No abstract

In agricultural intensive areas, drinking contaminated water from private wells is considered an important cause of acute gastroenteric illnesses (AGI), particularly among high-risk populations. In the summer of 2009, the microbial water quality of 180 randomly selected private wells in two northeastern Ohio counties, a region with a high concentration of dairy farms, was assessed. Forty-five percent (82/180) of water samples were contaminated with total coliforms. Generic Escherichia coli were present in 9% (16/180) of samples. Using real-time polymerase chain reaction, E. coli O157:H7 was identified in 4% (7/180) of specimens. Campylobacter spp. DNA could not be amplified from 70 of the samples tested for this organism. The frequency of generic E. coli contamination varied among townships (P < 0.001). Well structure (i.e. age and depth) or other common measures of pollution potential (depth of water, hydrology, topography, net recharge soil media) was not correlated with coliforms and E. coli contamination. Importantly, the presence of the pathogen E. coli O157:H7 was not associated with the presence of fecal indicators in the water samples: Only one of the seven E. coli O157-positive samples was also positive for generic E. coli. Appropriate risk management and communication processes are needed to reduce the potential waterborne disease outbreaks in agricultural intensive areas.

The Theory of Planned Behavior was used to determine if dietitians personal characteristics and beliefs about fresh vegetable food safety predict whether they currently teach, intend to teach, or neither currently teach nor intend to teach food safety information to their clients. Dietitians who participated in direct client education responded to this web-based survey (n=327). The survey evaluated three independent belief variables: Subjective Norm, Attitudes, and Perceived Behavioral Control. Spearman rho correlations were completed to determine variables that correlated best with current teaching behavior. Multinomial logistical regression was conducted to determine if the belief variables significantly predicted dietitians teaching behavior. Binary logistic regression was used to determine which independent variable was the better predictor of whether dietitians currently taught. Controlling for age, income, education, and gender, the multinomial logistical regression was significant. Perceived behavioral control was the best predictor of whether a dietitian currently taught fresh vegetable food safety. Factors affecting whether dietitians currently taught were confidence in fresh vegetable food safety knowledge, being socially influenced, and a positive attitude toward the teaching behavior. These results validate the importance of teaching food safety effectively and may be used to create more informed food safety curriculum for dietitians.