1. Epidemiologic Studies of Cyclospora cayetanensis in Guatemala
- Author
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de Merida Am, R E Klein, Beatriz Hernandez, Barbara L. Herwaldt, M B Lopez, Venczel L, Caryn Bern, Michael J. Arrowood, de Mejia Ma, and Allen W. Hightower
- Subjects
Microbiology (medical) ,Veterinary medicine ,Adolescent ,Epidemiology ,lcsh:Medicine ,Cyclospora cayetanensis ,lcsh:Infectious and parasitic diseases ,Disease Outbreaks ,Food Parasitology ,Eucoccidiida ,Risk Factors ,Water Supply ,Environmental health ,medicine ,Prevalence ,Animals ,Humans ,lcsh:RC109-216 ,Cyclospora infection ,Intestinal Diseases, Parasitic ,Child ,Univariate analysis ,biology ,business.industry ,Coccidiosis ,Research ,lcsh:R ,Case-control study ,Outbreak ,Infant ,Agriculture ,Odds ratio ,medicine.disease ,biology.organism_classification ,Guatemala ,United States ,Cyclospora ,Infectious Diseases ,Case-Control Studies ,Child, Preschool ,Fruit ,Population Surveillance ,Seasons ,business - Abstract
In 1996 and 1997, cyclosporiasis outbreaks in North America were linked to eating Guatemalan raspberries. We conducted a study in health-care facilities and among raspberry farm workers, as well as a case-control study, to assess risk factors for the disease in Guatemala. From April 6, 1997, to March 19, 1998, 126 (2.3%) of 5, 552 surveillance specimens tested positive for Cyclospora; prevalence peaked in June (6.7%). Infection was most common among children 1.5 to 9 years old and among persons with gastroenteritis. Among 182 raspberry farm workers and family members monitored from April 6 to May 29, six had Cyclospora infection. In the case-control analysis, 62 (91%) of 68 persons with Cyclospora infection reported drinking untreated water in the 2 weeks before illness, compared with 88 (73%) of 120 controls (odds ratio [OR] 3.8, 95% confidence interval [CI] 1.4, 10.8 by univariate analysis). Other risk factors included water source, type of sewage drainage, ownership of chickens or other fowl, and contact with soil (among children younger than 2 years).
- Published
- 1999