Abstract:
:In May 1983, an estimated 865 cases of epidemic gastrointestinal disease occurred in Greenville, Florida. Surveillance of pharmacy sales of antidiarrheal medicines suggested that the outbreak was confined to Greenville and its immediate vicinity. Surveys demonstrated that the gastrointestinal illness attack rates inside and outside the city limits were 56 per cent (72/128) and 9 per cent (7/77), respectively (relative risk (RR) = 6.2); consumption of city water was associated with illness (RR = 12); and as water consumption increased, the attack rate also increased (p less than 0.001). Four adults were hospitalized and one outbreak-related case of Guillain-Barre' syndrome was identified. Campylobacter jejuni was isolated from specimens from 11 ill persons; serologic studies showed the development of Campylobacter-specific antibodies. Fecal coliforms were found in water samples, but Campylobacter was not recovered from water. The city water plant, a deep well system, had numerous deficiencies including an unlicensed operator, a failure of chlorination, and open-top treatment towers. Birds were observed perching on the open-top treatment tower. Of 38 birds trapped seven weeks later, 37 per cent harbored C. jejuni; however, plasmid and serotyping studies showed that strains were not the same as the common strain from ill persons. This outbreak suggests that water systems that are unprotected from contact with birds may become contaminated and a source of outbreaks of human campylobacteriosis.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Sacks JJ,Lieb S,Baldy LM,Berta S,Patton CM,White MC,Bigler WJ,Witte JJdoi
10.2105/ajph.76.4.424subject
Has Abstractpub_date
1986-04-01 00:00:00pages
424-8issue
4eissn
0090-0036issn
1541-0048journal_volume
76pub_type
杂志文章abstract:OBJECTIVES:We conducted an exploratory study to determine what organizational characteristics predict the provision of culturally competent services for American Indian and Alaska Native (AI/AN) veterans in Department of Veterans Affairs (VA) health facilities. METHODS:In 2011 to 2012, we adapted the Organizational Re...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302140
更新日期:2014-09-01 00:00:00
abstract:OBJECTIVES:To estimate the risk of exposure to fentanyl among syringe exchange program (SEP) participants in New York City. METHODS:We recruited a convenience sample from 11 SEPs in New York City between March and June 2017. Consenting participants (n = 434) received a labeled syringe for their next injection. We test...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304694
更新日期:2018-12-01 00:00:00
abstract::To estimate the seroprevalence and investigate risk behaviors for HIV (human immunodeficiency virus) infection in intravenous drug users in Los Angeles County, a stratified, random sample of 790 clients, enrolled in either methadone maintenance or detoxification programs, were studied. Thirteen study participants (1.8...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.1.81
更新日期:1989-01-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to identify circumstances in which biochemical assessments of smoking produce systematically higher or lower estimates of smoking than self-reports. A secondary aim was to evaluate different statistical approaches to analyzing variation in validity estimates. METHODS:Literature...
journal_title:American journal of public health
pub_type: 杂志文章,meta分析
doi:10.2105/ajph.84.7.1086
更新日期:1994-07-01 00:00:00
abstract:OBJECTIVES:We characterized smokers who are likely to use electronic or "e-"cigarettes to quit smoking. METHODS:We obtained cross-sectional data in 2010-2012 from 1567 adult daily smokers in Hawaii using a paper-and-pencil survey. Analyses were conducted using logistic regression. RESULTS:Of the participants, 13% rep...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301453
更新日期:2013-09-01 00:00:00
abstract::Despite recognition of the importance of posttrial access to antiretroviral therapy (ART), the implementation process has not been studied. We examined whether the National Institutes of Health (NIH) guidance document was being implemented in NIH-funded ART trials conducted in developing countries between July 2005 an...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2008.157982
更新日期:2009-09-01 00:00:00
abstract:OBJECTIVES:We investigated preterm birth (PTB) in relation to maternal occupational exposure and whether effect measures were modified by Hispanic ethnicity and nativity in a population-based sample with high proportion of Hispanics. METHODS:We used a case-control study (n = 2543) nested within a cohort of 58,316 birt...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301457
更新日期:2014-02-01 00:00:00
abstract::Compared with their heterosexual peers, sexual minority women (SMW; e.g., queer, bisexual, lesbian, pansexual) have an elevated risk for unintended pregnancy.A team of social science and clinical researchers qualitatively documented the multilevel pathways leading to this disparity, particularly the contexts of contra...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305211
更新日期:2019-12-01 00:00:00
abstract::The French health system combines universal coverage with a public-private mix of hospital and ambulatory care and a higher volume of service provision than in the United States. Although the system is far from perfect, its indicators of health status and consumer satisfaction are high; its expenditures, as a share of...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.1.31
更新日期:2003-01-01 00:00:00
abstract:OBJECTIVES:Healthy People 2010: Understanding and Improving Health lists 6 areas of disparity in minority health services: infant mortality, cancer, cardiovascular disease, HIV/AIDS, diabetes, and immunizations. This study compiles existing Asian American and Pacific Islander (AAPI) health data to establish a baseline....
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.12.2093
更新日期:2003-12-01 00:00:00
abstract::A random sample of employees was surveyed 20 months after a non-smoking policy was implemented at the New England Telephone Company in 1986. Overall, 21 percent of respondents who were smoking at the time they heard about the policy had quit smoking; 42 percent of quitters said they stopped smoking because of the poli...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.2.202
更新日期:1991-02-01 00:00:00
abstract:OBJECTIVES:We analyzed outcomes from a study that examined social-contextual factors in cancer prevention interventions for working class, multiethnic populations. METHODS:Ten community health centers were randomized to intervention or to control. Patients who resided in low-income, multiethnic neighborhoods were elig...
journal_title:American journal of public health
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.2105/AJPH.2004.038695
更新日期:2005-07-01 00:00:00
abstract::The cultural divide between US military and civilian institutions amplifies the consequences of military discharge status on public health and criminal justice systems in a manner that is invisible to a larger society. Prompt removal of problematic wounded warriors through retributive justice is more expedient than le...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302117
更新日期:2014-10-01 00:00:00
abstract::Objectives. To assess if historical redlining, the US government's 1930s racially discriminatory grading of neighborhoods' mortgage credit-worthiness, implemented via the federally sponsored Home Owners' Loan Corporation (HOLC) color-coded maps, is associated with contemporary risk of preterm birth (< 37 weeks gestati...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2020.305656
更新日期:2020-07-01 00:00:00
abstract::We studied the effect of legislation requiring deposits for beverage containers on the incidence of lacerations in urban children. Records of emergency room visits for lacerations and fractures were reviewed for three years pre-legislation (1980-82) and the immediate post-legislation period (1983). The incidence of to...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.10.1243
更新日期:1986-10-01 00:00:00
abstract:OBJECTIVES:We explored whether excesses in influenza severity can be detected by combining respiratory syndromic hospital and mortality data with data on influenza-like illness (ILI) cases obtained from general practitioners. METHODS:To identify excesses in the severity of influenza infections in the population of the...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.168245
更新日期:2010-11-01 00:00:00
abstract::Because of the importance of grassroots social movements, or "change from below," in the history of US reform, the relationship between social movements and demands for universal health care is a critical one. National health reform campaigns in the 20th century were initiated and run by elites more concerned with def...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/ajph.93.1.75
更新日期:2003-01-01 00:00:00
abstract::Five years after the Three Mile Island nuclear accident, the mental health of women who had been pregnant and living within 10 miles of Three Mile Island at the time of the accident was similar to that of women from the same area who became pregnant after the accident. Ratings of the development of the two groups of c...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.3.384
更新日期:1991-03-01 00:00:00
abstract:OBJECTIVES:Prospectively gathered data were used to reexamine and to strengthen previously described observations about education and the risk of alcohol abuse and dependence. The hypothesis was that individuals who dropped out of high school and those who entered college but failed to get a college degree might be at ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.6.830
更新日期:1993-06-01 00:00:00
abstract::A random sample of 2266 women aged 50 to 69 years was used to investigate factors that predict attendance at a free Australian mammographic screening program. The most important predictor was receipt of a personal invitation letter. A letter that included an appointment time increased attendance 132-fold initially and...
journal_title:American journal of public health
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.2105/ajph.84.10.1655
更新日期:1994-10-01 00:00:00
abstract:OBJECTIVES:We assessed background characteristics, health status, and prevalence rates of mental health disorders in 2 studies of homeless mothers conducted in Worcester, Mass, one in 1993 and the other in 2003. METHODS:We compared the women taking part in the 2 studies, which involved similar methodologies, on the ke...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.069310
更新日期:2006-08-01 00:00:00
abstract::The youngest and oldest drivers have the highest crash risk, but the problem lies predominantly in the youngest age groups because elderly drivers have low exposure. The elderly driver problem will increase gradually as their share of the population increases but will remain relatively small. The bulk of the problem w...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.3.326
更新日期:1989-03-01 00:00:00
abstract:BACKGROUND:National surveys indicate that only 15% to 30% of all women in the general population 50 years of age or older have an annual mammogram. METHODS:We studied first-degree female relatives of women with breast cancer, who are at elevated risk of disease, to describe the breast cancer screening practices of the...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.9.1174
更新日期:1991-09-01 00:00:00
abstract::Sexual and reproductive health remains the contentious concept it was at the 1994 United Nations International Conference on Population and Development (ICPD), held in Cairo, Egypt. In light of the recent 15-year review of ICPD, we suggest several areas where advocates, practitioners, and researchers can inform future...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.177873
更新日期:2010-03-01 00:00:00
abstract::We examined associations of different levels of same-ethnicity neighborhood concordance with health care access and utilization among all Asian American, Chinese, Filipino, and Vietnamese adults (aged 18-64 years) using the 2005, 2007, and 2009 California Health Interview Survey and the 2010 US Census. Although associ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302275
更新日期:2015-01-01 00:00:00
abstract::In 2009 we surveyed 400 tribal members of a midwestern American Indian reservation to assess the prevalence of OxyContin use. Thirty percent of tribal participants reported nonmedical use of OxyContin ever, 18.9% in the past year, and 13.4% in the past month. Participants aged 18 to 25 years were most likely to have u...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301372
更新日期:2013-11-01 00:00:00
abstract::Public health is usually enacted through public policies, necessitating that the public engage in debates that, ideally, are grounded in solid scientific findings. Mistrust in science, however, has compromised the possibility of deriving sound policy from such debates, partially owing to justified concerns regarding u...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302241
更新日期:2015-02-01 00:00:00
abstract::This study investigated the 18-month incidence of tooth loss in a random sample of 451 dentate noninstitutionalized Iowans aged 65 and older residing in two rural counties. They had a mean of 19.0 teeth at baseline and lost an average of 0.4 teeth during the subsequent 18 months. Twenty-one per cent of the population ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.10.1330
更新日期:1988-10-01 00:00:00
abstract::In 1985, a measles outbreak involved 14 students and non-student contacts in Michigan. Eight transmissions occurred at university medical facilities; five of these were likely airborne transmissions. Medical students and a medical resident were involved in the outbreak's propagation. Health care providers need to be i...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.77.9.1222
更新日期:1987-09-01 00:00:00
abstract:OBJECTIVES:We examined the relation of household crowding to food insecurity among Inuit families with school-aged children in Arctic Quebec. METHODS:We analyzed data collected between October 2005 and February 2010 from 292 primary caregiver-child dyads from 14 Inuit communities. We collected information about househ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302290
更新日期:2015-03-01 00:00:00