Details

Autor(en) / Beteiligte

• Beshearse, Elizabeth
• Bruce, Beau B
• Nane, Gabriela F
• Cooke, Roger M
• Aspinall, Willy
• Hald, Tine
• Crim, Stacy M
• Griffin, Patricia M
• Fullerton, Kathleen E
• Collier, Sarah A
• Benedict, Katharine M
• Beach, Michael J
• Hall, Aron J
• Havelaar, Arie H

Titel

Attribution of Illnesses Transmitted by Food and Water to Comprehensive Transmission Pathways Using Structured Expert Judgment, United States

Ist Teil von

• Emerging infectious diseases, 2021-01, Vol.27 (1), p.182-195

Ort / Verlag

United States: U.S. National Center for Infectious Diseases

Erscheinungsjahr

2021

Link zum Volltext

Quelle

MEDLINE

Beschreibungen/Notizen

• Illnesses transmitted by food and water cause a major disease burden in the United States despite advancements in food safety, water treatment, and sanitation. We report estimates from a structured expert judgment study using 48 experts who applied Cooke's classical model of the proportion of disease attributable to 5 major transmission pathways (foodborne, waterborne, person-to-person, animal contact, and environmental) and 6 subpathways (food handler-related, under foodborne; recreational, drinking, and nonrecreational/nondrinking, under waterborne; and presumed person-to-person-associated and presumed animal contact-associated, under environmental). Estimates for 33 pathogens were elicited, including bacteria such as Salmonella enterica, Campylobacter spp., Legionella spp., and Pseudomonas spp.; protozoa such as Acanthamoeba spp., Cyclospora cayetanensis, and Naegleria fowleri; and viruses such as norovirus, rotavirus, and hepatitis A virus. The results highlight the importance of multiple pathways in the transmission of the included pathogens and can be used to guide prioritization of public health interventions.