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Calvert, G.M., Alarcon, W.A., Chelminski, A., Crowley, M.S., Barrett, R., Correa, A., et al. (2007) Case Report: Three Farmworkers Who Gave Birth to Infants with Birth Defects Closely Grouped in Time and Place—Florida and North Carolina, 2004-2005. Environmental Health Perspectives, 115, 787-791.
https://doi.org/10.1289/ehp.9647

has been cited by the following article:

• TITLE: Modelling Pathways for Outbreaks in Field Occupational Epidemiology

  AUTHORS: Jerónimo Maqueda, Agustín Silva, Rosa-Ana Cortés, María-Fe Gamo

  KEYWORDS: Occupational Outbreak, Occupational Diseases, Working Exposure, Field Epidemiology

  JOURNAL NAME: Open Journal of Preventive Medicine, Vol.11 No.4, April 7, 2021

  ABSTRACT: Background: The investigation of an occupational outbreak, once the index case has been identified, triggers a stress situation to epidemiologists. Modelling occupational outbreaks will be useful to guide the field investigation. Objective: To identify standard pathways for occupational epidemic outbreaks. Methods: In-depth critical appraisal of 57 occupational outbreaks. Standard pathways of occupational outbreaks were identified by analysing the similarity between out-breaks. The model’s accuracy and homogeneity were established through Fisher’s exact test and the Kappa Index. Results: The analysis allowed synthesizing the occupational outbreaks variability in 4 pathways. 92.98% of the analysed outbreaks could be allocated to one of those 4 types. The theoretical patterns showed a good adjustment with the analysed out-breaks: Type I (Kappa = 0.94 - 0.60), Type II (Kappa = 1.00), Type III (Kappa = 1.00 - 0.68) and Type IV (Kappa = 0.94 - 0.87). The probability of a given outbreak fitting with its three components in any of the theoretical pathways was 0.83. Conclusions: The incorporation of those pathways to the field occupational epidemiology will allow: 1) to provide early guidance to epidemiological, clinical and environmental studies focused on specific hypothesis of causality; 2) to anticipate preventive measures; 3) to contribute to an earlier and more efficient outbreak resolution.