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Acute Gastroenteritis and Recreational Water: Highest Burden Among Young US Children.
- Source :
- American Journal of Public Health; Sep2016, Vol. 106 Issue 9, p1690-1697, 8p
- 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. Methods. We combined individual participant data from 13 prospective cohorts at marine and freshwater beaches throughout the United States (n = 84 411). 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. 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. 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. [ABSTRACT FROM AUTHOR]
- Subjects :
- GASTROENTERITIS in children
WATERBORNE infection
AMERICAN children
GASTROENTERITIS
BEACHES
ENTEROCOCCAL infections
BACTERIAL pollution of water
ACUTE diseases
HEALTH
DISEASE risk factors
SWIMMING
AGE distribution
CONFIDENCE intervals
DIARRHEA
ENTEROCOCCUS
LONGITUDINAL method
MEDICAL cooperation
PEDIATRICS
POLYMERASE chain reaction
PROBABILITY theory
RECREATION
RESEARCH
RESEARCH funding
WATER
DISEASE incidence
DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 00900036
- Volume :
- 106
- Issue :
- 9
- Database :
- Complementary Index
- Journal :
- American Journal of Public Health
- Publication Type :
- Academic Journal
- Accession number :
- 117367912
- Full Text :
- https://doi.org/10.2105/AJPH.2016.303279