FN Archimer Export Format
PT J
TI A large multi-pathogen waterborne community outbreak linked to faecal contamination of a groundwater system, France, 2000
BT 
AF GALLAY, A
   DE VALK, H
   COURNOT, M
   LADEUIL, B
   HEMERY, C
   CASTOR, C
   BON, F
   MEGRAUD, F
   LE CANN, Pierre
   DESENCLOS, JC
AS 1:1;2:1;3:2;4:4;5:2;6:1;7:3;8:5;9:6;10:1;
FF 1:;2:;3:;4:;5:;6:;7:;8:;9:PDG-DOP-LER-LERMPL;10:;
C1 Inst Veille Sanitaire, F-94415 St Maurice, France.
   Cellule Interreg Epidemiol Intervent Sud Ouest, Toulouse, France.
   CHU Dijon, Ctr Natl Reference Virus Enter, Dijon, France.
   Direct Dept Agr Foret Lot, Cahors, France.
   CHU Pellegrin Bordeaux, Ctr Natl Reference Campylobacters & Helicobacters, Bordeaux, France.
   IFREMER, F-44311 Nantes 3, France.
C2 INVS, FRANCE
   CELLULE INTERREG EPIDEMIOL INTERVENT SUD OUEST, FRANCE
   CHU DIJON, FRANCE
   DIRECT DEPT AGR FORET LOT, FRANCE
   CHU PELLEGRIN BORDEAUX, FRANCE
   IFREMER, FRANCE
SI LA TRINITE
SE PDG-DOP-LER-LERMPL
IN WOS Ifremer jusqu'en 2018
IF 3.254
TC 103
UR https://archimer.ifremer.fr/doc/2006/publication-1696.pdf
LA English
DT Article
DE ;Waterborne outbreak;Rotavirus;Norovirus;Gastroenteritis;Epidemiology;Campylobacter coli
AB A large waterborne outbreak of infection that occurred during August 2000 in a local community in France was investigated initially via a rapid survey of visits to local physicians. A retrospective cohort study was then conducted on a random cluster sample of residents. Of 709 residents interviewed, 202 (28.5%) were definite cases (at least three liquid stools/day or vomiting) and 62 (8.7%) were probable cases (less than three liquid stools/day or abdominal pain). Those who had drunk tap water had a three-fold increased risk for illness (95% CI 2.4-4.0). The risk increased with the amount of water consumed (chi-square trend: p < 0.0001). Bacteriological analyses of stools were performed for 35 patients and virological analyses for 24 patients. Campylobacter coli, group A rotavirus and norovirus were detected in 31.5%, 71.0% and 21% of samples, respectively. An extensive environmental investigation concluded that a groundwater source to this community had probably been contaminated by agricultural run-off, and a failure in the chlorination system was identified. This is the first documented waterborne outbreak of infection involving human C. coli infections. A better understanding of the factors influencing campylobacter transmission between hosts is required.
PY 2006
PD JUL
SO Clinical Microbiology and Infection
SN 1198-743X
PU Blackwell science
VL 12
IS 6
UT 000237515600011
BP 561
EP 570
DI 10.1111/j.1469-0691.2006.01441.x
ID 1696
ER

EF