[ZD21] Incidence of foodborne
[ZD21] Incidence of foodborne
Key message
The incidence of intestinal infections is estimated on the basis of notifications. This approach underestimates the actual burden of acute gastrointestinal infections (AGI) and foodborne diseases in the population because they capture only the reported cases, which are only part of the infected or diseased population.
The incidence of acute gastrointestinal infections (AGI) and foodborne diseases remains high. The most frequent is gastroenterocolitis of unknown etiology, followed by viral infections of the gut which are becoming increasingly important. Among bacterial infections Campylobacter infections prevail followed by infections caused by Clostridium difficile, Salmonella, adenoviruses and pathogenic E.coli.
The real burden of the CNB and foodborne diseases can be assessed only through research.
Definition
Charts
Figure ZD21-1: Incidence of most frequently reported acute gastrointestinal infections (AGI) in Slovenia from 2002 to 2013
Sources:
National Institute of Public Health, 2003–2014.
| 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | ||
|---|---|---|---|---|---|---|---|---|---|---|---|
| All notified gastrointestinal communicable diseases (GCD) | No.of reported cases/100.000 inh. | 1001.9 | 947.3 | 943.8 | 814.2 | 899.3 | 1046.5 | 1118.2 | 936.3 | 997.5 | 1087.6 |
| GCD , unknown pathogen | No.of reported cases/100.000 inh. | 556.3 | 493.1 | 546.2 | 489.1 | 586.2 | 704.1 | 790.6 | 665.5 | 696.1 | 760.6 |
| Salmonellosis | No.of reported cases/100.000 inh. | 136.6 | 200.6 | 165.5 | 75.8 | 75.8 | 67.2 | 54 | 30.1 | 17 | 19.5 |
| Rotavirosis | No.of reported cases/100.000 inh. | 102 | 97 | 91.1 | 83.4 | 91.1 | 89.1 | 102.5 | 80.5 | 78 | 107.5 |
| Campylobacteriosis | No.of reported cases/100.000 inh. | 60.1 | 43.6 | 52 | 54.3 | 47.1 | 53.7 | 44 | 45.1 | 48.9 | 48 |
| Other GCD with known pathogen | No.of reported cases/100.000 inh. | 91.8 | 75 | 57.7 | 85.5 | 70 | 107 | 91 | 19.7 | 17.5 | 10.9 |
| 2012 | 2013 | ||||||||||
| All notified gastrointestinal communicable diseases (GCD) | No.of reported cases/100.000 inh. | 972.5 | 964.8 | ||||||||
| GCD , unknown pathogen | No.of reported cases/100.000 inh. | 709.4 | 678 | ||||||||
| Salmonellosis | No.of reported cases/100.000 inh. | 19.5 | 14.2 | ||||||||
| Rotavirosis | No.of reported cases/100.000 inh. | 68.1 | 70.7 | ||||||||
| Campylobacteriosis | No.of reported cases/100.000 inh. | 45.4 | 48.4 | ||||||||
| Other GCD with known pathogen | No.of reported cases/100.000 inh. | 4.3 | 7 |
Figure ZD21-2: Number of hospitalized cases of AGI in Slovenia in 2013
Sources:
National Institute of Public Health, 2014.
| No. of aplications | No of cases/100.000 residents | ||
|---|---|---|---|
| All reported GCD | No. of aplications | 3438 | 167 |
| GCD, unknown pathogen | No. of aplications | 1043 | 50.7 |
| rotaviruses | No. of aplications | 849 | 41.2 |
| campylobacters | No. of aplications | 430 | 20.9 |
| noroviruses | No. of aplications | 433 | 21 |
| Salmonella spp; typhus and paratyphus | No. of aplications | 162 | 7.9 |
| E.coli | No. of aplications | 92 | 4.5 |
| Cl difficile | No. of aplications | 204 | 9.9 |
| adenoviruses | No. of aplications | 106 | 5.1 |
| shigellas | No. of aplications | 4 | 0.2 |
| Y. enterocolitica | No. of aplications | 12 | 0.6 |
| hepatitis A virus | No. of aplications | 10 | 0.5 |
| hepatitis E virus | No. of aplications | 1 | 0.1 |
| parasites | No. of aplications | 12 | 0.6 |
| other GCD with known pathogen | No. of aplications | 68 | 3.3 |
Figure ZD21-3: Incidence of Salmonella infections(number of infections/100.000 inhabitants), EU-27, from 2006 to 2011
Sources:
WHO, 2013.
| 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | ||
|---|---|---|---|---|---|---|---|
| Austria | No. of cases/100.000 inh. | 60.2 | 43.1 | 27.9 | NP | 25.5 | NP |
| Belgium | No. of cases/100.000 inh. | 35.1 | 37.4 | 7.7 | NP | NP | NP |
| Bulgaria | No. of cases/100.000 inh. | 13.7 | 15.4 | 21.3 | NP | 16.2 | NP |
| Cyprus | No. of cases/100.000 inh. | 12.5 | 20.8 | 21.3 | 17.2 | 16.4 | NP |
| Czech Republic | No. of cases/100.000 inh. | 244.5 | 176.4 | 105.6 | NP | 82 | NP |
| Denmark | No. of cases/100.000 inh. | 30.5 | 30.4 | 66.6 | NP | 28.8 | NP |
| Estonia | No. of cases/100.000 inh. | 33.7 | 26.2 | 48.3 | 19.5 | 30.9 | 28.7 |
| Finland | No. of cases/100.000 inh. | 48.7 | 51.8 | 58.9 | NP | 45.2 | 38.9 |
| France | No. of cases/100.000 inh. | NP | 9.1 | 11.8 | NP | 11.8 | NP |
| Germany | No. of cases/100.000 inh. | 63.8 | 67.4 | NP | 38.4 | NP | NP |
| Greece | No. of cases/100.000 inh. | NP | 6.6 | 7.3 | 3.6 | 2.6 | NP |
| Hungary | No. of cases/100.000 inh. | 96.8 | 68.5 | 71.4 | 60.2 | NP | NP |
| Ireland | No. of cases/100.000 inh. | 10 | 10.5 | 10.2 | NP | 8 | NP |
| Italy | No. of cases/100.000 inh. | 8 | 11.3 | NP | 6.7 | 4.9 | NP |
| Latvia | No. of cases/100.000 inh. | 35 | 23.1 | 48.5 | NP | 42.5 | NP |
| Lithuania | No. of cases/100.000 inh. | 104.8 | 69 | 94.1 | NP | 53.7 | NP |
| Luxembourg | No. of cases/100.000 inh. | 64.7 | 33.5 | 32.1 | 27.5 | 37.5 | NP |
| Malta | No. of cases/100.000 inh. | 15.8 | 19.6 | 34.5 | NP | 35.1 | NP |
| Netherlands | No. of cases/100.000 inh. | NP | NP | NP | NP | NP | NP |
| Poland | No. of cases/100.000 inh. | 34.7 | 30.4 | NP | 23.2 | 25 | NP |
| Portugal | No. of cases/100.000 inh. | 3.9 | 4.3 | NP | 2 | 1.9 | NP |
| Romania | No. of cases/100.000 inh. | 3 | 2.9 | 2.9 | NP | 6 | NP |
| Slovakia | No. of cases/100.000 inh. | 161.7 | 169.6 | 134.3 | NP | 94.5 | NP |
| Slovenia | No. of cases/100.000 inh. | 74.8 | 66 | 52.4 | 29.5 | 16.5 | 19.5 |
| Spain | No. of cases/100.000 inh. | 11.3 | 8 | 8.4 | 9.2 | 9.6 | NP |
| Sweden | No. of cases/100.000 inh. | 44.7 | 43 | 45.4 | NP | NP | NP |
| United Kingdom | No. of cases/100.000 inh. | 22.5 | 21.5 | 18.7 | NP | 16.6 | NP |
Figure ZD21-4: Microbiological foodborne diseases per 100.000, EU-27, 2006-2011
Sources:
WHO, 2013.
| 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | ||
|---|---|---|---|---|---|---|---|
| Belgium | No. of cases/100.000 inh. | 9.8 | 8 | 7.9 | 8.5 | NP | NP |
| Czech Republic | No. of cases/100.000 inh. | 574.7 | 534.4 | 426 | 416 | 432.1 | 437.6 |
| Denmark | No. of cases/100.000 inh. | 98.5 | 110.8 | 139.9 | 109 | 109.9 | 103.4 |
| Estonia | No. of cases/100.000 inh. | 8.3 | 2.1 | 9.9 | 23.2 | 11 | 9.8 |
| Finland | No. of cases/100.000 inh. | 35.3 | 181.9 | 18.8 | 35 | 17.7 | 21.3 |
| Germany | No. of cases/100.000 inh. | 63.9 | 67.4 | 52.3 | 38.4 | 31 | 138.3 |
| Hungary | No. of cases/100.000 inh. | 68.1 | 11.5 | 19.8 | 8.4 | 11 | 10.8 |
| Ireland | No. of cases/100.000 inh. | 54.2 | 55.8 | 52 | 50.2 | 46.9 | 61.1 |
| Lithuania | No. of cases/100.000 inh. | 29.9 | 22.9 | 25.8 | 19.6 | 16.4 | 38.1 |
| Luxembourg | No. of cases/100.000 inh. | 131.4 | 150.4 | 179.3 | 165.7 | 179.9 | 210.7 |
| Malta | No. of cases/100.000 inh. | 43.3 | 60.9 | 55.3 | 68.8 | 82.5 | 80.6 |
| Netherlands | No. of cases/100.000 inh. | 2.9 | 4.6 | 4.2 | 2.1 | 2.1 | 2.2 |
| Romania | No. of cases/100.000 inh. | 11.1 | 10.9 | 8.3 | 5 | 2.5 | 3.4 |
| Slovakia | No. of cases/100.000 inh. | 380 | 407.1 | 374 | 349.6 | NP | 421.6 |
| Slovenia | No. of cases/100.000 inh. | 24.8 | 36.6 | 33.9 | 4.1 | 5.9 | 4.6 |
| Spain | No. of cases/100.000 inh. | 23.9 | 18.6 | 16.4 | 16.2 | 15.9 | 17.3 |