A population-based estimate of the burden of diarrhoeal illness in the United States: FoodNet, 1996–7
Open accessAbstract
This study was performed to better understand and more precisely quantify the amount and burden of illness caused by acute diarrhoea in the United States today. A telephone-based population survey was conducted between 1 July, 1996, and 31 June, 1997, in sites of the Foodborne Diseases Active Surveillance Network (FoodNet). The overall prevalence of acute diarrhoea in the 4 weeks before interview was 11%, giving a rate of 1.4 episodes of diarrhoea per person per year. The rate of diarrhoeal illness defined as a diarrhoeal episode lasting longer than 1 day or which resulted in significant impairment of daily activities was 0.7 per person per year. It can be concluded that acute diarrhoea is common and represents a significant burden of illness in the United States. Our data on self-reported diarrhoea, when generalized to the entire nation, suggests 375 million episodes of acute diarrhoea each year in the United States. Many of these episodes are mild. However, our data also indicate that there are approximately 200 million episodes of diarrhoeal illness each year in the United States.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The symptoms, severity and duration of illness reported in the current study are similar to other studies, although the median duration and percentage of cases with bloody diarrhoea are at the lower end of the spectrum of reported results.
“The symptoms, severity and duration of illness we report are similar to other studies [7, 9, 11, 13-16, 18], although the median duration and percentage of our cases with bloody diarrhoea are at the lower end of the spectrum of reported results.”
From Burden of acute gastrointestinal illness in the Metropolitan region, Chile, 2008 (2011) · cites this paper as [18]
The ‘Diarrhoea and diarrhoeal illness’ section (page not available) reports symptoms, a median diarrhoea duration of 2 days, and bloody diarrhoea in 0.9% of cases, making this paper a relevant comparator. It does not establish that the citing study’s median duration and percentage with bloody diarrhoea fall at the lower end of the range reported across studies. (LLM, conf=0.78)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Food-Related Illness and Death in the United States
Mead, P. S., Slutsker, L., DIETZ, V. J., McCaig, L. F., Bresee, J., Shapiro, C. A., Griffin, P. M., & Tauxe, R. V. (1999) · Emerging infectious diseases · doi:10.3201/eid0505.990502 · Cited by 7,305 · see citing works
Wheeler, J. G., Sethi, D., Cowden, J. M., Wall, P. G., Rodrigues, L. C., Tompkins, D. S., Hudson, M. J., & Roderick, P. J. (1999) · BMJ · doi:10.1136/bmj.318.7190.1046 · Cited by 794 · see citing works
Design, characteristics, and usefulness of state-based behavioral risk factor surveillance: 1981-87.
Remington, P., Smith, M. Y., Williamson, D. F., Anda, R. F., Gentry, E. M., & Hogelin, G. C. (1988) · Europe PMC (PubMed Central) · Cited by 424 · see citing works
Payment, P., Richardson, L., Siemiatycki, J., Dewar, R. A. D., Edwardes, M., & Franco, E. L. (1991) · American Journal of Public Health · doi:10.2105/ajph.81.6.703 · Cited by 345 · see citing works
The Behavioral Risk Factor Surveys: II. Design, Methods, and Estimates from Combined State Data
Gentry, E. M., Kalsbeek, W. D., Hogelin, G. C., Jones, J. T., Gaines, K. L., Forman, M. R., Marks, J. S., & Trowbridge, F. L. (1985) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(18)31372-2 · Cited by 338 · see citing works
Effect of Antibiotic Therapy in Acute Salmonellosis on the Fecal Excretion of Salmonellae
Aserkoff, B. R., & Bennett, J. V. (1969) · New England Journal of Medicine · doi:10.1056/nejm196909182811202 · Cited by 309 · see citing works
Monto, A. S., & Koopman, J. S. (1980) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a112998 · Cited by 187 · see citing works
Estimates of incidence and costs of intestinal infectious diseases in the United States.
Garthright, W. E., Archer, D. L., & Kvenberg, J. E. (1988) · PubMed · Cited by 141 · see citing works
Neill, M. A., Opal, S. M., Heelan, J. S., Giusti, R. M., Cassidy, J. E., White, R., & Mayer, K. H. (1991) · Annals of Internal Medicine · doi:10.7326/0003-4819-114-3-195 · Cited by 134 · see citing works
Innovative strategies using SUDAAN for analysis of health surveys with complex samples
LaVange, L. M., Steams, S. C., Lafata, J. E., Koch, G. G., & Shah, B. V. (1996) · Statistical Methods in Medical Research · doi:10.1177/096228029600500306 · Cited by 93 · see citing works
Diarrhoea—Defining the Episode
Morris, S. S., Cousens, S. N., Lanata, C. F., & Kirkwood, B. R. (1994) · International Journal of Epidemiology · doi:10.1093/ije/23.3.617 · Cited by 83 · see citing works
Community-based study of the incidence of gastrointestinal diseases in The Netherlands
Hoogenboom-Verdegaal, A., de Jong, J. C., Düring, M., Hoogenveen, R. T., & Hoekstra, J. A. (1994) · Epidemiology and Infection · doi:10.1017/s0950268800051189 · Cited by 63 · see citing works
Problems in the diagnosis of foodborne infection in general practice
Palmer, S., Houston, H., Lervy, B., Ribeiro, D. C., & Thomas, P. (1996) · Epidemiology and Infection · doi:10.1017/s0950268800059148 · Cited by 55 · see citing works
Determining the Burden of Human Illness From Food Borne Diseases
Angulo, F. J., Voetsch, A. C., Swerdlow, D. L., et al. (1998) · Veterinary Clinics of North America Food Animal Practice · doi:10.1016/s0749-0720(15)30287-5 · Cited by 43 · see citing works
Self-citationAntimicrobial therapy of non-typhi salmonella and shigella infection
Jewes, L. A. (1987) · Journal of Antimicrobial Chemotherapy · doi:10.1093/jac/19.5.557 · Cited by 21 · see citing works
Flagged first, then by citations
Research works printed but not linked: 4
- [2]2. Dingle JH, Badger GF, Jordan Jr WS. Gastrointestinal illnesses. In : Illness in the home. A study of 25 000 illness in a group of Cleveland families. Cleveland : The Press of Western Reserve University, 1964 : 189-90.
- [6]6. Centers for Diseases Control and Prevention. Food- borne Diseases Active Surveillance Network (Food- Net). Emerg Infect Dis 1997 ; 3 : 581-3.
- [7]7. Centers for Disease Control and Prevention. Food- borne Diseases Active Surveillance Network, 1996. MMWR 1997 ; 46 : 258-61.
- [11]11. Centers for Disease Control and Prevention. Assess- ment of inadequately filtered public drinking water - Washington, D.C., December 1993. MMWR 1994 ; 43 : 661-3,669.
Cited by
Sorted by citations
JONES, T. F., McMILLIAN, M. B., SCALLAN, E., FRENZEN, P. D., CRONQUIST, A. B., THOMAS, S., & ANGULO, F. J. (2007) · Epidemiology and Infection · doi:10.1017/s0950268806006765 · Cited by 166 · see citing works
Self-citationMagnitude and distribution of acute, self-reported gastrointestinal illness in a Canadian community
MAJOWICZ, S. E., DORÉ, K., FLINT, J. A., EDGE, V. L., READ, S., BUFFETT, M. C., McEWEN, S., McNAB, W. B., STACEY, D., SOCKETT, P., et al. (2004) · Epidemiology and Infection · doi:10.1017/s0950268804002353 · Cited by 109 · see citing works
A common, symptom-based case definition for gastroenteritis
MAJOWICZ, S. E., HALL, G., SCALLAN, E., ADAK, G. K., GAUCI, C., JONES, T. F., O'BRIEN, S., HENAO, O., & SOCKETT, P. N. (2008) · Epidemiology and Infection · doi:10.1017/s0950268807009375 · Cited by 106 · see citing works
Population distribution and burden of acute gastrointestinal illness in British Columbia, Canada
Thomas, M. K., Majowicz, S. E., MacDougall, L., Sockett, P. N., Kovacs, S. J., Fyfe, M., Edge, V. L., Doré, K., Flint, J. A., Henson, S., et al. (2006) · BMC Public Health · doi:10.1186/1471-2458-6-307 · Cited by 76 · see citing works
Burden of self-reported acute gastrointestinal illness in China: a population-based survey
Chen, Y., Yan, W.-X., Zhou, Y.-J., Zhen, S.-Q., Zhang, R.-H., Chen, J., Liu, Z.-H., Cheng, H.-Y., Liu, H., Duan, S.-G., et al. (2013) · BMC Public Health · doi:10.1186/1471-2458-13-456 · Cited by 55 · see citing works
Acute gastroenteritis in Hong Kong: A population-based telephone survey
HO, S. C., CHAU, P. H., FUNG, P. K., SHAM, A., NELSON, E. A., & SUNG, J. (2010) · Epidemiology and Infection · doi:10.1017/s0950268809991087 · Cited by 24 · see citing works
Sang, X.-L., Liang, X.-C., Chen, Y., Li, J.-D., Li, J.-G., Bai, L., & Sun, J.-Y. (2014) · BMC Public Health · doi:10.1186/1471-2458-14-787 · Cited by 19 · see citing works
Burden of Acute Gastrointestinal Illness in Gálvez, Argentina, 2007
Thomas, M. K., Perez, E., Majowicz, S. E., Reid-Smith, R., Albil, S., Monteverde, M., & McEwen, S. A. (2010) · Journal of Health, Population and Nutrition · doi:10.3329/jhpn.v28i2.4885 · Cited by 22 · see citing works
“Similar under-reporting has been found by several other studies in developed countries (9,12,14,15,17-19,28).”
BackgroundResultBurden of acute gastrointestinal illness in the Metropolitan region, Chile, 2008
THOMAS, M. K., PEREZ, E., MAJOWICZ, S. E., REID-SMITH, R., OLEA, A., DIAZ, J., SOLARI, V., & McEWEN, S. A. (2011) · Epidemiology and Infection · doi:10.1017/s0950268810001160 · Cited by 22 · see citing works
- Authors
- HERIKSTAD, H., YANG, S., VAN GILDER, T. J., VUGIA, D., HADLER, J., BLAKE, P., DENEEN, V., SHIFERAW, B., ANGULO, F. J., & THE FOODNET WORKING GROUP
- Affiliations
- Centers for Disease Control and Prevention (US)
- California Health and Human Services Agency (US)
- Connecticut Department of Public Health (US)
- Georgia Department of Public Health (US)
- Minnesota Department of Health (US)
- Venue
- Epidemiology and Infection
- Publisher
- Cambridge University Press (CUP)
- Published
- 2002-08
- Volume
- 129
- Issue
- 1
- Pages
- 9-17
- ISSN
- 0950-2688 (ISSN-L)
- 1469-4409
- PMC
- PMC2869879
- OpenAlex
- W2156582021
- Semantic Scholar
- 9c24e57518fadeba912a99e9ddfae13a260773fe
- Cited by
- 163
- References
- 15
- Citations by year
- 2025: 2 · 2024: 5 · 2023: 2 · 2022: 1 · 2021: 1 · 2019: 5 · 2018: 2 · 2017: 4 · 2016: 7 · 2015: 3 · 2014: 5 · 2013: 5 · 2012: 5
- FWCI
- 17.53
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Epidemiology and Infection (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Agricultural and Biological Sciences › Food Science › Salmonella and Campylobacter epidemiology
- Health Sciences › Medicine › Infectious Diseases › Viral gastroenteritis research and epidemiology
- Life Sciences › Agricultural and Biological Sciences › Food Science › Food Safety and Hygiene
- Keywords
- acute diarrhea, prevalence, FoodNet, population survey, disease burden estimation, United States
- MeSH terms
- Acute Disease, Adolescent, Adult, Aged, Centers for Disease Control and Prevention, U.S., Child, Child, Preschool, Diarrhea, Female, Humans, Infant, Infant, Newborn, Male, Middle Aged, United States, Prevalence, Cost of Illness
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review