The BEACHES Study: health effects and exposures from non-point source microbial contaminants in subtropical recreational marine waters
Author(s) -
Jay M. Fleisher,
Lora E. Fleming,
Helena M. SoloGabriele,
Jonathan Kish,
Christopher D. Sinigalliano,
Lisa R. W. Plano,
Samir M. Elmir,
J. D. Wang,
Kelly Withum,
Tomoyuki Shibata,
Maribeth L. Gidley,
Amir M. Abdelzaher,
Guoqing He,
Cristina Ortega,
Xiaofang Zhu,
Mary E. Wright,
John I. Hollenbeck,
L. C. Backer
Publication year - 2010
Publication title -
international journal of epidemiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.406
H-Index - 208
eISSN - 1464-3685
pISSN - 0300-5771
DOI - 10.1093/ije/dyq084
Subject(s) - sewage , environmental health , confidence interval , relative risk , recreation , medicine , water quality , environmental science , veterinary medicine , ecology , biology , environmental engineering
Microbial water-quality indicators, in high concentrations in sewage, are used to determine whether water is safe for recreational purposes. Recently, the use of these indicators to regulate recreational water bodies, particularly in sub/tropical recreational marine waters without known sources of sewage, has been questioned. The objectives of this study were to evaluate the risk to humans from exposure to subtropical recreational marine waters with no known point source, and the possible relationship between microbe densities and reported symptoms in human subjects with random-exposure assignment and intensive individual microbial monitoring in this environment.
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