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Community-based study of the incidence of gastrointestinal diseases in The Netherlands

Published online by Cambridge University Press:  15 May 2009

A. M. M. Hoogenboom-Verdegaal
Affiliation:
Department of Water- and Food Microbiology of the National Institute of Public Health and Environmental Protection, The Netherlands
J. C. De Jong
Affiliation:
Department of Virology of the National Institute of Public Health and Environmental Protection, The Netherlands
M. During
Affiliation:
Department of Water- and Food Microbiology of the National Institute of Public Health and Environmental Protection, The Netherlands
R. Hoogenveen
Affiliation:
Department of Mathematics and Modelling of the National Institute of Public Health and Environmental Protection, The Netherlands
J. A. Hoekstra
Affiliation:
Department of Mathematics and Modelling of the National Institute of Public Health and Environmental Protection, The Netherlands
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Summary

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The incidence of gastrointestinal diseases was studied in a community-based study in four regions of The Netherlands. Two grades of severity were distinguished − 1: diarrhoea or vomiting and at least 2 additional symptoms within the period of 1 week, and 2: diarrhoea or vomiting and at least 2 additional symptoms occurring on the same day lasting at least 2 days within the period of 1 week. The incidence of gastrointestinal episodes was calculated to be 630 for grade 1 and 180 for grade 2 disease per 1000 person-years, after correction for age and sex. The incidence was higher for women than for men (relative risk 1·25) and lower for those in the 19–64-year-old age group when compared to those younger or older (relative risk 0·75 and 0·40. respectively). Independent of the degree of severity of the symptoms, about 20% of the patients had consulted a general practitioner, about half in person and half by telephone. It is concluded that community studies are essential to assess the real incidence of gastrointestinal diseases in the population.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1994

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