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Respiratory symptoms and the case definition of gastroenteritis: an international analysis of the potential impact on burden estimates

  • G. HALL (a1), L. McDONALD (a2), S. E. MAJOWICZ (a2) (a3), E. SCALLAN (a4), M. KIRK (a1) (a5), P. SOCKETT (a2) (a3) and F. J. ANGULO (a4)
  • DOI:
  • Published online: 04 June 2009

Estimates of the burden of foodborne disease rely on attributing a proportion of syndromic gastroenteritis to foodborne transmission. Persons with syndromic diarrhoea/vomiting can also present with concurrent respiratory symptoms that could be due to respiratory infections, gastrointestinal infections, or both. This distinction is important when estimating the foodborne disease burden but has rarely been considered. Using data from population surveys from Australia, Canada and the USA we describe the effect of excluding persons with respiratory and associated symptoms from the case definition of gastroenteritis. Excluding persons first with respiratory symptoms, or second with respiratory symptoms plus fever and headache, resulted in a decrease in the weighted estimates of acute gastroenteritis of about 10–50% depending on the exclusion criteria. This has the potential to have a very significant impact on estimates of the burden of foodborne infections using syndromic case definitions of acute gastroenteritis.

Corresponding author
*Author for correspondence: Dr G. Hall, Australian National University – NCEPH, Bld 62, ANU, Canberra Australian Capital Territory 0200, Australia. (Email:
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1.PS Mead , Food-related illness and death in the United States. Emerging Infectious Diseases 1999; 5: 607625.

2.GK Adak , Disease risks from foods, England and Wales, 1996–2000. Emerging Infectious Diseases 2005; 11: 365372.

3.G Hall , Estimating foodborne gastroenteritis. Australia. Emerging Infectious Diseases 2005; 11: 12571264.

6.A Sibal , Associated infections in persistent diarrhoea – another perspective. Journal of Tropical Pediatrics 1996; 42: 6467.

7.M Rahman , Acute lower respiratory tract infections in hospitalized patients with diarrhoea in Dhaka, Bangladesh. Reviews of Infectious Diseases 1990; 12: S899S906.

9.JA Flint , Estimating the burden of acute gastroenteritis, foodborne disease, and pathogens commonly transmitted by food: an international review. Clinical Infectious Diseases 2005; 41: 698704.

10.B Imhoff , Burden of self-reported acute diarrhoeal illness in FoodNet surveillance areas, 1998–1999. Clinical Infectious Diseases 2004; 38: S219S226.

19.S Cohen , Childhood socioeconomic status and host resistance to infectious illness in adulthood. Psychosomatic Medicine 2004; 66: 553558.

20.S Cohen , DA Tyrrell , AP Smith . Psychological stress and susceptibility to the common cold. New England Journal of Medicine 1991; 325: 606612.

22.JJ Jaakkola , OP Heinonen . Shared office space and the risk of the common cold. European Journal of Epidemiology 1995; 11: 213216.

23.K Leder , A community-based study of respiratory episodes in Melbourne, Australia. Australian and New Zealand Journal of Public Health 2003; 27: 399404.

25.MI Sinclair , Pathogens causing community gastroenteritis in Australia. Journal of Gastroenterology and Hepatology 2005; 20: 16851690.

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Epidemiology & Infection
  • ISSN: 0950-2688
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