A large community outbreak of gastroenteritis associated with consumption of drinking water contaminated by river water, Belgium, 2010
Autor: | Elke Wollants, K De Schrijver, Toon Braeye, M. Van Ranst, J. Verhaegen |
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Jazyk: | angličtina |
Rok vydání: | 2015 |
Předmět: |
Giardiasis
Male Rotavirus Veterinary medicine waterborne Epidemiology medicine.disease_cause Disease Outbreaks fluids and secretions Belgium Campylobacter Infections Child Caliciviridae Infections Aged 80 and over Waterborne diseases Middle Aged Original Papers Gastroenteritis Infectious Diseases Child Preschool Female Cohort study Adult medicine.medical_specialty Adolescent Foodborne/Gastrointestinal Infections Rotavirus Infections Microbiology Young Adult Tap water Rivers medicine Humans Aged Retrospective Studies outbreak business.industry Drinking Water Norovirus Infant Newborn Outbreak Infant medicine.disease Relative risk Human medicine Giardia lamblia business |
Zdroj: | Epidemiology and infection Epidemiology and Infection |
ISSN: | 0950-2688 |
Popis: | SUMMARYOn 6 December 2010 a fire in Hemiksem, Belgium, was extinguished by the fire brigade with both river water and tap water. Local physicians were asked to report all cases of gastroenteritis. We conducted a retrospective cohort study among 1000 randomly selected households. We performed a statistical and geospatial analysis. Human stool samples, tap water and river water were tested for pathogens. Of the 1185 persons living in the 528 responding households, 222 (18·7%) reported symptoms of gastroenteritis during the time period 6–13 December. Drinking tap water was significantly associated with an increased risk for gastroenteritis (relative risk 3·67, 95% confidence interval 2·86–4·70) as was place of residence.Campylobactersp. (2/56), norovirus GI and GII (11/56), rotavirus (1/56) andGiardia lamblia(3/56) were detected in stool samples. Tap water samples tested positive for faecal indicator bacteria and protozoa. The results support the hypothesis that a point-source contamination of the tap water with river water was the cause of the multi-pathogen waterborne outbreak. |
Databáze: | OpenAIRE |
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