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Journal of Public Health Advance Access originally published online on July 10, 2007
Journal of Public Health 2007 29(3):288-291; doi:10.1093/pubmed/fdm043
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© The Author 2007, Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved

General practitioner notifications of gastroenteritis and food poisoning: cause for concern



Fiona Day
, Specialist Registrar1,

Graham Sutton
, Consultant in Communicable Disease Control2
1 Leeds PCT, North West House, West Park Ring Road, Leeds LS16 6QG, UK
2 West Yorkshire Health Protection Unit, Health Protection Agency, UK


Address correspondence to Fiona Day, E-mail: fiona.day{at}leedspct.nhs.uk


   Abstract

Background Under the Public Health (Infectious Diseases) Regulations 1988, all doctors are required by law to notify suspected cases of specific infections and food poisoning. Doctors' propensity to notify is known to be low, and we sought to quantify this locally.

Methods From July 2000 to June 2002, we conducted a baseline audit of notifications by Wakefield GPs of cases of suspected gastrointestinal infection or food poisoning. We repeated the audit during 2005–06, following a series of local interventions to improve notification.

Results The baseline audit demonstrated considerable variation in reporting behaviour and timeliness of notification. Following the re-audit, we found that notification rates and timeliness had not improved, indeed they had deteriorated.

Conclusion We suggest that the current notification system is not working in respect of gastroenteritis and food poisoning, and should be either substantially revised or abandoned.

Keywords: disease notification, gastroenteritis, food poisoning, sentinel surveillance


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