Population distribution and burden of acute gastrointestinal illness in British Columbia, Canada
Open accessAbstract
BACKGROUND: In developed countries, gastrointestinal illness (GI) is typically mild and self-limiting, however, it has considerable economic impact due to high morbidity. METHODS: The magnitude and distribution of acute GI in British Columbia (BC), Canada was evaluated via a cross-sectional telephone survey of 4,612 randomly selected residents, conducted from June 2002 to June 2003. Respondents were asked if they had experienced vomiting or diarrhoea in the 28 days prior to the interview. RESULTS: A response rate of 44.3% was achieved. A monthly prevalence of 9.2% (95% CI 8.4-10.0), an incidence rate of 1.3 (95% CI 1.1-1.4) episodes of acute GI per person-year, and an average probability that an individual developed illness in the year of 71.6% (95% CI 68.0-74.8), weighted by population size were observed. The average duration of illness was 3.7 days, translating into 19.2 million days annually of acute GI in BC. CONCLUSION: The results corroborate those from previous Canadian and international studies, highlighting the substantial burden of acute GI.
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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 [16]
The Results (Symptoms and severity; page unavailable) report symptoms, severity, an average illness duration of 3.7 days, and bloody diarrhoea in 5.3% of respondents with diarrhoea. These figures provide a basis for comparison, but the source does not report a median illness duration or establish that its duration and bloody-diarrhoea percentage fall at the lower end of results across studies. (LLM, conf=0.82)
Experimental — accuracy not yet measuredThe 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 [11]
The Results section (Health care seeking behaviour; page unavailable) reports that 11.6% of cases visited a health care provider and ten submitted a stool sample. These figures make the paper a relevant comparison study, but it does not establish that the citing study’s percentages fall at the low end of a range across studies. (LLM, conf=0.78)
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 [16]
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 [21]
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 [16]
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 [21]
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 [16]
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 [16]
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 [16]
A population survey in an Argentine community found that the 7-day recall period yielded 1.7-5.4 times the annual incidence rate compared to the longer 30-day recall period.
“This is similar to results reported from a population survey in an Argentine community where the 7-day recall period yielded 1 . 7-5 . 4 times the annual incidence rate compared to the longer 30-day recall period [21].”
From Burden of acute gastrointestinal illness in the Metropolitan region, Chile, 2008 (2011) · cites this paper as [21]
The Methods (Study design) describe a British Columbia survey using a 28-day recall period. The Discussion compares retrospective and prospective estimates from an English study, but our copy does not report an Argentine survey or the claimed 1.7–5.4-fold comparison between 7-day and 30-day recall periods. Searches for Argentina and those recall-period terms found no supporting passage. (LLM, conf=0.76)
Experimental — accuracy not yet measured
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- Authors
- 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., & Jones, A. Q.
- Affiliations
- Public Health Agency of Canada (CA)
- BC Centre for Disease Control (CA)
- Island Health (CA)
- University of Guelph (CA)
- Memorial University of Newfoundland (CA)
- Corresponding author
- Thomas, M Kate
- Jones, Andria Q
- ORCID
- Venue
- BMC Public Health
- Published
- 2006-12
- Volume
- 6
- Issue
- 1
- Pages
- 307-307
- ISSN
- 1471-2458 (ISSN-L)
- PMC
- PMC1764889
- OpenAlex
- W2165191561
- Cited by
- 76
- References
- 32
- Citations by year
- 2025: 1 · 2023: 1 · 2022: 2 · 2021: 1 · 2019: 4 · 2018: 3 · 2017: 4 · 2016: 4 · 2015: 4 · 2014: 10 · 2013: 7 · 2012: 7
- FWCI
- 2.27
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Public Health (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Memorial University Research Repository (Memorial University) (acceptedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Memorial University Research Repository (Memorial University) (submittedVersion)
- Funders
- Public Health Agency of Canada
- Public Health Agency
- Health Canada
- Topics
- Health Sciences › Medicine › Infectious Diseases › Viral gastroenteritis research and epidemiology
- Life Sciences › Agricultural and Biological Sciences › Food Science › Salmonella and Campylobacter epidemiology
- Health Sciences › Health Professions › Health Information Management › Global Health and Epidemiology
- Keywords
- acute gastrointestinal illness, diarrhea, vomiting, prevalence, incidence, disease burden, disease duration, population distribution, British Columbia
- MeSH terms
- Acute Disease, Adolescent, Adult, Aged, Aged, 80 and over, British Columbia, Child, Child, Preschool, Cross-Sectional Studies, Diarrhea, Female, Gastroenteritis, Health Surveys, Humans, Infant, Infant, Newborn, Male, Middle Aged, Surveys and Questionnaires, Vomiting, Incidence, Confidence Intervals
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.
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