2016
DOI: 10.1017/s095026881600193x
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A geostatistical investigation of agricultural and infrastructural risk factors associated with primary verotoxigenicE. coli(VTEC) infection in the Republic of Ireland, 2008–2013

Abstract: SUMMARYIreland reports the highest incidence of verotoxigenic Escherichia coli (VTEC) infection in Europe. This study investigated potential risk factors for confirmed sporadic and outbreak primary VTEC infections during 2008-2013. Overall, 989 VTEC infections including 521 serogroup O157 and 233 serogroup O26 were geo-referenced to 931 of 18 488 census enumeration areas. The geographical distribution of human population, livestock, unregulated groundwater sources, domestic wastewater treatment systems (DWWTS)… Show more

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Cited by 45 publications
(43 citation statements)
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“…However, whilst increasingly holistic risk-based models are being pursued, there has been limited consideration of the link between flooding, contamination and human health [1]. This is despite Irish private household wells being identified as the likely source of serious health issues such as verotoxigenic Escherichia coli (VTEC) infections, for which the RoI has the highest incidence rates in Europe [28,29]. Moreover, recent flooding events have had extensive negative effects [30] with recent regional climate change projections predicting the scenario to worsen in the next 40 years [31,32].…”
Section: Introductionmentioning
confidence: 99%
“…However, whilst increasingly holistic risk-based models are being pursued, there has been limited consideration of the link between flooding, contamination and human health [1]. This is despite Irish private household wells being identified as the likely source of serious health issues such as verotoxigenic Escherichia coli (VTEC) infections, for which the RoI has the highest incidence rates in Europe [28,29]. Moreover, recent flooding events have had extensive negative effects [30] with recent regional climate change projections predicting the scenario to worsen in the next 40 years [31,32].…”
Section: Introductionmentioning
confidence: 99%
“…Such longitudinal surveillance indicates that STEC disease is dynamic with incidence changing over time and geographical location (EFSA, ) and season (Garvey, Carroll, et al., ). Moreover, the strains causing the disease are also changing over time (EFSA, ), suggesting evolving differences in sources and transmission vehicles (Adams et al., ; Óhaiseadha, Hynds, Fallon, & O'Dwyer, ). Thus, there is a clear ongoing requirement for the active surveillance of STEC disease and infecting strains, with standard approaches to identify emerging trends and enable historical comparison.…”
Section: Epidemiology Source Attribution and Risk Assessmentmentioning
confidence: 99%
“…Other ruminant and non‐ruminant livestock, including sheep, goats, pigs and chickens, can also be asymptomatically colonized with, and excrete, STEC especially E. coli O157 (Best et al., , ; La Ragione et al., ; Wales et al., ), although the pathobiology may vary from that in cattle (La Ragione, Best, Woodward, & Wales, ). All such colonization may contribute to contamination of farm environments, including groundwater, constituting a significant risk factor of human disease, particularly for rural communities (Óhaiseadha et al., ).…”
Section: Epidemiology Source Attribution and Risk Assessmentmentioning
confidence: 99%
“…Accordingly, development and implementation of appropriate socio-hydrogeological practices seeks to surmount or dispense with these barriers and promote increased awareness of groundwater-related issues and needs among local communities [11,13,20]. Moreover, research relating to groundwater resources in medium-and high-income countries has shown that contamination, and particularly microbiological pollution, is a recurring problem leading to endemic and epidemic waterborne infectious diseases in these regions [21][22][23]. Unfortunately, because of the inherent nature of groundwater occurrence and transport, the development and implementation of effective socio-hydrogeology management faces many barriers.…”
Section: Socio-hydrogeology: Global Solutions To a Global Problemmentioning
confidence: 99%