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Goddard M, Mowat D, Hockin J, Jordan D, Legault D, Tate B, Luc JF. Canada’s emerging public health infostructure. Health Informatics J 2016. [DOI: 10.1177/146045820200800403] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- M. Goddard
- Centre for Surveillance Coordination, 130 Colonnade Road, Ottawa, Ontario K1A OK9, Canada,
| | - D. Mowat
- Centre for Surveillance Coordination, 130 Colonnade Road, Ottawa, Ontario K1A OK9, Canada
| | - J. Hockin
- Centre for Surveillance Coordination, 130 Colonnade Road, Ottawa, Ontario K1A OK9, Canada
| | - D. Jordan
- Centre for Surveillance Coordination, 130 Colonnade Road, Ottawa, Ontario K1A OK9, Canada
| | - D. Legault
- Centre for Surveillance Coordination, 130 Colonnade Road, Ottawa, Ontario K1A OK9, Canada
| | - B. Tate
- Centre for Surveillance Coordination, 130 Colonnade Road, Ottawa, Ontario K1A OK9, Canada
| | - J -F. Luc
- Centre for Surveillance Coordination, 130 Colonnade Road, Ottawa, Ontario K1A OK9, Canada
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Harb J, Isaacs S, Fyfe M, Crowe L, Slater B, Ahmed R, Rodgers F, Anderson C, Hockin J. Outbreak of Salmonella enteritidis phage type 11B in the provinces of Alberta and Saskatchewan, June 2000. Can Commun Dis Rep 2003; 29:125-8. [PMID: 12872665] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/03/2023]
Affiliation(s)
- J Harb
- Field Epidemiology Training Program (Heath Canada), Vancouver, British Columbia
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Manuel DG, Henry B, Hockin J, Naus M. Health behavior associated with influenza vaccination among healthcare workers in long-term-care facilities. Infect Control Hosp Epidemiol 2002; 23:609-14. [PMID: 12400892 DOI: 10.1086/501980] [Citation(s) in RCA: 61] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
OBJECTIVE To investigate the health behavior associated with influenza vaccination among healthcare workers (HCWs) in long-term-care facilities. DESIGN A cross-sectional, self-administered survey of HCWs, augmented with focus groups to further examine attitudes toward influenza vaccination. SETTING Two long-term-care facilities participated in the survey. The focus groups were held at one of the two facilities. PARTICIPANTS All HCWs were invited to participate in the survey and all nonmanagerial staff members were invited to participate in the focus groups. The response rate for the survey was 58% (231 of 401). RESULTS Vaccinated HCWs had a more positive attitude toward influenza vaccination and a greater belief that the vaccine is effective. This was not accompanied by differences in vaccine knowledge or values of potential preventive outcomes. Nonvaccinated respondents were more likely to believe that other preventive measures, such as washing hands, taking vitamins and supplements, eating a nutritious diet, exercising, and taking homeopathic or naturopathic medications, were more effective than vaccination. Additional findings from the focus groups suggest that HCWs believe that the main purpose of influenza vaccination programs is to protect residents' health at the expense, potential harm, and burden of responsibility of the staff. CONCLUSIONS This study identifies challenges to and opportunities for improving vaccination rates among HCWs. A message that emphasizes the health benefits of vaccination to staff members, such as including vaccination as part of a staff "wellness" program, may improve the credibility of influenza immunization programs and coverage rates.
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Affiliation(s)
- D G Manuel
- Field Epidemiology Training Program, Population and Public Health Branch, Health Canada, Ottawa, Ontario
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Goodwin R, Werker DH, Hockin J, Ellis E, Roche A. A survey of knowledge, attitudes, and practices of dog and cat owners with respect to vaccinating their pets against rabies, Ottawa-Carleton, Ontario, July 2000. Can Commun Dis Rep 2002; 28:1-6. [PMID: 11806310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/23/2023]
Affiliation(s)
- R Goodwin
- Field Epidemiology Training Program, Health Canada
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Buxton JA, Skowronski DM, Ng H, Marion SA, Williams M, Forbes A, King A, Hockin J. Previous creatinine levels safely predict amantadine dose for influenza A outbreak control. Can J Infect Dis 2001; 12:285-8. [PMID: 18159351 PMCID: PMC2094834 DOI: 10.1155/2001/926732] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2000] [Accepted: 03/30/2001] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND Amantadine, an antiviral agent, is the only drug currently approved in Canada for prophylaxis of influenza A virus infection. To minimize side effects, the amantadine dose is adjusted for age and estimated creatinine clearance (CrCl) based on plasma creatinine (Cr) levels. As amantadine is used more frequently for influenza A outbreak control in care facilities for elderly people, physicians are increasingly called on to prescribe it for residents and to consider the necessity of requesting plasma Cr levels. OBJECTIVE To determine whether previous Cr levels are predictive in estimating current CrCl and safe amantadine dose determination. DESIGN AND SETTING Residents' charts were reviewed in two facilities in Vancouver, British Columbia. CrCl estimated using previous or current Cr results, current weight and age, as well as recommended amantadine doses based on Canadian National Advisory Committee on Immunization guidelines, were studied. RESULTS 165 charts with Cr results in March 1998 were included; 122 had results before March 1998, and 103 had Cr results after March 1998. Pearson's correlation coefficient for CrCl estimated from current and previous Cr values was 0.929 for results less than six months previously, 0.974 for six to 12 months previously and 0.952 for 12 to 18 months previously. The same or a more conservative dose of amantadine was predicted in 92% of cases when using a Cr result taken within the previous year and in 76% of cases when using a Cr result taken 12 to 18 months previously. CONCLUSION In long term care facilities, Cr levels measured up to 12 months previously can usually safely be used to estimate CrCl. Using previous Cr results permits advance preparation of doctor's orders for amantadine prophylaxis and avoids repeating Cr testing on every resident when an outbreak occurs, reducing related staff time and cost.
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Affiliation(s)
- J A Buxton
- British Columbia Centre for Disease Control, Vancouver, British Columbia
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Buxton JA, Skowronski DM, Ng H, Marion SA, Li Y, King A, Hockin J. Influenza revaccination of elderly travelers: antibody response to single influenza vaccination and revaccination at 12 weeks. J Infect Dis 2001; 184:188-91. [PMID: 11424016 DOI: 10.1086/322013] [Citation(s) in RCA: 33] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2000] [Revised: 03/29/2001] [Indexed: 11/03/2022] Open
Abstract
The antibody response to a single influenza vaccination and the effect of influenza revaccination was assessed in healthy elderly persons. Travelers > or =65 years old who had received influenza vaccine before travel were enrolled in the study and were offered a second vaccination after 12 weeks. Geographic and age-matched control subjects received a single vaccination. A second influenza vaccination was not associated with increased adverse effects. There was no significant difference between log(10) hemagglutinin-inhibiting (HI) antibody titers or an HI antibody titer > or =1:40 (considered to be protective) in 28 control subjects and 28 revaccinated travelers for any antigen. Probable protection for influenza A antigens remained high 24 weeks after a single immunization and revaccination (A/Sydney/05/97 [H3N2], 92% and 96%, and A/Beijing/262/95 [H1N1], 80% and 96%, respectively). Response to B/Harbin was less throughout the study. A/Sydney antibody titer was lower with more times vaccinated in the previous 5 years. Therefore, a second vaccine did not enhance the immune response.
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Affiliation(s)
- J A Buxton
- British Columbia Centre for Disease Control, University of British Columbia, Vancouver, Canada.
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Harb J, Fyfe M, Patrick D, Trinidad A, Hockin J, Masoud N, Louie K, Kurzac C. Case-control study assessing the association between yersiniosis and exposure to salami. Can Commun Dis Rep 2000; 26:161-4. [PMID: 11057008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/18/2023]
Affiliation(s)
- J Harb
- Field Epidemiology Training Program, Centre for Surveillance Coordination, Health Canada, Vancouver
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Harb J, Lem M, Fyfe M, Patrick D, Ochnio J, Dobson S, Hockin J. Hepatitis A in the northern interior of British Columbia: an outbreak among members of a first nations community. Can Commun Dis Rep 2000; 26:157-61. [PMID: 11057007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/18/2023]
Affiliation(s)
- J Harb
- Field Epidemiology Training Program, Centre for Surveillance Coordination, Health Canada, Vancouver, B.C
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Miller JM, Tam TW, Maloney S, Fukuda K, Cox N, Hockin J, Kertesz D, Klimov A, Cetron M. Cruise ships: high-risk passengers and the global spread of new influenza viruses. Clin Infect Dis 2000; 31:433-8. [PMID: 10987701 DOI: 10.1086/313974] [Citation(s) in RCA: 95] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/1999] [Revised: 12/30/1999] [Indexed: 11/04/2022] Open
Abstract
In 1997, passengers on North American cruises developed acute respiratory illnesses (ARIs); influenza was suspected. We reviewed 1 ship's medical records for 3 cruises: cruise 1 (31 August to 10 September 1997), cruise 2 (11-20 September 1997), and cruise 3 (20-30 September 1997). Medically attended ARI was defined as any 2 of the following symptoms: fever (temperature, > or =37.8 degrees C) or feverishness, sore throat, cough, nasal congestion, chills, myalgia, and arthralgia. During cruise 2, we collected nasopharyngeal swabs for viral culture from people with ARI and surveyed passengers for self-reported ARI (defined as above except feverishness was substituted for fever). The outbreak probably began among Australian passengers on cruise 1 (relative risk, 3.3; 95% confidence interval, 1.89-5.77). Of 1284 passengers on cruise 2, 215 (17%) reported ARI, 994 (77%) were aged > or =65 years, and 336 (26%) had other risk factors for respiratory complications. An influenza strain not previously identified in North America was isolated. We concluded that an "off-season" influenza outbreak occurred among international travelers and crew on board this cruise ship.
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Affiliation(s)
- J M Miller
- Divisions of Quarantine, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA
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Buxton J, Weatherill S, Hockin J, Daly P. Influenza and pneumococcal immunization 'blitz' in an inner city area: downtown eastside of Vancouver, British Columbia. Can Commun Dis Rep 2000; 26:117-22. [PMID: 10943025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
Affiliation(s)
- J Buxton
- Federal Field Epidemiology Training Program, Laboratory Centre for Disease Control, Health Canada, Ottawa, Ont
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Williams RC, Isaacs S, Decou ML, Richardson EA, Buffett MC, Slinger RW, Brodsky MH, Ciebin BW, Ellis A, Hockin J. Illness outbreak associated with Escherichia coli O157:H7 in Genoa salami. E. coli O157:H7 Working Group. CMAJ 2000; 162:1409-13. [PMID: 10834043 PMCID: PMC1232452] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/16/2023] Open
Abstract
BACKGROUND An outbreak of Escherichia coli O157:H7 infection was identified in the spring of 1998, with a 7-fold increase in the number of laboratory-confirmed E. coli O157:H7 cases in southern Ontario. This prompted an intensive investigation by local, provincial and federal public health officials. METHODS Case interviews of 25 people from southern Ontario were conducted using a broad food history and environmental exposure survey. Laboratory investigations involved both case and food sampling. Specimens of foods sold locally and reportedly consumed by those affected were tested. Common suppliers of suspected foods were identified by cross-referencing suppliers' lists with stores frequented by those who fell ill. A case-control study involving 25 cases and 49 age-matched controls was conducted. This was followed by a comprehensive environmental investigation of the meat processing plant identified as the source of the E. coli. RESULTS Thirty-nine outbreak-related cases occurred between April 3 and June 2, 1998. Of the 36 case specimens tested all were positive for E. coli O157:H7. The case-control study identified Genoa salami as the most probable (odds ratio 8 [confidence interval 2-35]) source of the outbreak. Samples of Genoa salami produced by the most commonly identified supplier later tested positive for E. coli O157:H7, and the pathogen matched the same pulsed-field gel electrophoresis pattern and phage type of the case specimens. INTERPRETATION Our investigation, which led to a national recall of the brand of dry fermented Genoa salami identified as the source of the outbreak, supports an adherence to stringent manufacturing requirements for fermented meat products. A review of the Canadian standards for fermented meat processing and the effectiveness of their implementation is warranted.
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Affiliation(s)
- R C Williams
- Regional Niagara Public Health Department, St. Catharines, Ont.
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12
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Manuel DG, Hockin J. Recent trends in provincial life expectancy. Can J Public Health 2000; 91:118-9. [PMID: 10832175 PMCID: PMC6979790] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Received: 11/01/1999] [Accepted: 03/06/2000] [Indexed: 02/16/2023]
Affiliation(s)
- D G Manuel
- Department of Public Health Sciences, University of Toronto.
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Manuel DG, Johnson I, Fearon M, Hockin J. The prevalence of hepatitis C in a community-based population, Ontario, 1996. Can Commun Dis Rep 1999; 25:193-9. [PMID: 10715906] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/15/2023]
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Buxton J, Fyfe M, King A, Paccagnella A, Campbell K, Ellis A, Hockin J. Outbreak of Salmonella serotype Muenchen infection in the United States and Canada associated with unpasteurized orange juice--the British Columbia experience. Can Commun Dis Rep 1999; 25:161-4. [PMID: 10615771] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/15/2023]
Affiliation(s)
- J Buxton
- Field Epidemiology Training Program, LCDC, Ottawa, Ont., Canada
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Buxton J, Fyfe M, King A, Deeks S, Dore K, Ahmed R, Khakhria R, Paccagnella A, Hockin J. Salmonella typhimurium definitive type 104 isolates in British Columbia, 1997-1998. Can Commun Dis Rep 1999; 25:129-33. [PMID: 10466255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/13/2023]
Affiliation(s)
- J Buxton
- Field Epidemiology Training Program, LCDC, Ottawa, Ont
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Nowgesic E, Skowronski D, King A, Hockin J. Direct costs attributed to chickenpox and herpes zoster in British Columbia--1992 to 1996. Can Commun Dis Rep 1999; 25:100-4. [PMID: 10726371] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/15/2023]
Affiliation(s)
- E Nowgesic
- Laboratory Centre for Disease Control (LCDC), Health Canada, Ottawa, Ont
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Nowgesic E, Fyfe M, Hockin J, King A, Ng H, Paccagnella A, Trinidad A, Wilcott L, Smith R, Denney A, Struck L, Embree G, Higo K, Chan JI, Markey P, Martin S, Bush D. Outbreak of Yersinia pseudotuberculosis in British Columbia--November 1998. Can Commun Dis Rep 1999; 25:97-100. [PMID: 10726370] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/15/2023]
Affiliation(s)
- E Nowgesic
- Communicable Disease Epidemiology Services, BCCDCS, Vancouver, B.C
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Isaacs S, Keogh S, Menard C, Hockin J. Suicide in the Northwest Territories: A descriptive review. Chronic Dis Can 1999; 19:152-6. [PMID: 10029511] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/10/2023]
Abstract
The incidence of suicide among the populations of the Northwest Territories (NWT) is notably higher than in the rest of Canada. A comparison of three five-year time periods between 1982 and 1996 reveals an increasing incidence rate, particularly for Nunavat, the eastern half of the NWT, occupied primarily by Inuit people. This is largely attributable to a rising use of hanging as opposed to other methods of suicide. A coroner's record review of suicides occurring between 1994 and 1996 demonstrates the preponderance of young males and of Inuit among those who committed suicide, the majority of whom committed suicide in familiar settings, usually their own homes, and often while others were on the premises. Thirty-six percent of those who committed suicide had experienced a recent family or relationship breakup, and twenty-one percent were facing criminal proceedings. Understanding the impact of these and other reported circumstances on the imminent risk of suicide requires further investigation.
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Affiliation(s)
- S Isaacs
- Wellington-Dufferin-Guelph Health Unit, Guelph, Ontario, N1E 4J5, Canada
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Ratnam S, Stratton F, O'Keefe C, Roberts A, Coates R, Yetman M, Squires S, Khakhria R, Hockin J. Salmonella enteritidis outbreak due to contaminated cheese--Newfoundland. Can Commun Dis Rep 1999; 25:17-9; discussion 19-21. [PMID: 10024750] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/10/2023]
Affiliation(s)
- S Ratnam
- Department of Health and Community Services, Health Care Corporation, St. John's NF, Ottawa, ON
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Deeks S, Ellis A, Ciebin B, Khakhria R, Naus M, Hockin J. Salmonella Oranienburg, Ontario. Can Commun Dis Rep 1998; 24:177-8; discussion 178-9. [PMID: 9844252] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
Affiliation(s)
- S Deeks
- Central Public Health Laboratory, Ontario Ministry of Health, Toronto
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Ellis A, Preston M, Borczyk A, Miller B, Stone P, Hatton B, Chagla A, Hockin J. A community outbreak of Salmonella berta associated with a soft cheese product. Epidemiol Infect 1998; 120:29-35. [PMID: 9528815 PMCID: PMC2809346 DOI: 10.1017/s0950268897008376] [Citation(s) in RCA: 46] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023] Open
Abstract
In September 1994, a complaint was registered at a public health unit concerning a cheese product. In addition, public health laboratories in Ontario reported an increase in the number of isolates of Salmonella berta from patients with diarrhoeal illness. A clinical, environmental and laboratory investigation was initiated to determine the nature of this outbreak. Isolates of Salmonella berta were compared using large fragment genomic fingerprinting by pulsed-field gel electrophoresis (PFGE). By late October, 82 clinical cases had been identified including 35 confirmed, 44 suspected and 3 secondary. The investigation linked illness to consumption of an unpasteurized soft cheese product produced on a farm and sold at farmers' markets. Subtyping results of patient, cheese and chicken isolates were indistinguishable, suggesting that the cheese was contaminated by chicken carcasses during production. The outbreak illustrates the potential role of uninspected home-based food producers and of cross-contamination in the transmission of foodborne bacterial pathogens.
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Affiliation(s)
- A Ellis
- Bureau of Surveillance and Field Epidemiology, Laboratory Centre for Disease Control, Health Canada, Ottawa, Ontario
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Litt M, Buck P, Hockin J, Sockett P. A summary of the 1996-1997 Canadian FluWatch program. Can Commun Dis Rep 1998; 24:11-15. [PMID: 9553279] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Affiliation(s)
- M Litt
- Health Programs Analysis Division, Bureau of Infectious Diseases, LCDC, Ottawa
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Miller J, Tam T, Afif C, Maloney S, Cetron M, Fukata K, Klimov A, Hall H, Kertesz D, Hockin J. Influenza A outbreak on a cruise ship. Can Commun Dis Rep 1998; 24:9-11. [PMID: 9553278] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Affiliation(s)
- J Miller
- Division of Quarantine, National Center for Infectious Diseases, CDC, Atlanta, USA
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Hockin J, Isaacs S, Kittle D, Brimmer G, Bailey N, Tamblyn S. Hepatitis A outbreak in a socially-contained religious community in rural southern Ontario. Can Commun Dis Rep 1997; 23:161-6. [PMID: 9397602] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Affiliation(s)
- J Hockin
- Field Epidemiology Training Program, LCDC, Ottawa
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25
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Duclos P, Hockin J, Pless R, Lawlor B. Reporting vaccine-associated adverse events. Can Fam Physician 1997; 43:1551-6, 1559-60. [PMID: 9303234 PMCID: PMC2255353] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
OBJECTIVE To determine family physicians' awareness of the need to monitor and report vaccine-associated adverse events (VAAE) in Canada and to identify mechanisms that could facilitate reporting. DESIGN Mailed survey. SETTING Canadian family practices. PARTICIPANTS Random sample of 747 family physicians. Overall response rate was 32% (226 of 717 eligible physicians). MAIN OUTCOME MEASURES Access to education on VAAE; knowledge about VAAE monitoring systems, reporting criteria, and reporting forms; method of reporting VAAEs and reasons for not reporting them; and current experience with VAAEs. RESULTS Of 226 respondents, 55% reported observing VAAEs, and 42% reported the event. Fewer than 50% were aware of a monitoring system for VAAE, and only 39% had had VAAE-related education during medical training. Only 28% knew the reporting criteria. Reporting was significantly associated with knowledge of VAAE monitoring systems and reporting criteria (P < 0.01). CONCLUSION Physicians need more feedback and education on VAAE reporting and more information about the importance of reporting and about reporting criteria and methods.
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Affiliation(s)
- P Duclos
- Division of Immunization, Bureau of Infectious Diseases, Health Canada's Laboratory Centre for Disease Control (LCDC), Ottawa
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Lior L, Litt M, Hockin J, Kennedy C, Jolley BA, Garcia M, Gillis G, Humar A, Campbell I, Brunton J, Dedier H, Conly J. Vancomycin-resistant enterococci on a renal ward in an Ontario hospital. Can Commun Dis Rep 1996; 22:125-8. [PMID: 8791860] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Affiliation(s)
- L Lior
- Toronto Hospital, Ontario
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Ellis A, Irwin R, Hockin J, Borczyk A, Woodward D, Johnson W. Outbreak of Campylobacter infection among farm workers: an occupational hazard. Can Commun Dis Rep 1995; 21:153-6. [PMID: 7581213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Affiliation(s)
- A Ellis
- Risk Assessment Unit, Health of Animals Laboratory, Guelph, Ontario
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Werker DH, Singh AE, Artsob H, Hockin J. Hantavirus pulmonary syndrome in Canada. Can Commun Dis Rep 1995; 21:77-80. [PMID: 7795553] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
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29
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Whalen C, Hockin J, Lior H, Pasut G, Borczyk A, Osterholm MT, Vugia D. Salmonella poona. Can Dis Wkly Rep 1991; 17:185. [PMID: 1934139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Affiliation(s)
- C Whalen
- Field Epidemiology Division, Bureau of Communicable Disease Epidemiology, Ottawa
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30
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Perl TM, Teitelbaum J, Hockin J, Todd EC. Domoic acid toxicity. Panel discussion: definition of the syndrome. Can Dis Wkly Rep 1990; 16 Suppl 1E:41-5. [PMID: 2101740] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
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31
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Ng T, Hockin J, Stratton F, Allan P. Low measles vaccine failure in a school outbreak--Newfoundland. Can Dis Wkly Rep 1990; 16:53-7. [PMID: 2346983] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Affiliation(s)
- T Ng
- Field Epidemiology Division, Newfoundland Department of Health
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32
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Mao Y, Morrison H, Urrutia M, Davies J, Hockin J, Nicholls E, Bourdeau R, Wigle D. The Eastern Ontario Risk Factor Survey. Can J Public Health 1987; 78:335-9. [PMID: 3690453] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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33
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van Wyck P, Hockin J. Mortality surveillance: an integral part of quality assurance. Health Manage Forum 1985; 5:27-36. [PMID: 10268307] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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