Evidence map›Paper›PMID 15026434›Full record

ArticleJournal of epidemiology and community health2004

An outbreak of gastroenteritis from a non-chlorinated community water supply.

M Kuusi, P Klemets, I Miettinen, I Laaksonen, H Sarkkinen, M L Hänninen, H Rautelin, E Kela, J P Nuorti

Open access · bronzeAbstract read
In one paragraph

Article in Journal of epidemiology and community health, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
6.1field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 66 citations in OpenAlex.

  1. Article
  2. Article
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  4. Large waterborneEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2020
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  6. Review
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  12. The role of environmental reservoirs in human campylobacteriosis.International journal of environmental research and public health · 2013
    Review
  13. Article
  14. Article
  15. Estimated Numbers of Community Cases of Illness Due to Salmonella, Campylobacter and Verotoxigenic Escherichia Coli: Pathogen-specific Community Rates.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2006
    Article
  16. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

M KuusiDepartment of Infectious Disease Epidemiology, National Public Health Institute, Helsinki, Finland. markuu.kuusi@ktl.fi
P Klemets
I Miettinen
I Laaksonen
H Sarkkinen
M L Hänninen
H Rautelin
E Kela
J P Nuorti
Institute for Molecular Medicine Finland · FIUniversity of Helsinki · FIEtelä-Karjalan sosiaali ja terveyspiiri · FIPäijät-Hämeen Keskussairaala · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectiveTo determine the source and the extent of a community wide outbreak of gastroenteritis.

designA matched case-control study with postal questionnaires. Subtyping of campylobacter strains by pulsed field gel electrophoresis (PFGE).

settingA rural municipality with a population of 8600 in southern Finland, August 2000. Two thirds of the population receive non-chlorinated ground water from the municipal water supply.

participantsCases were randomly selected among residents of the municipality who contacted the municipal health centre because of gastroenteritis and had illness onset between 31 July and 20 August 2000. Community controls were identified from the population registry and matched according to sex, year of birth, and postal code. MAIN

resultsFour hundred and sixty three persons contacted the municipal health centre because of gastroenteritis. Campylobacter jejuni was isolated from stool samples of 24 persons. One hundred and thirty seven cases and 388 controls were enrolled in the case-control study. In multivariate analysis, drinking unboiled water from the municipal supply was significantly associated with illness (odds ratio 11.1, 95% confidence interval 1.4 to 90.2). C jejuni was isolated from one tap water sample. The water isolate and all but one of the patient isolates were indistinguishable by PFGE.

conclusionsCombining epidemiological investigation with molecular subtyping methods provided strong evidence that water was the source of the outbreak. Non-chlorinated small ground water systems may be susceptible to waterborne outbreaks and constitute a risk to rural populations.

Indexed as

Disease OutbreaksWater MicrobiologyWater SupplyAdolescentAdultAgedAged, 80 and overCampylobacter InfectionsCampylobacter jejuniCase-Control StudiesChildChild, PreschoolFemaleFinlandGastroenteritisHumans

Identifiers

PMID15026434
PMCPMC1732716
OpenAlexW2140350620

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.