dc.contributor.author | Young, Megan K | |
dc.contributor.author | Slinko, Vicki | |
dc.contributor.author | Smith, James | |
dc.contributor.author | Carroll, Heidi | |
dc.contributor.author | Bennett, Sonya | |
dc.contributor.author | Appleton, Sally | |
dc.contributor.author | McCall, Brad J | |
dc.date.accessioned | 2017-06-12T04:22:28Z | |
dc.date.available | 2017-06-12T04:22:28Z | |
dc.date.issued | 2015 | |
dc.identifier.issn | 1326-0200 | |
dc.identifier.doi | 10.1111/1753-6405.12387 | |
dc.identifier.uri | http://hdl.handle.net/10072/99004 | |
dc.description.abstract | Objective: To examine outcomes of public health management of notified enteric fever cases in South-East Queensland over the past five years.
Methods: Notification records of typhoid and paratyphoid infection in South-East Queensland 2008–2012 (inclusive) were reviewed to determine likelihood of cases and contacts adhering to present or previous recommendations for faecal clearance/screening, duration of infectiousness of cases and extent of local transmission to contacts.
Results: Sixty-nine of 85 cases and 218 of 265 contacts submitted at least one faecal specimen. Cases were 2.7 (95%CI 1.2–6.0) and contacts were 4.4 (95%CI 3.0–6.4) times more likely to complete recommended faecal clearance/screening under previous compared to present guidelines (requiring more specimens). In ten cases with positive post-treatment specimens, last recorded infectiousness was 19 days to six months after notification. The documented rate of local transmission of infection was 18/1,000 contacts submitting at least one faecal specimen (95%CI 6–48/1,000).
Conclusions: Local transmission risk of enteric fever in South-East Queensland is low, although small numbers of cases may have prolonged bacilli excretion post-treatment. More complex clearance/screening regimens are associated with decreased compliance.
Implications: Pursuing extensive faecal clearance/screening regimens is unlikely to be effective in terms of public health management of enteric fever in South-East Queensland. We suggest a unified national approach focussing on cases/contacts at high risk of disease transmission. | |
dc.description.peerreviewed | Yes | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | Wiley-Blackwell Publishing | |
dc.relation.ispartofpagefrom | 577 | |
dc.relation.ispartofpageto | 581 | |
dc.relation.ispartofissue | 6 | |
dc.relation.ispartofjournal | Australian and New Zealand Journal of Public Health | |
dc.relation.ispartofvolume | 39 | |
dc.subject.fieldofresearch | Epidemiology not elsewhere classified | |
dc.subject.fieldofresearch | Applied economics | |
dc.subject.fieldofresearch | Policy and administration | |
dc.subject.fieldofresearchcode | 420299 | |
dc.subject.fieldofresearchcode | 3801 | |
dc.subject.fieldofresearchcode | 4407 | |
dc.title | Informing the public health management of typhoid and paratyphoid: The Australian context | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dc.type.code | C - Journal Articles | |
dc.description.version | Accepted Manuscript (AM) | |
gro.faculty | Griffith Health, School of Medicine | |
gro.rights.copyright | © 2015 Public Health Association of Australia. This is the peer reviewed version of the following article: Informing the public health management of typhoid and paratyphoid: The Australian context, Australian and New Zealand Journal of Public Health, [39(6), 577–581, 2015 which has been published in final form at http://doi.org/10.1111/1753-6405.12387. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving (http://olabout.wiley.com/WileyCDA/Section/id-828039.html) | |
gro.hasfulltext | Full Text | |
gro.griffith.author | Young, Megan K. | |
gro.griffith.author | Bennett, Sonya | |