Abstract：
:During a three-week period in 1984, 339 tourists and expatriate employees with diarrhea visited the infirmary at a Caribbean resort club. Epidemiologic studies suggested that over 60% of the 1,893 tourists at the resort club during that time may have been ill. Shigella flexneri 4a was isolated from seven of 18 stool specimens. A few cases of diarrheal illness occurred at the resort club before the onset of the outbreak, which was temporally related to illness in a butcher. North American residence, eating raw or very rare hamburger, having a roommate who was ill and younger age were significantly associated with acquiring disease. Control measures, principally elimination of ill food handlers from the kitchens, were followed by a prompt and marked reduction in new cases. Isolated resorts pose problems in disease control similar to those on cruise ships, with hundreds of foods available, large numbers of short-stay visitors with few outside exposures, and many food handlers in whom pathogens can persist between groups of visitors. Resort clubs can reduce the risk of traveler's diarrhea, without using mass prophylaxis against pathogenic bacteria, by appropriate handling and preparation of food and by surveillance for diarrheal illnesses.
journal_name
Am J Epidemioljournal_title
American journal of epidemiologyauthors
Spika JS,Dabis F,Hargrett-Bean N,Salcedo J,Veillard S,Blake PAdoi
10.1093/oxfordjournals.aje.a114755subject
Has Abstractpub_date
1987-12-01 00:00:00pages
1173-80issue
6eissn
0002-9262issn
1476-6256journal_volume
126pub_type
杂志文章abstract：:In prospective studies, disease rates during follow-up are typically analyzed with respect to the values of factors measured during an initial baseline survey. However, because of "regression dilution," this generally tends to underestimate the real associations of disease rates with the "usual" levels of such risk fa...
journal_title：American journal of epidemiology
pub_type： 杂志文章
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journal_title：American journal of epidemiology
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更新日期：2007-08-01 00:00:00
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journal_title：American journal of epidemiology
pub_type： 杂志文章,meta分析,评审
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更新日期：2005-07-15 00:00:00
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journal_title：American journal of epidemiology
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pub_type： 杂志文章,多中心研究
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pub_type： 杂志文章
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pub_type： 杂志文章,meta分析
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journal_title：American journal of epidemiology
pub_type： 杂志文章
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更新日期：2011-04-15 00:00:00
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pub_type： 杂志文章
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journal_title：American journal of epidemiology
pub_type： 杂志文章
doi：10.1093/aje/kwm341
更新日期：2008-03-01 00:00:00
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journal_title：American journal of epidemiology
pub_type： 杂志文章
doi：10.1093/aje/kwt188
更新日期：2013-11-01 00:00:00
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journal_title：American journal of epidemiology
pub_type： 杂志文章
doi：10.1093/oxfordjournals.aje.a114493
更新日期：1987-01-01 00:00:00
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journal_title：American journal of epidemiology
pub_type： 杂志文章
doi：10.1093/oxfordjournals.aje.a114719
更新日期：1987-11-01 00:00:00
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journal_title：American journal of epidemiology
pub_type： 杂志文章
doi：10.1093/aje/kwv302
更新日期：2016-05-15 00:00:00
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pub_type： 杂志文章
doi：10.1093/oxfordjournals.aje.a113103
更新日期：1981-04-01 00:00:00
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journal_title：American journal of epidemiology
pub_type： 杂志文章
doi：10.1093/aje/kwr456
更新日期：2012-05-15 00:00:00
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pub_type： 杂志文章
doi：10.1093/oxfordjournals.aje.a115505
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pub_type： 杂志文章
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更新日期：1994-12-01 00:00:00
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journal_title：American journal of epidemiology
pub_type： 杂志文章
doi：10.1093/oxfordjournals.aje.a009543
更新日期：1998-05-01 00:00:00
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journal_title：American journal of epidemiology
pub_type： 杂志文章
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更新日期：1991-04-15 00:00:00
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journal_title：American journal of epidemiology
pub_type： 评论,杂志文章
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更新日期：2010-09-15 00:00:00
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pub_type： 杂志文章
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journal_title：American journal of epidemiology
pub_type： 杂志文章,评审
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更新日期：2004-08-01 00:00:00
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pub_type： 杂志文章
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更新日期：2009-09-15 00:00:00
abstract：:Increasing evidence suggests that maternal stress during pregnancy may influence pregnancy outcomes. In a nationwide Swedish study including almost 3 million births taking place during 1973-2006, we investigated whether maternal bereavement during pregnancy is associated with stillbirth risk. Through individual record...
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pub_type： 杂志文章
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更新日期：2013-02-01 00:00:00
