title: Surveillance of acute infectious gastroenteritis (1992-2009) and food-borne disease outbreaks (1996-2009) in Italy, with a focus on the Piedmont and Lombardy regions.
abstract: We describe trends in the occurrence of acute infectious gastroenteritis (1992 to 2009) and food-borne disease outbreaks (1996 to 2009) in Italy. In 2002, the Piedmont region implemented a surveillance system for early detection and control of food-borne disease outbreaks; in 2004, the Lombardy region implemented a system for surveillance of all notifiable human infectious diseases. Both systems are internet based. We compared the regional figures with the national mean using official notification data provided by the National Infectious Diseases Notification System (SIMI) and the National Institute of Statistics (ISTAT), in order to provide additional information about the epidemiology of these diseases in Italy. When compared with the national mean, data from the two regional systems showed a significant increase in notification rates of non-typhoid salmonellosis and infectious diarrhea other than non-typhoid salmonellosis, but for foodborne disease outbreaks, the increase was not statistically significant. Although the two regional systems have different objectives and structures, they showed improved sensitivity regarding notification of cases of acute infectious gastroenteritis and, to a lesser extent, food-borne disease outbreaks, and thus provide a more complete picture of the epidemiology of these diseases in Italy.
authors.affiliation: Istituto Superiore di Sanita, Department of Veterinary Public Health and Food Safety, Rome, Italy.
authors.forename: L
authors.initials: L
authors.lastname: Mughini-Gras
authors.forename: C
authors.initials: C
authors.lastname: Graziani
authors.forename: F
authors.initials: F
authors.lastname: Biorci
authors.forename: A
authors.initials: A
authors.lastname: Pavan
authors.forename: R
authors.initials: R
authors.lastname: Magliola
authors.forename: A
authors.initials: A
authors.lastname: Ricci
authors.forename: G
authors.initials: G
authors.lastname: Gilli
authors.forename: E
authors.initials: E
authors.lastname: Carraro
authors.forename: L
authors.initials: L
authors.lastname: Busani
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D018563:Disease Notification; D004196:Disease Outbreaks / Q000706:statistics & numerical data*; D004403:Dysentery / Q000453:epidemiology; D005260:Female; D005517:Foodborne Diseases / Q000453:epidemiology*; D005759:Gastroenteritis / Q000453:epidemiology*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D020407:Internet; D007558:Italy / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D011159:Population Surveillance; D015995:Prevalence; D012478:Salmonella Food Poisoning / Q000453:epidemiology; D011795:Surveys and Questionnaires; D055815:Young Adult