Outbreaks of Acute Gastrointestinal Illness Associated with a Splash Pad in a Wildlife Park - Kansas, June 2021.
Autor: | Aluko SK, Ishrati SS, Walker DC, Mattioli MC, Kahler AM, Vanden Esschert KL, Hervey K, Rokisky J Jr, Wikswo ME, Laco JP, Kurlekar S, Byrne A, Molinari NA, Gleason ME, Steward C, Hlavsa MC, Neises D |
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Jazyk: | angličtina |
Zdroj: | MMWR. Morbidity and mortality weekly report [MMWR Morb Mortal Wkly Rep] 2022 Aug 05; Vol. 71 (31), pp. 981-987. Date of Electronic Publication: 2022 Aug 05. |
DOI: | 10.15585/mmwr.mm7131a1 |
Abstrakt: | In June 2021, Kansas state and county public health officials identified and investigated three cases of shigellosis (a bacterial diarrheal illness caused by Shigella spp.) associated with visiting a wildlife park. The park has animal exhibits and a splash pad. Two affected persons visited animal exhibits, and all three entered the splash pad. Nonhuman primates are the only known animal reservoir of Shigella. The splash pad, which sprays water on users and is designed so that water does not collect in the user area, was closed on June 19. The state and county public health codes do not include regulations for splash pads. Thus, these venues are not typically inspected, and environmental health expertise is limited. A case-control study identified two distinct outbreaks associated with the park (a shigellosis outbreak involving 21 cases and a subsequent norovirus infection outbreak involving six cases). Shigella and norovirus can be transmitted by contaminated water; in both outbreaks, illness was associated with getting splash pad water in the mouth (multiply imputed adjusted odds ratio [aOR Competing Interests: All authors have completed and submitted the International Committee of Medical Journal Editors form for disclosure of potential conflicts of interest. No potential conflicts of interest were disclosed. |
Databáze: | MEDLINE |
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