Estimate of Burden and Direct Healthcare Cost of Infectious Waterborne Disease in the United States.
Estimate of Burden and Direct Healthcare Cost of Infectious Waterborne Disease in the United States.
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DOI：
10.3201/eid2701.190676
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发表时间：
2021-01
影响因子：
11.8
通讯作者：
Beach MJ
中科院分区：
文献类型：
--
作者：
Collier SA;Deng L;Adam EA;Benedict KM;Beshearse EM;Blackstock AJ;Bruce BB;Derado G;Edens C;Fullerton KE;Gargano JW;Geissler AL;Hall AJ;Havelaar AH;Hill VR;Hoekstra RM;Reddy SC;Scallan E;Stokes EK;Yoder JS;Beach MJ
在美国提供安全饮用水是一项伟大的公共卫生成就。然而，新的水传播疾病挑战已经出现（例如基础设施老化、耐氯和生物膜相关病原体、娱乐用水增加）。需要对所有水接触途径（摄入、接触、吸入）和来源（饮用、娱乐、环境）的健康负担进行全面估计。我们估算了 17 种水传播传染病的总患病人数、急诊 (ED) 就诊人数、住院人数、死亡人数和直接医疗费用。每年发生约 715 万例水传播疾病（95% 可信区间 [CrI] 388 万–1200 万），导致 601,000 次急诊就诊（95% CrI 364,000–866,000）、118,000 例住院治疗（95% CrI 86,800–150,000）和 6,630 例死亡（95% CrI 4,520–8,870）并产生 33.3 亿美元（95% CrI 13.7 亿–87.7 亿）直接医疗费用。外耳炎和诺如病毒感染是最常见的疾病。大多数住院和死亡是由生物膜相关病原体（非结核分枝杆菌、假单胞菌、军团菌）引起，每年造成 23.9 亿美元的损失。
Provision of safe drinking water in the United States is a great public health achievement. However, new waterborne disease challenges have emerged (e.g., aging infrastructure, chlorine-tolerant and biofilm-related pathogens, increased recreational water use). Comprehensive estimates of the health burden for all water exposure routes (ingestion, contact, inhalation) and sources (drinking, recreational, environmental) are needed. We estimated total illnesses, emergency department (ED) visits, hospitalizations, deaths, and direct healthcare costs for 17 waterborne infectious diseases. About 7.15 million waterborne illnesses occur annually (95% credible interval [CrI] 3.88 million–12.0 million), results in 601,000 ED visits (95% CrI 364,000–866,000), 118,000 hospitalizations (95% CrI 86,800–150,000), and 6,630 deaths (95% CrI 4,520–8,870) and incurring US $3.33 billion (95% CrI 1.37 billion–8.77 billion) in direct healthcare costs. Otitis externa and norovirus infection were the most common illnesses. Most hospitalizations and deaths were caused by biofilm-associated pathogens (nontuberculous mycobacteria, Pseudomonas, Legionella), costing US $2.39 billion annually.
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影响因子：
2.3
作者：
Collier, Sarah A.;Wade, Timothy J.;Beach, Michael J.
通讯作者：
Beach, Michael J.
影响因子：
11.8
作者：
Beshearse E;Bruce BB;Nane GF;Cooke RM;Aspinall W;Hald T;Crim SM;Griffin PM;Fullerton KE;Collier SA;Benedict KM;Beach MJ;Hall AJ;Havelaar AH
通讯作者：
Havelaar AH
影响因子：
10.4
作者：
Falkinham JO 3rd;Hilborn ED;Arduino MJ;Pruden A;Edwards MA
通讯作者：
Edwards MA
影响因子：
2.3
作者：
Messner, Michael;Shaw, Susan;Soller, Jeff
通讯作者：
Soller, Jeff
影响因子：
10.4
作者：
DeFlorio-Barker, Stephanie;Wade, Timothy J.;Dorevitch, Samuel
通讯作者：
Dorevitch, Samuel