Environmental hazards in recreational facilities

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Environmental hazards in recreational facilities

  1. 1. Brittney Carelock John Patton
  2. 2. Overview <ul><li>Water-borne Disease Outbreaks (WBDO’s) </li></ul><ul><li>Toxic cyanobacteria and Fecal Pollution </li></ul><ul><li>“ Hot tub” lung disease </li></ul><ul><li>Fitness Facilities </li></ul><ul><ul><li>MRSA </li></ul></ul><ul><ul><li>Viruses </li></ul></ul><ul><li>Preventive Measures </li></ul><ul><li>Conclusion/Recommendations </li></ul>
  3. 3. Water-borne Disease Outbreaks
  4. 4. Water-borne Disease Outbreaks <ul><li>Collaborative Surveillance System </li></ul><ul><li>62 WBDOs reported by 26 states </li></ul><ul><li>Illness occurred in 2,698 people </li></ul><ul><li>The CDC uses for WBDO surveillance data </li></ul>
  5. 5. Toxic cyanobacteria and Fecal Pollution <ul><li>Illnesses associated with exposure to cyanobacteria </li></ul><ul><li>Principal public health concern </li></ul><ul><li>Major contributors to recreational water illness </li></ul><ul><li>Indicator organisms </li></ul>
  6. 6. Hot tub lung disease
  7. 7. Hot tub lung disease <ul><li>What is “hot tub lung”? </li></ul><ul><li>Biofilm </li></ul><ul><li>Glazer Study </li></ul>
  8. 8. Fitness Facilities
  9. 9. Fitness Facilities <ul><li>Methicillin-resistant Staphylococcus aureus (MRSA) </li></ul><ul><li>Viruses </li></ul>
  10. 10. Preventive Measures <ul><li>Six “ PLEAs ” For Healthy Swimming </li></ul><ul><ul><li>3 “PLEAs” for All Swimmers </li></ul></ul><ul><ul><ul><li>Please don’t swim when you have diarrhea. </li></ul></ul></ul><ul><ul><ul><li>Please don’t swallow pool water </li></ul></ul></ul><ul><ul><ul><li>Please practice good hygiene. </li></ul></ul></ul><ul><ul><li>3 “PLEAs” for Parents of Young Children </li></ul></ul><ul><ul><ul><li>Please take your children on bathroom breaks or check diapers often. </li></ul></ul></ul><ul><ul><ul><li>Please change diapers in a bathroom or diaper-changing area – not at poolside </li></ul></ul></ul><ul><ul><ul><li>Please wash your child thoroughly with soap and water before swimming. </li></ul></ul></ul><ul><ul><ul><li>Source: www.cdc.gov/healthyswimming </li></ul></ul></ul>
  11. 11. Preventive Measures <ul><li>SpaUser Info: Protect yourself from RWIs and Stay HOT !! </li></ul><ul><ul><li>H eed spa rules for safe and healthy use </li></ul></ul><ul><ul><ul><li>Observe limits </li></ul></ul></ul><ul><ul><ul><li>Exclude children less than 5 years old </li></ul></ul></ul><ul><ul><li>O bserve and listen to the spa and its surroundings. </li></ul></ul><ul><ul><ul><li>No odor </li></ul></ul></ul><ul><ul><ul><li>Smooth spa sides </li></ul></ul></ul><ul><ul><ul><li>You should hear the pumps and filtration systems </li></ul></ul></ul><ul><ul><ul><li>Temperature </li></ul></ul></ul><ul><ul><li>T alk to spa owners/staff and other spa users </li></ul></ul><ul><ul><ul><li>Ask questions about health inspector’s grade </li></ul></ul></ul><ul><ul><ul><li>Chlorine and pH levels </li></ul></ul></ul><ul><ul><ul><li>Source: www.cdc.gov/healthyswimming </li></ul></ul></ul>
  12. 12. Conclusion/Recommendations <ul><li>Indiana Code </li></ul><ul><li>More needs to be done </li></ul>
  13. 13. Take precautions but still have fun!
  14. 14. References <ul><li>ABC News. (2005, January 13). Is your Health Club Unhealthy?. Retrieved July 21, 2008 from http://abcnews.go.com/print?id=410907 . </li></ul><ul><li>Center for Disease Control and Prevention. (2008). Six “PLEAs” For Health Swimming: Protection Against Recreational Water Illnesses (RWIs). Retrieved July 27, 2008 from http://www.cdc.gov/healthyswimming/6_pleas.htm </li></ul><ul><li>Center for Disease Control and Prevention. (2008). Spa User Information: Protect Yourself from Recreational Water Illnesses and Stay HOT! Retrieved July 27, 2008 from http://www.cdc.gov/healthyswimming/spa_info.htm </li></ul><ul><li>Chorus, I ., Falconer, I.R ., Salas, H.J ., & Bartram J . (2000). Health risks caused by freshwater cyanobacteria in recreational waters. Journal of toxicology and environmental health. Part B, Critical reviews, 3(4), 323-47. </li></ul><ul><li>Colford, J.M ., Wade, T.J ., Schiff, K.C ., Wright, C.C ., Griffith, J.F ., Sandhu, S.K ., (2007). Water quality indicators and the risk of illness at beaches with nonpoint sources of fecal contamination. Epidemiology , 18(1), 27-35. </li></ul><ul><li>Delude, C.M. (2003). Germs throw cold water on hot tub hygiene . Retrieved July 2, 2008, from Montana State University, Center for Biofilm Engineering Web site: http://www.erc.montana.edu/CBEssentials-SW/recent-media-cov/Delude050603.htm </li></ul>
  15. 15. References <ul><li>Glazer, MD, MSPH, Craig, Martyny, PhD, CIH, John, Rose, MD, MPH, Cecile. (2008). Hot Tub Associated Granulomatous Lung Disease From Mycobacterial Bioaerosols. Clinical Pulmonary Medicine, 15 (3), 138-144. </li></ul><ul><li>Goldhammer, Kirsten A., Dooley, M.D., David P., Ayala, MA, MT, Eleanor, Zera, MT, Wendy, Hill, MT, Bonnie L. (2006). Prospective Study of Bacterial and Viral Contamination of Exercise Equipment. Clinical Journal of Sport Medicine, 16 (1), 34-38. </li></ul><ul><li>Gym and spa safety. (2007). Retrieved July 2, 2008, from http://www.germstop.net/cms/CMScategory.asp/sectionid/902 </li></ul><ul><li>Liang J.L ., Dziuban E.J ., Craun G.F ., Hill V ., Moore M.R ., Gelting R.J ., et al. (2006). Surveillance for waterborne disease and outbreaks associated with drinking water and water not intended for drinking--United States, 2003-2004. Morbidity and mortality weekly report. Surveillance summaries, 55(12), 31-65. </li></ul><ul><li>Middlewood, Erin. (2008). Don’t Sweat Gym Germs . The Columbian, Monday, February 11, 2008. Retrieved June 2, 2008 from http://www.columbian.com/lifeHome/lifeHomeNews/2008/02112008_Dont-sweat-gym-germs.htm . </li></ul><ul><li>Schwab, K.J. (2007) . Are existing bacterial indicators adequate for determining recreational water illness in waters impacted by nonpoint pollution. Epidemiology , (1), 21-2. </li></ul><ul><li>Stewart, I ., Webb, P.M ., Schluter, P.J ., & Shaw, G.R . (2006). Recreational and occupational field exposure to freshwater cyanobacteria--a review of anecdotal and case reports, epidemiological studies and the challenges for epidemiologic assessment. Environmental Health , 5,6. </li></ul>

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