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  • Volume 4, Issue S2

The rate of acute gastrointestinal illness in developed countries

Sharon L. Roy, Elaine Scallan, Michael J. Beach
Published July 2006, 4 (S2) 31-69; DOI: 10.2166/wh.2006.017
Sharon L. Roy
Water and Environment Activity, Division of Parasitic Diseases, Centers for Disease Control and Prevention, 4770 Buford Highway, N.E., Mailstop F22, Atlanta, GA 30341-3724, USAE-mail: str2@cdc.gov
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Elaine Scallan
Foodborne Diseases Active Surveillance Network (FoodNet), Foodborne and Diarrheal Diseases Branch, Centers for Disease Control and Prevention, 1600 Clifton Road, Mailstop D63, Atlanta, GA 30333, USA
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Michael J. Beach
Water and Environment Activity, Division of Parasitic Diseases, Centers for Disease Control and Prevention, 4770 Buford Highway, N.E., Mailstop F22, Atlanta, GA 30341-3724, USAE-mail: str2@cdc.gov
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Abstract

This paper reviews estimates of the incidence and prevalence of acute gastrointestinal illness (AGI) from 33 studies. These studies include prospective cohort studies, retrospective cross-sectional population-based surveys, and intervention trials from the United States and six other developed countries published since 1953. The incidence and prevalence estimates for AGI reported in these studies range from 0.1 to 3.5 episodes per person-year. However, comparisons of these rates are problematic owing to significant variation in study design, sampling methodology, and case definitions and should be made with caution. In the United States, the Centers for Disease Control and Prevention's (CDC) Foodborne Diseases Active Surveillance Network (FoodNet) estimates a rate of 0.65 episodes of AGI per person-year. This estimate includes diarrhea and/or vomiting of infectious or non-infectious origin, with a measure of severity (impairment of daily activities or diarrhea duration greater than 1 day), and has been adjusted for combined respiratory–gastrointestinal illnesses. However, it excludes episodes of diarrhea or vomiting due to any long-lasting or chronic illness or condition. Limitations in study design result in an unknown degree of uncertainty around this point estimate.

  • diarrhea
  • gastroenteritis
  • incidence
  • prevalence
  • review
  • vomiting
  • ©2006 The Author(s)

This is an Open Access article distributed under the terms of the Creative Commons Attribution Licence (CC BY-NC-ND 3.0), which permits copying and redistribution for non-commercial purposes with no derivatives, provided the original work is properly cited (http://creativecommons.org/licenses/by-nc-nd/3.0/).

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Journal of Water and Health: 16 (1)
  Volume 4, Issue S2

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The rate of acute gastrointestinal illness in developed countries
Sharon L. Roy, Elaine Scallan, Michael J. Beach
Journal of Water and Health Jul 2006, 4 (S2) 31-69; DOI: 10.2166/wh.2006.017
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The rate of acute gastrointestinal illness in developed countries
Sharon L. Roy, Elaine Scallan, Michael J. Beach
Journal of Water and Health Jul 2006, 4 (S2) 31-69; DOI: 10.2166/wh.2006.017

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Keywords

diarrhea
gastroenteritis
incidence
prevalence
review
vomiting
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