A Waterborne Outbreak of Escherichia coli O157:H7 Infections and Hemolytic Uremic Syndrome: Implications for Rural Water Systems1
| Autor: | Olsen, Sonja J., Miller, Gayle, Breuer, Thomas, Kennedy, Malinda, Higgins, Charles, Walford, Jim, McKee, Gary, Fox, Kim, Bibb, William, Mead, Paul |
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| Jazyk: | angličtina |
| Rok vydání: | 2002 |
| Předmět: |
Adult
Diarrhea Male Rural Population Wyoming Research drinking water Drinking Infant waterborne transmission Escherichia coli O157:H7 Escherichia coli O157 Disease Outbreaks Cohort Studies Risk Factors Water Supply antibody Child Preschool Hemolytic-Uremic Syndrome Humans epidemiology Female Water Microbiology Escherichia coli Infections Retrospective Studies |
| Zdroj: | Emerging Infectious Diseases |
| ISSN: | 1080-6059 1080-6040 |
| Popis: | In the summer of 1998, a large outbreak of Escherichia coli O157:H7 infections occurred in Alpine, Wyoming. We identified 157 ill persons; stool from 71 (45%) yielded E. coli O157:H7. In two cohort studies, illness was significantly associated with drinking municipal water (town residents: adjusted odds ratio=10.1, 95% confidence intervals [CI]=1.8-56.4; visitors attending family reunion: relative risk=9.0, 95% CI=1.3-63.3). The unchlorinated water supply had microbiologic evidence of fecal organisms and the potential for chronic contamination with surface water. Among persons exposed to water, the attack rate was significantly lower in town residents than in visitors (23% vs. 50%, p |
| Databáze: | OpenAIRE |
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