Geographic variations and temporal trends of Salmonella-associated hospitalization in the U.S. elderly, 1991-2004: A time series analysis of the impact of HACCP regulation

Chui, Kenneth K. H.; Webb, Patrick; Russell, Robert M.; Naumova, Elena N.
January 2009
BMC Public Health;2009, Vol. 9 Issue 1, p447
Academic Journal
Background: About 1.4 million Salmonella infections, a common food-borne illness, occur in the U.S. annually; the elderly (aged 65 or above) are most susceptible. In 1997, the USDA introduced the Pathogen Reduction and Hazard Analysis and Critical Control Points Systems (PR/HACCP) which demands regular Salmonella testing in various establishments processing meat products, such as broiler chickens. Impact evaluations of PR/HACCP on hospitalizations related to Salmonella are lacking. Methods: Hospitalization records of the U.S. elderly in 1991-2004 were obtained from the Centers of Medicare and Medicaid Services. Harmonic regression analyses were performed to evaluate the long-term trends of Salmonella-related hospitalizations in pre- and post-HACCP periods. Seasonal characteristics of the outcome in the nine Census divisions of the contiguous U.S. were also derived and contrasted. Results: Predicted rates decreased in most divisions after 1997, except South Atlantic, East South Central, and West South Central. These three divisions also demonstrated higher overall hospitalization rates, pronounced seasonal patterns, and consistent times to peak at about 32nd to 34th week of the year. Conclusion: The impact of HACCP was geographically different. South Atlantic, East South Central, and West South Central divisions should be targeted in further Salmonella preventive programs. Further research is needed to identify the best program type and timing of implementation.


Related Articles

  • State News. Yandik, Will // AARP Bulletin;Jul/Aug2013, Vol. 54 Issue 6, p36 

    This section offers news briefs on the American Association of Retired Persons (AARP) as of July 2013. Members are invited to an event at the Beardsley Zoo in Bridgeport, Connecticut to learn about the resources available to support a healthy lifestyle. AARP Maine is encouraging residents to...

  • Exercise in Older Adults.  // American Family Physician;1/1/2010, Vol. 81 Issue 1, p60 

    The article offers information on proper exercises for older adults in the U.S. It is advised to perform moderate aerobic exercise for 150 minutes or vigorous activity for 75 minutes. It states some examples of muscle-strengthening workouts including the use of exercise bands and handheld...

  • The Quality of Life in the Year Before Death. Lentzner, Harold R.; Pamuk, Elsie R.; Rhodenhiser, Elaine P.; Rothenberg, Richard; Powell-Griner, Eve // American Journal of Public Health;Aug1992, Vol. 82 Issue 8, p1093 

    Objectives. Most Americans wish to live a long healthy life, but fear disease and dependency in their last years. Until recently, little has been known about the prevalence of opposite extremes of health in old age, particularly in the period leading up to death. Methods. We used results from...

  • Memory Decline and Depressive Symptoms in a Nationally Representative Sample of Older Adults: The Health and Retirement Study (1998–2004). González, Hector M.; Bowen, Mary E.; Fisher, Gwenith G. // Dementia & Geriatric Cognitive Disorders;2008, Vol. 25 Issue 3, p266 

    Background/Aims: Inconsistencies in the relationship between depression and cognitive decline may exist because the expected cognitive domains at risk have not been specified in previous study designs. We aimed to examine the relationship between depressive symptoms and verbal episodic memory...

  • Working With Spiritual Issues of the Elderly and Their Caregivers. Sperry, Len // Psychiatric Annals;Mar2006, Vol. 36 Issue 3, p185 

    Discusses religious and spiritual issues that arise in psychiatric clinical practice with older adults in the U.S. Description of the developmental aspects of adulthood and spirituality; Inability of dementia to extinguish spiritual well-being of a patient; Background of a case example that...

  • Applications Sought for John Heinz Senate Fellowship.  // Aging News Alert;1/30/2009, p12 

    The article offers information on the Health & Aging Policy Fellows Program. It is reported that this nine-to-12 month program gives an opportunity to professionals in aging and health to gain the skills needed to develop and properly implement health policies that are affecting older people in...

  • Foreclosures Are Causing Health Crisis? Dymi, Amilda // Mortgage Servicing News;Dec2011, Vol. 15 Issue 12, p1 

    The article focuses on a long-term survey on the impact of housing crisis on older Americans which links foreclosures to health crisis in the U.S. The survey was conducted by the Organized Research Center on Aging at the University of Maryland School of Medicine. The result of the survey...

  • Inaugural US of Aging Survey Finds Most Older Adults Upbeat about Aging, but Some Are Uncertain about Long-Term Outlook for Their Health and Finances.  // Biomedical Market Newsletter;8/15/2012, Vol. 21, p1 

    The article presents information on a survey conducted by the National Council on Aging (NCOA), United HealthCare Services Inc. and the periodical USA TODAY, according to which, the older U.S. people feel their best years are still to come but they are not ready for the health and financial...

  • It's not your father's retirement home. King, Paul // FoodService Director;7/15/2006, Vol. 19 Issue 7, p30 

    The article considers the changes that has happened to the foodservice programs of the retirement communities in the U.S. The curbside service of Cura Hospitality for Homestead Village in Lancaster, Pennsylvania allows residents to call and place their orders. Bill Miller of Cura believes that...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics