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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;

Main Article

Table 1

Median number of days from onset of symptoms to specified timeline event for reported Salmonella spp., Shigella spp., Campylobacter spp., and Escherichia coli O157:H7 infections, 6 US states, 2002

Timeline event Median no. days after symptom onset
Salmonella spp. Shigella spp. Campylobacter spp. E. coli O157
Collection of stool sample 4 2 3 3
Stool culture result 7 6 8 5
Case report from clinician to health department 9 8 9 7
Submission of isolate to public health laboratory 10 8 10 8
Case interview 14 14 18 12
PFGE* subtyping 18 21 Not routinely performed 15

*PFGE, pulsed-field gel electrophoresis.

Main Article

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).