Epidemiology of common-source outbreaks of shigellosis in the United States, 1961-1975

Am J Epidemiol. 1978 Jul;108(1):47-52.

Abstract

In 1961-1975, there were 72 foodborne and 38 waterborne outbreaks of shigellosis reported in the United States. Foodborne outbreaks were most often caused by salads with contamination attributed to poor hygiene of a food handler. Waterborne outbreaks most often involved semipublic water systems, and were usually the result of inadequate chlorination of water contaminated by human feces. In 110 common-source outbreaks, 16,541 persons were ill. The attack rate for both food- and waterborne shigellosis was 47%, and the case-fatality ratio was 0.1% in foodborne outbreaks and 0.2% in waterborne outbreaks.

MeSH terms

  • Disease Outbreaks / epidemiology*
  • Dysentery, Bacillary / epidemiology*
  • Dysentery, Bacillary / etiology
  • Food Contamination
  • Food Handling
  • Humans
  • Shigella flexneri
  • Shigella sonnei
  • Water Microbiology
  • Water Supply