Recreational Water and Infection: A Review of Recent Findings

被引:104
作者
Fewtrell L. [1 ]
Kay D. [1 ]
机构
[1] Centre for Research into Environment and Health (CREH), Department of Geography and Earth Sciences, Aberystwyth University, Ceredigion
基金
英国医学研究理事会; 英国自然环境研究理事会; 英国经济与社会研究理事会; 英国科研创新办公室;
关键词
Epidemiology; Exposure; Gastrointestinal illness; Point and non-point source pollution; Quantitative microbial risk assessment; Water quality;
D O I
10.1007/s40572-014-0036-6
中图分类号
学科分类号
摘要
This paper reviews the latest evidence provided by epidemiological studies and quantitative microbial risk assessments (QMRAs) of infection risk from recreational water use. Studies for review were selected following a PubMed search for articles published between January 2010 and April 2014. Epidemiological studies show a generally elevated risk of gastrointestinal illness in bathers compared to non-bathers but often no clear association with water quality as measured by faecal indicator bacteria; this is especially true where study sites are impacted by non-point source pollution. Evidence from QMRAs support the lack of a consistent water quality association for non-point source-impacted beaches. It is suggested that source attribution, through quantified microbial source apportionment, linked with appropriate use of microbial source tracking methods should be employed as an integral part of future epidemiological surveys. © 2015, The Author(s).
引用
收藏
页码:85 / 94
页数:9
相关论文
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