TY - JOUR AU - Valcour, James E. AU - Michel, Pascal AU - McEwen, Scott A. AU - Wilson, Jeffrey B. T1 - Associations between Indicators of Livestock Farming Intensity and Incidence of Human Shiga Toxin-Producing Escherichia Coli Infection T2 - Emerging Infectious Disease journal PY - 2002 VL - 8 IS - 3 SP - 252 SN - 1080-6059 AB - The impact of livestock farming on the incidence of human Shiga toxin-producing Escherichia coli (STEC) infection was assessed by using several livestock density indicators (LDI) that were generated in a systematic approach. A total of 80 LDI were considered suitable proxy measures for livestock density. Multivariate Poisson regression identified several LDI as having a significant spatial association with the incidence of human STEC infection. The strongest associations with human STEC infection were the ratio of beef cattle number to human population and the application of manure to the surface of agricultural land by a solid spreader and by a liquid spreader showed. This study demonstrates the value of using a systematic approach in identifying LDI and other spatial predictors of disease. KW - Escherichia coli 0157 KW - STEC KW - livestock KW - spatial epidemiology KW - manure KW - United States DO - 10.3201/eid0803.010159 UR - https://wwwnc.cdc.gov/eid/article/8/3/01-0159_article ER - End of Reference