Evidence map›Paper›PMID 28251888›Full record

ArticleEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin2017

Increase in outbreaks of gastroenteritis linked to bathing water in Finland in summer 2014.

Ari Kauppinen, Haider Al-Hello, Outi Zacheus, Jaana Kilponen, Leena Maunula, Sari Huusko, Maija Lappalainen, Ilkka Miettinen, Soile Blomqvist, Ruska Rimhanen-Finne

Abstract read
In one paragraph

Article in Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Climate Change Impacts on Microbiota in Beach Sand and Water: Looking Ahead.International journal of environmental research and public health · 2022
    Review
  4. Bathing Water Quality Monitoring Practices in Europe and the United States.International journal of environmental research and public health · 2021
    Review
  5. Article
  6. Two Drinking Water Outbreaks Caused by Wastewater Intrusion Including Sapovirus in Finland.International journal of environmental research and public health · 2019
    Article
  7. Review
  8. Decay ofFrontiers in public health · 2019
    Article
  9. Article
  10. Article
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Ari KauppinenNational Institute for Health and Welfare, Department of Health Security, Water and Health Unit, Kuopio, Finland.
Haider Al-HelloNational Institute for Health and Welfare, Department of Health Security, Viral Infections Unit, Helsinki, Finland.
Outi ZacheusNational Institute for Health and Welfare, Department of Health Security, Water and Health Unit, Kuopio, Finland.
Jaana KilponenNational Supervisory Authority for Welfare and Health, Helsinki, Finland.
Leena MaunulaUniversity of Helsinki, Faculty of Veterinary Medicine, Department of Food Hygiene and Environmental Health, Helsinki, Finland.
Sari HuuskoNational Institute for Health and Welfare, Department of Health Security, Infectious Disease Control Unit, Helsinki, Finland.
Maija LappalainenHelsinki University Hospital, Laboratory Services (HUSLAB), Department of Clinical Microbiology, Helsinki, Finland.
Ilkka MiettinenNational Institute for Health and Welfare, Department of Health Security, Water and Health Unit, Kuopio, Finland.
Soile BlomqvistNational Institute for Health and Welfare, Department of Health Security, Viral Infections Unit, Helsinki, Finland.
Ruska Rimhanen-FinneNational Institute for Health and Welfare, Department of Health Security, Infectious Disease Control Unit, Helsinki, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An increased number of suspected outbreaks of gastroenteritis linked to bathing water were reported to the Finnish food- and waterborne outbreak (FWO) registry in July and August 2014. The investigation reports were assessed by a national outbreak investigation panel. Eight confirmed outbreaks were identified among the 15 suspected outbreaks linked to bathing water that had been reported to the FWO registry. According to the outbreak investigation reports, 1,453 persons fell ill during these outbreaks. Epidemiological and microbiological data revealed noroviruses as the main causative agents. During the outbreaks, exceptionally warm weather had boosted the use of beaches. Six of eight outbreaks occurred at small lakes; for those, the investigation strongly suggested that the beach users were the source of contamination. In one of those eight outbreaks, an external source of contamination was identified and elevated levels of faecal indicator bacteria (FIB) were noted in water. In the remaining outbreaks, FIB analyses were insufficient to describe the hygienic quality of the water. Restrictions against bathing proved effective in controlling the outbreaks. In spring 2015, the National Institute for Health and Welfare (THL) and the National Supervisory Authority for Welfare and Health (Valvira) published guidelines for outbreak control to prevent bathing water outbreaks.

Indexed as

Bathing BeachesDisease OutbreaksWater PollutionCaliciviridae InfectionsCommunicable DiseasesDisease NotificationGastroenteritisHumansNorovirusPrevalenceRecreationSeasonsWater Microbiologybathing waterfaecal indicator bacteriagastrointestinal diseasenorovirussurveillancewaterborne outbreaks

Identifiers

PMID28251888
PMCPMC5356438

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.