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Volume 27, Number 1—January 2021

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 8

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

Details Study
Hald et al. (20) Butler et al. (22) Vally et al. (23) This study
Country AMR A (Canada, Cuba, USA) Canada Australia United States
Brucella spp. 1 4 NE 10
Campylobacter spp. 11 9.3 6 13
STEC O157 7 13.3 Combined as all STEC, 8 5
STEC non-O157 NE 11.4 Combined as all STEC, 8 6
Enterotoxigenic Escherichia coli 42 15.3 Combined as other E. coli, 14 9
E. coli, other diarrheagenic NE 15.6 Combined as other E. coli, 14 9
Salmonella spp. 2 8 5 6
Shigella spp. 10 12.2 4 4
Vibrio vulnificus NE 23.2 NE Non-AGI, 78
V. parahaemolyticus NE 11 NE AGI, 24; non-AGI, 90
Vibrio spp. other
AGI, 2; non-AGI, 3
Cryptosporidium spp. 37 36.8 NE 43
Cyclospora cayetanensis NE 7.7 NE 6
Giardia spp. 42 NE NE 44
Toxoplasma gondii
Astrovirus NE 6.8 NE 6
Hepatitis A virus 1 6.2 4 8
Norovirus 22 7.4 3 6
Rotavirus NE 5.9 NE 7
Sapovirus NE 1.4 NE 8

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

Main Article

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