Attribution of Illnesses Transmitted by Food and Water to Comprehensive Transmission Pathways Using Structured Expert Judgment, United States

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 diseas...

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Main Authors: Elizabeth Beshearse, Beau B. Bruce, Gabriela F. Nane, Roger M. Cooke, Willy Aspinall, Tine Hald, Stacy M. Crim, Patricia M. Griffin, Kathleen E. Fullerton, Sarah A. Collier, Katharine M. Benedict, Michael J. Beach, Aron J. Hall, Arie H. Havelaar
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2021-01-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/27/1/20-0316_article
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author Elizabeth Beshearse
Beau B. Bruce
Gabriela F. Nane
Roger M. Cooke
Willy Aspinall
Tine Hald
Stacy M. Crim
Patricia M. Griffin
Kathleen E. Fullerton
Sarah A. Collier
Katharine M. Benedict
Michael J. Beach
Aron J. Hall
Arie H. Havelaar
author_facet Elizabeth Beshearse
Beau B. Bruce
Gabriela F. Nane
Roger M. Cooke
Willy Aspinall
Tine Hald
Stacy M. Crim
Patricia M. Griffin
Kathleen E. Fullerton
Sarah A. Collier
Katharine M. Benedict
Michael J. Beach
Aron J. Hall
Arie H. Havelaar
author_sort Elizabeth Beshearse
collection DOAJ
description 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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spelling doaj.art-ec8d3e603e3c46a39aa79dbb101bfa042022-12-22T04:08:10ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592021-01-0127118219510.3201/eid2701.200316Attribution of Illnesses Transmitted by Food and Water to Comprehensive Transmission Pathways Using Structured Expert Judgment, United StatesElizabeth BeshearseBeau B. BruceGabriela F. NaneRoger M. CookeWilly AspinallTine HaldStacy M. CrimPatricia M. GriffinKathleen E. FullertonSarah A. CollierKatharine M. BenedictMichael J. BeachAron J. HallArie H. HavelaarIllnesses 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.https://wwwnc.cdc.gov/eid/article/27/1/20-0316_articlefoodborne diseaseswaterborne diseasesparasitic diseasesbacterial diseasesviral diseasesviruses
spellingShingle Elizabeth Beshearse
Beau B. Bruce
Gabriela F. Nane
Roger M. Cooke
Willy Aspinall
Tine Hald
Stacy M. Crim
Patricia M. Griffin
Kathleen E. Fullerton
Sarah A. Collier
Katharine M. Benedict
Michael J. Beach
Aron J. Hall
Arie H. Havelaar
Attribution of Illnesses Transmitted by Food and Water to Comprehensive Transmission Pathways Using Structured Expert Judgment, United States
Emerging Infectious Diseases
foodborne diseases
waterborne diseases
parasitic diseases
bacterial diseases
viral diseases
viruses
title Attribution of Illnesses Transmitted by Food and Water to Comprehensive Transmission Pathways Using Structured Expert Judgment, United States
title_full Attribution of Illnesses Transmitted by Food and Water to Comprehensive Transmission Pathways Using Structured Expert Judgment, United States
title_fullStr Attribution of Illnesses Transmitted by Food and Water to Comprehensive Transmission Pathways Using Structured Expert Judgment, United States
title_full_unstemmed Attribution of Illnesses Transmitted by Food and Water to Comprehensive Transmission Pathways Using Structured Expert Judgment, United States
title_short Attribution of Illnesses Transmitted by Food and Water to Comprehensive Transmission Pathways Using Structured Expert Judgment, United States
title_sort attribution of illnesses transmitted by food and water to comprehensive transmission pathways using structured expert judgment united states
topic foodborne diseases
waterborne diseases
parasitic diseases
bacterial diseases
viral diseases
viruses
url https://wwwnc.cdc.gov/eid/article/27/1/20-0316_article
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