Clostridium and Cryptosporidium outbreak linked to a splash pad
Anna de Andrés Aguayo1, Joan-Pau Millet2, Laia Álvarez-Bruned3
1Servei d'Epidemiología. Agència de Salut Pública de Barcelona, Plaza Lesseps 1, Barcelona, 08023, Spain.
BMC Public Health
|June 12, 2024
Summary
Recreational splash pads can cause outbreaks of waterborne diseases like gastroenteritis due to pathogens such as Clostridium perfringens and Cryptosporidium. Stricter regulations and pool-like water quality standards are needed to prevent future outbreaks.
Area of Science:
- Public Health
- Environmental Health
- Infectious Diseases
Background:
- Splash pads pose health risks without proper regulation and water quality control.
- Waterborne disease outbreaks can occur in recreational water facilities.
- This study focuses on an outbreak in Barcelona involving specific pathogens.
Purpose of the Study:
- To describe a waterborne disease outbreak caused by Clostridium perfringens and Cryptosporidium spp.
- To detail the control measures implemented in response to the outbreak.
- To highlight the need for improved safety regulations for splash pads.
Main Methods:
- Investigated 71 cases of acute gastroenteritis linked to splash pad use in August 2018.
- Conducted microbiological and environmental investigations.
- Performed descriptive analysis and adjusted Poisson regression models.
Main Results:
- The outbreak affected individuals using the splash pad, with 38% requiring medical care and 4.2% hospitalized.
- Nineteen of 25 stool samples confirmed the presence of Clostridium perfringens and/or Cryptosporidium.
- Facility deficiencies were identified, and pathogen presence confirmed in the splash pad water.
Conclusions:
- Specific regulations for recreational splash pads are essential.
- Until specific regulations exist, splash pads should adhere to swimming pool and spa standards.
- Implementing health education and hygiene measures led to the cessation of new cases after facility closure.
Keywords:
Clostridium perfringensCryptosporidium spp.AGEEpidemiological surveillanceEpidemiologyOutbreakSplash padSpray parkWalkable fountainsWaterborne disease outbreakMore Related Videos
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