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Acute Gastroenteritis and Recreational Water: Highest Burden Among Young US Children.
- Source :
-
American journal of public health [Am J Public Health] 2016 Sep; Vol. 106 (9), pp. 1690-7. Date of Electronic Publication: 2016 Jul 26. - Publication Year :
- 2016
-
Abstract
- Objectives: To provide summary estimates of gastroenteritis risks and illness burden associated with recreational water exposure and determine whether children have higher risks and burden.<br />Methods: We combined individual participant data from 13 prospective cohorts at marine and freshwater beaches throughout the United States (nā=ā84ā411). We measured incident outcomes within 10 days of exposure: diarrhea, gastrointestinal illness, missed daily activity (work, school, vacation), and medical visits. We estimated the relationship between outcomes and 2 exposures: body immersion swimming and Enterococcus spp. fecal indicator bacteria levels in the water. We also estimated the population-attributable risk associated with these exposures.<br />Results: Water exposure accounted for 21% of diarrhea episodes and 9% of missed daily activities but was unassociated with gastroenteritis leading to medical consultation. Children aged 0 to 4 and 5 to 10 years had the most water exposure, exhibited stronger associations between levels of water quality and illness, and accounted for the largest attributable illness burden.<br />Conclusions: The higher gastroenteritis risk and associated burden in young children presents important new information to inform future recreational water quality guidelines designed to protect public health.
Details
- Language :
- English
- ISSN :
- 1541-0048
- Volume :
- 106
- Issue :
- 9
- Database :
- MEDLINE
- Journal :
- American journal of public health
- Publication Type :
- Academic Journal
- Accession number :
- 27459461
- Full Text :
- https://doi.org/10.2105/AJPH.2016.303279