ArticleCanadian journal of public health = Revue canadienne de sante publique2025
Acute gastrointestinal illness burden associated with water recreation in high-income countries: A scoping review.
Article in Canadian journal of public health = Revue canadienne de sante publique, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
objectivesThe burden of acute gastrointestinal illness (AGI) attributable to natural water recreation in Canada is unknown. Understanding the burden can help prioritize public health interventions and resource allocation for reduction of disease. Our objectives were to compile estimates of AGI burden associated with natural water recreation, identify knowledge gaps in water recreation epidemiology, and evaluate methods applicable for developing a burden estimate for Canada.
methodsWe conducted a scoping review of the literature. From a total of 2752 unique records identified, 35 met eligibility for inclusion. Articles were chosen if they examined burden in natural waterways, were written in English, and were based in countries of similar economic status to Canada in non-tropical regions. Burden was defined as either: incidence or prevalence, disability-adjusted life years (DALYs), quality-adjusted life years (QALYs), or economic cost.
resultsSwimming or wading were the predominant forms of recreation examined (n = 32/35; 91.4%). Waterways studied were primarily marine or coastal beaches (n = 24/35; 68.6%) and were located within or adjacent to urban areas (n = 29/35; 82.9%). The most common indicator for burden was incidence or prevalence (n = 30/35; 85.7%). Prospective cohort studies (n = 17/35; 48.6%) and predictive modelling based on microorganism concentrations (n = 9/35; 25.7%) were the most common methods of estimation.
conclusionThe review highlighted several knowledge gaps regarding recreational waterborne disease burden. Freshwater recreation, rural waterways, and recreational activities other than swimming and wading require further study. We propose that quantitative microbial risk assessment may be an appropriate, cost-effective method to estimate recreational waterborne disease burden in Canada.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.