Food- and Waterborne Disease Outbreaks Australian Long-Term Care Facilities, 2001-2008
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Lalor, Karin; Raupach, Jane; Combs, Barry; Stafford, Russell; Hall, Gillian; Becker, Niels; Kirk, Martyn
Description
Food-or waterborne diseases in long-term care facilities (LTCF) can result in serious outcomes, including deaths, and they are potentially preventable. We analyzed data collected by OzFoodNet on food-and waterborne disease outbreaks occurring in LTCF in Australia from 2001 to 2008. We compared outbreaks by the number of persons affected, etiology, and implicated vehicle. During 8 years of surveillance, 5.9% (55/936) of all food-and waterborne outbreaks in Australia occurred in LTCF. These LTCF...[Show more]
dc.contributor.author | Lalor, Karin | |
---|---|---|
dc.contributor.author | Raupach, Jane | |
dc.contributor.author | Combs, Barry | |
dc.contributor.author | Stafford, Russell | |
dc.contributor.author | Hall, Gillian | |
dc.contributor.author | Becker, Niels | |
dc.contributor.author | Kirk, Martyn | |
dc.date.accessioned | 2015-12-08T22:43:52Z | |
dc.identifier.issn | 1535-3141 | |
dc.identifier.uri | http://hdl.handle.net/1885/37388 | |
dc.description.abstract | Food-or waterborne diseases in long-term care facilities (LTCF) can result in serious outcomes, including deaths, and they are potentially preventable. We analyzed data collected by OzFoodNet on food-and waterborne disease outbreaks occurring in LTCF in Australia from 2001 to 2008. We compared outbreaks by the number of persons affected, etiology, and implicated vehicle. During 8 years of surveillance, 5.9% (55/936) of all food-and waterborne outbreaks in Australia occurred in LTCF. These LTCF outbreaks affected a total of 909 people, with 66 hospitalized and 23 deaths. The annual incidence of food-or waterborne outbreaks was 1.9 (95% confidence intervals 1.0-3.7) per 1000 facilities. Salmonella caused 17 outbreaks, Clostridium perfringens 14 outbreaks, Campylobacter 8 outbreaks, and norovirus 1 outbreak. Residents were at higher risk of death during outbreaks of salmonellosis than for all other outbreaks combined (relative risk 7.8, 95% confidence intervals 1.8-33.8). Of 15 outbreaks of unknown etiology, 11 were suspected to be due to C. perfringens intoxication. Food vehicles were only identified in 27% (14/52) of outbreaks, with six outbreak investigations implicating pureed foods. Dishes containing raw eggs were implicated as the cause of four outbreaks. Three outbreaks of suspected waterborne disease were attributed to rainwater collected from facility roofs. To prevent disease outbreaks, facilities need to improve handling of pureed foods, avoid feeding residents raw or undercooked eggs, and ensure that rainwater tanks have a scheduled maintenance and disinfection program. | |
dc.publisher | Mary Ann Liebert Inc. | |
dc.source | Foodborne Pathogens and Disease | |
dc.subject | Keywords: article; Australia; Campylobacter; Clostridium perfringens; death; epidemic; food poisoning; health care facility; hospitalization; human; logn term care facility; nonhuman; Norovirus; priority journal; Salmonella; salmonellosis; water intoxication; Austr | |
dc.title | Food- and Waterborne Disease Outbreaks Australian Long-Term Care Facilities, 2001-2008 | |
dc.type | Journal article | |
local.description.notes | Imported from ARIES | |
local.identifier.citationvolume | 8 | |
dc.date.issued | 2011 | |
local.identifier.absfor | 111706 - Epidemiology | |
local.identifier.ariespublication | u4468094xPUB148 | |
local.type.status | Published Version | |
local.contributor.affiliation | Kirk, Martyn, College of Medicine, Biology and Environment, ANU | |
local.contributor.affiliation | Lalor, Karin, VIC Department of Human Services | |
local.contributor.affiliation | Raupach, Jane, Commonwealth Department of Health and Ageing | |
local.contributor.affiliation | Combs, Barry, WA Department of Health | |
local.contributor.affiliation | Stafford, Russell, Queensland Health (OzFoodNet) | |
local.contributor.affiliation | Hall, Gillian, College of Medicine, Biology and Environment, ANU | |
local.contributor.affiliation | Becker, Niels, College of Medicine, Biology and Environment, ANU | |
local.description.embargo | 2037-12-31 | |
local.bibliographicCitation.issue | 1 | |
local.bibliographicCitation.startpage | 133 | |
local.bibliographicCitation.lastpage | 139 | |
local.identifier.doi | 10.1089/fpd.2010.0648 | |
dc.date.updated | 2016-02-24T11:08:12Z | |
local.identifier.scopusID | 2-s2.0-78651271701 | |
Collections | ANU Research Publications |
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