A population-based estimate of the substantial burden of diarrhoeal disease in the United States; FoodNet, 1996–2003
Open accessAbstract
From 1996 to 2003, four 12-month population-based surveys were performed in FoodNet sites to determine the burden of diarrhoeal disease in the population. Acute diarrhoeal illness (ADI) was defined as [ges ]3 loose stools in 24 hours with impairment of daily activities or duration of diarrhoea >1 day. A total of 52840 interviews were completed. The overall weighted prevalence of ADI in the previous month was 5·1% (95% CI±0·3%), corresponding to 0·6 episodes of ADI per person per year. The average monthly prevalence of ADI was similar in each of the four survey cycles (range 4·5–5·2%). Rates of ADI were highest in those age <5 years. Of those with ADI, 33·8% (95% CI±2·7%) reported vomiting, 19·5% (95% CI±2·1%) visited a medical provider, and 7·8% (95% CI±1·4%) took antibiotics. Rates of ADI were remarkably consistent over time, and demonstrate the substantial burden placed on the health-care system.
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The higher odds of being a GI case in children and youths is similar to other reported studies.
“which is similar to other reported studies where children and youths have higher odds of being a GI case [7-9, 13-16].”
From Burden of acute gastrointestinal illness in the Metropolitan region, Chile, 2008 (2011) · cites this paper as [7]
The Results (page not provided) report significantly higher rates of acute diarrhoeal illness among children under 5 than among adults aged 36–54. But rates among 5–17-year-olds were lower than in that adult comparison group, so the finding does not support higher odds for children and youths as a whole. (LLM, conf=0.90)
Experimental — accuracy not yet measuredThe survey tool was developed by modifying survey tools used previously in Argentina and using other similar cross-sectional population burden-of-GI studies as models.
“The survey tool (available from the author upon request) was developed by modifying the survey tools used previously in Argentina [21] and using other similar cross-sectional population burden of GI studies as models [7, 9, 11, 13-16].”
From Burden of acute gastrointestinal illness in the Metropolitan region, Chile, 2008 (2011) · cites this paper as [7]
Numerous countries have conducted population-based studies to better estimate the disease burden.
“To address this, numerous countries have conducted population-based studies to better estimate the disease burden [7-18].”
From Burden of acute gastrointestinal illness in the Metropolitan region, Chile, 2008 (2011) · cites this paper as [7]
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 [7]
The percentages of cases reported in the current study that sought medical care and submitted a stool sample are at the low end of the range of percentages reported from other studies.
“Similarly, percentages of cases reported here that sought medical care and submitted a stool sample are at the low end of the range of percentages reported from other studies [7, 11, 14-16, 18].”
From Burden of acute gastrointestinal illness in the Metropolitan region, Chile, 2008 (2011) · cites this paper as [7]
The overall age-adjusted monthly prevalence of 9.2% is similar to prevalences from studies in Canada and Cuba and somewhat higher than prevalences from studies in the USA, Australia, and Argentina.
“Overall the age-adjusted monthly prevalence of 9 . 2% is similar to prevalences from studies in Canada, and Cuba [9, 13, 15, 16] and somewhat higher than prevalences from studies in the USA, Australia, and Argentina [7, 10, 21].”
From Burden of acute gastrointestinal illness in the Metropolitan region, Chile, 2008 (2011) · cites this paper as [7]
Studies in the USA found that those without medical insurance reported higher rates of GI than those with insurance and that rural residents had an increased rate of GI compared to urban residents.
“This result is similar to studies in the USA, where those without medical insurance reported higher rates of GI than those with insurance and where rural residents had an increased rate of GI compared to urban residents [7].”
From Burden of acute gastrointestinal illness in the Metropolitan region, Chile, 2008 (2011) · cites this paper as [7]
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“Understanding the magnitude, distribution, and demographic factors associated with GI is key for its mitigation (8).”
BackgroundBurden of acute gastrointestinal illness in the Metropolitan region, Chile, 2008
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- Authors
- JONES, T. F., McMILLIAN, M. B., SCALLAN, E., FRENZEN, P. D., CRONQUIST, A. B., THOMAS, S., & ANGULO, F. J.
- Affiliations
- Tennessee Department of Health (US)
- Centers for Disease Control and Prevention (US)
- Economic Research Service (US)
- Georgia Department of Public Health (US)
- Venue
- Epidemiology and Infection
- Publisher
- Cambridge University Press (CUP)
- Published
- 2006-08-08
- Volume
- 135
- Issue
- 2
- Pages
- 293-301
- ISSN
- 0950-2688 (ISSN-L)
- 1469-4409
- PMC
- PMC2870567
- OpenAlex
- W1964488741
- Semantic Scholar
- 890ffcff7ae4fa0f0bbc33fefdeb5061c42b7a27
- Cited by
- 166
- References
- 31
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 8 · 2023: 11 · 2022: 6 · 2021: 5 · 2020: 4 · 2019: 2 · 2018: 14 · 2017: 9 · 2016: 8 · 2015: 7 · 2014: 12 · 2013: 10 · 2012: 12
- FWCI
- 5.34
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Epidemiology and Infection (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Centers for Disease Control and Prevention
- Topics
- Health Sciences › Medicine › Infectious Diseases › Viral gastroenteritis research and epidemiology
- Life Sciences › Agricultural and Biological Sciences › Food Science › Salmonella and Campylobacter epidemiology
- Life Sciences › Immunology and Microbiology › Applied Microbiology and Biotechnology › Antibiotic Use and Resistance
- Keywords
- diarrhoeal diseases, disease burden, prevalence, FoodNet, health care utilization, antibiotic use, vomiting, children under five, United States
- MeSH terms
- Acute Disease, Adolescent, Adult, Aged, Child, Child, Preschool, Diarrhea, Female, Humans, Male, Middle Aged, Population Surveillance, United States, Vomiting, Prevalence, Logistic Models
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