Using infectious intestinal disease surveillance data to explore illness aetiology; a cryptosporidiosis case study
2009

Exploring Cryptosporidiosis Using Surveillance Data

Sample size: 135 publication 10 minutes Evidence: moderate

Author Information

Author(s): Lake Iain R., Nichols Gordon, Harrison Florence C.D., Bentham Graham, Sari Kovats R., Grundy Chris, Hunter Paul R.

Primary Institution: University of East Anglia

Hypothesis

How can infectious intestinal disease surveillance data be used to understand the geography of cryptosporidiosis in England and Wales?

Conclusion

The study found that cryptosporidiosis rates are higher in rural areas, locations with more agricultural manure, and areas with poorly treated water supplies.

Supporting Evidence

  • Cryptosporidiosis incidence is higher in rural areas.
  • Areas with more agricultural manure have elevated cryptosporidiosis rates.
  • Poor water treatment is a known risk factor for cryptosporidiosis.

Takeaway

This study looked at how sickness from a germ called Cryptosporidium spreads in different places and found that it spreads more in farms and areas with bad water.

Methodology

The study analyzed cryptosporidiosis data from national surveillance between 1989 and 2003, linking it to geographical and socio-economic factors.

Potential Biases

Ascertainment bias may affect the results due to under-reporting of cases and varying laboratory protocols.

Limitations

The study could only compare cryptosporidiosis incidence across large geographical areas, which may obscure local variations.

Participant Demographics

The study focused on cryptosporidiosis cases reported in England and Wales, with a specific emphasis on children aged 0-4 years.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1016/j.healthplace.2008.06.005

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