Dataset Information

Acute Illness Among Surfers After Exposure to Seawater in Dry- and Wet-Weather Conditions.

ABSTRACT: Rainstorms increase levels of fecal indicator bacteria in urban coastal waters, but it is unknown whether exposure to seawater after rainstorms increases rates of acute illness. Our objective was to provide the first estimates of rates of acute illness after seawater exposure during both dry- and wet-weather periods and to determine the relationship between levels of indicator bacteria and illness among surfers, a population with a high potential for exposure after rain. We enrolled 654 surfers in San Diego, California, and followed them longitudinally during the 2013-2014 and 2014-2015 winters (33,377 days of observation, 10,081 surf sessions). We measured daily surf activities and illness symptoms (gastrointestinal illness, sinus infections, ear infections, infected wounds). Compared with no exposure, exposure to seawater during dry weather increased incidence rates of all outcomes (e.g., for earache or infection, adjusted incidence rate ratio (IRR) = 1.86, 95% confidence interval (CI): 1.27, 2.71; for infected wounds, IRR = 3.04, 95% CI: 1.54, 5.98); exposure during wet weather further increased rates (e.g., for earache or infection, IRR = 3.28, 95% CI: 1.95, 5.51; for infected wounds, IRR = 4.96, 95% CI: 2.18, 11.29). Fecal indicator bacteria measured in seawater (Enterococcus species, fecal coliforms, total coliforms) were strongly associated with incident illness only during wet weather. Urban coastal seawater exposure increases the incidence rates of many acute illnesses among surfers, with higher incidence rates after rainstorms.

SUBMITTER: Arnold BF

PROVIDER: S-EPMC5860265 | biostudies-literature | 2017 Oct

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Acute Illness Among Surfers After Exposure to Seawater in Dry- and Wet-Weather Conditions.

Arnold Benjamin F BF Schiff Kenneth C KC Ercumen Ayse A Benjamin-Chung Jade J Steele Joshua A JA Griffith John F JF Steinberg Steven J SJ Smith Paul P McGee Charles D CD Wilson Richard R Nelsen Chad C Weisberg Stephen B SB Colford John M JM

American journal of epidemiology 20171001 7

Rainstorms increase levels of fecal indicator bacteria in urban coastal waters, but it is unknown whether exposure to seawater after rainstorms increases rates of acute illness. Our objective was to provide the first estimates of rates of acute illness after seawater exposure during both dry- and wet-weather periods and to determine the relationship between levels of indicator bacteria and illness among surfers, a population with a high potential for exposure after rain. We enrolled 654 surfers ...[more]

PMID: 28498895

Similar Datasets

Project description:Investigating sources of microbial contamination in urban streams, especially when there are no contributions from combined sewer overflows or sewage effluent discharges, can be challenging. The objectives of this study were to identify the sources of microbes in an urban stream and quantify their relative contributions to the microbial community in the stream under dry and wet weather conditions. A microbial source tracking method relying on the 16S rRNA gene was used to investigate the microbial communities in water samples of an urban stream (i.e., from 11 dry and 6 wet weather events), as well as in streambed sediment, soils, street sweepings, sanitary sewage, an upstream lake, and feces of animals and birds collected between 2013 and 2015. The results showed that the Escherichia coli levels in the stream were significantly higher in wet weather flow than in dry weather flow. The upstream lake contributed approximately 93% of the microbes in dry weather flows. Water discharged from storm drain outfalls was the biggest source of microbes in wet weather flows, with a median contribution of approximately 90% in the rising limb and peak flow and about 75% in the declining limb of storms. Furthermore, about 70 to 75% of the microbes in the storm drain outfall water came from materials washed off from the street surfaces in the watershed. Fecal samples did not appear to contribute substantially to the microbes in environmental samples. The results highlight the significance of street surfaces in contributing microbial loads to urban streams under wet weather conditions.IMPORTANCE Identifying the sources of microbial contamination is important for developing best management practices to protect the water quality of urban streams for recreational uses. This study collected a large number of water samples from an urban stream under both dry and wet weather conditions and provided quantitative information on the relative contributions of various environmental compartments to the overall microbial contamination in the stream under the two weather conditions. The watershed in this study represents urban watersheds where no dominant fecal sources are consistently present. The findings highlight the importance of reducing the direct contribution of microbes from street surfaces in the watershed to urban streams under wet weather conditions. The methods and findings from this study are expected to be useful to stormwater managers and regulatory agencies.

Dataset Information

Acute Illness Among Surfers After Exposure to Seawater in Dry- and Wet-Weather Conditions.

Publications

Acute Illness Among Surfers After Exposure to Seawater in Dry- and Wet-Weather Conditions.

Similar Datasets

OmicsDI is part of the ELIXIR infrastructure

Tweets