An outbreak of Vibrio cholerae O1 infections on Ebeye Island, Republic of the Marshall Islands, associated with use of an adequately chlorinated water source
An outbreak of Vibrio cholerae O1 infections on Ebeye Island, Republic of the Marshall Islands, associated with use of an adequately chlorinated water source
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DOI：
10.1086/379713
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发表时间：
2004-01-01
影响因子：
11.8
通讯作者：
Brooks, JT
中科院分区：
文献类型：
--
作者：
Beatty, ME;Jack, T;Brooks, JT
2000年12月，马绍尔群岛共和国的医生报告了该国首次暴发的已知01型霍乱弧菌感染（El Tor生物型，Ogawa血清型）。在Ebeye岛的一项配对病例对照研究中，霍乱患者（n = 53）比无霍乱患者（n = 104）更有可能饮用从邻近的Kwajalein岛美军设施收集并运回Ebeye的充分氯化水（匹配优势比[more]， 8.0; P = 0.01）。用带壶嘴和密封盖子的饮水机运输或储存饮用水与降低患病几率相关（MOR, 0.24; P < 0.01），饮用瓶装水（MOR, 0.08; P < 0.01）、开水（MOR, 0.47; P = 0.01）或混合饮料粉末的水（MOR, 0.18; P < 0.01）也是如此。夸贾林省居民中没有霍乱病例的报告。这次疫情突出了安全处理和储存饮用水的极端重要性，特别是在胃肠道疾病暴发期间。
In December 2000, physicians in the Republic of the Marshall Islands reported the first known outbreak of Vibrio cholerae O1 infection (biotype El Tor, serotype Ogawa) from this country. In a matched case-control study on Ebeye Island, patients with cholera (n = 53) had greater odds than persons without cholera (n = 104) to have drunk adequately chlorinated water collected from a US military installation on neighboring Kwajalein Island and transported back to Ebeye (matched odds ratio [MOR], 8.0; P = .01). Transporting or storing drinking water in a water cooler with a spout and a tight-fitting lid was associated with reduced odds of illness (MOR, 0.24; P < .01), as was drinking bottled water (MOR, 0.08; P < .01), boiled water (MOR, 0.47; P = .01), or water flavored with powdered drink mixes (MOR, 0.18; P < .01). No cases of cholera were reported among Kwajalein residents. This outbreak highlights the critical importance of handling and storing drinking water safely, especially during outbreaks of gastrointestinal illness.