根据暴露途径估计水传播传染病负担,美国,2014年
Emerging infectious diseases
|June 22, 2023
概括
2014年,美国的水源性疾病病例超过715万例. 饮用水占住院人数最多的原因,突出了需要更好的水资源管理和公共卫生计划的需要.
科学领域:
- 环境健康 环境健康
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 在美国,水源性疾病对公共卫生构成重大负担.
- 2014年,超过715万例国内获得的传染性水源性疾病导致了12万例住院治疗和6600例死亡.
- 水中的病原体与娱乐性,饮用和非娱乐性不饮用 (NRND) 暴露途径有关.
研究的目的:
- 通过暴露路径估计疾病发病率和水源性疾病的负担.
- 确定水传播疾病传播的主要来源和途径.
- 为了告知有针对性的预防和水资源管理战略.
主要方法:
- 利用先前公布的估计来计算17种病原体的疾病发病率.
- 将水暴露分类为娱乐,饮用和NRND路线.
- 分析了与每个暴露途径相关的住院数据.
主要成果:
- 2014年,娱乐用水暴露与5601万例疾病有关,饮用水导致113万例,NRND水导致407000例.
- 饮用水暴露占住院率最高的比例 (40%),其次是娱乐用水 (36%) 和NRND用水 (24%).
- 在生物膜中发现的病原体与最直接的成本有关.
结论:
- 根据水暴露路线估计疾病负担对于有效的预防至关重要.
- 水资源管理计划对于控制生物膜相关病原体在所有暴露路径上的生长至关重要.
- 需要公共卫生计划来预防与水系统中的生物膜相关的疾病.
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