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A six-year epidemiological surveillance study in Split-Dalmatia County, Croatia: urban versus rural differences in human campylobacteriosis incidence

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Data from population-based laboratory surveillance were used to examine the epidemiological pattern of campylobacteriosis in a sentinel site, Split-Dalmatia County (SDC),Croatia, from 2007 to 2012, and to evaluate the association between disease incidence and demographic, geographical, climatic, agricultural, and microbiological factors. A total of 2658 laboratory-confirmed Campylobacter infections were recorded. Overall mean incidence was 96/100,000, ranging from 61/100,000 in rural to 131/100,000 in urban areas; rates were highest in the age group 0–4 years. Overall mean and age- and sex-specific incidences were significantly higher in urban versus rural areas (p < 0.01). The number of infections peaked in early summer, and was correlated with higher average monthly temperature (r = 0.58) and lower humidity (r = − 0.27), but not with precipitation. Incidence was not associated with agricultural activities. A distinct campylobacteriosis pattern with consistently higher urban versus rural incidence was observed, which may help formulate further preventive measures.
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Keywords: Campylobacteriosis; epidemiology; surveillance; urban–rural differences

Document Type: Research Article

Affiliations: 1: Department of Clinical Microbiology, Public Health Institute of Split-Dalmatia County, Split, Croatia 2: Department of Microbiology, University of Split School of Medicine, Split, Croatia 3: Department of Clinical Epidemiology, University Hospital Centre Split, Split, Croatia

Publication date: July 4, 2018

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