The burden of acute gastrointestinal illness in Ontario, Canada, 2005–2006

Sargeant, Jan M.; Majowicz, Shannon E.; Snelgrove, John

doi:10.1017/s0950268807008837

Cited by 54 publications

(76 citation statements)

References 23 publications

(67 reference statements)

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“…The exclusion rate due to non-infectious causes in our study is much higher than in most other studies; 46 % of the episodes were excluded compared to 28 . 6% in New Zealand [4], and 16 % in Ontario [15]. This high exclusion rate may be due to more restrictive exclusion criteria resulting in a lower estimate of the incidence of AG.…”

Section: Discussionmentioning

confidence: 99%

Burden of acute gastroenteritis and healthcare-seeking behaviour in France: a population-based study

et al. 2011

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In France surveillance underestimates the true burden of acute gastroenteritis (AG). We conducted a population-based, retrospective cross-sectional telephone survey between May 2009 and April 2010 in order to obtain more accurate estimates of the incidence and the burden of AG and to describe healthcare-seeking behaviour for AG. Of the 10 080 persons included in the survey, 260 respondents reported 263 episodes of AG. The incidence rate of AG was estimated at 0·33 cases/person-year (95% CI 0·28-0·37). It was highest in children aged <5 years and declined with age. Thirty-three percent (95% CI 27-40) of the AG cases consulted a physician and 76% (95% CI 70-82) used medication. Our results indicate that there are more than 21 million episodes of AG each year in France. These results allow a more accurate interpretation of the data derived from existing AG surveillance systems.

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Section: Discussionmentioning

confidence: 99%

Burden of acute gastroenteritis and healthcare-seeking behaviour in France: a population-based study

et al. 2011

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“…The methodology for community surveys has improved over the years and a common case definition was established to ensure international comparability [1][2][3]. These efforts resulted in cross-sectional studies for estimates for the burden of AGI from various countries [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] and additionally a few population-based cohort studies [19][20][21].…”

Section: Introductionmentioning

confidence: 99%

Acute gastrointestinal illness in adults in Germany: a population-based telephone survey

et al. 2013

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SUMMARYPopulation-based estimates of incidence and risk factors for acute gastrointestinal illness (AGI) are important for infectious disease surveillance and healthcare planning. We conducted a nationwide representative cross-sectional telephone survey of 21 262 adults over a 12-month period during 2008-2009 in Germany. Participants were asked if they had either AGI-related diarrhoea or vomiting in a 4-week recall period. We estimated 0·95 episodes/person per year (95% confidence interval 0·90-0·99), corresponding to 64·9 million episodes of AGI annually in adults, which results in 24·5 million outpatient visits, 19·9 million hospital days and 63·2 million days of work lost. We observed an overall declining trend of AGI with increasing age. Diarrhoea was more often reported than vomiting. The mean duration of illness was 3·8 days and did not differ between age groups. Social factors seemed to be weak predictors compared to state of health and health behaviour characteristics. This study allows international comparisons and contributes to the estimation of the global burden of AGI.

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“…laboratory confirmed but not reported to local/provincial/territorial public health and national surveillance systems) and underdiagnosis (i.e. those who do not seek medical care, sample is not submitted, tested or found positive for causative pathogen) based on data from Canadian National Studies on Acute Gastrointestinal Illness (NSAGI) population, laboratory and public health reporting surveys [38][39][40][41][42]. An alternative approach was used for estimating VTEC non-O157 cases, which is not routinely identified and reported in Canada.…”

Section: Estimating Total Illnesses Hospitalizations and Deathsmentioning

confidence: 99%

Estimates of the burden of illness for eight enteric pathogens associated with animal contact in Canada

et al. 2017

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SUMMARYEnteric pathogens are commonly known to be transmitted through food or water; however, contact with animals is another important transmission route. This study estimated the annual burden of illness attributable to animal contact for eight enteric pathogens in Canada. Using data from a Canadian expert elicitation on transmission routes, the proportion of enteric illnesses attributable to animal contact was estimated for each pathogen to estimate the annual number of illnesses, hospitalizations and deaths in Canada. For each estimate, a mean and probability intervals were generated. Of all illnesses caused by these eight pathogens, 16% were estimated attributable to animal contact. This estimate translates to 86 000 (31 000-166 000) illnesses, 488 (186-890) hospitalizations and 12 (2-28) deaths annually for the eight pathogens combined. Campylobacter spp. is the leading cause of illnesses annually, with an estimated 38 000 (14 000-71 000) illnesses occurring each year, followed by non-typhoidal Salmonella spp. (17 000, 6000-32 000). The majority of hospitalizations were attributable to non-typhoidal Salmonella spp. (36%) and Campylobacter spp. (31%). Non-typhoidal Salmonella spp. (28%) and Listeria monocytogenes (31%) were responsible for the majority of the estimated deaths. These results identify farm animal and pet/pet food exposure as key pathways of transmission for several pathogens. The estimated burden of illness associated with animal contact is substantial.

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The burden of acute gastrointestinal illness in Ontario, Canada, 2005–2006

Cited by 54 publications

References 23 publications

Burden of acute gastroenteritis and healthcare-seeking behaviour in France: a population-based study

Burden of acute gastroenteritis and healthcare-seeking behaviour in France: a population-based study

Acute gastrointestinal illness in adults in Germany: a population-based telephone survey

Estimates of the burden of illness for eight enteric pathogens associated with animal contact in Canada

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