2019
DOI: 10.3390/pathogens8020060
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Childhood Diarrhoea in the Eastern Mediterranean Region with Special Emphasis on Non-Typhoidal Salmonella at the Human–Food Interface

Abstract: Diarrhoeal disease is still one of the most challenging issues for health in many countries across the Eastern Mediterranean region (EMR), with infectious diarrhoea being an important cause of morbidity and mortality, especially in children under five years of age. However, the understanding of the aetiological spectrum and the burden of enteric pathogens involved in diarrhoeal disease in the EMR is incomplete. Non-typhoidal Salmonella (NTS), the focus of this review, is one of the most frequently reported bac… Show more

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Cited by 14 publications
(21 citation statements)
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References 115 publications
(157 reference statements)
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“…Therefore, the direct contact with these animals may hasten virus interspecies transmission [55,56]. Furthermore, human and animal excreta are still being used as a fertilizer for vegetables and of course the most dangerous of these are those eaten fresh without cooking as a source of rotavirus infection [49,57]. Eventually, even pet animals were proved to be able to transmit rotavirus to human [51].…”
Section: Discussionmentioning
confidence: 99%
“…Therefore, the direct contact with these animals may hasten virus interspecies transmission [55,56]. Furthermore, human and animal excreta are still being used as a fertilizer for vegetables and of course the most dangerous of these are those eaten fresh without cooking as a source of rotavirus infection [49,57]. Eventually, even pet animals were proved to be able to transmit rotavirus to human [51].…”
Section: Discussionmentioning
confidence: 99%
“…Paediatric diarrhoea has significant consequences on productivity and the financial impact on the livelihood of the affected families [44]. In the GCC countries, there has been a notable economic burden due to diarrhoea in children.…”
Section: Burden Of Cryptosporidium In the Gcc Countriesmentioning
confidence: 99%
“…Traveller's diarrhoea due to ingestion of bacteria, viruses, or protozoa has been reported to affect travellers to Saudi Arabia [43]. Diarrhoeal infections among MENA children pose a significant public health challenge [44] and has been indicated in many reports affecting children in the GCC countries [39,[45][46][47][48][49][50][51].…”
Section: Introductionmentioning
confidence: 99%
“…In the Middle East, the true incidence of foodborne infections is difficult to determine since there are limited systematic surveillance efforts to detect sporadic cases and outbreaks and to provide isolates that could be used for source-attribution and risk assessment at national and regional levels. In addition to the lack of reliable data on the occurrences of pathogens and infections, the situation of antimicrobial resistance in bacteria causing foodborne infections is not fully understood across the Middle East region, despite some reports indicating varying trends at the human-food interface [6][7][8].…”
Section: Introductionmentioning
confidence: 99%