Rapid Assessment of SARS-CoV-2 Transmission Risk for Fecally Contaminated River Water.
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ABSTRACT:
SUBMITTER: Shutler JD
PROVIDER: S-EPMC7931626 | biostudies-literature |
REPOSITORIES: biostudies-literature
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Project description:Right from the start of the COVID pandemic in January 2020, the entire tourism sector was put under immense pressure because of its assumed role in SARS-CoV-2 transmission and infection dynamics. Based on reports of single superspreading events in the early days of the pandemic, the hotel industry appeared in a bad light that impaired a strategic risk-assessment of existing transmission risks between tourists and employees. We prospectively analysed samples of 679 employees of 21 hotels and restaurants from July 2020 to December 2020, a time during which more than 1.5 million tourists visited the Lübeck/Ostholstein Baltic Sea vacation area in Northern Germany. Employees were tested up to three times for an acute SARS-CoV-2 infection (PCR from nasopharyngeal swabs) and the presence of SARS-CoV-2 specific antibodies, and were asked to complete a short questionnaire. Despite the massive increase in tourist influx, no significant increase in SARS-CoV-2 cases was observed amongst employees of the tourism sector from July to September 2020. In a cluster-outbreak analysis of 104 study participants of one single hotel in the Lübeck/Ostholstein region in October 2020 being employed in the low-wage sector "housekeeping" could be determined as major risk factor for becoming infected. In conclusion, in a low incidence setting, touristic activities are safe under COVID-related hygiene measures for both the local population and employees of the tourism sector. Whereas, the field of work is a potential risk factor for increased infection dynamics.
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Project description:ObjectivesTo evaluate the potential for long distance airborne transmission of SARS-CoV-2 in indoor community settings and to investigate factors that might influence transmission.DesignRapid systematic review and narrative synthesis.Data sourcesMedline, Embase, medRxiv, Arxiv, and WHO COVID-19 Research Database for studies published from 27 July 2020 to 19 January 2022; existing relevant rapid systematic review for studies published from 1 January 2020 to 27 July 2020; and citation analysis in Web of Science and Cocites.Eligibility criteria for study selectionObservational studies reporting on transmission events in indoor community (non-healthcare) settings in which long distance airborne transmission of SARS-CoV-2 was the most likely route. Studies such as those of household transmission where the main transmission route was likely to be close contact or fomite transmission were excluded.Data extraction and synthesisData extraction was done by one reviewer and independently checked by a second reviewer. Primary outcomes were SARS-CoV-2 infections through long distance airborne transmission (>2 m) and any modifying factors. Methodological quality of included studies was rated using the quality criteria checklist, and certainty of primary outcomes was determined using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) framework. Narrative synthesis was themed by setting.Results22 reports relating to 18 studies were identified (methodological quality was high in three, medium in five, and low in 10); all the studies were outbreak investigations. Long distance airborne transmission was likely to have occurred for some or all transmission events in 16 studies and was unclear in two studies (GRADE: very low certainty). In the 16 studies, one or more factors plausibly increased the likelihood of long distance airborne transmission, particularly insufficient air replacement (very low certainty), directional air flow (very low certainty), and activities associated with increased emission of aerosols, such as singing or speaking loudly (very low certainty). In 13 studies, the primary cases were reported as being asymptomatic, presymptomatic, or around symptom onset at the time of transmission. Although some of the included studies were well conducted outbreak investigations, they remain at risk of bias owing to study design and do not always provide the level of detail needed to fully assess transmission routes.ConclusionThis rapid systematic review found evidence suggesting that long distance airborne transmission of SARS-CoV-2 might occur in indoor settings such as restaurants, workplaces, and venues for choirs, and identified factors such as insufficient air replacement that probably contributed to transmission. These results strengthen the need for mitigation measures in indoor settings, particularly the use of adequate ventilation.Systematic review registrationPROSPERO CRD42021236762.
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Project description:Water plays a major role in supporting the wellness and life processes in living things as well as in the ecological structure's stabilities. However, several environmental scientists have recounted the alarming menace unfit water quality portends as well as the shortfalls of its global utilization in various spheres of life. This study aims to determine the fitness of the Ossiomo River and its likely health risk impact when consumed or used for other domestic purposes. The outcome of the physicochemical and heavy metal characterization showed that most of the parameters surpassed the slated benchmarks. Findings from the study revealed a significant difference (p < 0.05) for water temperature, color, TDS, BOD5, HCO3, Na, Fe, Mn, and THC across the four stations respectively. Meanwhile, pH, salinity, turbidity, TSS, DO, Cl, P, NH4H, NO2, NO3, SO4, Zn, Cu, Cr, Ni, Pb, and V showed no significant (p > 0.05) across the four stations respectively. The pH level of the water was slightly acidic at the range of 4.40-6.82. The outcome of the computed water quality index showed that station 1 (66.38) was poor for human ingestion which was above the set slated benchmarks of 26-50. However, stations 2-4 (163.79, 161.79, and 129.95) were unsuitable for drinking which was above the set slated benchmarks of 100. The outcome of the health risk evaluation revealed that the hazard quotients (HQs) were considered greater than 1 (>1) for Cr (2.55). The hazard index (0.46) via the dermal pathway was <1 while the ingestion (4.35) pathway was >1. The sum of the HQs (4.81) was also > 1. Thus, there are possible non-carcinogenic health risks via direct ingestion of the water. The outcome from the carcinogenic risk for Pb, Cr, and Cd (6 × 10-3, 4.00 × 10-1, and 1.22 × 100), was somewhat greater than the target goal (1.0 × 10-6 to 1.0 × 10-4) of carcinogenic risks stipulated by the United States Environmental Protection Agency for drinking water, respectively, especially for Cd. There might be a potential carcinogenic risk if the water is consumed when the metal contents are higher than the target limits set. Sustainable farming and treatment of wastes from industrial outputs should be the main management of this watercourse.
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