The combined impact of community-level environmental and socioeconomic factors on the risk of campylobacteriosis were evaluated.Campylobacter case data (2002-2010, n=3,694) In zip codes that were 100% rural, incidence rates of campylobacteriosis were 6 times (IRR=6.18; 95%CI=3.19-11.97) that of urban zip codes. In zip codes with broiler chicken operations, incidence rates were 1.45 times that of zip codes without broilers (IRR=1.45, 95%CI=1.34-1.58). Higher rates were also observed for zip codes that were predominantly white and had high median incomes. For my daughters, whose cheerful patience and boundless appreciation have shown me the wisdom that endurance can reveal.Fall down seven times, stand up eight.iii
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