - epidemiology</subject><subject>Meat</subject><subject>Meat - microbiology</subject><subject>Medical sciences</subject><subject>Needs Assessment</subject><subject>Outbreaks</subject><subject>Public health</subject><subject>Restaurants - statistics & numerical data</subject><subject>Risk Factors</subject><subject>Salmonella</subject><subject>Salmonella Food Poisoning - epidemiology</subject><subject>Salmonella Food Poisoning - microbiology</subject><subject>Seasons</subject><subject>Shellfish</subject><subject>Shellfish - microbiology</subject><subject>Surveys and Questionnaires</subject><subject>Toxins</subject><subject>Vegetables</subject><subject>Vegetables - microbiology</subject><subject>Vehicles</subject><issn>0393-2990</issn><issn>1573-7284</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpVkM1vEzEQxS0EoqFw5oKQhcSNpfaO1x-9hdJApEiVqnJeedfj4LBZp_YuUvnrMSSi4vQO83szbx4hrzn7yFkNF8vLIkJrIbgUUj8hC94oqFStxVOyYGCgqo1hZ-RFzjvGmGameU7OeG2amgu5IIebeeoS2h-ZRk9XMTr6KaYR6eeQ0WbMNIx0-o50Y3-FSG9xG-L4ga4nOzxc0rsyuMU8D9Nf-_UhONyHOMRt6O1AVwEHR9fjT8xT2NqpWPNL8szbIeOrk56Tb6vru6uv1ebmy_pqual6UHyqjHLGCWs9556jQqWNZFB3HTjtQKJ0TKoeGl-bzijrvQOQTmhlHTIDDM7Ju-PeQ4r3cwnQ7uKcxnKyLZ_rBiSTBbo4Qn2KOSf07SGFvU0PLWftn4LbZftfwcXx9rR27vboHvlTowV4fwJsLh34ZMc-5EeuYYID1IV7c-R2eYrp3xwaDayk-w0HKoui</recordid><startdate>20030101</startdate><enddate>20030101</enddate><creator>Faustini, A.</creator><creator>Rossi, P. 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A.</creator><creator>Food Borne Outbreak Control Teams</creator><general>Kluwer Academic Publishers</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7T2</scope><scope>7TK</scope><scope>7TS</scope><scope>7U7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope></search><sort><creationdate>20030101</creationdate><title>Outbreaks of Food Borne Diseases in the Lazio Region, Italy: The Results of Epidemiological Field Investigations</title><author>Faustini, A. ; Rossi, P. 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A. ; Food Borne Outbreak Control Teams</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c371t-97d9d4aaf11f1e7e7896032bb3d8d36e6d067c35f29b97affd336d487ade09303</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Agaricales</topic><topic>Bacterial diseases</topic><topic>Bacterial diseases of the digestive system and abdomen</topic><topic>Biological and medical sciences</topic><topic>Cohort Studies</topic><topic>Dairy Products - microbiology</topic><topic>Diarrhea - epidemiology</topic><topic>Diarrhea - microbiology</topic><topic>Disease</topic><topic>Disease Notification</topic><topic>Disease outbreaks</topic><topic>Disease Outbreaks - statistics & numerical data</topic><topic>Eggs</topic><topic>Eggs - microbiology</topic><topic>Epidemiologic Studies</topic><topic>Epidemiology</topic><topic>Etiology</topic><topic>Field tests</topic><topic>Food</topic><topic>Food Microbiology</topic><topic>Food processing</topic><topic>Food safety</topic><topic>Food Service, Hospital - statistics & numerical data</topic><topic>Foodborne diseases</topic><topic>Foodborne Diseases - epidemiology</topic><topic>Foodborne Diseases - microbiology</topic><topic>Foodborne illnesses</topic><topic>Hospitals</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infectious Diseases</topic><topic>Italy - epidemiology</topic><topic>Meat</topic><topic>Meat - microbiology</topic><topic>Medical sciences</topic><topic>Needs Assessment</topic><topic>Outbreaks</topic><topic>Public health</topic><topic>Restaurants - statistics & numerical data</topic><topic>Risk Factors</topic><topic>Salmonella</topic><topic>Salmonella Food Poisoning - epidemiology</topic><topic>Salmonella Food Poisoning - microbiology</topic><topic>Seasons</topic><topic>Shellfish</topic><topic>Shellfish - microbiology</topic><topic>Surveys and Questionnaires</topic><topic>Toxins</topic><topic>Vegetables</topic><topic>Vegetables - microbiology</topic><topic>Vehicles</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Faustini, A.</creatorcontrib><creatorcontrib>Rossi, P. 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A.</creatorcontrib><creatorcontrib>Food Borne Outbreak Control Teams</creatorcontrib><creatorcontrib>Food borne Outbreak Control Teams</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><jtitle>European journal of epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Faustini, A.</au><au>Rossi, P. Giorgi</au><au>Perucci, C. A.</au><au>Food Borne Outbreak Control Teams</au><aucorp>Food borne Outbreak Control Teams</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outbreaks of Food Borne Diseases in the Lazio Region, Italy: The Results of Epidemiological Field Investigations</atitle><jtitle>European journal of epidemiology</jtitle><addtitle>Eur J Epidemiol</addtitle><date>2003-01-01</date><risdate>2003</risdate><volume>18</volume><issue>7</issue><spage>699</spage><epage>702</epage><pages>699-702</pages><issn>0393-2990</issn><eissn>1573-7284</eissn><coden>EJEPE8</coden><abstract>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.</abstract><cop>Dordrecht</cop><pub>Kluwer Academic Publishers</pub><pmid>12952146</pmid><doi>10.1023/A:1024884416468</doi><tpages>4</tpages></addata></record> |
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| ispartof | European journal of epidemiology, 2003-01, Vol.18 (7), p.699-702 |
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| subjects | Agaricales Bacterial diseases Bacterial diseases of the digestive system and abdomen Biological and medical sciences Cohort Studies Dairy Products - microbiology Diarrhea - epidemiology Diarrhea - microbiology Disease Disease Notification Disease outbreaks Disease Outbreaks - statistics & numerical data Eggs Eggs - microbiology Epidemiologic Studies Epidemiology Etiology Field tests Food Food Microbiology Food processing Food safety Food Service, Hospital - statistics & numerical data Foodborne diseases Foodborne Diseases - epidemiology Foodborne Diseases - microbiology Foodborne illnesses Hospitals Human bacterial diseases Humans Incidence Infectious Diseases Italy - epidemiology Meat Meat - microbiology Medical sciences Needs Assessment Outbreaks Public health Restaurants - statistics & numerical data Risk Factors Salmonella Salmonella Food Poisoning - epidemiology Salmonella Food Poisoning - microbiology Seasons Shellfish Shellfish - microbiology Surveys and Questionnaires Toxins Vegetables Vegetables - microbiology Vehicles |
| title | Outbreaks of Food Borne Diseases in the Lazio Region, Italy: The Results of Epidemiological Field Investigations |
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