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The effects of rain and drought on incidence of enteric disease in Pennsylvania (2010-2019).

Environ Res

December 2024

Department of Epidemiology and Biostatistics, Temple University Philadelphia, PA, USA; Water, Health and Applied Microbiology Lab, Department of Pathobiology, Ontario Veterinary College, University of Guelph, Guelph, ON, Canada. Electronic address:

Background: Campylobacter, nontyphoidal Salmonella, Cryptosporidium, and Giardia cause an estimated 1 million cases of domestically acquired waterborne diseases annually in the United States. Acute symptoms can include diarrhea and vomiting; however, these illnesses can result in longer term complications such as reactive arthritis, Guillan Barré syndrome and death, particularly in immunocompromised individuals. Precipitation and drought can plausibly increase the risk of enteric infections, but consensus in the literature is lacking.

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Quantitative microbial risk assessment of acute gastrointestinal illness attributable to freshwater recreation in Ontario.

Can J Public Health

December 2024

Water, Health, and Applied Microbiology Lab (WHAM Lab), Department of Pathobiology, Ontario Veterinary College, University of Guelph, Guelph, ON, Canada.

Objectives: The burden of disease associated with acute gastrointestinal illness (AGI) in Canada is estimated to be ~ 20 million cases/year. One known risk factor for developing AGI is recreation in freshwater bodies such as lakes. The proportion of cases attributable to freshwater recreation in Canada, however, is currently unknown.

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Problem/condition: Splash pads are recreational interactive water venues that spray or jet water on users. Splash pads are intended for children aged <5 years and designed so that water typically does not collect in areas accessible to users, thereby minimizing the risk for drowning. Splash pads were first found to be associated with waterborne disease outbreaks in 1997.

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Background: Humans and animals who have an acute case of diarrhea can be infected with spp. Within the category of water-borne disease, it is a zoonotic disease. The zoonotic disease is among the several pathogens carried by wild rats ( spp.

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Article Synopsis
  • * A study analyzed 5,304 cases of moderate-to-severe diarrhea and identified 2,284 (43%) as severe dehydration using WHO guidelines, but one-third had no attributable pathogens.
  • * The most common pathogens varied by age group, with rotavirus being prevalent in younger children, and the findings aim to enhance future prevention and treatment strategies for severe dehydration.
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