Evidence map›Paper›PMID 25685598›Full record

ArticleWestern Pacific surveillance and response journal : WPSAR

Hepatitis E in a food handler--a rapid risk assessment to guide the public health response.

Ranil Appuhamy, Cameron Moffatt, Stephanie Davis, Paul Kelly, Karina Kennedy

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Western Pacific surveillance and response journal : WPSAR. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.1field-weighted citation impact, top 46% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Review
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

5 authors at 3 institutions in 1 country.

Ranil AppuhamyHealth Protection Service, Australian Capital Territory Health, Canberra, Australia .
Cameron MoffattOzFoodNet, Communicable Disease Control Section, Health Protection Service, Australian Capital Territory, Canberra, Australia .
Stephanie DavisMaster of Philosophy (Applied Epidemiology) Program, National Centre for Epidemiology and Population Health, Australian National University, Canberra, Australia .
Paul KellyPopulation Health Division, Australian Capital Territory Health Directorate and Australian National University Medical School, Australian Capital Territory, Australia .
Karina KennedyDepartment of Microbiology and Infectious Diseases, Canberra Hospital and Health Services, Canberra, Australia .
Australian National University · AUDepartment of Health and Aged Care · AUCanberra Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe Australian Capital Territory Health Directorate was notified of a food handler with hepatitis E virus (HEV) infection. To guide the public health response, a rapid risk assessment was undertaken to determine the risk of transmission of HEV from the infected food handler to restaurant patrons.

methodThe literature on HEV was reviewed and expert advice sought from clinical and public health specialists. This was supplemented by results of a site investigation and a case interview. The risk rating was determined to be the product of the likelihood of transmission and the consequence of the infection.

resultsThe food handler was likely to have been infectious at the time he was working at the restaurant. He had handled high-risk foods, and the site inspection revealed potential opportunities for transmission. HEV is not common in Australia and it was assumed that the population was non-immune and hence susceptible to the disease. Therefore, there was a low but possible likelihood of transmission of HEV. If infected, HEV has the potential for major consequences in vulnerable populations especially among women who are pregnant. The overall level of risk was considered to be very high. DISCUSSION: The general public and health practitioners were alerted to enable early identification of symptoms and prompt disease management. There were no secondary cases of HEV associated with this event. In the absence of published guidelines and limited evidence, a risk assessment framework was a useful tool to inform public health decision-making.

Indexed as

Food HandlingPublic HealthRestaurantsAdultAustraliaHepatitis EHumansMaleRisk Assessment

Identifiers

PMID25685598
PMCPMC4318976
OpenAlexW2147826873

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.