Risk factors for secondary transmission in households after a common-source outbreak of Norwalk gastroenteritis.

Abstract:

:In November 1984, a foodborne outbreak of Norwalk gastroenteritis occurred in a K-12 public school in northern Vermont. The outbreak offered an opportunity to systematically study in detail secondary transmission rates in households. Eating salad at Tuesday's school-sponsored Thanksgiving Banquet was associated with illness among students and staff members (p less than 0.025). Seven of 11 serum pairs from ill persons showed a fourfold or greater rise in antibody titer to Norwalk virus compared with one of nine controls (p = 0.028). The study of secondary household transmission revealed that households with persons with primary illness were 5.5 times more likely to experience secondary illness than households with well school children or adults. As the number of individuals with primary illness in the household increased, the secondary illness rates increased. Pre-school children were twice as likely as adults to develop secondary illness.

journal_name

Am J Epidemiol

authors

Heun EM,Vogt RL,Hudson PJ,Parren S,Gary GW

doi

10.1093/oxfordjournals.aje.a114756

subject

Has Abstract

pub_date

1987-12-01 00:00:00

pages

1181-6

issue

6

eissn

0002-9262

issn

1476-6256

journal_volume

126

pub_type

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