Multilevel Analysis of Childhood Nonviral Gastroenteritis Associated With Environmental Risk Factors in Quebec, 1999―2006
Childhood nonviral gastroenteritis is a priority for various public health authorities. Given that waterborne transmission is sometimes incriminated during investigation of gastroenteritis outbreaks, the authors hypothesized that watershed characteristics may influence the occurrence of this disease...
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| Veröffentlicht in: | Journal of environmental health 2013-10, Vol.76 (3), p.34-45 |
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| creator | KABORE, Henri LEBEL, Alexandre LEVALLOIS, Patrick MICHEL, Pascal PAYMENT, Pierre DERY, Pierre LEBEL, Germain |
| description | Childhood nonviral gastroenteritis is a priority for various public health authorities. Given that waterborne transmission is sometimes incriminated during investigation of gastroenteritis outbreaks, the authors hypothesized that watershed characteristics may influence the occurrence of this disease and could contribute additional insights for better prevention and control. The study described here aimed to investigate watershed characteristics in relation to nonviral gastroenteritis and specifically three bacterial and parasitic forms of childhood gastroenteritis to assess their relative importance in the province of Quebec, Canada. Information on children aged 0-4 years with bacterial or parasitic enteric infections reported through ongoing surveillance between 1999 and 2006 in the province of Quebec was collected. Factors measured at the municipal and watershed levels were analyzed using multilevel models with a Poisson distribution and log link function. Childhood nonviral gastroenteritis, giardiasis, and campylobacteriosis were positively associated with small ruminants and cattle density. Childhood salmonellosis was positively associated with cattle density. Also, childhood campylobacteriosis incidence was positively associated with larger watershed agricultural surface. In addition to local agroenvironmental factors, this analysis revealed an important watershed effect. |
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Given that waterborne transmission is sometimes incriminated during investigation of gastroenteritis outbreaks, the authors hypothesized that watershed characteristics may influence the occurrence of this disease and could contribute additional insights for better prevention and control. The study described here aimed to investigate watershed characteristics in relation to nonviral gastroenteritis and specifically three bacterial and parasitic forms of childhood gastroenteritis to assess their relative importance in the province of Quebec, Canada. Information on children aged 0-4 years with bacterial or parasitic enteric infections reported through ongoing surveillance between 1999 and 2006 in the province of Quebec was collected. Factors measured at the municipal and watershed levels were analyzed using multilevel models with a Poisson distribution and log link function. Childhood nonviral gastroenteritis, giardiasis, and campylobacteriosis were positively associated with small ruminants and cattle density. Childhood salmonellosis was positively associated with cattle density. Also, childhood campylobacteriosis incidence was positively associated with larger watershed agricultural surface. In addition to local agroenvironmental factors, this analysis revealed an important watershed effect.</description><identifier>ISSN: 0022-0892</identifier><identifier>PMID: 24288849</identifier><identifier>CODEN: JEVHAH</identifier><language>eng</language><publisher>Denver, CO: National Environmental Health Association</publisher><subject>Animals ; Bacteria ; Bacterial Infections - complications ; Bacterial Infections - transmission ; Biological and medical sciences ; Cattle ; Child, Preschool ; Children ; Density ; Disease control ; Disease Outbreaks ; Drinking water ; Environment. Living conditions ; Environmental Exposure - adverse effects ; Environmental risk ; Gastroenteritis ; Gastroenteritis - epidemiology ; Gastroenteritis - microbiology ; Gastroenteritis - parasitology ; General aspects ; Humans ; Infant ; Infant, Newborn ; Livestock - microbiology ; Livestock - parasitology ; Mathematical models ; Medical sciences ; Multilevel ; Multilevel Analysis ; Municipal water supply ; Parasitic Diseases - complications ; Parasitic Diseases - transmission ; Poisson Distribution ; Population Density ; Population Surveillance ; Public health ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Quebec - epidemiology ; Risk Factors ; Ruminantia ; Salmonidae ; Studies ; Water Microbiology ; Water quality ; Water Resources - analysis ; Watersheds ; Zoonoses - microbiology ; Zoonoses - parasitology ; Zoonoses - transmission</subject><ispartof>Journal of environmental health, 2013-10, Vol.76 (3), p.34-45</ispartof><rights>2014 INIST-CNRS</rights><rights>COPYRIGHT 2013 National Environmental Health Association</rights><rights>COPYRIGHT 2013 National Environmental Health Association</rights><rights>Copyright National Environmental Health Association Oct 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=27753246$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24288849$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>KABORE, Henri</creatorcontrib><creatorcontrib>LEBEL, Alexandre</creatorcontrib><creatorcontrib>LEVALLOIS, Patrick</creatorcontrib><creatorcontrib>MICHEL, Pascal</creatorcontrib><creatorcontrib>PAYMENT, Pierre</creatorcontrib><creatorcontrib>DERY, Pierre</creatorcontrib><creatorcontrib>LEBEL, Germain</creatorcontrib><title>Multilevel Analysis of Childhood Nonviral Gastroenteritis Associated With Environmental Risk Factors in Quebec, 1999―2006</title><title>Journal of environmental health</title><addtitle>J Environ Health</addtitle><description>Childhood nonviral gastroenteritis is a priority for various public health authorities. Given that waterborne transmission is sometimes incriminated during investigation of gastroenteritis outbreaks, the authors hypothesized that watershed characteristics may influence the occurrence of this disease and could contribute additional insights for better prevention and control. The study described here aimed to investigate watershed characteristics in relation to nonviral gastroenteritis and specifically three bacterial and parasitic forms of childhood gastroenteritis to assess their relative importance in the province of Quebec, Canada. Information on children aged 0-4 years with bacterial or parasitic enteric infections reported through ongoing surveillance between 1999 and 2006 in the province of Quebec was collected. Factors measured at the municipal and watershed levels were analyzed using multilevel models with a Poisson distribution and log link function. Childhood nonviral gastroenteritis, giardiasis, and campylobacteriosis were positively associated with small ruminants and cattle density. Childhood salmonellosis was positively associated with cattle density. Also, childhood campylobacteriosis incidence was positively associated with larger watershed agricultural surface. In addition to local agroenvironmental factors, this analysis revealed an important watershed effect.</description><subject>Animals</subject><subject>Bacteria</subject><subject>Bacterial Infections - complications</subject><subject>Bacterial Infections - transmission</subject><subject>Biological and medical sciences</subject><subject>Cattle</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Density</subject><subject>Disease control</subject><subject>Disease Outbreaks</subject><subject>Drinking water</subject><subject>Environment. Living conditions</subject><subject>Environmental Exposure - adverse effects</subject><subject>Environmental risk</subject><subject>Gastroenteritis</subject><subject>Gastroenteritis - epidemiology</subject><subject>Gastroenteritis - microbiology</subject><subject>Gastroenteritis - parasitology</subject><subject>General aspects</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Livestock - microbiology</subject><subject>Livestock - parasitology</subject><subject>Mathematical models</subject><subject>Medical sciences</subject><subject>Multilevel</subject><subject>Multilevel Analysis</subject><subject>Municipal water supply</subject><subject>Parasitic Diseases - complications</subject><subject>Parasitic Diseases - transmission</subject><subject>Poisson Distribution</subject><subject>Population Density</subject><subject>Population Surveillance</subject><subject>Public health</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Quebec - epidemiology</subject><subject>Risk Factors</subject><subject>Ruminantia</subject><subject>Salmonidae</subject><subject>Studies</subject><subject>Water Microbiology</subject><subject>Water quality</subject><subject>Water Resources - analysis</subject><subject>Watersheds</subject><subject>Zoonoses - microbiology</subject><subject>Zoonoses - parasitology</subject><subject>Zoonoses - transmission</subject><issn>0022-0892</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqV081uEzEQB_A9gGgpvAKyhEAgschf6_Ueo6gNlUIjSgXH1cQ7m7g463btrai48BK8IE-CI4JKUARBPvjym7E8f_tedkgp5znVFT_IHoZwSSllXMsH2QGXXGstq8Psy9vBRevwBh0ZdeBugw3Et2S8tK5Zet-QM9_d2B4cmUCIvccuYm9jUqMQvLEQsSEfbVyS47Xz3SqJpM9t-EROwETfB2I78m7AOZpXhFVV9f3rN06pepTdb8EFfLzZj7KLk-OL8Zt8OpucjkfTfKFkEXOmS4ESDeNzmItSUV1UpmQcCsYogOYCmnlVFE3LOdOaA2sYKNG0igoohDjKXvxse9X76wFDrFc2GHQOOvRDqJkqWZpHoem_qVRSVqpgeg8qhSi5UEWiT_-gl37o07DXSpSsFELpO7UAh7XtWh97MOum9UhIkU7mcn2ZfIdaYIcpIt9hm7Lc9q93-LQaXFmzs-DlVkEyET_HBQwh1Kfvz__Dnu1vZx_2tnoy_dtANtZ453CBdXpI49m2f_6bXyK4uAzeDdH6LmzDJ5vUhvkKm_qqtyvob-tffyeBZxsAwYBre-iMDXeuLAvBpRI_AFsuF4w</recordid><startdate>20131001</startdate><enddate>20131001</enddate><creator>KABORE, Henri</creator><creator>LEBEL, Alexandre</creator><creator>LEVALLOIS, Patrick</creator><creator>MICHEL, Pascal</creator><creator>PAYMENT, Pierre</creator><creator>DERY, Pierre</creator><creator>LEBEL, Germain</creator><general>National Environmental Health Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>8GL</scope><scope>IOV</scope><scope>ISN</scope><scope>ISR</scope><scope>3V.</scope><scope>4S-</scope><scope>4T-</scope><scope>4U-</scope><scope>7QL</scope><scope>7RV</scope><scope>7T2</scope><scope>7T7</scope><scope>7U7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>L6V</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>M7N</scope><scope>M7S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PATMY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>Q9U</scope><scope>R05</scope><scope>S0X</scope><scope>7U1</scope><scope>7U2</scope><scope>7X8</scope><scope>7SU</scope><scope>KR7</scope></search><sort><creationdate>20131001</creationdate><title>Multilevel Analysis of Childhood Nonviral Gastroenteritis Associated With Environmental Risk Factors in Quebec, 1999―2006</title><author>KABORE, Henri ; LEBEL, Alexandre ; LEVALLOIS, Patrick ; MICHEL, Pascal ; PAYMENT, Pierre ; DERY, Pierre ; LEBEL, Germain</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-g645t-1873e4ec12bab3760859c712a5110aa823adb955df221882a1d1a63df603a533</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Animals</topic><topic>Bacteria</topic><topic>Bacterial Infections - complications</topic><topic>Bacterial Infections - transmission</topic><topic>Biological and medical sciences</topic><topic>Cattle</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Density</topic><topic>Disease control</topic><topic>Disease Outbreaks</topic><topic>Drinking water</topic><topic>Environment. 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Health</addtitle><date>2013-10-01</date><risdate>2013</risdate><volume>76</volume><issue>3</issue><spage>34</spage><epage>45</epage><pages>34-45</pages><issn>0022-0892</issn><coden>JEVHAH</coden><abstract>Childhood nonviral gastroenteritis is a priority for various public health authorities. Given that waterborne transmission is sometimes incriminated during investigation of gastroenteritis outbreaks, the authors hypothesized that watershed characteristics may influence the occurrence of this disease and could contribute additional insights for better prevention and control. The study described here aimed to investigate watershed characteristics in relation to nonviral gastroenteritis and specifically three bacterial and parasitic forms of childhood gastroenteritis to assess their relative importance in the province of Quebec, Canada. Information on children aged 0-4 years with bacterial or parasitic enteric infections reported through ongoing surveillance between 1999 and 2006 in the province of Quebec was collected. Factors measured at the municipal and watershed levels were analyzed using multilevel models with a Poisson distribution and log link function. Childhood nonviral gastroenteritis, giardiasis, and campylobacteriosis were positively associated with small ruminants and cattle density. Childhood salmonellosis was positively associated with cattle density. Also, childhood campylobacteriosis incidence was positively associated with larger watershed agricultural surface. In addition to local agroenvironmental factors, this analysis revealed an important watershed effect.</abstract><cop>Denver, CO</cop><pub>National Environmental Health Association</pub><pmid>24288849</pmid><tpages>12</tpages></addata></record> |
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| ispartof | Journal of environmental health, 2013-10, Vol.76 (3), p.34-45 |
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| source | MEDLINE; JSTOR Archive Collection A-Z Listing |
| subjects | Animals Bacteria Bacterial Infections - complications Bacterial Infections - transmission Biological and medical sciences Cattle Child, Preschool Children Density Disease control Disease Outbreaks Drinking water Environment. Living conditions Environmental Exposure - adverse effects Environmental risk Gastroenteritis Gastroenteritis - epidemiology Gastroenteritis - microbiology Gastroenteritis - parasitology General aspects Humans Infant Infant, Newborn Livestock - microbiology Livestock - parasitology Mathematical models Medical sciences Multilevel Multilevel Analysis Municipal water supply Parasitic Diseases - complications Parasitic Diseases - transmission Poisson Distribution Population Density Population Surveillance Public health Public health. Hygiene Public health. Hygiene-occupational medicine Quebec - epidemiology Risk Factors Ruminantia Salmonidae Studies Water Microbiology Water quality Water Resources - analysis Watersheds Zoonoses - microbiology Zoonoses - parasitology Zoonoses - transmission |
| title | Multilevel Analysis of Childhood Nonviral Gastroenteritis Associated With Environmental Risk Factors in Quebec, 1999―2006 |
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