ArticleBMC public health2013
Epidemiological investigation of two parallel gastroenteritis outbreaks in school settings.
Article in BMC public health, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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12 citing papers in PubMed, 27 citations in OpenAlex.
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- 'Evidence for waterborne origin of an extended mixed gastroenteritis outbreak in a town in Northern Greece, 2019'.Epidemiology and infection · 2020Article
- Natural Host-Environmental Media-Human: A New Potential Pathway of COVID-19 Outbreak.Engineering (Beijing, China) · 2020Article
- A community-wide acute diarrheal disease outbreak associated with drinking contaminated water from shallow bore-wells in a tribal village, India, 2017.BMC public health · 2020Article
- Assessment of the Virological Quality of Marine and Running Surface Waters in NW Greece: A Case Study.Food and environmental virology · 2018Article
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- Counting the dead to determine the source and transmission of the marine herpesvirus OsHV-1 in Crassostrea gigas.Veterinary research · 2018Article
- Assessing the Food Safety Attitudes and Awareness of Managers of School Feeding Programmes in Mpumalanga, South Africa.Journal of community health · 2017Article
- Outbreak of foodborne gastroenteritis in a senior high school in South-eastern Ghana: a retrospective cohort study.BMC public health · 2016Article
- Development and Evaluation of a Loop-Mediated Isothermal Amplification Assay for the Detection of Adenovirus 40 and 41.Food and environmental virology · 2015Article
- Occurrence of Cryptosporidium and Giardia in recycled waters used for irrigation and first description of Cryptosporidium parvum and C. muris in Greece.Parasitology research · 2015Article
- Detection of Human Adenovirus (species-C, -D and -F) in an allogeneic stem cell transplantation recipient: a case report.Revista brasileira de hematologia e hemoterapiaArticle
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Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTwo parallel gastroenteritis outbreaks occurred in an elementary school and a neighboring kindergarten in Kilkis, Northern Greece in 2012. The aim of the study was the investigation of these two parallel outbreaks as well as their possible source.
methodsTwo retrospective cohort studies were performed to identify the mode and the vehicle of transmission as well as the possible connection between them.
resultsElementary school and kindergarten populations of 79.9% (119/149) and 51.1% (23/45) respectively, participated in the study. Case definition was satisfied by 65 pupils from the elementary school and 14 from the kindergarten. For elementary school, 53 cases were considered primary cases of the outbreak and were included in the analysis. Based on the results of the multivariate analysis, consumption of tap water was the only statistically significant independent risk factor of gastroenteritis (RR = 2.34, 95% C.I.: 1.55-3.53).; a finding supported by the shape of the epidemic curve which referred to a common point source outbreak with secondary cases. For kindergarten, no statistically significant risk factor was identified, and the epidemic curve supported a person-to-person transmission according univariate analysis. Norovirus GI and GII and human Adenovirus were detected by Real Time PCR in stool samples from seven children of elementary school, but stool samples were not collected by children of the kindergarten.
conclusionsEven though the etiological agent of the outbreak was not verified, combined epidemiological and laboratory results were in favor of a waterborne viral gastroenteritis outbreak at the elementary school, followed by a person to person spread at the kindergarten.
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