Post on 12-Nov-2014
description
Brittney Carelock John Patton
OverviewWater-borne Disease Outbreaks (WBDO’s)Toxic cyanobacteria and Fecal Pollution“Hot tub” lung diseaseFitness Facilities
MRSAViruses
Preventive MeasuresConclusion/Recommendations
Water-borne Disease Outbreaks
Water-borne Disease OutbreaksCollaborative Surveillance System
62 WBDOs reported by 26 states
Illness occurred in 2,698 people
The CDC uses for WBDO surveillance data
Toxic cyanobacteria and Fecal Pollution Illnesses associated with exposure to
cyanobacteria
Principal public health concern
Major contributors to recreational water illness
Indicator organisms
Hot tub lung disease
Hot tub lung diseaseWhat is “hot tub lung”?
Biofilm
Glazer Study
Fitness Facilities
Fitness FacilitiesMethicillin-resistant Staphylococcus aureus
(MRSA)
Viruses
Preventive MeasuresSix “PLEAs” For Healthy Swimming
3 “PLEAs” for All Swimmers Please don’t swim when you have diarrhea. Please don’t swallow pool water Please practice good hygiene.
3 “PLEAs” for Parents of Young Children Please take your children on bathroom breaks or
check diapers often. Please change diapers in a bathroom or diaper-
changing area – not at poolside Please wash your child thoroughly with soap and
water before swimming.Source: www.cdc.gov/healthyswimming
Preventive MeasuresSpaUser Info: Protect yourself from RWIs and Stay HOT!!Heed spa rules for safe and healthy use
Observe limits Exclude children less than 5 years old
Observe and listen to the spa and its surroundings. No odor Smooth spa sides You should hear the pumps and filtration systems Temperature
Talk to spa owners/staff and other spa users Ask questions about health inspector’s grade Chlorine and pH levels
Source: www.cdc.gov/healthyswimming
Conclusion/RecommendationsIndiana Code
More needs to be done
Take precautions but still have fun!
References ABC News. (2005, January 13). Is your Health Club Unhealthy?. Retrieved
July 21, 2008 from http://abcnews.go.com/print?id=410907. Center for Disease Control and Prevention. (2008). Six “PLEAs” For Health
Swimming: Protection Against Recreational Water Illnesses (RWIs). Retrieved July 27, 2008 from http://www.cdc.gov/healthyswimming/6_pleas.htm
Center for Disease Control and Prevention. (2008). Spa User Information: Protect Yourself from Recreational Water Illnesses and Stay HOT! Retrieved July 27, 2008 from http://www.cdc.gov/healthyswimming/spa_info.htm
Chorus, I., Falconer, I.R., Salas, H.J., & Bartram J. (2000). Health risks caused by freshwater cyanobacteria in recreational waters. Journal of toxicology and environmental health. Part B, Critical reviews, 3(4), 323-47.
Colford, J.M., Wade, T.J., Schiff, K.C., Wright, C.C., Griffith, J.F., Sandhu, S.K., (2007). Water quality indicators and the risk of illness at beaches with nonpoint sources of fecal contamination. Epidemiology, 18(1), 27-35.
Delude, C.M. (2003). Germs throw cold water on hot tub hygiene. Retrieved July 2, 2008, from Montana State University, Center for Biofilm Engineering Web site: http://www.erc.montana.edu/CBEssentials-SW/recent-media-cov/Delude050603.htm
References Glazer, MD, MSPH, Craig, Martyny, PhD, CIH, John, Rose, MD, MPH, Cecile. (2008).
Hot Tub Associated Granulomatous Lung Disease From Mycobacterial Bioaerosols. Clinical Pulmonary Medicine, 15 (3), 138-144.
Goldhammer, Kirsten A., Dooley, M.D., David P., Ayala, MA, MT, Eleanor, Zera, MT, Wendy, Hill, MT, Bonnie L. (2006). Prospective Study of Bacterial and Viral Contamination of Exercise Equipment. Clinical Journal of Sport Medicine, 16 (1), 34-38.
Gym and spa safety. (2007). Retrieved July 2, 2008, from http://www.germstop.net/cms/CMScategory.asp/sectionid/902
Liang J.L., Dziuban E.J., Craun G.F., Hill V., Moore M.R., Gelting R.J., et al. (2006). Surveillance for waterborne disease and outbreaks associated with drinking water and water not intended for drinking--United States, 2003-2004. Morbidity and mortality weekly report. Surveillance summaries, 55(12), 31-65.
Middlewood, Erin. (2008). Don’t Sweat Gym Germs. The Columbian, Monday, February 11, 2008. Retrieved June 2, 2008 from http://www.columbian.com/lifeHome/lifeHomeNews/2008/02112008_Dont-sweat-gym-germs.htm.
Schwab, K.J. (2007). Are existing bacterial indicators adequate for determining recreational water illness in waters impacted by nonpoint pollution. Epidemiology, (1), 21-2.
Stewart, I., Webb, P.M., Schluter, P.J., & Shaw, G.R. (2006). Recreational and occupational field exposure to freshwater cyanobacteria--a review of anecdotal and case reports, epidemiological studies and the challenges for epidemiologic assessment. Environmental Health, 5,6.