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

Details

• Alternative Title:
  Emerg Infect Dis
• Personal Author:
  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.
• Description:
  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.
• Subjects:
  Animals Foodborne Diseases Food Microbiology Food Safety Judgment Water
• Source:
  Emerg Infect Dis. 27(1):182-195
• Pubmed ID:
  33350907
• Pubmed Central ID:
  PMC7774530
• Document Type:
  Journal Article
• Place as Subject:
  United States
• Location:
  North America
• Volume:
  27
• Issue:
  1
• Collection(s):
  Emerging Infectious Diseases
• Main Document Checksum:
  urn:sha256:cbd4ddcecbe0c0986c0010ccad24d1012c95260cc48ae6338d6f75d5472a0aa7
• Download URL:
  https://stacks.cdc.gov/view/cdc/99970/cdc_99970_DS1.pdf
• File Type:
  [PDF - 1.63 MB ]