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Understanding gastroenteritis in elderly residents of aged-care facilities

Martyn D Kirk, Leslee Roberts and John Horvath
Med J Aust 2008; 189 (9): . || doi: 10.5694/j.1326-5377.2008.tb02136.x
Published online: 3 November 2008

Early identification of outbreaks allows carers and public health agencies to reduce the burden of this disease

Recently, serious outbreaks of foodborne gastroenteritis occurring in aged-care facilities (ACFs) have captured public and media attention. Gastroenteritis will occur in settings where people gather, even when standards of care and food hygiene are very high. Some infections are inevitable due to the susceptibility of the population and the highly infectious and persistent nature of enteric pathogens. Early recognition of an outbreak and identification of the responsible organism enable interventions that can reduce the impact of disease.


  • Australian Government Department of Health and Ageing, Canberra, ACT.


Correspondence: martyn.kirk@health.gov.au

Competing interests:

Martyn Kirk is a recipient of a National Health and Medical Research Council Scholarship. Since 2001, he has been employed by the Australian Government Department of Health and Ageing to conduct research into foodborne diseases under the OzFoodNet program.

  • 1. Frenzen PD. Mortality due to gastroenteritis of unknown etiology in the United States. J Infect Dis 2003; 187: 441-452.
  • 2. Hall GV, Kirk MD, Ashbolt R, et al. Frequency of infectious gastrointestinal illness in Australia, 2002: regional, seasonal and demographic variation. Epidemiol Infect 2006; 134: 111-118.
  • 3. Stevenson KB, Moore J, Colwell H, Sleeper B. Standardized infection surveillance in long-term care: interfacility comparisons from a regional cohort of facilities. Infect Control Hosp Epidemiol 2005; 26: 231-238.
  • 4. Dolin R. Noroviruses — challenges to control. N Engl J Med 2007; 357: 1072-1073.
  • 5. Tu ET, Bull RA, Greening GE, et al. Epidemics of gastroenteritis during 2006 were associated with the spread of norovirus GII.4 variants 2006a and 2006b. Clin Infect Dis 2008; 46: 413-420.
  • 6. Centers for Disease Control and Prevention. Norovirus activity — United States, 2006–2007. MMWR Morb Mortal Wkly Rep 2007; 56: 842-846.
  • 7. Teunis PF, Moe CL, Liu P, et al. Norwalk virus: how infectious is it? J Med Virol 2008; 80: 1468-1476.
  • 8. Verhoef L, Depoortere E, Boxman I, et al; Food Borne Viruses in Europe Network. Emergence of new norovirus variants on spring cruise ships and prediction of winter epidemics. Emerg Infect Dis 2008; 14: 238-243.
  • 9. OzFoodNet Working Group. Monitoring the incidence and causes of diseases potentially transmitted by food in Australia: annual report of the OzFoodNet Network, 2006. Commun Dis Intell 2007; 31: 345-365.
  • 10. Richmond RL. The changing face of the Australian population: growth in centenarians. Med J Aust 2008; 188: 720-723. <MJA full text>

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