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Cited by 123Salmonella and Campylobacter epidemiologyViral gastroenteritis research and epidemiologyFood Safety and Hygiene

Burden of Self‐Reported Acute Diarrheal Illness in FoodNet Surveillance Areas, 1998–1999

Open access
Imhoff, Beth, Morse, Dale, Shiferaw, Beletshachew, Hawkins, Marguerite, Vugia, Duc, Lance‐Parker, Susan, Hadler, James, Medus, Carlota +4 more·2004·Clinical Infectious Diseases
DOI 10.1086/381590
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Abstract

To assess trends in the burden of acute diarrheal illness, the Foodborne Diseases Active Surveillance Network (FoodNet) conducted a population-based telephone survey during 1998-1999, using a random-digit-dialing, single-stage Genesys-ID sampling method. During the 12-month study period, 12,755 persons were interviewed; after the exclusion of persons with chronic diarrheal illnesses, 12,075 persons were included in the analysis; 6% (n=645) reported having experienced an acute diarrheal illness at some point during the 4 weeks preceding the interview (annualized rate, 0.72 episodes per person-year). Rates of diarrheal illness were highest among children aged <5 years (1.1 episodes per person-year) and were lowest in persons aged > or =65 years (0.32 episodes per person-year). Twenty-one percent of persons with acute diarrheal illness sought medical care as a result of their illness. Diarrheal illness imposes a considerable burden on the US population and health care system.

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  • 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 [11]

    The Acute diarrheal illness section reports a median illness duration of 2 days, blood in stool in 6% of cases, and other symptom and severity measures, making this paper a relevant comparison study. Our copy does not establish that the citing study’s median duration or percentage of bloody diarrhoea falls at the lower end of results across studies; its Discussion compares studies chiefly on incidence. (LLM, conf=0.78)

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  • The 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 [11]

  • 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 [11]

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Research works printed but not linked: 5

  1. [3]3. Herikstad H, Yang S, Van Gilder T, et al. A population-based estimate of the burden of diarrheal illness in the United States: FoodNet, 1996-1997: are the rates of diarrhea increasing? Epidemiol Infect 2002; 129:1-8.
  2. [8]8. Hardnett F, Hoekstra R, Kennedy M, Angulo F. Comparability of FoodNet and United States populations. In: Program and abstracts of the International Conference on Emerging Infectious Diseases (At- lanta). Alexandria, VA: American Society for Microbiology, 2002:96.
  3. [10]10. Monto AS, Koopman JS. The Tecumesh Study: occurance of acute enteric illness in the community. Am J Epidemiol 1980; 112:323-33.
  4. [12]12. Monto AS, Koopman JS. The Tecumesh Study: enteric agents in the community, 1976-1981. J Infect Dis 1983; 148:284-91.
  5. [13]13. Hughes J, Gwaltney J, Hughes D, et al. Acute gastrointestinal illness in Charlottesville. Clin Res 1978; 26:28A.

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Authors
Imhoff, B., Morse, D., Shiferaw, B., Hawkins, M., Vugia, D., Lance‐Parker, S., Hadler, J., Medus, C., Kennedy, M., Moore, M. R., Van Gilder, T., & the Emerging Infections Program FoodNet Working Group
Affiliations
  • Centers for Disease Control and Prevention (US)
  • Georgia Department of Public Health (US)
  • University of Maryland, Baltimore (US)
  • California Health and Human Services Agency (US)
  • Connecticut Department of Public Health (US)
  • Minnesota Department of Health (US)
Corresponding author
  • Imhoff, Beth
  • Morse, Dale
  • Shiferaw, Beletshachew
  • Hawkins, Marguerite
  • Vugia, Duc
  • Hadler, James
  • Medus, Carlota
  • Kennedy, Malinda
  • Moore, Matthew R.
ORCID
Venue
Clinical Infectious Diseases
Publisher
Oxford University Press (OUP)
Published
2004-04-15
Volume
38
Issue
s3
Pages
S219-S226
ISSN
  • 1058-4838 (ISSN-L)
  • 1537-6591
DOI
10.1086/381590
OpenAlex
W2105047120
Cited by
123
References
13
Citations by year
2026: 1 · 2025: 1 · 2024: 5 · 2022: 3 · 2021: 4 · 2020: 1 · 2019: 4 · 2018: 1 · 2017: 3 · 2016: 8 · 2015: 8 · 2014: 7 · 2013: 3 · 2012: 11
FWCI
16.79
Type
journal article
Language
en
Open access
Licence
public-domain
Locations
  • Clinical Infectious Diseases (publishedVersion, public-domain)
  • 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, disease burden, incidence, children, age differences, health care utilization, FoodNet, food poisoning, healthcare burden
MeSH terms
Acute Disease, Adolescent, Adult, Age Factors, Aged, Child, Diarrhea, Female, Foodborne Diseases, Health Surveys, Humans, Interviews as Topic, Male, Middle Aged, United States, Incidence, Cost of Illness

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