List of cryptosporidiosis outbreaks

Last updated

Cryptosporidiosis is a parasitic disease caused by Cryptosporidium . It can be spread by water or contact with contaminated surfaces. [1]

Contents

Canada

YearLocationNumber of casesOutbreak sourceLink to articleReferences
1996 Cranbrook 2,000 [2]
1996 Kelowna 10,000–15,000 [2]

Italy

YearLocationNumber of casesOutbreak sourceLink to articleReferences
1995 Emilia-Romagna 294Water supply [3]
2019 Tuscan–Emilian Apennines 75Water supply [4]

New Zealand

YearLocationNumber of casesOutbreak sourceLink to articleReferences
1995 Tauranga 1School [5]
1997 Waikato 170 [5]
1997TaurangaUnknown [6]
2003 Masterton "Few"Water supply [5]
2010 Auckland 7Swimming pool [7]
2010 Christchurch 17Unknown [7]
2013 Hawke's Bay 22Swimming pool [7]
2013 Waikato 5Unknown [7]
2013 Wellington 5Unknown [7]
2013 Taranaki 3Unknown [7]
2015Auckland6Raw milk [7]
2017Auckland9Childcare centre [7]
2018 Kapiti Coast 11Water playground [8]
2021Taranaki6Raw milk [7]
2021Taranaki4Raw milk [7]
2023 Queenstown 72Unknown Queenstown cryptosporidiosis outbreak [9]

Sweden

YearLocationNumber of casesOutbreak sourceLink to articleReferences
2010 Östersund 27,000Water supply [10] [11]
2011 Skellefteå 20,000Water supply [12]
2015 Gothenburg 83Food [13]

United Kingdom

England

YearLocationNumber of casesOutbreak sourceLink to articleReferences
1989 Oxfordshire 500 Farmoor Reservoir [14] [15]
1995 Torbay 508 [16] [17] [18]
2008 Northamptonshire 22 Pitsford Reservoir [19]
2013 Gloucestershire 6Farm [20]
2013 Kingston upon Hull 18Swimming pool [21]
2016 Cornwall, Devon, Dorset, Gloucestershire, Somerset, Wiltshire 223Swimming pool [22]
2016 Gateshead 7Swimming pool [23]
2024 Brixham 100Water supply Devon cryptosporidiosis outbreak [24]

Northern Ireland

YearLocationNumber of casesOutbreak sourceLink to articleReferences
2000 Northern Ireland 129 [25]
2000 Northern Ireland 117 [25]
2001 Northern Ireland 275Water supply [26]

Scotland

YearLocationNumber of casesOutbreak sourceLink to articleReferences
2000 Glasgow 90 Loch Katrine [27]
2002 Aberdeen 140 River Dee [27]
2002 Perth 8 Perth Leisure Pool [28]
2010 Cumbernauld 16Swimming pool [29]

Wales

YearLocationNumber of casesOutbreak sourceLink to articleReferences
2005 Gwynedd 231 Llyn Cwellyn [30] [31]
2012 Cwmbran 8Farm [32]
2012 Newport 20Swimming pool [33]

United States

Florida

YearLocationNumber of casesOutbreak sourceLink to articleReferences
2019 Pasco County 10 [34]

Georgia

YearLocationNumber of casesOutbreak sourceLink to articleReferences
1987 Carroll County 13,000 1987 Carroll County cryptosporidiosis outbreak [35]

Wisconsin

YearLocationNumber of casesOutbreak sourceLink to articleReferences
1993 Milwaukee 403,000 1993 Milwaukee cryptosporidiosis outbreak [36]

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<span class="mw-page-title-main">Mpox</span> Viral disease of humans and animals

Mpox is an infectious viral disease that can occur in humans and other animals. Symptoms include a rash that forms blisters and then crusts over, fever, and swollen lymph nodes. The illness is usually mild, and most infected individuals recover within a few weeks without treatment. The time from exposure to the onset of symptoms ranges from three to seventeen days, and symptoms typically last from two to four weeks. However, cases may be severe, especially in children, pregnant women, or people with suppressed immune systems.

<span class="mw-page-title-main">Cryptosporidiosis</span> Parasitic disease

Cryptosporidiosis, sometimes informally called crypto, is a parasitic disease caused by Cryptosporidium, a genus of protozoan parasites in the phylum Apicomplexa. It affects the distal small intestine and can affect the respiratory tract in both immunocompetent and immunocompromised individuals, resulting in watery diarrhea with or without an unexplained cough. In immunosuppressed individuals, the symptoms are particularly severe and can be fatal. It is primarily spread through the fecal-oral route, often through contaminated water; recent evidence suggests that it can also be transmitted via fomites contaminated with respiratory secretions.

<span class="mw-page-title-main">Hepatitis E</span> Human disease caused by Orthohepevirus A

Hepatitis E is inflammation of the liver caused by infection with the hepatitis E virus (HEV); it is a type of viral hepatitis. Hepatitis E has mainly a fecal-oral transmission route that is similar to hepatitis A, although the viruses are unrelated. HEV is a positive-sense, single-stranded, nonenveloped, RNA icosahedral virus and one of five known human hepatitis viruses: A, B, C, D, and E.

<span class="mw-page-title-main">Giardiasis</span> Parasitic disease that results in diarrhea

Giardiasis is a parasitic disease caused by Giardia duodenalis. Infected individuals who experience symptoms may have diarrhoea, abdominal pain, and weight loss. Less common symptoms include vomiting and blood in the stool. Symptoms usually begin one to three weeks after exposure and, without treatment, may last two to six weeks or longer.

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<i>Nipah virus</i> Species of virus

Nipah virus is a bat-borne, zoonotic virus that causes Nipah virus infection in humans and other animals, a disease with a very high mortality rate (40-75%). Numerous disease outbreaks caused by Nipah virus have occurred in South East Africa and Southeast Asia. Nipah virus belongs to the genus Henipavirus along with the Hendra virus, which has also caused disease outbreaks.

<i>Cryptosporidium</i> Genus of single-celled organisms

Cryptosporidium, sometimes called crypto, is an apicomplexan genus of alveolates which are parasites that can cause a respiratory and gastrointestinal illness (cryptosporidiosis) that primarily involves watery diarrhea, sometimes with a persistent cough.

<i>Cyclospora cayetanensis</i> Species of single-celled organism

Cyclospora cayetanensis is a coccidian parasite that causes a diarrheal disease called cyclosporiasis in humans and possibly in other primates. Originally reported as a novel pathogen of probable coccidian nature in the 1980s and described in the early 1990s, it was virtually unknown in developed countries until awareness increased due to several outbreaks linked with fecally contaminated imported produce. C. cayetanensis has since emerged as an endemic cause of diarrheal disease in tropical countries and a cause of traveler's diarrhea and food-borne infections in developed nations. This species was placed in the genus Cyclospora because of the spherical shape of its sporocysts. The specific name refers to the Cayetano Heredia University in Lima, Peru, where early epidemiological and taxonomic work was done.

The 1993 Milwaukee cryptosporidiosis outbreak was a significant distribution of the Cryptosporidium protozoan in Milwaukee, Wisconsin, and the largest waterborne disease outbreak in documented United States history. It is suspected that The Howard Avenue Water Purification Plant, one of two water treatment plants in Milwaukee at the time, was contaminated. It is believed that the contamination was due to an ineffective filtration process. Approximately 403,000 residents were affected resulting in illness and hospitalization. Immediate repairs were made to the treatment facilities along with continued infrastructure upgrades during the 25 years since the outbreak. The total cost of the outbreak, in productivity loss and medical expenses, was $96 million. At least 69 people died as a result of the outbreak. The city of Milwaukee has spent upwards to $510 million in repairs, upgrades, and outreach to citizens.

Cryptosporidium hominis, along with Cryptosporidium parvum, is among the medically important Cryptosporidium species. It is an obligate parasite of humans that can colonize the gastrointestinal tract resulting in the gastroenteritis and diarrhea characteristic of cryptosporidiosis. Unlike C. parvum, which has a rather broad host range, C. hominis is almost exclusively a parasite of humans. As a result, C. hominis has a low zoonotic potential compared to C. parvum. It is spread through the fecal-oral route usually by drinking water contaminated with oocyst laden feces. There are many exposure risks that people can encounter in affected areas of the world. Cryptosporidium infections are large contributors of child death and illness in heavily affected areas, yet low importance has been placed on both identifying the species and finding more treatment options outside of nitazoxanide for children and AIDS patients.

<i>Zika virus</i> Species of flavivirus

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Cryptosporidium fragile is a parasite which infects amphibians. The oocysts have an irregular, shape and surface. The developing parasite is found in the gastric epithelial cells.

<span class="mw-page-title-main">Influenza A virus subtype H7N9</span> Subtype of the influenza A virus

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The 1987 Carroll County cryptosporidiosis outbreak was a significant distribution of the Cryptosporidium protozoan in Carroll County, Georgia. Between January 12 and February 7, 1987, approximately 13,000 of the 65,000 residents of the county suffered intestinal illness caused by the Cryptosporidium parasite. Cryptosporidiosis is characterized by watery diarrhea, stomach cramps or pain, dehydration, nausea, vomiting and fever. Symptoms typically last for 1–4 weeks in immunocompetent individuals.

Una M. Ryan is a biochemist from Ireland, researching parasites and infectious agents in Australia, where she lives. She is an associate professor at the School of Veterinary and Biomedical Sciences of Murdoch University. In 2000, she received the Frank Fenner Prize for Life Scientist of the Year from the Prime Minister of Australia for her work in isolating a method of diagnosing parasites.

<span class="mw-page-title-main">Stephen C. Redd</span>

Stephen C. Redd is a U.S. physician and rear admiral with the U.S. Public Health Service and an Assistant Surgeon General. With over 30 years of public health and executive leadership experience, Redd served as the Director of the Office of Public Health Preparedness and Response at the Centers for Disease Control and Prevention. Previously, he was the Director of the CDC's Influenza Coordination Unit, where he served as the incident commander for the 2009-2010 H1N1 pandemic influenza response.

<span class="mw-page-title-main">Nipah virus infection</span> Disease caused by Nipah virus

Nipah virus infection is an infection caused by the Nipah virus. Symptoms from infection vary from none to fever, cough, headache, shortness of breath, and confusion. This may worsen into a coma over a day or two, and 50% to 75% of those infected die. Complications can include inflammation of the brain and seizures following recovery.

<span class="mw-page-title-main">Devon cryptosporidiosis outbreak</span> 2024 disease outbreak in Devon, England

In May 2024, an outbreak of cryptosporidiosis, a parasitic waterborne illness, started in Brixham in south Devon, England. The UK Health Security Agency (UKHSA) reported 118 cases of the illness, however residents of Brixham claimed that more than 1,000 people were left ill over the summer.

References

  1. "General Information for the Public | Cryptosporidium | Parasites | CDC". www.cdc.gov. 26 October 2021. Archived from the original on 28 September 2023. Retrieved 21 September 2023.
  2. 1 2 "Cryptosporidium". CBC News. 23 June 2004. Archived from the original on 1 March 2011. Retrieved 21 September 2023.
  3. Pignata, Cristina; Bonetta, Silvia; Bonetta, Sara; Cacciò, Simone M.; Sannella, Anna R.; Gilli, Giorgio; Carraro, Elisabetta (January 2019). "Cryptosporidium Oocyst Contamination in Drinking Water: A Case Study in Italy". International Journal of Environmental Research and Public Health . 16 (11): 2055. doi: 10.3390/ijerph16112055 . ISSN   1660-4601. PMC   6604028 . PMID   31185673.
  4. Franceschelli, Armando; Bonadonna, Lucia; Cacciò, Simone M.; Sannella, Anna Rosa; Cintori, Christian; Gargiulo, Raffaele; Coccia, Anna Maria; Paradiso, Rosa; Iaconelli, Marcello; Briancesco, Rossella; Tripodi, Alberto (1 September 2022). "An outbreak of cryptosporidiosis associated with drinking water in north-eastern Italy, August 2019: microbiological and environmental investigations". Eurosurveillance . 27 (35): 2200038. doi:10.2807/1560-7917.ES.2022.27.35.2200038. ISSN   1560-7917. PMC   9438396 . PMID   36052722.
  5. 1 2 3 "Appendix 2: Outbreaks of Water-borne Disease in New Zealand". Ministry for the Environment. 1 March 2007. Archived from the original on 25 September 2023. Retrieved 21 September 2023.
  6. Estimation of the burden of water-borne disease in New Zealand: preliminary report. New Zealand Ministry of Health (published February 2007). November 2006. ISBN   978-0-478-30768-9. Archived from the original on 1 April 2022. Retrieved 15 October 2023.
  7. 1 2 3 4 5 6 7 8 9 10 Garcia-R, Juan C.; Hayman, David T. S. (20 March 2023). "A review and analysis of cryptosporidiosis outbreaks in New Zealand". Parasitology. 150 (7): 606–611. doi:10.1017/S0031182023000288. ISSN   0031-1820. PMC   10260297 . PMID   36938817.
  8. "Bug spread through Wellington water playground". RNZ. 16 February 2018. Retrieved 21 September 2023.
  9. "Queenstown cryptosporidium outbreak: Four more weeks of boiling water". RNZ . 14 November 2023. Retrieved 15 November 2023.
  10. "Cryptosporidium (Östersund 2010–2011)". Public Health Agency of Sweden (in Swedish). 1 July 2014. Retrieved 4 June 2024.
  11. Widerström, Micael; Schönning, Caroline; Lilja, Mikael; Lebbad, Marianne; Ljung, Thomas; Allestam, Görel; Ferm, Martin; Björkholm, Britta; Hansen, Anette; Hiltula, Jari; Långmark, Jonas; Löfdahl, Margareta; Omberg, Maria; Reuterwall, Christina; Samuelsson, Eva (April 2014). "Large Outbreak of Cryptosporidium hominis Infection Transmitted through the Public Water Supply, Sweden". Emerging Infectious Diseases . 20 (244): 581–589. doi:10.3201/eid2004.121415. PMC   3966397 . PMID   24655474 . Retrieved 4 June 2024.
  12. "Cryptosporidium (Skellefteå, april 2011)". Public Health Agency of Sweden (in Swedish). 1 July 2014. Retrieved 4 June 2024.
  13. "Cryptosporidium (Göteborg 2015)". Public Health Agency of Sweden (in Swedish). 2 December 2015. Retrieved 4 June 2024.
  14. "Pressure" . Banbury Guardian . 9 March 1989. Retrieved 19 May 2024 via British Newspaper Archive. Thames Water have announced an independent inquiry into the water scare in Oxfordshire which led to thousands of households being told to boil their drinking water. The warning, which is not yet lifted, came after the diarrhoea-linked bug, Cryptosporidium, was found in filters at the giant Farmoor water works outside Oxford.
  15. "Water bosses rule out compensation over bug" . Reading Evening Post . 18 April 1989. Retrieved 19 May 2024. The bug, Cryptosporidium, laid low more than 500 people in January with diarrhoea and illness which can kill those with weak immune systems.
  16. "Hotels' fury as illness hits South Devon" . Herald Express. 15 August 1995. Retrieved 17 May 2024 via British Newspaper Archive. South West Water confirmed a 'boil-your-water' alert to 200,000 South Devon householders after a Cryptosporidium bug was found to be the cause of an outbreak of stomach upsets.
  17. "As bug toll nears 100 mark expert says it's hard to kill" . Herald Express. 17 August 1995. Retrieved 17 May 2024 via British Newspaper Archive. The number of confirmed cases of stomach upsets caused by the water bug Cryptosporidium almost doubled overnight with today's total now standing at 91.
  18. "Water bug: 'We blame the works'" . 19 September 1995 via British Newspaper Archive. The number of officially recorded victims of the bug topped 508 today.
  19. "Water bug infections rise to 22". BBC News . 29 July 2008. Retrieved 30 May 2024.
  20. "Cotswold Farm Park bosses say it is safe amid sickness probe". BBC News . 7 May 2013. Retrieved 7 June 2024.
  21. "Hull East Park's pool closed after sickness outbreak". BBC News . 7 August 2013. Retrieved 6 June 2024.
  22. "Diarrhoea bug outbreak widens to hundreds of cases in the South West". BBC News . 25 August 2016. Retrieved 30 May 2024.
  23. Meechan, Simon (25 October 2016). "Cryptosporidiosis closes to Gateshead pools - but what is it?". Chronicle Live. Retrieved 7 June 2024.
  24. "Cryptosporidium infections rise as South West Water fail to fix Devon water contamination issue". ITV News . 30 May 2024. Retrieved 30 May 2024.
  25. 1 2 Glaberman, Scott; Moore, John E.; Lowery, Colm J.; Chalmers, Rachel M.; Sulaiman, Irshad; Elwin, Kristin; Rooney, Paul J.; Millar, Beverley C.; Dooley, James S. G.; Lal, Altaf A.; Xiao, Lihua (June 2002). "Three Drinking-Water–Associated Cryptosporidiosis Outbreaks, Northern Ireland - Volume 8, Number 6—June 2002 - Emerging Infectious Diseases journal - CDC". Emerging Infectious Diseases . 8 (6): 631–633. doi:10.3201/eid0806.010368. PMC   2738494 . PMID   12023922 . Retrieved 7 June 2024.
  26. "Water bug outbreak 'in decline'". BBC News . 17 May 2001. Retrieved 6 June 2024.
  27. 1 2 Pollock, Kevin G. J.; Young, David; Smith, Huw V.; Ramsay, Colin N. (January 2008). "Cryptosporidiosis and Filtration of Water from Loch Lomond, Scotland". Emerging Infectious Diseases . 14 (157): 115–120. doi:10.3201/eid1401.070562. PMC   2600157 . PMID   18258090 . Retrieved 7 June 2024.
  28. "Water bug pool given 'all clear'". BBC News . 26 August 2002. Retrieved 6 June 2024.
  29. "Safety Procedures Called Into Question At Glasgow Nursery". Irwin Mitchell. 6 July 2010. Retrieved 7 June 2024.
  30. "Outbreak of cryptosporidiosis in North West Wales, 2005" (PDF). Public Health Wales . 28 November 2006. Retrieved 6 June 2024.
  31. "Water company prosecuted over bug". BBC News . 21 June 2007. Retrieved 7 June 2024.
  32. "Cryptosporidium outbreak on Torfaen farm makes four more people ill". BBC News . 26 April 2012. Retrieved 7 June 2024.
  33. "Newport swimming pool cryptosporidiosis bug outbreak over". BBC News . 5 October 2012. Retrieved 6 June 2024.
  34. "Pasco County, FL issues 'crypto' warning". Outbreak News Today. 27 June 2019. Retrieved 21 September 2023.
  35. Fackelmann, K. A. (3 June 1989). "Scientists Nab Water-Polluting Parasite". Science News . Retrieved 21 September 2023.
  36. Corso, Phaedra S.; Kramer, Michael H.; Blair, Kathleen A.; Addiss, David G.; Davis, Jeffrey P.; Haddix, Anne C. (2003). "Costs of Illness in the 1993 WaterborneCryptosporidium Outbreak, Milwaukee, Wisconsin". Emerging Infectious Diseases. 9 (4): 426–431. doi:10.3201/eid0904.020417. PMC   2957981 . PMID   12702221.