ArticleThe Science of the total environment2017
Combined sewer overflow events and childhood emergency department visits: A case-crossover study.
Article in The Science of the total environment, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
What it found
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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.
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.
Who cites it
15 citing papers in PubMed.
- A Review of Combined Sewer Overflows and Gastrointestinal Illness in a Changing Climate.Current epidemiology reports · 2025Article
- Child-focused climate change and health content in medical schools and pediatric residencies.Pediatric research · 2025Review
- A social-ecological-technological vulnerability approach for assessing urban hydrological risks.Ecological indicators · 2025Article
- New York State Climate Impacts Assessment Chapter 07: Human Health and Safety.Annals of the New York Academy of Sciences · 2024Review
- Association between Combined Sewer Overflow Events and Gastrointestinal Illness in Massachusetts Municipalities with and without River-Sourced Drinking Water, 2014-2019.Environmental health perspectives · 2024Article
- Characterizing Inequities in Pediatric Appendicitis Delayed Diagnosis and Perforation.Journal of pediatrics. Clinical practice · 2024Article
- Predicting Fecal Indicator Bacteria Using Spatial Stream Network Models in A Mixed-Land-Use Suburban Watershed in New Jersey, USA.International journal of environmental research and public health · 2023Article
- Sanitary sewage overflows, boil water advisories, and emergency room and urgent care visits for gastrointestinal illness: a case-crossover study in South Carolina, USA, 2013-2017.Journal of exposure science & environmental epidemiology · 2023Article
- Combined Sewer Overflows and Gastrointestinal Illness in Atlanta, 2002-2013: Evaluating the Impact of Infrastructure Improvements.Environmental health perspectives · 2022Article
- Public preferences for green infrastructure improvements in Northern New Jersey: a discrete choice experiment approach.SN social sciences · 2022Article
- Association Between Hurricane Sandy and Emergency Department Visits in New York City by Age and Cause.American journal of epidemiology · 2021Article
- Positive Externalities of Climate Change Mitigation and Adaptation for Human Health: A Review and Conceptual Framework for Public Health Research.International journal of environmental research and public health · 2021Review
- Relationship between infiltration, sewer rehabilitation, and groundwater flooding in coastal urban areas.Environmental science and pollution research international · 2020Article
- Estimating the Health-Related Costs of 10 Climate-Sensitive U.S. Events During 2012.GeoHealth · 2019Article
- Human-Associated Lachnospiraceae Genetic Markers Improve Detection of Fecal Pollution Sources in Urban Waters.Applied and environmental microbiology · 2018Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
In localities with combined sewer systems, combined sewer overflow (CSO) events frequently occur following high precipitation and can result in the release of untreated sewage and industrial wastewater into surface waters. We hypothesized that either direct contact with or proximity to aerosolized CSO effluent would increase the risk for childhood emergency department (ED) visits for asthma, gastrointestinal (GI) illnesses, and skin and soft tissue infections (SSTIs) in Cincinnati, OH, USA. ED visits for 2010-2014 due to GI diseases, asthma, and SSTIs were extracted from the Cincinnati Children's Hospital Medical Center electronic health records. The location and timing of CSO events were obtained from the Metropolitan Sewer District (MSD) of Greater Cincinnati. ED visits with a residential address within 500m of a CSO site were used in a case-control crossover study with two bi-directional control periods. Conditional logistic regression models were used to estimate the risk of an ED visit associated with a CSO event at lag periods of 0 to 7days. Statistically significant elevated risks for GI-related ED visits was observed two (OR: 1.16 [95% CI 1.04,1.30]) days after CSO events. CSO events were not significantly associated with asthma- or SSTI-related ED visits, but show similar trends. Our findings suggest an increased risk for GI-related ED visits following CSO events among children who reside near CSO sites.
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Registered trials
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