Exploring the gap between notified and diagnosed cases of Food-borne Diseases: evidence from a time-trend analysis in Italy.

IF 1.5 Q3 HEALTH CARE SCIENCES & SERVICES
Angelo Capodici, Jacopo Lenzi, Sara Cavagnis, Matteo Ricci, Francesco De Dominicis, Simone Ambretti, Liliana Gabrielli, Silvia Galli, Tiziana Lazzarotto, Davide Resi
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引用次数: 0

Abstract

Background: Foodborne diseases are a major global public health concern, causing significant morbidity and mortality worldwide. The COVID-19 pandemic has had widespread effects on various aspects of life, including the food supply chain, potentially impacting the incidence of foodborne diseases. This study aims to analyze the differences between notified and diagnosed cases and investigate the potential impact of the COVID-19 pandemic on foodborne diseases in the metropolitan area of Bologna, Italy.

Study design: A retrospective time trend analysis from two databases was conducted.

Methods: The Local Health Authority of Bologna collected data re/Emilia-Romagna Region on the infectious disease reporting system over a six-year period (2017-2022), which included three years of the COVID-19 pandemic. This data was compared with information collected during the same period at the microbiology laboratory serving the entire metropolitan area of Bologna. Statistical methods included percent change calculations, binomial tests, annual averages, gender and age stratification, and trend analysis with regression.

Results: An increase (+34.4%, P-value ≤ 0.01) in notified cases during the pandemic - compared to the pre-pandemic period - was found. However, no differences were observed in diagnosed cases when comparing the two periods. The year 2021 saw a significant increase in reported cases of foodborne diseases among schoolers (+300.0%) and workers (+133.3%) compared to 2020. On the other hand, diagnosed cases decreased significantly in 2020 (-19.1%, P<0.01) and increased in 2021 (+21.9%, P<0.01). In absolute terms, a stark difference was observed between notified and diagnosed cases across all the study years (2017-2022).

Conclusions: This study highlights the discrepancy between notified and diagnosed cases of foodborne diseases and how the COVID-19 pandemic has increased reporting without affecting transmission. These findings contribute to the ongoing discussion on improving foodborne disease reporting systems.

探索食源性疾病通报病例与确诊病例之间的差距:来自意大利时间趋势分析的证据。
背景:食源性疾病是一个重大的全球公共卫生问题,在全球范围内造成严重的发病率和死亡率。COVID-19 大流行对生活的各个方面产生了广泛影响,包括食品供应链,从而可能影响食源性疾病的发病率。本研究旨在分析通报病例与确诊病例之间的差异,并调查 COVID-19 大流行对意大利博洛尼亚市区食源性疾病的潜在影响:研究设计:对两个数据库进行回顾性时间趋势分析:博洛尼亚地方卫生局收集了埃米利亚-罗马涅大区传染病报告系统在六年期间(2017-2022 年)的数据,其中包括 COVID-19 大流行的三年。该数据与服务于整个博洛尼亚大都会区的微生物实验室同期收集的信息进行了比较。统计方法包括百分比变化计算、二项式检验、年平均数、性别和年龄分层以及回归趋势分析:结果:与大流行前相比,大流行期间通报的病例增加了(+34.4%,P 值≤ 0.01)。然而,两个时期的确诊病例没有差异。与 2020 年相比,2021 年在校学生(+300.0%)和工人(+133.3%)中报告的食源性疾病病例显著增加。另一方面,确诊病例在 2020 年大幅减少(-19.1%,PConclusions.Pdf):本研究强调了食源性疾病通报病例与确诊病例之间的差异,以及 COVID-19 大流行如何在不影响传播的情况下增加了通报病例。这些发现有助于当前关于改进食源性疾病报告系统的讨论。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Annali di igiene : medicina preventiva e di comunita
Annali di igiene : medicina preventiva e di comunita HEALTH CARE SCIENCES & SERVICES-
CiteScore
3.40
自引率
0.00%
发文量
69
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