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1.	Sartorius, Benn, et al. (author) Outbreak of norovirus in Västra Götaland associated with recreational activities at two lakes during August 2004 2007 In: Scandinavian Journal of Infectious Diseases. - : Informa UK Limited. - 0036-5548 .- 1651-1980. ; 39:4, s. 323-331 Journal article (peer-reviewed)
2.	Widerström, Micael, et al. (author) Large outbreak of cryptosporidium hominis infection transmitted through the public water supply, Sweden 2014 In: Emerging Infectious Diseases. - : Centers for Disease Control and Prevention (CDC). - 1080-6040 .- 1080-6059. ; 20:4, s. 581-589 Journal article (peer-reviewed)abstract In November 2010, approximate to 27,000 (approximate to 45%) inhabitants of Östersund, Sweden, were affected by a waterborne outbreak of cryptosporidiosis. The outbreak was characterized by a rapid onset and high attack rate, especially among young and middle-aged persons. Young age, number of infected family members, amount of water consumed daily, and gluten intolerance were identified as risk factors for acquiring cryptosporidiosis. Also, chronic intestinal disease and young age were significantly associated with prolonged diarrhea. Identification of Ctyptosporidium hominis subtype lbA10G2 in human and environmental samples and consistently low numbers of oocysts in drinking water confirmed insufficient reduction of parasites by the municipal water treatment plant. The current outbreak shows that use of inadequate microbial barriers at water treatment plants can have serious consequences for public health. This risk can be minimized by optimizing control of raw water quality and employing multiple barriers that remove or inactivate all groups of pathogens.

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Type of publication: journal article (2)

Type of content: peer-reviewed (2)

Author/Editor: Löfdahl, Margareta (2); Allestam, Görel (2); Horal, Peter, 1955 (1); Lindh, Johan (1); Lilja, Mikael (1); Sartorius, Benn (1); show more...; Ferm, Martin (1); Samuelsson, Eva (1); De Jong, Birgitta (1); Andersson, Yvonne (1); Björkholm, Britta (1); Lebbad, Marianne (1); Ljung, Thomas (1); Reuterwall, Christin ... (1); Hansen, Anette (1); Wallensten, Anders (1); Bergstedt, Olof, 196 ... (1); Velicko, Inga (1); Hedlund, Kjell-Olof (1); Widerström, Micael (1); Schönning, Caroline (1); Wängsell, Claes (1); Ulleryd, Peter (1); Söderstrom, Ann (1); Hiltula, Jan I. (1); Långmark, Jonas (1); Omberg, Maria (1); Widgren, Katarina (1); show less...

University: University of Gothenburg (1); Umeå University (1); Mälardalen University (1); Mid Sweden University (1); Chalmers University of Technology (1); Karolinska Institutet (1)

Language: English (2)

Research subject (UKÄ/SCB): Medical and Health Sciences (2)

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