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- Publisher Website: 10.1017/S0950268806006169
- Scopus: eid_2-s2.0-33751373935
- PMID: 16684403
- WOS: WOS:000243469700017
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Article: Incubation period as a clinical predictor of botulism: Analysis of previous izushi-borne outbreaks in Hokkaido, Japan, from 1951 to 1965
Title | Incubation period as a clinical predictor of botulism: Analysis of previous izushi-borne outbreaks in Hokkaido, Japan, from 1951 to 1965 |
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Authors | |
Keywords | Chemicals And Cas Registry Numbers |
Issue Date | 2007 |
Publisher | Cambridge University Press. The Journal's web site is located at http://journals.cambridge.org/action/displayJournal?jid=HYG |
Citation | Epidemiology And Infection, 2007, v. 135 n. 1, p. 126-130 How to Cite? |
Abstract | This study investigated 21 foodborne type-E botulism outbreaks, without antitoxin administration, from 1951 to 1965 in Hokkaido, Japan, to characterize the descriptive epidemiology and evaluate the relationship between case fatality and incubation period. The median (25-75% quartile) attack rate and case fatality, which were evaluated by outbreak, were 58.3% (38.0-73.l2) and 25.7% (0.1-50.0) respectively. Individual records of 64 diagnoses, including 31 deaths, were also examined using logistic regression analysis, revealing that a shorter incubation period is likely to result in a significantly higher risk of death (P = 0.01). The observed case fatality was more than 50% for those who developed symptoms within the first 18 h after exposure, possibly reflecting underlying dose-dependent mechanisms. In the event of intentional contamination of food with botulinum toxin, rapidly determining the incubation periods may be critical for guiding public health response efforts. © 2006 Cambridge University Press. |
Persistent Identifier | http://hdl.handle.net/10722/134230 |
ISSN | 2023 Impact Factor: 2.5 2023 SCImago Journal Rankings: 0.830 |
PubMed Central ID | |
ISI Accession Number ID | |
References |
DC Field | Value | Language |
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dc.contributor.author | Nishiura, H | en_HK |
dc.date.accessioned | 2011-06-13T07:20:57Z | - |
dc.date.available | 2011-06-13T07:20:57Z | - |
dc.date.issued | 2007 | en_HK |
dc.identifier.citation | Epidemiology And Infection, 2007, v. 135 n. 1, p. 126-130 | en_HK |
dc.identifier.issn | 0950-2688 | en_HK |
dc.identifier.uri | http://hdl.handle.net/10722/134230 | - |
dc.description.abstract | This study investigated 21 foodborne type-E botulism outbreaks, without antitoxin administration, from 1951 to 1965 in Hokkaido, Japan, to characterize the descriptive epidemiology and evaluate the relationship between case fatality and incubation period. The median (25-75% quartile) attack rate and case fatality, which were evaluated by outbreak, were 58.3% (38.0-73.l2) and 25.7% (0.1-50.0) respectively. Individual records of 64 diagnoses, including 31 deaths, were also examined using logistic regression analysis, revealing that a shorter incubation period is likely to result in a significantly higher risk of death (P = 0.01). The observed case fatality was more than 50% for those who developed symptoms within the first 18 h after exposure, possibly reflecting underlying dose-dependent mechanisms. In the event of intentional contamination of food with botulinum toxin, rapidly determining the incubation periods may be critical for guiding public health response efforts. © 2006 Cambridge University Press. | en_HK |
dc.language | eng | en_US |
dc.publisher | Cambridge University Press. The Journal's web site is located at http://journals.cambridge.org/action/displayJournal?jid=HYG | en_HK |
dc.relation.ispartof | Epidemiology and Infection | en_HK |
dc.subject | Chemicals And Cas Registry Numbers | en_US |
dc.title | Incubation period as a clinical predictor of botulism: Analysis of previous izushi-borne outbreaks in Hokkaido, Japan, from 1951 to 1965 | en_HK |
dc.type | Article | en_HK |
dc.identifier.email | Nishiura, H:nishiura@hku.hk | en_HK |
dc.identifier.authority | Nishiura, H=rp01488 | en_HK |
dc.description.nature | link_to_subscribed_fulltext | en_US |
dc.identifier.doi | 10.1017/S0950268806006169 | en_HK |
dc.identifier.pmid | 16684403 | - |
dc.identifier.pmcid | PMC2870535 | - |
dc.identifier.scopus | eid_2-s2.0-33751373935 | en_HK |
dc.relation.references | http://www.scopus.com/mlt/select.url?eid=2-s2.0-33751373935&selection=ref&src=s&origin=recordpage | en_HK |
dc.identifier.volume | 135 | en_HK |
dc.identifier.issue | 1 | en_HK |
dc.identifier.spage | 126 | en_HK |
dc.identifier.epage | 130 | en_HK |
dc.identifier.eissn | 1469-4409 | - |
dc.identifier.isi | WOS:000243469700017 | - |
dc.publisher.place | United Kingdom | en_HK |
dc.identifier.scopusauthorid | Nishiura, H=7005501836 | en_HK |
dc.identifier.issnl | 0950-2688 | - |