TY - JOUR
T1 - Attribution of illnesses transmitted by food and water to comprehensive transmission pathways using structured expert judgment, United States
AU - Beshearse, Elizabeth
AU - Bruce, Beau B.
AU - Nane, Gabriela F.
AU - Cooke, Roger M.
AU - Aspinall, Willy
AU - Hald, Tine
AU - Crim, Stacy M.
AU - Griffin, Patricia M.
AU - Fullerton, Kathleen E.
AU - More Authors, null
PY - 2021
Y1 - 2021
N2 - Illnesses transmitted by food and water cause a major disease burden in the United States despite advancements in food safety, water treatment, and sanitation. We report estimates from a structured expert judgment study using 48 experts who applied Cooke's classical model of the proportion of disease attributable to 5 major transmission pathways (foodborne, waterborne, person-to-person, animal contact, and environmental) and 6 subpathways (food handler-related, under foodborne; recreational, drinking, and nonrecreational/nondrinking, under waterborne; and presumed person-to-person-associated and presumed animal contact-associated, under environmental). Estimates for 33 pathogens were elicited, including bacteria such as Salmonella enterica, Campylobacter spp., Legionella spp., and Pseudomonas spp.; protozoa such as Acanthamoeba spp., Cyclospora cayetanensis, and Naegleria fowleri; and viruses such as norovirus, rotavirus, and hepatitis A virus. The results highlight the importance of multiple pathways in the transmission of the included pathogens and can be used to guide prioritization of public health interventions.
AB - Illnesses transmitted by food and water cause a major disease burden in the United States despite advancements in food safety, water treatment, and sanitation. We report estimates from a structured expert judgment study using 48 experts who applied Cooke's classical model of the proportion of disease attributable to 5 major transmission pathways (foodborne, waterborne, person-to-person, animal contact, and environmental) and 6 subpathways (food handler-related, under foodborne; recreational, drinking, and nonrecreational/nondrinking, under waterborne; and presumed person-to-person-associated and presumed animal contact-associated, under environmental). Estimates for 33 pathogens were elicited, including bacteria such as Salmonella enterica, Campylobacter spp., Legionella spp., and Pseudomonas spp.; protozoa such as Acanthamoeba spp., Cyclospora cayetanensis, and Naegleria fowleri; and viruses such as norovirus, rotavirus, and hepatitis A virus. The results highlight the importance of multiple pathways in the transmission of the included pathogens and can be used to guide prioritization of public health interventions.
UR - http://www.scopus.com/inward/record.url?scp=85098600740&partnerID=8YFLogxK
U2 - 10.3201/eid2701.200316
DO - 10.3201/eid2701.200316
M3 - Article
AN - SCOPUS:85098600740
SN - 1080-6040
VL - 27
SP - 182
EP - 195
JO - Emerging Infectious Diseases
JF - Emerging Infectious Diseases
IS - 1
ER -