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Community-based study of the incidence of gastrointestinal diseases in The Netherlands

Published online by Cambridge University Press:  15 May 2009

A. M. M. Hoogenboom-Verdegaal ,
J. C. De Jong ,
M. During ,
R. Hoogenveen  and
J. A. Hoekstra
A. M. M. Hoogenboom-Verdegaal
Affiliation:
Department of Water- and Food Microbiology of the National Institute of Public Health and Environmental Protection, The Netherlands
J. C. De Jong
Affiliation:
Department of Virology of the National Institute of Public Health and Environmental Protection, The Netherlands
M. During
Affiliation:
Department of Water- and Food Microbiology of the National Institute of Public Health and Environmental Protection, The Netherlands
R. Hoogenveen
Affiliation:
Department of Mathematics and Modelling of the National Institute of Public Health and Environmental Protection, The Netherlands
J. A. Hoekstra
Affiliation:
Department of Mathematics and Modelling of the National Institute of Public Health and Environmental Protection, The Netherlands
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The incidence of gastrointestinal diseases was studied in a community-based study in four regions of The Netherlands. Two grades of severity were distinguished − 1: diarrhoea or vomiting and at least 2 additional symptoms within the period of 1 week, and 2: diarrhoea or vomiting and at least 2 additional symptoms occurring on the same day lasting at least 2 days within the period of 1 week. The incidence of gastrointestinal episodes was calculated to be 630 for grade 1 and 180 for grade 2 disease per 1000 person-years, after correction for age and sex. The incidence was higher for women than for men (relative risk 1·25) and lower for those in the 19–64-year-old age group when compared to those younger or older (relative risk 0·75 and 0·40. respectively). Independent of the degree of severity of the symptoms, about 20% of the patients had consulted a general practitioner, about half in person and half by telephone. It is concluded that community studies are essential to assess the real incidence of gastrointestinal diseases in the population.

Type
Research Article
Information
Epidemiology & Infection , Volume 112 , Issue 3 , June 1994 , pp. 481 - 487
Copyright
Copyright © Cambridge University Press 1994

References

REFERENCES

1.Bean, NH, Griffin, PM. Foodborne disease outbreaks in the United States. 1973–1987: pathogens, vehicles, and trends. J Food Prot 1990; 53: 804–17.CrossRefGoogle ScholarPubMed
2.Todd, ECD. Preliminary estimates of costs of foodborne disease in the United States. J Food Prot 1989; 52: 595–601.CrossRefGoogle ScholarPubMed
3.Roberts, T. Human illness costs of foodborne bacteria. Amer J Agr Econ 1989: 468–74.CrossRefGoogle Scholar
4.Waites, WM. Arbuthnott, JP. Foodborne illness: an overview. Lancet 1990; 336: 722–5.CrossRefGoogle ScholarPubMed
5.Guerrant, RL. Principles and syndromes of enteric infection. In: Mandell, GL. Douglas, RG Jr. Bennett, JE. eds. Principles and practice of infectious diseases. 3rd ed.New York: Churchill Livingstone. 1990: 837–51.Google Scholar
6.Monto, AS. Koopman, S. The Tecumseh Study. XI. Occurrence of acute enteric illness in the community. Am J Epidemiol 1980; 112: 323–33.CrossRefGoogle ScholarPubMed
7.Guerrant, RL. Hughes, JM. Lima, NL. Crane, J. Diarrhea in developed and developing countries: magnitude, special settings, and etiologies. Rev Infect Dis 1990; 12: S41–S50.CrossRefGoogle ScholarPubMed
8.Chouillet, A. Maguire, H. Kuttz, Z. Policies for control of communicable disease in day care centres. Arch Dis Child 1992; 67: 1103–6.CrossRefGoogle ScholarPubMed
9. WHO Surveillance programme for control of foodborne infections and intoxications in Europe. Fifth report 1985–1989. Berlin. 1992.Google Scholar
10.Grossklaus, D. Gerigk, K. Kolb, H. Zastrow, KD. Worldwide increases of enteritis-infectiosa -critical remarks. Archiv Lebensmittel Hygiene 1991: 42: 136.Google Scholar
11.Goldfinger, SE. Constipation, diarrhea, and disturbances of anoreetal function. In: Isselbacher, KJ. Adams, RD. Braunwald, E. Petersdorf, RG. Wilson, JD. eds. Harrison's principles of internal medicine. 9th ed.Tokyo: McGraw-Hill Kogakusha. 1980: 198–202.Google Scholar
12.Watson, AJM. Diarrhoea. BMJ 1992; 304: 1302–4.CrossRefGoogle ScholarPubMed
13.Mccullagh, P. Nelder, JA. Generalized linear models. London: Chapman and Hall Ltd. 1983.CrossRefGoogle Scholar
14.Genstat 5 Reference Manual. Oxford: Clarendom Press. 1987.Google Scholar
15.Hoogenboom-Verdegaal, AMM, During, M. Engels, GB. et al. Epidemiologisch en micro-biologisch onderzoek met betrekking tot gastro-enteritis bij de mens in de regio's Amsterdam en Helmond in 1987 en 1988. RIVM rapport nr 148612002. 1990.Google Scholar
16.Velden J van, der. Bakker, DH de. Claessens, AAMC, Schellevis, FG. Een nationale studie naar ziekten en verrichtingen in de huisartsenpraktijk. Nivel Postbus 1568. 3500 BN Utrecht. 1991.Google Scholar
17.Daniäls., AJM. Onderzoek naar enterovirussen. Salmonellae en Shigellae in gezinnen met jonge kinderen. Thesis. Amsterdam. 1966.Google Scholar
18.Pel., JZS. Alledaagse infectieziekten in de eerste vijf levensjaren. Thesis. Amsterdam. 1966.Google Scholar
19.Dingle, JH. Badger, GF. Feller, AR. Hodges, RG. Jordan, WS. Rammelkamp, CH. A study of illness in a group of Cleveland families. Am J Hyg 1953; 58: 16–30.Google Scholar
20.Sockett, PN. Roberts, JA. The social and economic impact of salmonellosis. A report of a national survey in England and Wales of laboratory-confirmed salmonella infections. Epidemiol Infect 1991; 107: 335–47.CrossRefGoogle ScholarPubMed
21.Ratnaike, RN. Diarrhoea in the elderly: epidemiological and aetiological factors. J Gastroent Hepat 1990; 5: 449–58.CrossRefGoogle ScholarPubMed
22.Lew, JF. Class, MD. Gangarosa, RE. Cohen, IP. Bern, C. Moe, CL. Diarrheal deaths in the United States. 1979 through 1987. JAMA 1991; 265: 3280–4.CrossRefGoogle ScholarPubMed