Outbreak of cryptosporidiosis associated with a man-made chlorinated lake--Tarrant County, Texas, 2008.

Autor: Cantey PT; Division of Parasitic Diseases and Malaria, Center for Global Health/Centers for Disease Control and Prevention, Atlanta, GA 30333, USA. pcantey@cdc.gov, Kurian AK, Jefferson D, Moerbe MM, Marshall K, Blankenship WR, Rothbarth GR, Hwang J, Hall R, Yoder J, Brunkard J, Johnston S, Xiao L, Hill VR, Sarisky J, Zarate-Bermudez MA, Otto C, Hlavsa MC
Jazyk: angličtina
Zdroj: Journal of environmental health [J Environ Health] 2012 Nov; Vol. 75 (4), pp. 14-9.
Abstrakt: In July 2008, clusters of laboratory-confirmed cryptosporidiosis cases and reports of gastrointestinal illness in persons who visited a lake were reported to Tarrant County Public Health. In response, epidemiologic, laboratory, and environmental health investigations were initiated. A matched case-control study determined that swallowing the lake water was associated with illness (adjusted odds ratio = 16.3; 95% confidence interval: 2.5-infinity). The environmental health investigation narrowed down the potential sources of contamination. Laboratory testing detected Cryptosporidium hominis in case-patient stool specimens and Cryptosporidium species in lake water. It was only through the joint effort that epidemiologic, laboratory, and environmental health investigators could determine that >1 human diarrheal fecal incidents in the lake likely led to contamination of the water. This same collaborative effort will be needed to develop and maintain an effective national Model Aquatic Health Code.
Databáze: MEDLINE