高收入国家与水上娱乐相关的急性胃肠道疾病负担:范围审查
Henry Ngo1, Charlotte Winder2, Nicole Ricker3
1Water, Health, and Applied Microbiology Lab (WHAM Lab), Department of Pathobiology, Ontario Veterinary College, University of Guelph, Guelph, ON, Canada.
Canadian journal of public health = Revue canadienne de sante publique
|December 12, 2024
概括
加拿大的自然水上娱乐活动造成的急性胃肠道疾病的负担尚未得到充分了解. 需要对淡水活动进行进一步的研究,为未来的负担估计提出了定量微生物风险评估.
科学领域:
- 环境流行病学环境流行病学
- 公共卫生 公共卫生
- 微生物学 微生物学
背景情况:
- 加拿大自然水上娱乐活动造成的急性胃肠道疾病 (AGI) 对公共卫生的负担仍然未得到量化.
- 了解这种负担对于有效的公共卫生干预和资源分配至关重要.
- 本研究旨在解决这些知识差距,并评估估计加拿大的AGI负担的方法.
研究的目的:
- 编制与自然水域娱乐相关的AGI负担的现有估计.
- 确定娱乐用水传播疾病流行病学的关键知识差距.
- 评估适当的方法,以制定一个全面的负担估计加拿大.
主要方法:
- 进行了对科学文献的范围审查.
- 从2752个独特记录中,根据特定的纳入标准 (自然水道,英语,非热带,经济相似的国家) 选择了35篇相关文章.
- 负担指标包括发病率,患病率,根据残疾调整的寿命年 (DALYs),根据质量调整的寿命年 (QALYs) 和经济成本.
主要成果:
- 游泳和水是研究最多的娱乐活动 (91.4%).
- 城市地区的海洋/沿海海是主要关注点 (分别为68.6%和82.9%).
- 发病率或流行率是最常见的负担指标 (85.7%),前性队列研究和微生物度建模是频繁的估计方法.
结论:
- 关于娱乐性水源性疾病负担存在重大知识差距,特别是在淡水活动,农村环境和非游泳/水娱乐方面.
- 量化微生物风险评估 (QMRA) 被提出作为一个潜在的成本效益的方法来估计加拿大的娱乐用水传播疾病负担.
更多相关视频
12:32EPA Method 1615. Measurement of Enterovirus and Norovirus Occurrence in Water by Culture and RT-qPCR. Part III. Virus Detection by RT-qPCR
Published on: January 16, 2016
12.7K
10:57Determining Soil-transmitted Helminth Infection Status and Physical Fitness of School-aged Children
Published on: August 22, 2012
23.4K
相关概念视频
01:18Drugs Affecting GI Tract Motility: Antimicrobials as Antidiarrheal Agents
109
Acute diarrhea, a common gastrointestinal disturbance, is characterized by the rapid evacuation of fluid stools, leading to an excessive weight in fluid. This condition typically arises from disorders affecting intestinal water and electrolyte transport. It can be triggered by an increased osmotic load within the intestine, excessive secretion of electrolytes and water, mucosal exudation of protein and fluid, or altered intestinal motility. The primary risks of acute diarrhea are dehydration...
109
01:27Inflammatory Bowel Disease I: Ulcerative Colitis
137
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
137
01:29Disorder of Water Balance
290
Water balance disorders are medical conditions that occur when there is a deviation from the body's water volume or osmolarity, disrupting normal homeostasis and leading todehydration, hypotonic hydration, hyperhydration, edema, or water intoxication.
Dehydration
Dehydration occurs when the body loses fluids (particularly water).
Causes:
The major causes of dehydration include excessive sweating, fever, vomiting, diarrhea, and diuresis.
Signs and Symptoms:
Symptoms primarily include intense...
Dehydration
Dehydration occurs when the body loses fluids (particularly water).
Causes:
The major causes of dehydration include excessive sweating, fever, vomiting, diarrhea, and diuresis.
Signs and Symptoms:
Symptoms primarily include intense...
290
01:17Chronic Bowel Disorders: Introduction
386
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
386
01:17Transmission-based Precautions I: Contact, Enteric, and Droplets
3.4K
Transmission-based precautions are for patients known to be infected or suspected to be infected or colonized with organisms that pose a significant risk to others. Some transmission-based precautions include contact, enteric, and droplet.
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
3.4K
01:30Inflammatory Bowel Disease II: Crohn's Disease
184
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
184