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Citrobacter Freundii Foodborne Disease Outbreaks Related to Environmental Conditions in Yazd Province, Iran



Aminharati F1, 2 ; Ehrampoush MH3 ; Soltan Dallal MM1, 4 ; Yaseri M5 ; Dehghani Tafti AA6 ; Rajabi Z4
Authors
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Authors Affiliations
  1. 1. Division of Microbiology, Department of Pathobiology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. International Campus, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
  3. 3. Department of Environmental Health Engineering, School of Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
  4. 4. Food Microbiology Research Center, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Department of Disaster and Emergency Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

Source: Iranian Journal of Public Health Published:2019

Abstract

Background: The aim of this study was to assess associations of Citrobacter freundii foodborne outbreaks with environmental factors in various regions of Yazd Province, Iran, 2012–2016. Methods: The public health surveillance data were used for one period of five years reported foodborne disease outbreaks in various regions of the Province. Multilevel regression statistical method was used to analyze associations of climatic and demographic variables with outbreaks. Significant associations were tested using likelihood ratio tests. Results: Results showed a significant association between C. freundii outbreaks and air dust conditions, age groups and various regional cities. Conclusion: The current study revealed necessity of etiologic agent identification for use in foodborne disease outbreak guidance in future outbreaks. Systemic surveillance schemes can help prevent and control similar scenarios using reports of environmental effects on foodborne disease outbreaks. © 2019, Iranian Journal of Public Health. All rights reserved.