ArticlePloS one2014
Novel microbiological and spatial statistical methods to improve strength of epidemiological evidence in a community-wide waterborne outbreak.
Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Review
- Isolation and Virulence Gene Profiling of Arcobacter spp. from Seafood and Its Environment.Current microbiology · 2025Article
- Genotyping, antibiotic resistance and prevalence of Arcobacter species in milk and dairy products.Veterinary medicine and science · 2022Article
- The Persistence of Bacterial Pathogens in Surface Water and Its Impact on Global Food Safety.Pathogens (Basel, Switzerland) · 2021Review
- A Systematic Analysis of Research onFoods (Basel, Switzerland) · 2021Review
- Two Drinking Water Outbreaks Caused by Wastewater Intrusion Including Sapovirus in Finland.International journal of environmental research and public health · 2019Article
- Comparison of three multiplex real-time PCR assays for detection of enteric viruses in patients with diarrhea.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2019Article
- Genomic Characterization ofFrontiers in microbiology · 2019Article
- Categorical performance characteristics of method ISO 7899-2 and indicator value of intestinal enterococci for bathing water quality monitoring.Journal of water and health · 2018Article
- Development of a Quantitative PCR Assay for Arcobacter spp. and its Application to Environmental Water Samples.Microbes and environments · 2018Article
- Persistent Norovirus Contamination of Groundwater Supplies in Two Waterborne Outbreaks.Food and environmental virology · 2018Article
- Increase in outbreaks of gastroenteritis linked to bathing water in Finland in summer 2014.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2017Article
- Human enteroviruses associated with and without diarrhea in Thailand between 2010 and 2016.PloS one · 2017Article
- Isolation and identification of Arcobacter species from environmental and drinking water samples.Folia microbiologica · 2016Article
Corrections and comments
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Authors and funding
24 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Failures in the drinking water distribution system cause gastrointestinal outbreaks with multiple pathogens. A water distribution pipe breakage caused a community-wide waterborne outbreak in Vuorela, Finland, July 2012. We investigated this outbreak with advanced epidemiological and microbiological methods. A total of 473/2931 inhabitants (16%) responded to a web-based questionnaire. Water and patient samples were subjected to analysis of multiple microbial targets, molecular typing and microbial community analysis. Spatial analysis on the water distribution network was done and we applied a spatial logistic regression model. The course of the illness was mild. Drinking untreated tap water from the defined outbreak area was significantly associated with illness (RR 5.6, 95% CI 1.9-16.4) increasing in a dose response manner. The closer a person lived to the water distribution breakage point, the higher the risk of becoming ill. Sapovirus, enterovirus, single Campylobacter jejuni and EHEC O157:H7 findings as well as virulence genes for EPEC, EAEC and EHEC pathogroups were detected by molecular or culture methods from the faecal samples of the patients. EPEC, EAEC and EHEC virulence genes and faecal indicator bacteria were also detected in water samples. Microbial community sequencing of contaminated tap water revealed abundance of Arcobacter species. The polyphasic approach improved the understanding of the source of the infections, and aided to define the extent and magnitude of this outbreak.
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