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Volume 14, Number 2—February 2008


Timeliness of Enteric Disease Surveillance in 6 US States

Craig W. Hedberg*Comments to Author , Jesse F. Greenblatt†, Bela T. Matyas‡§, Jennifer Lemmings‡, Donald J. Sharp¶, Richard T. Skibicki¶, Arthur P. Liang¶, and for the Enteric Disease Investigation Timeline Study Work Group 1
Author affiliations: *University of Minnesota School of Public Health, Minneapolis, Minnesota, USA; †New Hampshire Department of Health and Human Services, Concord, New Hampshire, USA; ‡Council of State and Territorial Epidemiologists, Atlanta, Georgia, USA; §Massachusetts Department of Public Health, Boston, Massachusetts, USA; ¶Centers for Disease Control and Prevention, Atlanta, Georgia, USA;

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Table 2

Median number of days from onset of symptoms to outbreak detection for outbreaks with confirmed etiology, 6 US states, 2002

Confirmed etiologic agent No. (%) outbreaks with confirmed etiologic agent Median no. days from onset of symptoms to outbreak detection (range)
Salmonella spp. 20 (24) 16 (2–83)
Campylobacter spp. 3 (4) 8 (7–9)
Escherichia coli O157:H7 4 (5) 8 (7–18)
Norovirus 44 (53) 3 (0–11)
Bacillus cereus, Staphylococcus aureus, and Clostridium perfringens 10 (12) 1 (0–3)

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1The Enteric Disease Investigation Timeline Study Work Group consisted of Patrick McConnon, Knachelle Hodge, Jennifer Lemmings, Jesse Greenblatt, Bela Matyas (Council of State and Territorial Epidemiologists); Richard Skibicki, Donald Sharp, Arthur Liang, Stuart Capper, Stephen Monroe, Kelley Hise, Cindi Snider, Vince Radke, Carol Selman (Centers for Disease Control and Prevention); Brian Collins, Tom Dickey (National Environmental Health Association); John Besser, Veronica Malmberg (Association of Public Health Laboratories); Rob Blake, Rebecca Shapack (National Association of County and City Health Officials); John Lattimore, Sarah Pichette (US Food and Drug Administration); Fred Ramsey (US Department of Agriculture).

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