Quantitative assessment of infection risk from exposure to waterborne pathogens in urban floodwater

Man, H. de; Berg, Harold van den; Leenen, E.J.T.M.; Schijven, Jack; Schets, Franciska M.; Vliet, J.C. van der; Knapen, F. van; Husman, Ana Maria de Roda

doi:10.1016/j.watres.2013.09.022

Cited by 146 publications

(127 citation statements)

References 30 publications

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“…In all spa types, pathogens can be transmitted through hand-mouth contact. This transmission route is likely to be more relevant when the water is heavily contaminated [32].…”

Section: Discussionmentioning

confidence: 99%

The microbiological quality of water in fish spas with Garra rufa fish, the Netherlands, October to November 2012

Schets

Berg

Zwaan³

et al. 2015

Eurosurveillance

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In fish spas, clients may submerge their hands, feet or whole body in basins with Garra rufa fish, for dead skin removal. Skin infections may result from using these spas, transmitted from fish to clients, through either fish or water, or from client to client. The microbiological water quality was determined in 24 fish spas in 16 companies in the Netherlands through analysis of a single water sample per fish spa. Water samples were tested for the presence of Aeromonas spp., Vibrio spp., Pseudomonas aeruginosa, nontuberculous mycobacteria, and faecal indicator bacteria by using standard culture methods. The majority of the examined fish spas contained Aeromonas spp. (n?=?24), P. aeruginosa (n?=?18), Vibrio spp. (n?=?16) including V. cholerae non-O1/O139 and V. vulnificus, and several rapid growing Mycobacterium spp. (n?=?23) including M. fortuitum, M. conceptionense, M. abscessus and M. chelonae. Faecal contamination of the fish spa water was low. Based on the detected concentrations of Aeromonas spp., Vibrio spp., and P. aeruginosa, the detected Mycobacterium spp., and the health implications of these bacteria, the health risk from using fish spas is considered limited for healthy people with an intact skin and no underlying disease.

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“…In all spa types, pathogens can be transmitted through hand-mouth contact. This transmission route is likely to be more relevant when the water is heavily contaminated [32].…”

Section: Discussionmentioning

confidence: 99%

The microbiological quality of water in fish spas with Garra rufa fish, the Netherlands, October to November 2012

Schets

Berg

Zwaan³

et al. 2015

Eurosurveillance

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“…Other health effects result from population displacement, damage to infrastructure, health service disruption, contamination of drinking water, disruption of food supplies, and the destruction of crops and other agricultural resources [58,59]. Children are at greatest risk of waterborne infectious diseases due to floodwater exposure, with common causative pathogens including Campylobacter jejuni, Giardia, Cryptosporidium, noroviruses, and enteroviruses [60]. Table 4.…”

Section: Health Effect Low Temperature Extreme Coldmentioning

confidence: 99%

“…(For adults-3.9%, 0.58%, and 0.39%, respectively.) [60] 3.1.4. Wildfires Six papers on wildfires were identified in the literature search; they are listed in Table 5.…”

Section: Estimation Of Future Fluvial Flood Risk In Europe With Lisflmentioning

confidence: 99%

The Health Effects of Climate Change in the WHO European Region

Wolf

Lyne

Martínez

et al. 2015

Climate

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Abstract:The evidence of observed health effects as well as projections of future health risks from climate variability and climate change is growing. This article summarizes new knowledge on these health risks generated since the IPCC fourth assessment report (AR4) was published in 2007, with a specific focus on the 53 countries comprising the WHO European Region. Many studies on the effects of weather, climate variability, and climate change on health in the European Region have been published since 2007, increasing the level of certainty with regard to already known health threats. Exposures to temperature extremes, floods, storms, and wildfires have effects on cardiovascular and respiratory health. Climate-and weather-related health risks from worsening food and water safety and security, poor air quality, and ultraviolet radiation exposure as well as increasing allergic diseases, vector-and rodent-borne diseases, and other climate-sensitive health outcomes also warrant attention and policy action to protect human health.

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“…Three papers from Water Research and one paper from the Journal of Hydrology have addressed the human risk due to direct exposure to floods [25,58,80,81]. Most papers in these journals concern the health risk from potable water or agricultural water [82,83], which are due to direct and indirect consumption of water and cutaneous absorption.…”

Section: Resultsmentioning

confidence: 99%

Urban Surface Water Quality, Flood Water Quality and Human Health Impacts in Chinese Cities. What Do We Know?

Rui

Minh

et al. 2018

Water

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Climate change and urbanization have led to an increase in the frequency of extreme water related events such as flooding, which has negative impacts on the environment, economy and human health. With respect to the latter, our understanding of the interrelationship between flooding, urban surface water and human health is still very limited. More in-depth research in this area is needed to further strengthen the process of planning and implementation of responses to mitigate the negative health impacts of flooding in urban areas. The objective of this paper is to assess the state of the research on the interrelationship between surface water quality, flood water quality and human health in urban areas based on the published literature. These insights will be instrumental in identifying and prioritizing future research needs in this area. In this study, research publications in the domain of urban flooding, surface water quality and human health were collated using keyword searches. A detailed assessment of these publications substantiated the limited number of publications focusing on the link between flooding and human health. There was also an uneven geographical distribution of the study areas, as most of the studies focused on developed countries. A few studies have focused on developing countries, although the severity of water quality issues is higher in these countries. The study also revealed a disparity of research in this field across regions in China as most of the studies focused on the populous south-eastern region of China. The lack of studies in some regions has been attributed to the absence of flood water quality monitoring systems which allow the collection of real-time water quality monitoring data during flooding in urban areas. The widespread implementation of cost effective real-time water quality monitoring systems which are based on the latest remote or mobile phone based data acquisition techniques is recommended. Better appreciation of health risks may lead to better flood risk management. In summary, there is still a limited understanding of the relationship between urban surface water quality, flood water quality and health impacts. This also holds true for Chinese cities. Given the widespread and frequent occurrence of urban flooding, further research into this specific cross-cutting field is mandatory.

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Quantitative assessment of infection risk from exposure to waterborne pathogens in urban floodwater

Cited by 146 publications

References 30 publications

The microbiological quality of water in fish spas with Garra rufa fish, the Netherlands, October to November 2012

The microbiological quality of water in fish spas with Garra rufa fish, the Netherlands, October to November 2012

The Health Effects of Climate Change in the WHO European Region

Urban Surface Water Quality, Flood Water Quality and Human Health Impacts in Chinese Cities. What Do We Know?

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