Shigella sonnei Outbreak Investigation During a Municipal Water Crisis—Genesee and Saginaw Counties, Michigan, 2016.
Objectives. To investigate a shigellosis outbreak in Genesee County, Michigan (including the City of Flint), and Saginaw County, Michigan, in 2016 and address community concerns about the role of the Flint water system. Methods. We met frequently with community members to understand concerns and dev...
| Publicado en: | American Journal of Public Health Vol. 110; no. 6; pp. 842 - 850 |
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| Autores principales: | , , , , , , , , , , , , , , , , , |
| Formato: | Artículo |
| Publicado: |
American Public Health Association
Jun2020
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=143074813&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 143074813 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00900036 APH jtl: American Journal of Public Health issn: 00900036 maglogo: N pubinfo: dt: Jun2020 vid: 110 iid: 6 pid: 44 pub: American Public Health Association artinfo: ui: 143074813 10.2105/AJPH.2020.305577 ppf: 842 ppct: 8 formats: tig: atl: Shigella sonnei Outbreak Investigation During a Municipal Water Crisis—Genesee and Saginaw Counties, Michigan, 2016. aug: au: McClung, R. Paul Karwowski, Mateusz Castillo, Caroline McFadden, Jevon Collier, Sarah Collins, Jim Soehnlen, Marty Dietrich, Stephen Trees, Eija Wilt, Grete Harrington, Christina Miller, Ashley Adam, Elizabeth Reses, Hannah Cope, Jennifer Fullerton, Katie Hill, Vincent Yoder, Jonathan su: Michigan Communicable diseases Disease outbreaks Water pollution Water supply Chlorine Diarrhea Shigellosis Surveys Descriptive statistics sug: subj: Communicable diseases Disease outbreaks Water pollution Water supply Michigan Alkali and chlorine manufacturing Chemical (except agricultural) and allied product merchant wholesalers Water Supply and Irrigation Systems Chlorine Diarrhea Shigellosis Surveys Descriptive statistics ab: Objectives. To investigate a shigellosis outbreak in Genesee County, Michigan (including the City of Flint), and Saginaw County, Michigan, in 2016 and address community concerns about the role of the Flint water system. Methods. We met frequently with community members to understand concerns and develop the investigation. We surveyed households affected by the outbreak, analyzed Shigella isolate data, examined the geospatial distribution of cases, and reviewed available water quality data. Results. We surveyed 83 households containing 158 cases; median age was 10 years. Index case-patients from 55 of 83 households (66%) reported contact with a person outside their household who wore diapers or who had diarrhea in the week before becoming ill; results were similar regardless of household drinking water source. Genomic diversity was not consistent with a point source. In Flint, no space-time clustering was identified, and average free chlorine residual values remained above recommended levels throughout the outbreak period. Conclusions. The outbreak was most likely caused by person-to-person contact and not by the Flint water system. Consistent community engagement was essential to the design and implementation of the investigation. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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