TYPHOID-FEVER IN THE NEAPOLITAN AREA - A CASE-CONTROL STUDY

被引:12
作者
STROFFOLINI, T
MANZILLO, G
DESENA, R
MANZILLO, E
PAGLIANO, P
ZACCARELLI, M
RUSSO, M
SOSCIA, M
GIUSTI, G
机构
[1] Laboratorio di Epidemiologia, Istituto Superiore di Sanita, Rome, 299 00161, Viale Regina Elena
[2] Ospedale Cotugno, Napoli
[3] Clinica Malattie Infettive - I Facoltà di Medicina, Università di Napoli
关键词
TYPHOID FEVER; EPIDEMIOLOGY;
D O I
10.1007/BF00146373
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Typhoid fever is endemic in the Neapolitan area, where its yearly incidence rate largely exceeds the corresponding national figure. During the period from January to June, 1990, a matched case-control study was carried out in order to identify risk factors of the disease in this area; 51 subjects (mean age 27.2 years) with typhoid fever were compared with 102 controls matched with respect to age, sex and educational level. Consumption of raw shellfish was reported by 76.5% of the cases, as opposed to 19.6% of the controls (P < 0.01). Subjects who had eaten this food item had a 13.3-fold risk (C.I. 95% = 5.5 - 32.8) of contracting typhoid fever. In contrast, no fisk was found to be associated with consumption of cooked shellfish, raw vegetables, ice-cream, non-potable water, or unpasteurized milk. The risk factor identified in this study shows that hazardous dietary habits and inadequate sewage treatment facilities, combined with lack of sanitation in the harvesting and marketing of shellfish, play a major role in the endemicity of typhoid fever in the Neapolitan area.
引用
收藏
页码:539 / 542
页数:4
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