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Volume 27, Number 1—January 2021
Research

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

Elizabeth BeshearseComments to Author , 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, and Arie H. Havelaar
Author affiliations: University of Florida, Gainesville, Florida, USA (E. Beshearse, A.H. Havelaar); Centers for Disease Control and Prevention, Atlanta, Georgia, USA (B.B. Bruce, S.M. Crim, P.M. Griffin, K.E. Fullerton, S.A. Collier, K.M. Benedict, M.J. Beach, A.J. Hall); Delft University of Technology, Delft, the Netherlands (G.F. Nane); Resources for the Future, Washington, DC, USA (R. Cooke); Aspinall & Associates, Tisbury, UK (W. Aspinall); University of Bristol, Bristol, UK (W. Aspinall); Technical University of Denmark, Lyngby, Denmark (T. Hald)

Main Article

Table 7

Comparison of proportion of illnesses attributed to foodborne transmission from this and earlier studies*

Details Study
Scallan et al. (2) Hald et al. (20) Havelaar et al. (21) Butler et al. (22) Vally et al. (23) This study
Country United States AMR A (Canada, Cuba, USA) Netherlands Canada Australia United States
Type
 Outbreak surveillance data or published studies
 SEJ
 SEJ
 SEJ
 SEJ
 SEJ
Bacteria
Brucella spp. 50 75 NE 34.6 NE 45
Campylobacter spp. 80 73 42 62.3 76 57
STEC O157 68 59 40 61.4 Combined as all STEC, 55 60
STEC non-O157 82 NE 42 59.7 Combined as all STEC, 55 50
Enterotoxigenic Escherichia coli 100 (only foodborne) 36 NE 44.4 Combined as other pathogenic E. coli, 24 69
E. coli, other diarrheagenic 30 NE NE 41 Combined as other pathogenic E. coli, 24 55
Mycobacterium bovis 95 NE NE NE NE 75
Salmonella spp. 94 73 55 62.9 71 66
Shigella spp. 31 12 NE 25.9 11 8
Vibrio vulnificus 47 NE NE 70.6 NE Non-AGI, 20
Vibrio parahaemolyticus 86 NE NE 82.8 NE AGI, 74
Non-AGI, 8
Vibrio spp. other 57 NE NE 88.9 NE AGI, 96
Non-AGI-95
Yersinia enterocolitica
 90
 NE
 NE
 82.8
 NE
 77
Protozoa
Cryptosporidium spp. 8 16 12 11.3 NE 7
Cyclospora cayetanensis 99 NE NE 83.1 NE 83
Giardia spp. 7 11 13 7.2 NE 10
Toxoplasma gondii
 50
 60
 56
 51.4
 NE
 28
Viruses
Astrovirus <1 NE NE 9.9 NE 15
Hepatitis A virus 7 42 11 29.5 12 42
Norovirus 26 23 17 18.4 17 19
Rotavirus <1 NE 13 7.3 NE 5
Sapovirus <1 NE NE 16.9 NE 13

*NE, not estimated; SEJ, structured expert judgment; STEC, Shiga toxin–producing Escherichia coli.

Main Article

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Page created: October 14, 2020
Page updated: January 27, 2021
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