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Foodborne illness acquired in the United States--major pathogens
Authors:Scallan Elaine  Hoekstra Robert M  Angulo Frederick J  Tauxe Robert V  Widdowson Marc-Alain  Roy Sharon L  Jones Jeffery L  Griffin Patricia M
Institution:Centers for Disease Control and Prevention, Atlanta, Georgia, USA. elaine.scallan@ucdenver.edu
Abstract:Estimates of foodborne illness can be used to direct food safety policy and interventions. We used data from active and passive surveillance and other sources to estimate that each year 31 major pathogens acquired in the United States caused 9.4 million episodes of foodborne illness (90% credible interval CrI] 6.6-12.7 million), 55,961 hospitalizations (90% CrI 39,534-75,741), and 1,351 deaths (90% CrI 712-2,268). Most (58%) illnesses were caused by norovirus, followed by nontyphoidal Salmonella spp. (11%), Clostridium perfringens (10%), and Campylobacter spp. (9%). Leading causes of hospitalization were nontyphoidal Salmonella spp. (35%), norovirus (26%), Campylobacter spp. (15%), and Toxoplasma gondii (8%). Leading causes of death were nontyphoidal Salmonella spp. (28%), T. gondii (24%), Listeria monocytogenes (19%), and norovirus (11%). These estimates cannot be compared with prior (1999) estimates to assess trends because different methods were used. Additional data and more refined methods can improve future estimates.
Keywords:Food poisoning  gastroenteritis  diarrhea  population surveillance  incidence estimates  norovirus  viruses  bacteria  United States  research
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