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Hospitalizations due to selected infections caused by opportunistic premise plumbing pathogens (OPPP) and reported drug resistance in the United States older adult population in 1991-2006
- Source :
- Journal of public health policy. 37(4)
- Publication Year :
- 2017
-
Abstract
- The Flint Water Crisis-due to changes of water source and treatment procedures-has revealed many unsolved social, environmental, and public health problems for US drinking water, including opportunistic premise plumbing pathogens (OPPP). The true health impact of OPPP, especially in vulnerable populations such as the elderly, is largely unknown. We explored 108 claims in the largest US national uniformly collected data repository to determine rates and costs of OPPP-related hospitalizations. In 1991-2006, 617,291 cases of three selected OPPP infections resulted in the elderly alone of $0.6 billion USD per year of payments. Antibiotic resistance significantly increased OPPP illness costs that are likely to be underreported. More precise estimates for OPPP burdens could be obtained if better clinical, microbiological, administrative, and environmental monitoring data were cross-linked. An urgent dialog across governmental and disciplinary divides, and studies on preventing OPPP through drinking water exposure, are warranted.
- Subjects :
- 0301 basic medicine
medicine.medical_specialty
030106 microbiology
Water source
Adult population
Water supply
Drug resistance
Legionella pneumophila
03 medical and health sciences
0302 clinical medicine
Antibiotic resistance
Water Supply
Environmental health
Drug Resistance, Bacterial
Waterborne Diseases
Medicine
Humans
Pseudomonas Infections
030212 general & internal medicine
health care economics and organizations
Social policy
Aged
Mycobacterium avium-intracellulare Infection
business.industry
Health Policy
Public health
Public Health, Environmental and Occupational Health
Waterborne diseases
medicine.disease
Mycobacterium avium Complex
United States
Hospitalization
Sanitary Engineering
Legionnaires' Disease
business
Subjects
Details
- ISSN :
- 1745655X
- Volume :
- 37
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Journal of public health policy
- Accession number :
- edsair.doi.dedup.....f5695776c6d4dbc19252169f61c2f6b7