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Sporadic Salmonella enterica serotype Javiana infections in Georgia and Tennessee: a hypothesis-generating study

  • L. S. CLARKSON (a1), M. TOBIN-D'ANGELO (a1), C. SHULER (a1), S. HANNA (a2), J. BENSON (a3) and A. C. VOETSCH (a4)...

From 1996 to 2004, the incidence of Salmonella Javiana infections increased in FoodNet, the U.S. national active foodborne disease surveillance programme. Contact with amphibians and consumption of tomatoes have been associated with outbreaks of S. Javiana infection. To generate and test hypotheses about risk factors associated with sporadic S. Javiana infections, we interviewed patients with laboratory-confirmed S. Javiana infection identified in Georgia and Tennessee during August–October 2004. We collected data on food and water consumption, animal contact, and environmental exposure from cases. Responses were compared with population-based survey exposure data. Seventy-two of 117 identified S. Javiana case-patients were interviewed. Consumption of well water [adjusted odds ratio (aOR) 4·3, 95% confidence interval (CI) 1·6–11·2] and reptile or amphibian contact (aOR 2·6, 95% CI 0·9–7·1) were associated with infection. Consumption of tomatoes (aOR 0·5, 95% CI 0·3–0·9) and poultry (aOR 0·5, 95% CI 0·2–1·0) were protective. Our study suggests that environmental factors are associated with S. Javiana infections in Georgia and Tennessee.

Corresponding author
*Author for correspondence: L. S. Clarkson MPH, Georgia Division of Public Health, Epidemiology Branch, 2 Peachtree St, NW, Atlanta, GA30303, USA. (Email:
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1. AC Voetsch , FoodNet estimate of the burden of illness caused by nontyphoidal salmonella infections in the United States. Clinical Infectious Diseases 2004; 38: S127S134.

3. MH Rathore , SG Jenkins , E Williams . Epidemiology of nontyphoidal salmonellae at a tertiary care center in northeast Florida. Southern Medical Journal 1995; 88: 840842.

5. CW Hedberg , Outbreaks of salmonellosis associated with eating uncooked tomatoes: implications for public health. The Investigation Team. Epidemiology and Infection 1999; 122: 385393.

6. P Srikantiah , Web-based investigation of multistate salmonellosis outbreak. Emerging Infectious Diseases 2005; 11: 610612.

15. CL Eriksson de Rezende , Salmonella spp. are affected by different levels of water activity in closed microcosms. Journal of Industrial Microbiology and Biotechnology 2001; 26: 222225.

17. JM Burkholder , Impacts to a coastal river and estuary from rupture of a large swine waste holding lagoon. Journal of Environmental Quality 1997; 26: 14511466.

19. BC Moore , Survival of Salmonella enterica in freshwater and sediments and transmission by the aquatic midge Chironomus tentans (Chironomidae: Diptera). Applied and Environmental Microbiology 2003; 69: 45564560.

23. CR Friedman , Risk factors for sporadic campylobacter infection in the United States: A case-control study in FoodNet sites. Clinical Infectious Diseases 2004; 38: S285S296.

24. AC Kimura , Chicken consumption is a newly identified risk factor for sporadic Salmonella enterica serotype Enteritidis infections in the United States: a case-control study in FoodNet sites. Clinical Infectious Diseases 2004; 38: S244S252.

25. SL Roy , Risk factors for sporadic cryptosporidiosis among immunocompetent persons in the United States from 1999 to 2001. Journal of Clinical Microbiology 2004; 42: 29442951.

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Epidemiology & Infection
  • ISSN: 0950-2688
  • EISSN: 1469-4409
  • URL: /core/journals/epidemiology-and-infection
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