Attribution of Illnesses Transmitted by Food and Water to Comprehensive Transmission Pathways Using Structured Expert Judgment, United States.
Attribution of Illnesses Transmitted by Food and Water to Comprehensive Transmission Pathways Using Structured Expert Judgment, United States.
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DOI：
10.3201/eid2701.200316
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发表时间：
2021-01
影响因子：
11.8
通讯作者：
Havelaar AH
中科院分区：
文献类型：
--
作者：
Beshearse E;Bruce BB;Nane GF;Cooke RM;Aspinall W;Hald T;Crim SM;Griffin PM;Fullerton KE;Collier SA;Benedict KM;Beach MJ;Hall AJ;Havelaar AH
尽管在食品安全、水处理和卫生方面取得了进步，但通过食物和水传播的疾病在美国仍是一个主要的疾病负担。我们报告了一项结构化专家判断研究的估计结果，该研究使用了48名专家，他们应用了Cooke的经典模型，该模型将疾病的比例归因于5种主要传播途径（食源性、水传播、人对人、动物接触和环境）和6种亚途径(食品处理相关，食源性；娱乐、饮酒和非娱乐/非饮酒，水传播；以及假定的人际关系和假定的动物接触，在环境下)。估计有33种病原体，包括肠沙门氏菌、弯曲杆菌、军团菌和假单胞菌等细菌；棘阿米巴、卡耶坦环孢子虫、福氏奈格丽虫等原生动物；以及诺如病毒、轮状病毒和甲型肝炎病毒等病毒。这些结果突出了所包括病原体传播的多种途径的重要性，并可用于指导公共卫生干预措施的优先次序。
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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影响因子：
15.8
作者：
Havelaar AH;Kirk MD;Torgerson PR;Gibb HJ;Hald T;Lake RJ;Praet N;Bellinger DC;de Silva NR;Gargouri N;Speybroeck N;Cawthorne A;Mathers C;Stein C;Angulo FJ;Devleesschauwer B;World Health Organization Foodborne Disease Burden Epidemiology Reference Group
通讯作者：
World Health Organization Foodborne Disease Burden Epidemiology Reference Group
影响因子：
11.8
作者：
Scallan, Elaine;Griffin, Patricia M.;Hoekstra, Robert M.
通讯作者：
Hoekstra, Robert M.
影响因子：
2.3
作者：
Messner, Michael;Shaw, Susan;Soller, Jeff
通讯作者：
Soller, Jeff
影响因子：
11.8
作者：
Hall AJ;Eisenbart VG;Etingüe AL;Gould LH;Lopman BA;Parashar UD
通讯作者：
Parashar UD
影响因子：
11.8
作者：
Collier SA;Deng L;Adam EA;Benedict KM;Beshearse EM;Blackstock AJ;Bruce BB;Derado G;Edens C;Fullerton KE;Gargano JW;Geissler AL;Hall AJ;Havelaar AH;Hill VR;Hoekstra RM;Reddy SC;Scallan E;Stokes EK;Yoder JS;Beach MJ
通讯作者：
Beach MJ