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276 records · Page 16Linked to original sources

Transmission risk of Lyme disease and implications for tick management

Transmission risk of Lyme disease at a site can be estimated using the probability of exposure ( P 1 = probability of being bitten by at least one infected tick); P 1 =1 - (1 - k t ) n , where n = number of tick bites per person and k t = spirochete prevalence in questing ticks. This probability is more directly related to the likelihood of acquiring Lyme disease than the standard measure of transmission risk (the number of infected ticks per sample) and allows for direct consideration of the level of tick/human contact (by varying n ) in assessing exposure risk and designing management strategies. Projections predict that interventions that lower tick abundance or spirochete prevalence do not necessarily result in equivalent declines in human exposure risk. Management interventions are predicted to have greatest success at lowering disease incidence in humans when tick abundance and/or pathogen prevalence in questing ticks are initially low (e.g., for ticks in residential lawns or for low-prevalence diseases). These techniques are predicted to be less effective at lowering disease incidence in people engaged in high-risk activities at sites with high tick abundance and pathogen prevalence, such as wooded sites in highly endemic areas.

American Journal of Epidemiology↗

Cancer mortality in a Chinese population exposed to hexavalent chromium in drinking water

BACKGROUND: In 1987, investigators in Liaoning Province, China, reported that mortality rates for all cancer, stomach cancer, and lung cancer in 1970-1978 were higher in villages with hexavalent chromium (Cr)-contaminated drinking water than in the general population. The investigators reported rates, but did not report statistical measures of association or precision. METHODS: Using reports and other communications from investigators at the local Jinzhou Health and Anti-Epidemic Station, we obtained data on Cr contamination of groundwater and cancer mortality in 9 study regions near a ferrochromium factory. We estimated:(1) person-years at risk in the study regions, based on census and population growth rate data, (2) mortality counts, based on estimated person-years at risk and previously reported mortality rates, and (3) rate ratios and 95% confidence intervals. RESULTS: The all-cancer mortality rate in the combined 5 study regions with Cr-contaminated water was negligibly elevated in comparison with the rate in the 4 combined study regions without contaminated water (rate ratio = 1.13; 95% confidence interval = 0.86-1.46), but was somewhat more elevated in comparison with the whole province (1.23; 0.97-1.53). Stomach cancer mortality in the regions with contaminated water was more substantially elevated in comparison with the regions without contaminated water (1.82; 1.11-2.91) and the whole province (1.69; 1.12-2.44). Lung cancer mortality was slightly elevated in comparison with the unexposed study regions (1.15; 0.62-2.07), and more strongly elevated in comparison with the whole province (1.78; 1.03-2.87). Mortality from other cancers combined was not elevated in comparison with either the unexposed study regions (0.86; 0.53-1.36) or the whole province (0.92; 0.58-1.38). CONCLUSIONS: While these data are limited, they are consistent with increased stomach cancer risk in a population exposed to Cr in drinking water. ?? 2008 Lippincott Williams & Wilkins, Inc.

Epidemiology↗

Cyanobacterial bloom occurrence and emergency department visits for asthma or wheeze, Wisconsin, 2017–2019

Background: Cyanobacterial harmful algal blooms (cyanoHABs) pose risks to human and animal health. Methods: We investigated the relationship between cyanoHABs and asthma or wheeze-related emergency department (ED) visits near three Wisconsin cities (Green Bay, Madison, and Oshkosh) during 2017–2019. CyanoHAB exposure was approximated using the Cyanobacterial Assessment Network remotely sensed satellite indicator of cyanobacterial biomass, a chlorophyl algorithm (Chl BS ) aggregated by water-adjacent ZIP Code Tabulation Areas (ZCTA), and distance weighted from the nearest waterbody. Weekly counts of ED visits for asthma or wheeze were aggregated by ZCTA. Poisson generalized linear models estimated the association between the weekly number of ED visits and weekly Chl BS, adjusting for maximum temperature, dewpoint, fine particulate matter (PM 2.5 ), month, and correlation within ZCTA. Results: During 2017–2019, 7,057 ED visits for asthma or wheeze occurred in the study area (42 ZCTAs). Peaks in Chl BS occurred between June and October, with higher values in Lake Winnebago and Lake Mendota compared to Green Bay. Chl BS was not associated with ED visits for asthma or wheeze (adjusted rate ratio = 1.00, 95% confidence interval = 0.99, 1.00), and the presence of onshore winds did not change this result. Monthly aggregations of ED visits and Chl BS showed a monotonic trend between increasing Chl BS and ED visits during July–September. Conclusion: This study demonstrates the utility of remote sensing data in environmental health research. Future studies could explore individual-level exposure and outcomes to refine health risks associated with cyanoHABs.

Wisconsin↗

Bladder cancer mortality and private well use in New England: An ecological study

Study objective: To investigate the possible relation between bladder cancer mortality among white men and women and private water use in New England, USA, where rates have been persistently raised and use of private water supplies (wells) common. Design: Ecological study relating age adjusted cancer mortality rates for white men and women during 1985-1999 and proportion of persons using private water supplies in 1970. After regressing mortality rates on population density, Pearson correlation coefficients were computed between residual rates and the proportion of the population using private water supplies, using the state economic area as the unit of calculation. Calculations were conducted within each of 10 US regions. Setting: The 504 state economic areas of the contiguous United States. Participants: Mortality analysis of 11 cancer sites, with the focus on bladder cancer. Main results: After adjusting for the effect of population density, there was a statistically significant positive correlation between residual bladder cancer mortality rates and private water supply use among both men and women in New England (men, r=0.42; women, r=0.48) and New York/New Jersey (men, r=0.49; women, r=0.62). Conclusions: Use of well water from private sources, or a close correlate, may be an explanatory variable for the excess bladder cancer mortality in New England. Analytical studies are underway to clarify the relation between suspected water contaminants, particularly arsenic, and raised bladder cancer rates in northern New England.

Journal of Epidemiology and Community Health↗

Habitat, wildlife and one health: Arcanobacterium pyogenes in Maryland and Upper Eastern Shore white-tailed deer populations

Background : Understanding the distribution of disease in wildlife is key to predicting the impact of emerging zoonotic one health concerns, especially for wildlife species with extensive human and livestock interfaces. The widespread distribution and complex interactions of white - tailed deer ( Odocoileus virginianus ) with humans suggest deer population health and management may have implications beyond stewardship of the animals. The intracranial abscessation suppurative meningitis (IASM) disease complex in deer has been linked to Arcanobacterium pyogenes , an under - diagnosed and often misdiagnosed organism considered commensal in domestic livestock but associated with serious disease in numerous species, including humans. Methods : Our study used standard bacterial culture techniques to assess A. pyogenes prevalence among male deer sampled across six physiogeographic regions in Maryland and male and female deer in the Upper Eastern Shore under Traditional Deer Management (TDM) and Quality Deer Management (QDM), a management protocol that alters population demographics in favor of older male deer. Samples were collected from antler pedicles for males, the top of the head where pedicles would be if present for females, or the whole dorsal frontal area of the head for neonates. We collected nasal samples from all animals by swabbing the nasopharyngeal membranes. A gram stain and catalase test were conducted, and aerobic bacteria were identified to genus and species when possible. We evaluated the effect of region on whether deer carried A. pyogenes using Pearson's chi-square test with Yates’ continuity correction. For the white-tailed deer management study, we tested whether site, age class and sex predisposed animals to carrying A. pyogenes using binary logistic regression. Results : A. pyogenes was detected on deer in three of the six regions studied, and was common in only one region, the Upper Eastern Shore. In the Upper Eastern Shore, 45% and 66% of antler and nasal swabs from deer were positive for A. pyogenes , respectively. On the Upper Eastern Shore, prevalence of A. pyogenes cultured from deer did not differ between management areas, and was abundant among both sexes and across all age classes. No A. pyogenes was cultured from a small sample of neonates. Conclusion : Our study indicates A. pyogenes may be carried widely among white-tailed deer regardless of sex or age class, but we found no evidence the pathogen is acquired in utero. The distribution of A. pyogenes across regions and concentration in a region with low livestock levels suggests the potential for localized endemicity of the organism and the possibility that deer may serve as a maintenance reservoir for an emerging one health concern.

Infection Ecology and Epidemiology↗

Increased prevalence of antibiotic-resistant E. coli in gulls sampled in southcentral Alaska is associated with urban environments

Background Antibiotic-resistant bacteria pose challenges to healthcare delivery systems globally; however, limited information is available regarding the prevalence and spread of such bacteria in the environment. The aim of this study was to compare the prevalence of antibiotic-resistant bacteria in large-bodied gulls ( Larus spp.) at urban and remote locations in Southcentral Alaska to gain inference into the association between antibiotic resistance in wildlife and anthropogenically influenced habitats. Methods Escherichia coli was cultured ( n =115 isolates) from fecal samples of gulls (n=160) collected from a remote location, Middleton Island, and a more urban setting on the Kenai Peninsula. Results Screening of E. coli from fecal samples collected from glaucous-winged gulls ( Larus glaucescens ) at Middleton Island revealed 8% of isolates were resistant to one or more antibiotics and 2% of the isolates were resistant to three or more antibiotics. In contrast, 55% of E. coli isolates derived from fecal samples collected from large-bodied gulls (i.e. glaucous, herring [ Larus argentatus ], and potentially hybrid gulls) on the Kenai Peninsula were resistant to one or more antibiotics and 22% were resistant to three or more antibiotics. In addition, total of 16% of the gull samples from locations on the Kenai Peninsula harbored extended-spectrum cephalosporin-resistant E. coli isolates (extended-spectrum beta-lactamases [ESBL] and plasmid-encoded AmpC [pAmpC]), in contrast to Middleton Island where no ESBL- or pAmpC-producing isolates were detected. Conclusion Our findings indicate that increased prevalence of antibiotic resistance is associated with urban environments in Southcentral Alaska and presumably influenced by anthropogenic impacts. Further investigation is warranted to assess how migratory birds may maintain and spread antimicrobial-resistant bacteria of relevance to human and animal health.

Alaska↗