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A large multi-pathogen waterborne community outbreak linked to faecal contamination of a groundwater system, France, 2000
- Source :
- Clinical Microbiology and Infection (1198-743X) (Blackwell science), 2006-06, Vol. 12, N. 6, P. 561-570, Clinical Microbiology and Infection, Clinical Microbiology and Infection, Wiley, 2006, 12 (6), pp.561-70. 〈10.1111/j.1469-0691.2006.01441.x〉, Clinical Microbiology and Infection, Elsevier for the European Society of Clinical Microbiology and Infectious Diseases, 2006, 12 (6), pp.561-70. ⟨10.1111/j.1469-0691.2006.01441.x⟩
- Publication Year :
- 2006
- Publisher :
- Blackwell science, 2006.
-
Abstract
- International audience; A large waterborne outbreak of infection that occurred during August 2000 in a local community in France was investigated initially via a rapid survey of visits to local physicians. A retrospective cohort study was then conducted on a random cluster sample of residents. Of 709 residents interviewed, 202 (28.5%) were definite cases (at least three liquid stools/day or vomiting) and 62 (8.7%) were probable cases (less than three liquid stools/day or abdominal pain). Those who had drunk tap water had a three-fold increased risk for illness (95% CI 2.4-4.0). The risk increased with the amount of water consumed (chi-square trend: p < 0.0001). Bacteriological analyses of stools were performed for 35 patients and virological analyses for 24 patients. Campylobacter coli, group A rotavirus and norovirus were detected in 31.5%, 71.0% and 21% of samples, respectively. An extensive environmental investigation concluded that a groundwater source to this community had probably been contaminated by agricultural run-off, and a failure in the chlorination system was identified. This is the first documented waterborne outbreak of infection involving human C. coli infections. A better understanding of the factors influencing campylobacter transmission between hosts is required.
- Subjects :
- Rotavirus
MESH : Retrospective Studies
Epidemiology
MESH : Aged
Disease Outbreaks
Feces
0302 clinical medicine
MESH : Child
Surveys and Questionnaires
MESH: Child
Campylobacter Infections
Medicine
Child
MESH: Water Supply
Caliciviridae Infections
0303 health sciences
MESH: Middle Aged
MESH: Feces
General Medicine
MESH: Rotavirus
3. Good health
MESH : Gastroenteritis
[SDV.MP]Life Sciences [q-bio]/Microbiology and Parasitology
Child, Preschool
gastroenteritis
Microbiology (medical)
MESH: Norovirus
medicine.medical_specialty
MESH : Campylobacter Infections
norovirus
MESH : Cohort Studies
Microbiology
03 medical and health sciences
Water Supply
MESH : Adolescent
Humans
MESH : Middle Aged
MESH : Disease Outbreaks
Aged
Retrospective Studies
MESH: Adolescent
MESH: Humans
030306 microbiology
MESH: Questionnaires
MESH : Water Microbiology
MESH: Child, Preschool
MESH : Humans
Outbreak
MESH: Adult
MESH: Retrospective Studies
MESH: Campylobacter coli
Waterborne outbreak
MESH: Gastroenteritis
MESH: Water Microbiology
MESH : Campylobacter coli
rotavirus
Campylobacter coli
MESH : Child, Preschool
medicine.disease_cause
Cohort Studies
[ SDV.MP ] Life Sciences [q-bio]/Microbiology and Parasitology
waterborne outbreak
030212 general & internal medicine
MESH: Disease Outbreaks
MESH: Cohort Studies
MESH: Caliciviridae Infections
MESH: Aged
biology
Campylobacter
MESH : Questionnaires
Middle Aged
MESH: Rotavirus Infections
MESH : Adult
Gastroenteritis
Infectious Diseases
epidemiology
France
MESH : Caliciviridae Infections
Water Microbiology
Adult
Adolescent
MESH : Rotavirus
Rotavirus Infections
MESH: Campylobacter Infections
MESH : Water Supply
Environmental health
MESH : Rotavirus Infections
MESH : France
business.industry
MESH : Norovirus
Norovirus
Retrospective cohort study
MESH : Feces
biology.organism_classification
MESH: France
[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie
business
Subjects
Details
- Language :
- English
- ISSN :
- 1198743X and 14690691
- Database :
- OpenAIRE
- Journal :
- Clinical Microbiology and Infection (1198-743X) (Blackwell science), 2006-06, Vol. 12, N. 6, P. 561-570, Clinical Microbiology and Infection, Clinical Microbiology and Infection, Wiley, 2006, 12 (6), pp.561-70. 〈10.1111/j.1469-0691.2006.01441.x〉, Clinical Microbiology and Infection, Elsevier for the European Society of Clinical Microbiology and Infectious Diseases, 2006, 12 (6), pp.561-70. ⟨10.1111/j.1469-0691.2006.01441.x⟩
- Accession number :
- edsair.doi.dedup.....d8fabcfc68ba2ed40aa7aae57ff24b48