A multistate outbreak of hepatitis A caused by the consumption of raw oysters
Background. In August 1988 we investigated a multistate outbreak of hepatitis A caused by Panama City, Florida, raw oysters. Methods. Cases of hepatitis A (HA) with onset in July-August 1988 were identified among persons who ate seafoods harvested in the coastal waters of Panama City, Florida. We co...
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| Veröffentlicht in: | American journal of public health (1971) 1991-10, Vol.81 (10), p.1268-1272 |
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| container_title | American journal of public health (1971) |
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| creator | Desenclos, J.C.A. (European Centre for the Epidemiological Monitoring of AIDS, Saint Maurice, France) Klontz, K.C Wilder, M.H Nainan, O.V Margolis, H.S Gunn, R.A |
| description | Background. In August 1988 we investigated a multistate outbreak of hepatitis A caused by Panama City, Florida, raw oysters. Methods. Cases of hepatitis A (HA) with onset in July-August 1988 were identified among persons who ate seafoods harvested in the coastal waters of Panama City, Florida. We conducted a case-control study, using eating companions of case-patients, and calculated attack rate (AR) per 1000 dozen raw oysters served. Enzyme immunoassay (EIA) and a polymerase chain reaction (PCR) technique were performed on samples of raw shellfish obtained from Panama City coastal waters. Results. Sixty-one case-patients were identified in five states: Alabama (23), Georgia (18), Florida (18), Tennessee (1), and Hawaii (1). We found an increased risk of HA for raw oyster eaters (odds ratio = 24.0; 95% confidence interval = 5.4-215.0; P 0.001). The AR of HA in seafood establishments was 1.9/1000 dozen raw oysters served. The EIA and PCR revealed HA virus antigen and nucleic acid in oysters from both unapproved and approved oyster beds, in confiscated illegally harvested oysters, and in scallops from an approved area. Conclusions. The monitoring of coastal waters and the enforcement of shellfish harvesting regulations were not adequate to protect raw oyster consumers. More emphasis should be placed on increasing public awareness of health hazards associated with eating raw shellfish |
| doi_str_mv | 10.2105/AJPH.81.10.1268 |
| format | Article |
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(European Centre for the Epidemiological Monitoring of AIDS, Saint Maurice, France) ; Klontz, K.C ; Wilder, M.H ; Nainan, O.V ; Margolis, H.S ; Gunn, R.A</creator><creatorcontrib>Desenclos, J.C.A. (European Centre for the Epidemiological Monitoring of AIDS, Saint Maurice, France) ; Klontz, K.C ; Wilder, M.H ; Nainan, O.V ; Margolis, H.S ; Gunn, R.A</creatorcontrib><description>Background. In August 1988 we investigated a multistate outbreak of hepatitis A caused by Panama City, Florida, raw oysters. Methods. Cases of hepatitis A (HA) with onset in July-August 1988 were identified among persons who ate seafoods harvested in the coastal waters of Panama City, Florida. We conducted a case-control study, using eating companions of case-patients, and calculated attack rate (AR) per 1000 dozen raw oysters served. Enzyme immunoassay (EIA) and a polymerase chain reaction (PCR) technique were performed on samples of raw shellfish obtained from Panama City coastal waters. Results. Sixty-one case-patients were identified in five states: Alabama (23), Georgia (18), Florida (18), Tennessee (1), and Hawaii (1). We found an increased risk of HA for raw oyster eaters (odds ratio = 24.0; 95% confidence interval = 5.4-215.0; P 0.001). The AR of HA in seafood establishments was 1.9/1000 dozen raw oysters served. The EIA and PCR revealed HA virus antigen and nucleic acid in oysters from both unapproved and approved oyster beds, in confiscated illegally harvested oysters, and in scallops from an approved area. Conclusions. The monitoring of coastal waters and the enforcement of shellfish harvesting regulations were not adequate to protect raw oyster consumers. More emphasis should be placed on increasing public awareness of health hazards associated with eating raw shellfish</description><identifier>ISSN: 0090-0036</identifier><identifier>EISSN: 1541-0048</identifier><identifier>DOI: 10.2105/AJPH.81.10.1268</identifier><identifier>PMID: 1928524</identifier><identifier>CODEN: AJPEAG</identifier><language>eng</language><publisher>Washington, DC: Am Public Health Assoc</publisher><subject>Adolescent ; Adult ; ALIMENTOS ; Animals ; BACTERIA COLIFORME ; BACTERIE COLIFORME ; Biological and medical sciences ; Case-Control Studies ; Child ; CONTAMINACION ; CONTAMINATION ; CONTEO DE CELULAS ; Disease Outbreaks ; ENFERMEDADES TRANSM POR ALIMENTOS ; ENTEROVIRUS ; Enzyme-Linked Immunosorbent Assay ; EPIDEMIOLOGIA ; EPIDEMIOLOGIE ; ESTADOS UNIDOS DE AMERICA ; ETATS UNIS ; Female ; Florida ; Food contamination & poisoning ; Food Microbiology ; Foodborne Diseases - epidemiology ; Foodborne Diseases - etiology ; Health hazards ; Hepatitis ; Hepatitis A ; Hepatitis A - epidemiology ; Hepatitis A - etiology ; HUITRE ; Human viral diseases ; Humans ; Infectious diseases ; MALADIE TRANSMISSIBLE PAR ALIMENT ; Male ; Medical sciences ; Middle Aged ; NUMERATION CELLULAIRE ; OSTRA ; Ostreidae - microbiology ; Oysters ; Perceptions ; PRODUIT ALIMENTAIRE ; Public health ; Shellfish ; Viral diseases ; Viral hepatitis ; Water Microbiology</subject><ispartof>American journal of public health (1971), 1991-10, Vol.81 (10), p.1268-1272</ispartof><rights>1992 INIST-CNRS</rights><rights>Copyright American Public Health Association Oct 1991</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c555t-4aeacf0b39efa9e6b474adc5e4e276f4d1089913b2bd0fddb89e3cdd16d717883</citedby><cites>FETCH-LOGICAL-c555t-4aeacf0b39efa9e6b474adc5e4e276f4d1089913b2bd0fddb89e3cdd16d717883</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1405303/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1405303/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27843,27846,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=5000326$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1928524$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Desenclos, J.C.A. (European Centre for the Epidemiological Monitoring of AIDS, Saint Maurice, France)</creatorcontrib><creatorcontrib>Klontz, K.C</creatorcontrib><creatorcontrib>Wilder, M.H</creatorcontrib><creatorcontrib>Nainan, O.V</creatorcontrib><creatorcontrib>Margolis, H.S</creatorcontrib><creatorcontrib>Gunn, R.A</creatorcontrib><title>A multistate outbreak of hepatitis A caused by the consumption of raw oysters</title><title>American journal of public health (1971)</title><addtitle>Am J Public Health</addtitle><description>Background. In August 1988 we investigated a multistate outbreak of hepatitis A caused by Panama City, Florida, raw oysters. Methods. Cases of hepatitis A (HA) with onset in July-August 1988 were identified among persons who ate seafoods harvested in the coastal waters of Panama City, Florida. We conducted a case-control study, using eating companions of case-patients, and calculated attack rate (AR) per 1000 dozen raw oysters served. Enzyme immunoassay (EIA) and a polymerase chain reaction (PCR) technique were performed on samples of raw shellfish obtained from Panama City coastal waters. Results. Sixty-one case-patients were identified in five states: Alabama (23), Georgia (18), Florida (18), Tennessee (1), and Hawaii (1). We found an increased risk of HA for raw oyster eaters (odds ratio = 24.0; 95% confidence interval = 5.4-215.0; P 0.001). The AR of HA in seafood establishments was 1.9/1000 dozen raw oysters served. The EIA and PCR revealed HA virus antigen and nucleic acid in oysters from both unapproved and approved oyster beds, in confiscated illegally harvested oysters, and in scallops from an approved area. Conclusions. The monitoring of coastal waters and the enforcement of shellfish harvesting regulations were not adequate to protect raw oyster consumers. More emphasis should be placed on increasing public awareness of health hazards associated with eating raw shellfish</description><subject>Adolescent</subject><subject>Adult</subject><subject>ALIMENTOS</subject><subject>Animals</subject><subject>BACTERIA COLIFORME</subject><subject>BACTERIE COLIFORME</subject><subject>Biological and medical sciences</subject><subject>Case-Control Studies</subject><subject>Child</subject><subject>CONTAMINACION</subject><subject>CONTAMINATION</subject><subject>CONTEO DE CELULAS</subject><subject>Disease Outbreaks</subject><subject>ENFERMEDADES TRANSM POR ALIMENTOS</subject><subject>ENTEROVIRUS</subject><subject>Enzyme-Linked Immunosorbent Assay</subject><subject>EPIDEMIOLOGIA</subject><subject>EPIDEMIOLOGIE</subject><subject>ESTADOS UNIDOS DE AMERICA</subject><subject>ETATS UNIS</subject><subject>Female</subject><subject>Florida</subject><subject>Food contamination & poisoning</subject><subject>Food Microbiology</subject><subject>Foodborne Diseases - epidemiology</subject><subject>Foodborne Diseases - etiology</subject><subject>Health hazards</subject><subject>Hepatitis</subject><subject>Hepatitis A</subject><subject>Hepatitis A - epidemiology</subject><subject>Hepatitis A - etiology</subject><subject>HUITRE</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>MALADIE TRANSMISSIBLE PAR ALIMENT</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>NUMERATION CELLULAIRE</subject><subject>OSTRA</subject><subject>Ostreidae - microbiology</subject><subject>Oysters</subject><subject>Perceptions</subject><subject>PRODUIT ALIMENTAIRE</subject><subject>Public health</subject><subject>Shellfish</subject><subject>Viral diseases</subject><subject>Viral hepatitis</subject><subject>Water Microbiology</subject><issn>0090-0036</issn><issn>1541-0048</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1991</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>K30</sourceid><sourceid>7TQ</sourceid><recordid>eNp1kVGL1DAURoso6-zqsyAIRUV8mdncNGmTF2FY1FVWFHSfw22aTju2TU3SXebfm9JhdQWfkvCdnOTyJckzIBsKhJ9vP3-73AjYxDPQXDxIVsAZrAlh4mGyIkSSuM_yx8mp93tCACSHk-QEJBWcslXyZZv2UxdaHzCY1E6hdAZ_prZOGzNiaGOSblONkzdVWh7S0JhU28FP_RhaO8ygw9vUHnwwzj9JHtXYefP0uJ4l1x_e_7i4XF99_fjpYnu11pzzsGZoUNekzKSpUZq8ZAXDSnPDDC3ymlVAhJSQlbSsSF1VpZAm01UFeVVAIUR2lrxbvONU9qbSZggOOzW6tkd3UBZbdT8Z2kbt7I0CRnhGsih4cxQ4-2syPqi-9dp0HQ7GTl6BKDiXhYzgy3_AvZ3cEIdTFDjQIoPZ9up_EFApMhpdPFLnC6Wd9d6Z-u6_QNRcpprLVALm81xmvPHi7zH_8Et7MX99zNFr7GqHg279HcZJrJ7mEXu7YE27a25bZ5TvseuiFBTux-bei88XtEarcOei7fq7hILQgmW_AeijvUc</recordid><startdate>19911001</startdate><enddate>19911001</enddate><creator>Desenclos, J.C.A. (European Centre for the Epidemiological Monitoring of AIDS, Saint Maurice, France)</creator><creator>Klontz, K.C</creator><creator>Wilder, M.H</creator><creator>Nainan, O.V</creator><creator>Margolis, H.S</creator><creator>Gunn, R.A</creator><general>Am Public Health Assoc</general><general>American Public Health Association</general><scope>FBQ</scope><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>HDMVH</scope><scope>IBDFT</scope><scope>K30</scope><scope>PAAUG</scope><scope>PAWHS</scope><scope>PAWZZ</scope><scope>PAXOH</scope><scope>PBHAV</scope><scope>PBQSW</scope><scope>PBYQZ</scope><scope>PCIWU</scope><scope>PCMID</scope><scope>PCZJX</scope><scope>PDGRG</scope><scope>PDWWI</scope><scope>PETMR</scope><scope>PFVGT</scope><scope>PGXDX</scope><scope>PIHIL</scope><scope>PISVA</scope><scope>PJCTQ</scope><scope>PJTMS</scope><scope>PLCHJ</scope><scope>PMHAD</scope><scope>PNQDJ</scope><scope>POUND</scope><scope>PPLAD</scope><scope>PQAPC</scope><scope>PQCAN</scope><scope>PQCMW</scope><scope>PQEME</scope><scope>PQHKH</scope><scope>PQMID</scope><scope>PQNCT</scope><scope>PQNET</scope><scope>PQSCT</scope><scope>PQSET</scope><scope>PSVJG</scope><scope>PVMQY</scope><scope>PZGFC</scope><scope>7TQ</scope><scope>DHY</scope><scope>DON</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7TS</scope><scope>5PM</scope></search><sort><creationdate>19911001</creationdate><title>A multistate outbreak of hepatitis A caused by the consumption of raw oysters</title><author>Desenclos, J.C.A. (European Centre for the Epidemiological Monitoring of AIDS, Saint Maurice, France) ; Klontz, K.C ; Wilder, M.H ; Nainan, O.V ; Margolis, H.S ; Gunn, R.A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c555t-4aeacf0b39efa9e6b474adc5e4e276f4d1089913b2bd0fddb89e3cdd16d717883</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1991</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>ALIMENTOS</topic><topic>Animals</topic><topic>BACTERIA COLIFORME</topic><topic>BACTERIE COLIFORME</topic><topic>Biological and medical sciences</topic><topic>Case-Control Studies</topic><topic>Child</topic><topic>CONTAMINACION</topic><topic>CONTAMINATION</topic><topic>CONTEO DE CELULAS</topic><topic>Disease Outbreaks</topic><topic>ENFERMEDADES TRANSM POR ALIMENTOS</topic><topic>ENTEROVIRUS</topic><topic>Enzyme-Linked Immunosorbent Assay</topic><topic>EPIDEMIOLOGIA</topic><topic>EPIDEMIOLOGIE</topic><topic>ESTADOS UNIDOS DE AMERICA</topic><topic>ETATS UNIS</topic><topic>Female</topic><topic>Florida</topic><topic>Food contamination & poisoning</topic><topic>Food Microbiology</topic><topic>Foodborne Diseases - epidemiology</topic><topic>Foodborne Diseases - etiology</topic><topic>Health hazards</topic><topic>Hepatitis</topic><topic>Hepatitis A</topic><topic>Hepatitis A - epidemiology</topic><topic>Hepatitis A - etiology</topic><topic>HUITRE</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>MALADIE TRANSMISSIBLE PAR ALIMENT</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>NUMERATION CELLULAIRE</topic><topic>OSTRA</topic><topic>Ostreidae - microbiology</topic><topic>Oysters</topic><topic>Perceptions</topic><topic>PRODUIT ALIMENTAIRE</topic><topic>Public health</topic><topic>Shellfish</topic><topic>Viral diseases</topic><topic>Viral hepatitis</topic><topic>Water Microbiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Desenclos, J.C.A. (European Centre for the Epidemiological Monitoring of AIDS, Saint Maurice, France)</creatorcontrib><creatorcontrib>Klontz, K.C</creatorcontrib><creatorcontrib>Wilder, M.H</creatorcontrib><creatorcontrib>Nainan, O.V</creatorcontrib><creatorcontrib>Margolis, H.S</creatorcontrib><creatorcontrib>Gunn, R.A</creatorcontrib><collection>AGRIS</collection><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>Periodicals Index Online Segment 15</collection><collection>Periodicals Index Online Segment 27</collection><collection>Periodicals Index Online</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - West</collection><collection>Primary Sources Access (Plan D) - International</collection><collection>Primary Sources Access & Build (Plan A) - MEA</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - Midwest</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - Northeast</collection><collection>Primary Sources Access (Plan D) - Southeast</collection><collection>Primary Sources Access (Plan D) - North Central</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - Southeast</collection><collection>Primary Sources Access (Plan D) - South Central</collection><collection>Primary Sources Access & Build (Plan A) - UK / I</collection><collection>Primary Sources Access (Plan D) - Canada</collection><collection>Primary Sources Access (Plan D) - EMEALA</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - North Central</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - South Central</collection><collection>Primary Sources Access & Build (Plan A) - International</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - International</collection><collection>Primary Sources Access (Plan D) - West</collection><collection>Periodicals Index Online Segments 1-50</collection><collection>Primary Sources Access (Plan D) - APAC</collection><collection>Primary Sources Access (Plan D) - Midwest</collection><collection>Primary Sources Access (Plan D) - MEA</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - Canada</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - UK / I</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - EMEALA</collection><collection>Primary Sources Access & Build (Plan A) - APAC</collection><collection>Primary Sources Access & Build (Plan A) - Canada</collection><collection>Primary Sources Access & Build (Plan A) - West</collection><collection>Primary Sources Access & Build (Plan A) - EMEALA</collection><collection>Primary Sources Access (Plan D) - Northeast</collection><collection>Primary Sources Access & Build (Plan A) - Midwest</collection><collection>Primary Sources Access & Build (Plan A) - North Central</collection><collection>Primary Sources Access & Build (Plan A) - Northeast</collection><collection>Primary Sources Access & Build (Plan A) - South Central</collection><collection>Primary Sources Access & Build (Plan A) - Southeast</collection><collection>Primary Sources Access (Plan D) - UK / I</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - APAC</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - MEA</collection><collection>PAIS Index</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Physical Education Index</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>American journal of public health (1971)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Desenclos, J.C.A. (European Centre for the Epidemiological Monitoring of AIDS, Saint Maurice, France)</au><au>Klontz, K.C</au><au>Wilder, M.H</au><au>Nainan, O.V</au><au>Margolis, H.S</au><au>Gunn, R.A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A multistate outbreak of hepatitis A caused by the consumption of raw oysters</atitle><jtitle>American journal of public health (1971)</jtitle><addtitle>Am J Public Health</addtitle><date>1991-10-01</date><risdate>1991</risdate><volume>81</volume><issue>10</issue><spage>1268</spage><epage>1272</epage><pages>1268-1272</pages><issn>0090-0036</issn><eissn>1541-0048</eissn><coden>AJPEAG</coden><abstract>Background. In August 1988 we investigated a multistate outbreak of hepatitis A caused by Panama City, Florida, raw oysters. Methods. Cases of hepatitis A (HA) with onset in July-August 1988 were identified among persons who ate seafoods harvested in the coastal waters of Panama City, Florida. We conducted a case-control study, using eating companions of case-patients, and calculated attack rate (AR) per 1000 dozen raw oysters served. Enzyme immunoassay (EIA) and a polymerase chain reaction (PCR) technique were performed on samples of raw shellfish obtained from Panama City coastal waters. Results. Sixty-one case-patients were identified in five states: Alabama (23), Georgia (18), Florida (18), Tennessee (1), and Hawaii (1). We found an increased risk of HA for raw oyster eaters (odds ratio = 24.0; 95% confidence interval = 5.4-215.0; P 0.001). The AR of HA in seafood establishments was 1.9/1000 dozen raw oysters served. The EIA and PCR revealed HA virus antigen and nucleic acid in oysters from both unapproved and approved oyster beds, in confiscated illegally harvested oysters, and in scallops from an approved area. Conclusions. The monitoring of coastal waters and the enforcement of shellfish harvesting regulations were not adequate to protect raw oyster consumers. More emphasis should be placed on increasing public awareness of health hazards associated with eating raw shellfish</abstract><cop>Washington, DC</cop><pub>Am Public Health Assoc</pub><pmid>1928524</pmid><doi>10.2105/AJPH.81.10.1268</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult ALIMENTOS Animals BACTERIA COLIFORME BACTERIE COLIFORME Biological and medical sciences Case-Control Studies Child CONTAMINACION CONTAMINATION CONTEO DE CELULAS Disease Outbreaks ENFERMEDADES TRANSM POR ALIMENTOS ENTEROVIRUS Enzyme-Linked Immunosorbent Assay EPIDEMIOLOGIA EPIDEMIOLOGIE ESTADOS UNIDOS DE AMERICA ETATS UNIS Female Florida Food contamination & poisoning Food Microbiology Foodborne Diseases - epidemiology Foodborne Diseases - etiology Health hazards Hepatitis Hepatitis A Hepatitis A - epidemiology Hepatitis A - etiology HUITRE Human viral diseases Humans Infectious diseases MALADIE TRANSMISSIBLE PAR ALIMENT Male Medical sciences Middle Aged NUMERATION CELLULAIRE OSTRA Ostreidae - microbiology Oysters Perceptions PRODUIT ALIMENTAIRE Public health Shellfish Viral diseases Viral hepatitis Water Microbiology |
| title | A multistate outbreak of hepatitis A caused by the consumption of raw oysters |
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