Literature DB >> 1431703

Symptomatology of children in contact with sea water contaminated with sewage.

L M Alexander1, A Heaven, A Tennant, R Morris.   

Abstract

STUDY
OBJECTIVE: The aim was to determine whether or not there was a measurable risk of ill health associated with contact with sea water for children between the ages of 6 and 11 years old. DESIGN AND
SETTING: This was a prospective survey carried out on Blackpool beach. Parents of children between the ages of 6 and 11 years were interviewed over a seven week period during July, August, and September, 1990. Respondents were followed up 10-14 d after the original interview by either telephone or post. Water samples were collected on each day of the survey. PARTICIPANTS: 939 interviews with parents or guardians were completed on the beach; 857 (91.9%) of these persons agreed to a follow up interview. The results of this study are based on 703 cases of matched data, of good quality, collected for each child on the beach and during a follow up interview. MAIN
RESULTS: Non-compliance with the European Community microbiological imperative standards for recreational waters at Blackpool Tower and South Pier sampling sites, respectively, ranged between: 6% and 7% for total coliforms; 13% and 25% for faecal coliforms; 69% and 80% for faecal streptococci (Guide standard); 50% and 67% for salmonellae and 73% and 88% for enteroviruses. There was a significant overall increase in the mean number of symptoms reported for each child (p < 0.001). However, the prevalence of certain symptoms increased significantly only in those children who had been in contact with the water on the day of the beach interview. These symptoms included vomiting (p < 0.0009), diarrhoea (p < 0.0001), itchy skin (p < 0.0009), fever (p < 0.0013), lack of energy (p < 0.0007), and loss of appetite (p < 0.0227). None of the other variables investigated could account for the significant increase in the reported symptom experience of those children in contact with sea water contaminated with sewage.
CONCLUSIONS: Children who come into contact with contaminated sea water are likely to develop symptoms as a result.

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Year:  1992        PMID: 1431703      PMCID: PMC1059596          DOI: 10.1136/jech.46.4.340

Source DB:  PubMed          Journal:  J Epidemiol Community Health        ISSN: 0143-005X            Impact factor:   3.710


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Authors:  A H STEVENSON
Journal:  Am J Public Health Nations Health       Date:  1953-05

2.  Relationship of microbial indicators to health effects at marine bathing beaches.

Authors:  V J Cabelli; A P Dufour; M A Levin; L J McCabe; P W Haberman
Journal:  Am J Public Health       Date:  1979-07       Impact factor: 9.308

3.  Sewage pollution of bathing water.

Authors:  J M Brown; E A Campbell; A D Rickards; D Wheeler
Journal:  Lancet       Date:  1987-11-21       Impact factor: 79.321

4.  Bacterial indicators of recreational water quality.

Authors:  A P Dufour
Journal:  Can J Public Health       Date:  1984 Jan-Feb

5.  A prospective study of swimming-related illness. I. Swimming-associated health risk.

Authors:  P L Seyfried; R S Tobin; N E Brown; P F Ness
Journal:  Am J Public Health       Date:  1985-09       Impact factor: 9.308

  5 in total
  12 in total

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3.  Marine waters contaminated with domestic sewage: nonenteric illnesses associated with bather exposure in the United Kingdom.

Authors:  J M Fleisher; D Kay; R L Salmon; F Jones; M D Wyer; A F Godfree
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4.  Relationship between the incidence of type 1 diabetes and maternal enterovirus antibodies: time trends and geographical variation.

Authors:  H Viskari; J Ludvigsson; R Uibo; L Salur; D Marciulionyte; R Hermann; G Soltesz; M Füchtenbusch; A-G Ziegler; A Kondrashova; A Romanov; B Kaplan; Z Laron; P Koskela; T Vesikari; H Huhtala; M Knip; H Hyöty
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5.  Detection of viral pathogens by reverse transcriptase PCR and of microbial indicators by standard methods in the canals of the Florida Keys.

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6.  Eukaryotic viruses in wastewater samples from the United States.

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Review 9.  Do U.S. Environmental Protection Agency water quality guidelines for recreational waters prevent gastrointestinal illness? A systematic review and meta-analysis.

Authors:  Timothy J Wade; Nitika Pai; Joseph N S Eisenberg; John M Colford
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10.  Gastrointestinal illness among triathletes swimming in non-polluted versus polluted seawater affected by heavy rainfall, Denmark, 2010-2011.

Authors:  Nina Majlund Harder-Lauridsen; Katrin Gaardbo Kuhn; Anders Christian Erichsen; Kåre Mølbak; Steen Ethelberg
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