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Beshearse, Elizabeth; Bruce, Beau B; Nane, Gabriela F; Cooke, Roger M; Aspinall, Willy; Hald, Tine; Crim, Stacy M; Griffin, Patricia M; Fullerton, Kathleen E; Collier, Sarah A; Benedict, Katharine M; Beach, Michael J; Hall, Aron J; Havelaar, Arie H
Emerging infectious diseases, 01/2021, Letnik: 27, Številka: 1Journal Article
Illnesses transmitted by food and water cause a major disease burden in the United States despite advancements in food safety, water treatment, and sanitation. We report estimates from a structured expert judgment study using 48 experts who applied Cooke's classical model of the proportion of disease attributable to 5 major transmission pathways (foodborne, waterborne, person-to-person, animal contact, and environmental) and 6 subpathways (food handler-related, under foodborne; recreational, drinking, and nonrecreational/nondrinking, under waterborne; and presumed person-to-person-associated and presumed animal contact-associated, under environmental). Estimates for 33 pathogens were elicited, including bacteria such as Salmonella enterica, Campylobacter spp., Legionella spp., and Pseudomonas spp.; protozoa such as Acanthamoeba spp., Cyclospora cayetanensis, and Naegleria fowleri; and viruses such as norovirus, rotavirus, and hepatitis A virus. The results highlight the importance of multiple pathways in the transmission of the included pathogens and can be used to guide prioritization of public health interventions.
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in: SICRIS
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