Pool

  • Posted: August 24th, 2012 - 12:57am by Doug Powell

    Sickness-stricken Bretton Water Park will reopen to the public on Saturday - subject to getting a clean bill of health in final tests.

    The £300,000 water park was abruptly closed four weeks ago after parents began reporting their children had been ill after playing at the complex.

    Peterborough City Council closed the park to carry out tests and cleaning and revealed an outbreak of norovirus had caused 64 children to fall sick with diarrhoea and vomiting.

    New facilities have now been installed at the park in a bid to prevent another outbreak, including setting up a drinking fountain, which had not been a feature of the park, plus improved baby changing and toilet facilities.

    Signs have been put up urging people not to drink water in which children play and to wash their hands after changing their babies’ nappies.

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    Norovirus  |  Comments
  • Posted: August 15th, 2012 - 2:14am by Doug Powell

    Following U.S. Olympic swimmer Ryan Locte’s admission that he pees in the pool, the train wreck that is Kathie Lee and Hoda on NBC decided to share their thoughts on the issue – 10 days later.

    Lochte had originally said, "There's something about getting into chlorine water that you just automatically go."

    Wannabe microbiologist Kathie Lee chimed in this morning that, "chlorine doesn't take care of ALL the germs.”

    "Don't you pee in the shower?" asked Hoda.

    KLG admits that she does, but only because she's concerned about the earth, and doing so saves a flush.

     
     
     
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  • Posted: August 11th, 2012 - 3:14pm by Doug Powell

    Within the past 10 days the Central District Health Department has seen 19 cases of cryptosporidiosis. During a normal year the health district might see 10 cases.

    The Idaho Statesman reports the health department has advised area swimming pool operators of the situation and many responded by hyper-chlorinating the pools, a technique that kills the parasite. Still, those efforts can be rendered ineffective when people carrying the disease use recreational waters.

    “We know the hot weather is driving people to seek relief in area pools, lakes and rivers,” Kimberly Link, Program Manager for Communicable Disease Control at CDHD, said in a press release. “If you’ve been ill with diarrhea we can’t emphasize enough how important it is to stay out of recreational waters for at least two weeks after your symptoms resolve.”

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  • Posted: July 30th, 2012 - 4:44pm by Ben Chapman

    Author: 
    Ben Chapman

    Illnesses at pools and spray parks happen often because kids, like mine, seem to lose control of their bodily functions as they get excited by the water - and then poop comes out. Or maybe (also like my kids) excess poop from poor post-bathroom wiping hangs around in swim trunks and is washed away by the water.

    Regardless of how it gets there, the poop might have pathogens in it and can overwhelm a facility's sanitizing and filtrations systems. A few years ago a bunch of Utah recreational water venues (wading pools and spray parks) became the source of multiple outbreaks resulting in more than 5700 illnesses.

    According to the BBC, a norovirus outbreak has closed Bretton Water Park in Peterborough (that's in the UK, not Ontario).

    A city council spokesman said its environmental health officers had confirmed the presence of the virus.

    He said the park would remain closed until further tests were completed.

    Initial checks revealed the council-owned park's maintenance and cleaning procedures were up-to-date.

    "It is highly probable that the virus originated with a child or children attending the park who were already infected," the spokesman added.

    The Dominion Post reports that pool-visiting Kiwis are also dealing with their own increase of Cryptosporidia-linked illnesses, which has oocysts that isn't easily inactivated with chlorine.

    About half of the recent cases reported to public health have had contact with swimming pools throughout the region, but particularly Wellington Regional Aquatic Centre in Kilbirnie and the Arena Aquatic Centre in Porirua.

    Regional Public Health is also working with pool managers to ensure systems are in place to reduce the risk.
    The highest number of cases has been in the under-5 age group and it is important to ensure tight-fitting togs are worn by this group, Dr McKenzie said.

    Porirua and Wellington city councils said there were signs reminding people not to swim after being sick and to shower before entering the pool.

    Although modern treatment systems can remove the bug, people may come into contact with it before it's removed by filters.

    All pools in the region have been alerted to the increased number of cryptosporidium cases in the community.
     

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  • Posted: May 28th, 2012 - 1:02am by Doug Powell

    In March 2012, dozens of people were apparently sickened with norovirus after visiting an eastern Iowa swim facility.

    The Quad-City Times has been trying to name the facility, but an Iowa law allows public health officials to keep secret the name of a business involved in a disease investigation; this, say some of those sickened, puts business interests before public safety.

    Johnson County and state health officials won’t release the name of the facility despite dozens being sickened, citing state law that shields businesses that have cleaned up their act after an outbreak. They also believe there is no ongoing public health risk.

    “I just wish the name would be out there, so others could know about this happening at a family attraction,” said Courtney Evans of Blue Grass, Iowa. Evans’ two young boys and her husband fell ill from norovirus after a visit to the swim facility.

    The Quad-City Times and The Gazette of Cedar Rapids jointly filed a complaint with the Iowa Office of Citizens’ Aide about the health department’s refusal to release the name of the swim facility or provide key details about the investigation, such as dates of when people got sick. The Citizens’ Aide ruled public health officials followed the law.

    “The problem is that I have to obey the law,” said State Epidemiologist Patricia Quinlisk. “If people feel that is incorrect, they have to talk with their legislators (about changing the law).”

    Some Iowa legislators say the current law might go too far.

    “We have a duty to inform the public that this has occurred and that it’s been remedied,” said Rep. Rick Olson, D-Des Moines. “I want to keep my kids healthy.”

    Rep. Vicki Lensing, D-Iowa City, said the public needs accurate information from the health department, not speculation. “It would seem like after an investigation is concluded that information could be released,” she said.

    Records obtained by the Quad-City Times and the Gazette through an Open Records request with the Johnson County Public Health Department indicate more than 30 people contracted norovirus after visiting the swim facility in March. Johnson County, which handled the facility investigation, inspects pools in Johnson, Iowa, Louisa and Muscatine counties.

    “Early this morning, all family members began vomiting and have experienced diarrhea,” states a Johnson County record-of-contact form. The complainant “contacted the family members they traveled with, and all are experiencing the same symptoms.”

    “…the complainant believes that illnesses derived from exposure to pool water. The two individuals that did not enter the pool water have not become sick,” the report shows.

    According to the records, which include handwritten notes, reports and emails, chemical tests leading up to the outbreak showed the pools had little or no chlorine, which kills pathogens that can cause disease. Pool management told officials a chlorine feeder was plugged.

    Iowa Code Section 139A.3 states “information contained in the report may be reported in public health records in a manner which prevents the identification of any person or business named in the report.” This means public health officials can tell the public about the outbreak only in a generic way that doesn’t identify the business.

    Before Quinlisk decides to keep investigation details secret she asks herself one question: Would she take her own child to the facility?

    In this case, the answer was yes, she said.

    Not every state gives businesses the same protection as individuals when it comes to disease reports. Minnesota, for example, only keeps the health records of individuals private, not businesses.

    “If we have an outbreak at Joe’s Diner, that’s public,” said Richard Danila, deputy Minnesota epidemiologist.

    The Illinois Department of Public Health has a policy to keep confidential the name of a business involved in a disease investigation, but the information can be obtained through open records requests after the investigation is concluded, said Department spokeswoman Melaney Arnold.

    An accompanying editorial says several Quad-City area families sickened by the virus contacted us and were referred by Scott County health officials to the Johnson County Health Department in late March. We followed up, pursuing public records to confirm the account.

    We were not seeking the names of the victims. The victims came to us. They spoke on the record.

    So, yes, we know what business was investigated.

    But we need public officials verifying the investigation to be able to report this responsibly and without fear of liability from a possible lawsuit since the origin of the norovirus has not been proven, the business complied with orders to take corrective action, and there was no perceived ongoing public health risk.

    If I wanted to take my child to the facility, I would want to know their track-record and whether they could adequately manage things like chlorine levels, or whether I should bring my own pH strips.

    Just like I want to know the track record of a restaurant before I spend my money there.

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    Food Safety Policy  |  Comments
  • Posted: May 18th, 2012 - 6:33am by Doug Powell

    It matters what’s done after people barf. Same if people have diarrhea – in a pool.

    During the summer of 2007, almost 6,000 people in Utah started barfing from Cryptosporidium, transmitted via the barfblog fav, fecal-oral route

    The U.S. Centers for Disease Control reports that of 1,506 interviewed patients with laboratory-confirmed cryptosporidiosis, 1,209 (80%) reported swimming in at least one of approximately 450 recreational water venues during their potential 14-day incubation period.

    Cryptosporidium is extremely chlorine-tolerant, and secondary or supplemental disinfection with ultraviolet light or ozone can control but not prevent outbreaks. Because swimmers are the primary source of Cryptosporidium contamination, healthy swimming campaigns are needed to increase awareness and practice of healthy swimming behaviors, especially not swimming while ill with diarrhea (i.e., swimming while ill with diarrhea can lead to gross contamination of recreational water). Before the 2008 summer swimming season, Utah public health agencies launched a multimedia healthy swimming campaign. To assess knowledge of healthy swimming, a survey of Utah residents was conducted during July–September 2008. The results of that survey found that 96.1% of respondents correctly indicated that "it is not OK to swim if you have diarrhea."

    In a separate national survey in 2009, 100% of Utah residents but only 78.4% of residents of other states correctly indicated that "not swimming while ill with diarrhea protects others from recreational water illnesses (RWIs)." No recreational water–associated outbreaks were detected in Utah during 2008–2011. The healthy swimming campaign, as part of a multipronged prevention effort, might have helped prevent recreational water–associated outbreaks of cryptosporidiosis in Utah.

    Before the 2008 summer swimming season, Utah's state and local public health agencies teamed with community partners to control recreational water–associated transmission of Cryptosporidium. For example, the Salt Lake Valley Health Department (SLVHD) collaborated with pool operators to establish fecal incident–response protocols and install secondary or supplement disinfection systems to inactivate Cryptosporidium at 75 treated recreational water venues.

    SLVHD also collaborated with the Utah Department of Health and diagnostic laboratories to expedite reporting of cryptosporidiosis cases to public health authorities. To engage the public in prevention, SLVHD led efforts to disseminate healthy swimming messages via a website, two television advertisements, public service radio announcements, and posters at pools (e.g., "A Swimming Pool is Like a Community Bathtub"). In addition, targeted messages were disseminated to schools, competitive water sports teams, and licensed childcare facilities. SLVHD also conducted a press conference during Recreational Water Illness and Injury Prevention Week, which is held each year the week before the Memorial Day holiday.

    The complete report is available at http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6119a5.htm?s_cid=mm6119a5_x.
     

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  • Posted: April 25th, 2012 - 4:54am by Doug Powell

    Is snooker sport?

    The stars are still mortals and suffer from foodborne illness.

    Judd Trump withstood a bout of suspected food poisoning to edge ahead of Dominic Dale as last year's runner-up returned to the Crucible.

    The Daily Mail reports the 22-year-old English potter was unusually subdued in the early stages of his Betfred.com World Championship opener, and when he trailed 3-1 at the mid-session interval it seemed he was in trouble.

    Trump finished the session in style with a rapid 68 break, doubling in the black in thrilling style.

    There was a raucous reception for Bristol-raised Trump as he emerged for the match. Trump has won the UK Championship and soared to No 2 in the world rankings. He also drives a Ferrari, an indication of how his life has been transformed.

    Trump began his third World Championship campaign as the sponsors' favorite to land the title, but the news that he had woken this morning feeling unwell raised questions over how he would perform against 40-year-old Dale, who was making his seventh Crucible appearance.

    Trump's management believe he became sick after eating chicken, and he continued to feel ill after the session was over.

    Trump wrote on Twitter: 'Not a good day led in bed, tryna get better for tomorrow. 1st time iv had food poisoning and hopefully the last.'

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  • Posted: March 30th, 2012 - 7:06pm by Doug Powell

    The number of suspected cases of cryptosporidium linked with Duluth’s Edgewater Resort and Water Park has risen to 41, a state official said on Thursday.

    Meanwhile, a second outbreak of cryptosporidiosis has been linked to a water park in the Brainerd area, the Lodge at Brainerd Lakes.

    Trisha Robinson, an epidemiologist for the Minnesota Department of Health, said it wasn’t a surprise that the number of suspected cases linked to the Edgewater grew from the six that were listed when reports became public Tuesday. It is believed that for every confirmed case in a crypto outbreak, there are 98.6 additional cases, Robinson has said.

    The number of confirmed cases remained at three on Thursday. Robinson said it’s probable that some, but not all, of the suspected cases eventually will be confirmed as crypto.

    The outbreak of the same illness linked to the Lodge at Brainerd Lakes so far is not as extensive as the Edgewater outbreak, Robinson said. As of Thursday, one case had been confirmed and 14 cases were suspected.

    Robinson, whose specialties include crypto, said she typically investigates between one and three outbreaks of the disease each year. To have two outbreaks occur simultaneously is “unprecedented,” she said.

    All of the people who became ill in the Duluth outbreak had spent time at the Edgewater Resort’s water park sometime in March. The victims included children and adults and residents of Minnesota and Wisconsin.

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  • Posted: March 19th, 2012 - 7:50pm by Doug Powell

    WDIO.com, Duluth’s eyewitness news leader, is reporting that nearly two dozen players from the College of St. Scholastica's tennis teams fell ill in Florida over the weekend after travelling from Duluth, Minn. to participate in a tournament.

    Althetes said doctors treated them for E. coli, and suspect it could have come from a swimming pool in a hotel. Ten of 31 students and coaches that made the trip to Orlando came home to the college as planned. The others, we've been told, came home late or were heading home Monday evening.

    Athletes said 21 got sick Saturday, the day after their tennis competition wrapped up.

    Four athletes stayed in Orlando to go to the hospital, athletes said. Then, on the way home, during a layover in Atlanta, they said 17 others went to the hospital to get checked out.

    No one had to spend the night in a hospital, but athletes said some did need to be hydrated via IV.

    Athletes describe students feeling sick to their stomachs, and report many throwing up either in Orlando, or on the plane ride to Atlanta.

    Those involved wanted to express their thanks to college staff and coaches for responding well to the situation, and for taking good care of them.

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    E. coli  |  Comments
  • Posted: February 6th, 2012 - 5:28am by Doug Powell

    A cryptosporidium outbreak has emerged in Cairns, Queensland (that’s in Australia) with 51 cases in a month when the usual number of yearly cases was below 20.

    "If you’ve got 51 cases confirmed in a lab, chances are there are hundreds out there," Public Health medical officer Dr Steven Donohue said.

    In the letter, Dr Donohue instructed day care centres to exclude children with diarrhea until they have not had symptoms for 48 hours.

    He also recommended that swimming pools at day care centres be disinfected with adequate chlorination or refilled after each session.

    Queensland Health is also in the process of notifying swimming pool operators about the health risk, Dr Donohue said.

    "We’re not blaming the pools but they are a known factor in magnifying the outbreak," he said. "The pool operators should be very careful to make sure children with diarrhoea or dirty nappies are not in pools."

    In other crypto news, Artieda et al report in Eurosurveillance that on 24 November 2011, some smart pediatrician in the Basque Countr of northern Spain notified the epidemiological surveillance service of Gipuzkoa of a child with diarrhea in whose stools oocysts of Cryptosporidium had been isolated, as well as of an unusually large number of children with diarrhea who attended the same day-care center as the first child. All were tested for Cryptosporidium.

    Investigators concluded that from October to December 2011, an outbreak of 26 cases of cryptosporidiosis occurred in a day-care centre in Gipuzkoa, Spain. The infection spread from person to person and affected 24 children under two years of age (attack rate: 38%) and two caregivers. Cryptosporidium oocysts were observed in 10 of 15 samples. During 2010, only four cases of cryptosporidium were detected in Gipuzkoa, and 27 overall in Spain.

    At the time of the study, 63 children between 0 and two years of age attended the day-care, as well as the staff that consisted of six caregivers. There were 39 1–2-year-olds in classroom 2 (ground floor) and classrooms 3 and 4 (first floor), 13 in each. In classroom 1 (ground floor) and classrooms 5 and 6 (second floor), there were 24 0–1-year-olds, eight in each. A total of 24 children fell ill (attack rate: 38.1%), and only three of them were in the group of 0–1-year-olds. Children shared some activities by age group. Two caregivers also fell ill. In the microscopic analysis, Cryptosporidiumspp. oocysts were isolated in 10 of 15 stool samples, and no other enteropathogen was found in any of the samples studied.

    In addition, an environmental investigation was also undertaken by the local public health technicians. Information on hygiene practices and water usage was collected. The investigation detected deficiencies in hygiene procedures in the day-care centre. Single use paper towels were not available in any of the risk areas.

    As soon as the outbreak was confirmed, strengthening of hygiene measures was recommended to the staff of the day-care center, and they were asked to advise taking children to their pediatrician in the event of more cases. The recommended measures involved correcting the above-mentioned deficiencies, improving compliance with universal hygiene rules and, given the characteristics of the microorganism (resistance to chlorine), cleaning surfaces with 3% hydrogen peroxide. All measures recommended were implemented within 24-48 hours.

    A letter was sent to the parents informing them of the outbreak and advising good hygiene practices. In addition, they were told that those with diarrhea must not to use public swimming pools or other recreational water facilities for the duration of the outbreak.

    The full report is available at http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=20070.

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