e-ISSN 1828-1427 |
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Rivista trimestrale di Sanità
Pubblica Veterinaria edita dall'Istituto Zooprofilattico Sperimentale
dell'Abruzzo e del Molise G. Caporale
A quarterly journal devoted to veterinary public health, veterinary science and medicine published by the Istituto Zooprofilattico Sperimentale dell’Abruzzo e del Molise ‘G. Caporale’ in Teramo, Italy |
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ISSUES ONLINE
2008
- Volume 44 (3)
July-September |
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Giacomo
Migliorati, Vincenza Prencipe, Alessandro Ripani, Cristina Di Francesco,
Claudia Casaccia, Silvia Crudeli, Nicola Ferri, Armando Giovannini,
Maria Maddalena Marconi, Cristina Marfoglia, Valeria Melai, Giovanni
Savini, Giampiero Scortichini, Primula Semprini & Franco Maria Ruggeri |
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An
outbreak of gastroenteritis in a holiday resort in Italy: epidemiological
survey, implementation and application of preventive measures |
469-481 |
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Summary
A
major gastroenteritis outbreak was reported in a vacation resort
in Central Italy in 2003. A total of 183 cases were identified.
The case-control study identified a statistically significant correlation
between the disease and sea bathing, use of sanitary facilities
in bungalows and of common showers. Stool samples taken from people
affected were found positive for Norovirus (68%, 13 of 19
samples), Rotavirus (38%, 1 of 14 samples) and Campylobacter
(7%, 3 of 8 samples). Environmental investigations revealed serious
faecal contamination of the groundwater and the presence of Norovirus
in the seawater near the resort. The mixing of groundwater and seawater
with the non-drinking water system - which was also found to be
connected to the drinking water system - had a primary role in the
onset and spread of infection within the village. The complete absence
of any gastroenteritis epidemics among the site guests since 2006
demonstrates the effectiveness of the environmental corrective measures
taken.
Keywords
Campylobacter,
Drinking water, Gastroenteritis, Groundwater, Hygiene, Italy, Norovirus,
Resort, Rotavirus, Salmonella, Seaside, Water, Water-borne
disease. |
Full
article |
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