C-EnterNet 2008 Annual Report

[Next]

...National Integrated Enteric Pathogen Surveillance Program

Table of Contents

• Acknowledgments
• Executive Summary
• 1. Introduction
• 2. Human Case Summary
  • 2.1 Overview of Human Cases
  • 2.2 Outbreak-associated Cases
  • 2.3 Travel-related Cases
  • 2.4 Endemic Cases
• 3. Campylobacter
  • 3.1 Human Cases
  • 3.2 Exposure Surveillance
  • 3.3 Temporal Distribution
  • 3.4 Summary of Campylobacter Results
• 4. Salmonella
  • 4.1 Human Cases
  • 4.2 Exposure Surveillance
  • 4.3 Temporal Distribution
  • 4.4 Summary of Salmonella Results
• 5. Pathogenic E. coli
  • 5.1 Human Cases
  • 5.2 Exposure Surveillance
  • 5.3 Temporal Distribution
  • 5.4 Summary of Pathogenic E. coli Results
• 6. Yersinia
  • 6.1 Human Cases
  • 6.2 Exposure Surveillance
  • 6.3 Summary of Yersinia Results
• 7. Listeria
  • 7.1 Human Cases
  • 7.2 Exposure Surveillance
  • 7.3 Summary of Listeria monocytogenes Results
• 8. Parasites
  • 8.1 Giardia
    • 8.1.1 Exposure Surveillance
  • 8.2 Cryptosporidium
    • 8.2.1 Exposure Surveillance
  • 8.3 Cyclosporiasis
  • 8.4 Amoebiasis
• 9. Temporal Variations
  • 9.1 Temporal Variations in Enteric Disease Incidence
  • 9.2 Temporal Variations in Exposure Source
• 10. Source Attribution
  • APPENDIX A: Laboratory Testing
  • APPENDIX B: Questionnaire Results
  • APPENDIX C: Method Changes in 2008
  • APPENDIX D: Retail Enumeration Results

List of Figures

• Figure 2.1: Relative proportion of enteric diseases reported in Sentinel Site 1 in 2008
• Figure 3.1: Incidence rates of endemic campylobacteriosis in Sentinel Site 1 by gender and age group in 2008
• Figure 3.2: Temporal distribution of human endemic Campylobacter cases in Sentinel Site 1 reported in 2008
• Figure 3.3: Seasonal distribution of Campylobacter jejuni contamination from all sources in Sentinel Site 1 in 2008
• Figure 4.1: Incidence rates of endemic salmonellosis cases by gender and age group in Sentinel Site 1 in 2008
• Figure 4.2: Temporal distribution of human endemic salmonellosis cases in Sentinel Site 1 reported in 2008
• Figure 4.3: Temporal distribution of Salmonella detected in human endemic cases, untreated surface water and retail meat samples in Sentinel Site 1 in 2008
• Figure 5.1: Incidence rates of endemic E. coli O157:H7 in Sentinel Site 1 by gender and age group in 2008
• Figure 6.1: Incidence rates of endemic Yersinia infection by gender and age group in Sentinel Site 1 in 2008
• Figure 6.2: Temporal distribution of human Yersinia cases in Sentinel Site 1 reported in 2008
• Figure 8.1: Incidence rates of endemic giardiasis cases by gender and age group in Sentinel Site 1 in 2008
• Figure 8.2: Monthly distribution of Giardia cases and detection in untreated surface water sampled in Sentinel Site 1 in 2008
• Figure 8.3: Incidence rates of endemic cryptosporidiosis cases by gender and age group in Sentinel Site 1 in 2008
• Figure 8.4: Monthly distribution of Cryptosporidium cases and detection in untreated surface water sampled in Sentinel Site 1 in 2008
• Figure 8.5: Incidence rates of endemic amoebiasis cases by gender and age group in Sentinel Site 1 in 2008
• Figure 9.1: Monthly distribution of onset dates for endemic cases reported in Sentinel Site 1 in 2008 for selected enteric diseases
• Figure 9.2: Monthly distribution (based on onset dates) of endemic cases reported in Sentinel Site 1 from June 2005 to December 2008 for selected enteric diseases
• Figure 9.3: Annual variations in pathogens detected from manure samples in Sentinel Site 1, 2006-2008
• Figure 9.4: Proportion (with 95% confidence interval) of positive untreated surface water samples tested by culture method for selected enteric pathogens in Sentinel Site 1 between June 2005 and December 2008
  
• Figure 9.5: Proportion (with 95% confidence interval) of positive untreated surface water samples tested for selected enteric pathogens by culture method in Sentinel Site 1 between June 2005 and December 2008 (winter: December to February; spring: March to May; summer: June to August; fall: September to November)
• Figure 9.6: Proportion (with 95% confidence interval) of retail meat positive for selected pathogens in Sentinel Site 1 between June 2005 and December 2008
• Figure 9.7: Proportion (with 95% confidence interval) of retail meats positive for selected enteropathogens in Sentinel Site 1 between June 2005 and December 2008 (winter: December to February; spring: March to May; summer: June to August; fall: September to November)

List of Tables

• TABLE 2.1: Number of cases and incidence rates per 100,000 person-years of laboratory-confirmed enteric diseases in Sentinel Site 1 in 2008
• TABLE 2.2: Travel-related cases in Sentinel Site 1 in 2008
• TABLE 3.1: Campylobacter detection and speciation data (culture-based methods) from integrated surveillance activities in Sentinel Site 1 in 2008
• TABLE 4.1: Salmonella detection and serotyping data (culture-based methods) from the integrated surveillance activities in Sentinel Site 1 in 2008
• TABLE 4.2: PFGE results for the most common Salmonella serotypes for all components in Sentinel Site 1 in 2008 (values in brackets refer to 2005-2007 cumulative data for comparisons)
• TABLE 5.1: Verotoxigenic E. coli detection data from the integrated surveillance activities in Sentinel Site 1 in 2008
• TABLE 5.2: PFGE results for E. coli O157:H7 for all components, in Sentinel Site 1 in 2008 (values in brackets refer to pooled 2006 and 2007 data for comparison)
• TABLE 6.1: Yersinia detection and speciation data from the integrated surveillance activities in Sentinel Site 1 in 2008
• TABLE 7.1: Listeria monocytogenes detection data from the integrated surveillance activities in Sentinel Site 1 in 2008
• TABLE 7.2: Listeria monocytogenes serotype data from the integrated surveillance activities in Sentinel Site 1 in 2008 (values in brackets refer to 2007, 2006 and 2005 data for comparisons)
• TABLE 7.3: Listeria monocytogenes PFGE data from the integrated surveillance activities in Sentinel Site 1 in 2008 (values in brackets refer to 2007, 2006 and 2005 data for comparisons)
• TABLE 8.1: Giardia detection and subtyping data from the integrated surveillance activities in Sentinel Site 1 in 2008 (values in brackets refer to data from 2005-2007)
• TABLE 8.2: Cryptosporidium detection and subtyping data for the integrated surveillance activities in Sentinel Site 1 in 2008 (values in brackets refer to data from 2005-2007)
• TABLE 9.1: Statistical results of Poisson regression modelling of monthly counts of endemic cases on years and month or season
• TABLE 9.2: Statistical results of logistic regression analyses of annual and seasonal influences on the contamination of water and retail meat sampled by selected pathogens in Sentinel Site 1 from January 2006 to December 2008
• TABLE 10.1: C-EnterNet plan and achievements with regards to Source Attribution

[Next]