ArticleEpidemiology and infection2014
A large waterborne gastroenteritis outbreak in central Greece, March 2012: challenges for the investigation and management.
Article in Epidemiology and infection, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Infectious Diseases Associated with Hydrometeorological Hazards in Europe: Disaster Risk Reduction in the Context of the Climate Crisis and the Ongoing COVID-19 Pandemic.International journal of environmental research and public health · 2022Pooled it
- Gastroenteritis Outbreaks after Contamination of Water Supply Systems: Public Health Response Gaps and Challenges, Greece, 2004-2023.International journal of environmental research and public health · 2024Article
- A Community WaterborneInternational journal of environmental research and public health · 2024Article
- Relationship between diarrhoea risk and the combinations of drinking water sources in the Kathmandu Valley, Nepal.International health · 2022Article
- Novel insights of waterborne human rotavirus A in Riyadh (Saudi Arabia) involving G2 predominance and emergence of a thermotolerant sequence.Scientific reports · 2021Article
- Human Adenovirus Molecular Characterization in Various Water Environments and Seasonal Impacts in Riyadh, Saudi Arabia.International journal of environmental research and public health · 2021Article
- Rotavirus Surveillance in Tap Water, Recycled Water, and Sewage Sludge in Thailand: A Longitudinal Study, 2007-2018.Food and environmental virology · 2021Article
- Prevalence of coliform bacterial contamination in cat drinking water in households in Thailand.Veterinary world · 2021Article
- 'Evidence for waterborne origin of an extended mixed gastroenteritis outbreak in a town in Northern Greece, 2019'.Epidemiology and infection · 2020Article
- Detection, Quantification, and Microbial Risk Assessment of Group A Rotavirus in Rivers from Uruguay.Food and environmental virology · 2020Article
- Food Hygiene Surveillance in Italy: Is Food Ice a Public Health Risk?International journal of environmental research and public health · 2020Article
- Genotyping of Rotaviruses in River Nile in Giza, Egypt.Iranian journal of public health · 2020Article
- Adenovirus and rotavirus recovery from a treated effluent through an optimized skimmed-milk flocculation method.Environmental science and pollution research international · 2018Article
- Viruses Surveillance Under Different Season Scenarios of the Negro River Basin, Amazonia, Brazil.Food and environmental virology · 2016Article
- Adsorption of Rotavirus, MS2 Bacteriophage and Surface-Modified Silica Nanoparticles to Hydrophobic Matter.Food and environmental virology · 2015Article
- Development and Evaluation of a Loop-Mediated Isothermal Amplification Assay for the Detection of Adenovirus 40 and 41.Food and environmental virology · 2015Article
- Control selection methods in recent case-control studies conducted as part of infectious disease outbreaks.European journal of epidemiology · 2015Review
- Global occurrence and emission of rotaviruses to surface waters.Pathogens (Basel, Switzerland) · 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
- A large multi-pathogen gastroenteritis outbreak caused by drinking contaminated water from antique neighbourhood fountains, Erzurum city, Turkey, December 2012.Epidemiology and infection · 2015Article
Corrections and comments
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Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In March 2012, there was an unusual increase of gastroenteritis cases in a district with 37,264 inhabitants in central Greece. It was estimated that more than 3600 people developed symptoms. A 1:1 case-control study showed that consumption of tap water was a risk factor for acquiring infection [odds ratio (OR) 2.18, 95% confidence interval (CI) 1.11-4.28]. Descriptive data, low gastroenteritis incidence in adjacent areas with different water supply systems, and water-quality data further supported the hypothesis of a waterborne outbreak. Thirty-eight stool samples were positive for rotavirus. Bacterial indicators of recent faecal contamination were detected in samples from the water source and ice cubes from a local production enterprise. Molecular epidemiology of rotavirus strains, apart from the common strain, G3[P8], identified the unusual G/P combination G2P[8]. Water sanitation measures contributed to the control of the outbreak. This outbreak demonstrated the need for the cooperation of laboratories with different expertise and the importance of early notification of waterborne gastroenteritis outbreaks.
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