Cited by 24Viral gastroenteritis research and epidemiologySalmonella and Campylobacter epidemiologyFood Safety and Hygiene

Acute gastroenteritis in Hong Kong: A population-based telephone survey

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HO, S. C., CHAU, P. H., FUNG, P. K., SHAM, A., NELSON, E. A., SUNG, J.·2010·Epidemiology and Infection

Abstract

SUMMARY: A population-based telephone survey of acute gastroenteritis (AG) was conducted in Hong Kong from August 2006 to July 2007. Study subjects were recruited through random digit-dialling with recruitments evenly distributed weekly over the 1-year period. In total, 3743 completed questionnaires were obtained. An AG episode is defined as diarrhoea ⩾3 times or any vomiting in a 24-h period during the 4 weeks prior to interview, in the absence of known non-infectious causes. The prevalence of AG reporting was 7%. An overall rate of 0·91 (95% CI 0·81–1·01) episodes per person-year was observed with women having a slightly higher rate (0·94, 95% CI 0·79–1·08) than men (0·88, 95% CI 0·73–1·04). The mean duration of illness was 3·6 days (s.d.=5·52). Thirty-nine percent consulted a physician, 1·9% submitted a stool sample for testing, and 2·6% were admitted to hospital. Of the subjects aged ⩾15 years, significantly more of those with AG reported eating raw oysters (OR 2·4, 95% CI 1·3–4·4), buffet meals (OR 1·8, 95% CI 1·3–2·5), and partially cooked beef (OR 1·8, 95% CI 1·2–2·7) in the previous 4 weeks compared to the subjects who did not report AG. AG subjects were also more likely to have had hot pot, salad, partially cooked or raw egg or fish, sushi, sashimi, and ‘snacks bought at roadside’ in the previous 4 weeks. This first population-based study on the disease burden of AG in Asia showed that the prevalence of AG in Hong Kong is comparable to that experienced in the West. The study also revealed some ‘risky’ eating practices that are more prevalent in those affected with AG.

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  • Acute gastro-intestinal disease is common in LMICs (around one in two people a year) and around one third of cases (12%-55%) are self-attributed to food.

    “However, they suggest acute gastro-intestinal disease is common (around one in two people a year) and around one third of cases (12%–55%) are self-attributed to food [41,42,43,44].”

    From Food Safety in Low and Middle Income Countries (2015) · cites this paper as [42]

    The Eating practices and AG section reports that 45% of Hong Kong cases believed their illness could be food-related, which falls within the claimed 12%–55% range. The Disease burden section estimates 0.91 episodes per person-year, not around one in two people per year; episodes are also not the same measure as people affected. This Hong Kong survey does not establish the claim for LMICs generally. Page numbers were not available in our copy. (LLM, conf=0.87)

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Authors
HO, S. C., CHAU, P. H., FUNG, P. K., SHAM, A., NELSON, E. A., & SUNG, J.
Affiliations
Chinese University of Hong Kong (HK)
Corresponding author
HO, S. C.
Venue
Epidemiology and Infection
Published
2009-11-20
Volume
138
Issue
7
Pages
982-991
ISSN
  • 0950-2688 (ISSN-L)
  • 1469-4409
OpenAlex
W1973065407
Cited by
24
References
43
Citations by year
2023: 1 · 2022: 1 · 2021: 1 · 2019: 1 · 2018: 1 · 2017: 2 · 2016: 1 · 2015: 4 · 2014: 3 · 2013: 2 · 2012: 4
FWCI
1.60
Type
journal article
Language
en
Open access
Locations
  • Epidemiology and Infection (publishedVersion)
  • PubMed (publishedVersion)
  • The HKU Scholars Hub (University of Hong Kong) (submittedVersion)
Funders
Food and Health Bureau
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 › Agricultural and Biological Sciences › Food Science › Food Safety and Hygiene
Keywords
acute gastroenteritis, prevalence, disease burden, diarrhea, vomiting, food poisoning, raw oysters, buffet meals, hot pot, Hong Kong, sex differences
MeSH terms
Acute Disease, Adolescent, Adult, Aged, Child, Child, Preschool, Cross-Sectional Studies, Female, Gastroenteritis, Hong Kong, Humans, Infant, Infant, Newborn, Interviews as Topic, Male, Middle Aged, Population Surveillance, Young Adult

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