Evidence map›Paper›PMID 31650985›Full record

ArticleCanada communicable disease report = Releve des maladies transmissibles au Canada2019

Use of a case-control study and control bank to investigate an outbreak of locally acquired cyclosporiasis in Canada, 2016.

V Morton, K Meghnath, M Gheorghe, A Fitzgerald-Husek, J Hobbs, L Honish, S David

Abstract read
In one paragraph

Article in Canada communicable disease report = Releve des maladies transmissibles au Canada, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Article
  2. Ten years of Foodbook: Utilization of Foodbook survey data for research.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2025
    Article
  3. Detectability and Persistence ofPathogens (Basel, Switzerland) · 2025
    Article
  4. Article
  5. Microorganisms · 2023
    Article
  6. Genotyping CanadianMicroorganisms · 2022
    Article
  7. Article
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

7 authors.

V MortonPublic Health Agency of Canada, Guelph, ON.
K MeghnathPublic Health Agency of Canada, Ottawa, ON.
M GheorghePublic Health Agency of Canada, Ottawa, ON.
A Fitzgerald-HusekYork Region Public Health, Newmarket, ON.
J HobbsPublic Health Ontario, Toronto, ON.
L HonishAlberta Health Services, Edmonton, AB.
S DavidBC Centre for Disease Control, Vancouver, BC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background

objectiveTo report on a national outbreak of locally acquired cyclosporiasis, highlight the challenges of investigating these outbreaks and document the first time use of a control bank to recruit controls for a national outbreak case-control study in Canada.

methodsCases of cyclosporiasis were identified through provincial laboratory testing and reported through provinces to the national level. Cases were interviewed about food exposures using a questionnaire and food exposures reported by cases were compared to Foodbook reference values. To narrow down the food items of interest, a matched case-control study was conducted. Controls for the study were recruited primarily from a control bank, that is, a list of individuals who had previously agreed to participate in public health-related surveys.

resultsIn total, 87 cases of locally acquired cyclosporiasis with onset or report dates between May 19, 2016 and August 10, 2016 were reported by four provinces. Comparing case exposures to Foodbook reference values identified several food items of interest, including blackberries, other berries, herbs and leafy greens. The case-control study identified only blackberries and mesclun greens as significantly more frequently consumed by cases than controls. Due to lack of product details for blackberries and mesclun greens, the source of the outbreak was not conclusively identified.

conclusionBlackberries were the primary food item of interest, but could not be identified as the conclusive source due to lack of traceability. The control bank was found to be a useful tool for control recruitment.

Indexed as

Canadacase–control studyCyclosporacyclosporiasisoutbreak

Identifiers

PMID31650985
PMCPMC6781950

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Registered trials

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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.