Limiting swimming pool outbreaks of cryptosporidiosis - the roles of regulations, staff, patrons and research

作者: Una Ryan , Sheleigh Lawler , Simon Reid

DOI: 10.2166/WH.2016.160

关键词:

摘要: Cryptosporidium is the leading cause of swimming pool outbreaks gastroenteritis. Transmission occurs through ingestion oocysts that are passed in faeces an infected person or animal when accidental faecal release event occurs. parasites present specific challenges for infection control as highly resistant to chlorine levels used disinfection, individuals can shed large numbers oocysts, there a long incubation period and shedding even after symptom resolution. The purposes this review identify key barriers limiting pool-associated cryptosporidiosis outline needs research collaboration advance co-ordinated management practices. We reviewed outbreaks, disinfection teachniques, current regulations role staff patrons. Key lack uniform national international standards, poor adherence understanding governing patron behaviour, low public knowledge awareness.

参考文章(161)
J. Bartram, R. Fayer, A. Dufour, R. Carr, J.A. Cotruvo, G.F. Craun, V.P.J. Gannon, D.O. Cliver, G. Rees, Waterborne Zoonoses: Identification, Causes and Control ,(2004)
D G Korich, J R Mead, M S Madore, N A Sinclair, C R Sterling, Effects of ozone, chlorine dioxide, chlorine, and monochloramine on Cryptosporidium parvum oocyst viability. Applied and Environmental Microbiology. ,vol. 56, pp. 1423- 1428 ,(1990) , 10.1128/AEM.56.5.1423-1428.1990
Sharon L. Roy, Rebecca L. Calderon, Michael J. Beach, Jennifer L. Liang, Matthew R. Moore, Patricia A. Yu, Vincent Hill, John Painter, Eric J. Dziuban, Gunther F. Craun, Surveillance for waterborne disease and outbreaks associated with recreational water--United States, 2003-2004. Morbidity and Mortality Weekly Report. ,vol. 55, pp. 1- 30 ,(2006)
N. Doxford, C. Maitoza, E. Florom, M. C. Hlavsa, M. J. Beach, S. A. Collier, T. Clements, J. Compton, L. Hendrix, J. M. Roberts, S. Campbell, R. Roth, D. Newell, S. E. Ford, B. Franklin, D. Sackett, E. L. Dunbar, D. Ludwig, C. Otto, D. Salmen, B. F. Buss, K. Krinn, E. C. Ailes, Violations identified from routine swimming pool inspections - selected states and counties, United States, 2008. Morbidity and Mortality Weekly Report. ,vol. 59, pp. 582- 587 ,(2010)
Aparna Lal, Lisa Michelle Cornish, Emily Fearnley, Kathryn Glass, Martyn Kirk, Cryptosporidiosis: A Disease of Tropical and Remote Areas in Australia PLOS Neglected Tropical Diseases. ,vol. 9, pp. e0004078- ,(2015) , 10.1371/JOURNAL.PNTD.0004078
Elizabeth D Hilborn, Taryn R Mecher, Michele C Hlavsa, Jonathan S Yoder, Michael J Beach, Amy M Kahler, Virginia A Roberts, Timothy J Wade, Outbreaks of Illness Associated with Recreational Water--United States, 2011-2012. Morbidity and Mortality Weekly Report. ,vol. 64, pp. 668- 672 ,(2015)
M. B. DeSILVA, S. SCHAFER, M. KENDALL SCOTT, B. ROBINSON, A. HILLS, G. L. BUSER, K. SALIS, J. GARGANO, J. YODER, V. HILL, L. XIAO, D. ROELLIG, K. HEDBERG, Communitywide cryptosporidiosis outbreak associated with a surface water-supplied municipal water system--Baker City, Oregon, 2013. Epidemiology and Infection. ,vol. 144, pp. 274- 284 ,(2016) , 10.1017/S0950268815001831
Aparna Lal, Emily Fearnley, Martyn Kirk, The Risk of Reported Cryptosporidiosis in Children Aged <5 Years in Australia is Highest in Very Remote Regions. International Journal of Environmental Research and Public Health. ,vol. 12, pp. 11815- 11828 ,(2015) , 10.3390/IJERPH120911815
Fukumi NAKAMURA-UCHIYAMA, Kenji HiROMATSU, Kenji ISHIWATA, Yukiko SAKAMOTO, Yukifumi NAWA, The current status of parasitic diseases in Japan. Internal Medicine. ,vol. 42, pp. 222- 236 ,(2003) , 10.2169/INTERNALMEDICINE.42.222