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[An outbreak of acute schistosomiasis at Porto de Galinhas beach, Pernambuco, Brazil].

We recently confirmed several cases of acute schistosomiasis in Porto de Galinhas beach, Northeast Brazil. A total of 662 patients were diagnosed by parasitological and clinical examinations. The infection likely occurred during the September 7 national holiday, when heavy rainfall flooded the Ipojuca River and people were infected when the water covered their yards. Families were continuously exposed to infection for a period of three weeks until the water had completely dried up. Previous investigation suggests that snail vectors were introduced as a result of landfill in marshy areas. The swamp-flooding of such areas facilitated the emergence of slums surrounded by snail breeding sites. Heavy rainfall caused open-air sewage ditches to overflow, allowing for infection of snails by Schistosoma mansoni. Thus, continuous floods were responsible for the spread of human infection. Clinical and laboratory results identified 62% of acute cases of S. mansoni. Complementary studies are being conducted to define the impact and epidemiological meaning of the acute schistosomiasis outbreak.

Acute Disease↗

Bumsters, big black organs and old white gold: Embodied racial myths in sexual relationships of Gambian beach boys.

Sexuality is a platform upon which ideologies are enacted. Based on ethnographic fieldwork in The Gambia, this paper discusses the embodiment of racial myths about male Black bodies and Western affluence. Methods utilized included participant observation, focus group discussions and in-depth interviews. Beach-boys, locally called bumsters, are a common feature of the country's tourism. Societal attitudes to bumsters are ambivalent. Bumsters variously indulge in a complex web of sexual activity ranging from commercial to non-commercial, voluntary to socially-imposed, individual to peer-driven, heterosexual to homosexual, casual to regular, particularly with foreign tourists. Narratives about their sexuality reveal an enactment of myths about the male Black body and superior sexual performance on one hand, and images of plundered wealth sitting in 'the West'--a dream destination flowing with milk and honey, and physically represented by the toubab--a local label for White foreigners-on the other. This highly fantasized wealth forms the core of youth aspirations to travel abroad. Sexual activity with a toubab is the ticket out of Africa's inherent scarcity. Metaphors and idioms of unlimited virility and dynamic manhood are reinforced through sex tourism and form part of the identity of Gambian bumsters. These self-images reinstate and reinforce racial stereotypes.

Attitude to Health↗

Source diagnostic and weathering indicators of tar balls utilizing acyclic, polycyclic and S-heterocyclic components.

This study represents a forensic chemical analysis to define the liability for the coastal bitumens polluting the beaches of the Mediterranean city of Alexandria. Six tar balls collected from several locations along the coast of the city were analyzed for their acyclic and polycyclic hydrocarbons as well as sulfur heterocycles using GC/FID, GC/AED and gas chromatography/mass spectrometry techniques. The analysis of one Egyptian crude oil is also included as a possible source oil. The tar ball samples were at early stages of weathering. Based on the GC traces and biomarker signatures, the tar balls could be genetically different. One sample collected from the Eastern Harbor region appears to be a Bunker C type fuel produced from Egyptian crudes. The refining process has removed the low molecular weight components. On the other hand, the wide n-alkane distribution together with the absence of an unresolved complex mixture suggests that crude oils probably from tank washings, ballast discharges or accident spills from tankers could have contributed significantly to the other tar ball samples. The distribution of source specific hopane and sterane markers revealed that the tar samples probably originate from different oil fields.

Bathing Beaches↗

A GIS approach to model sediment reduction susceptibility of mixed sand and gravel beaches.

The morphological form of mixed sand and gravel beaches is distinct, and the process/response system and complex dynamics of these beaches are not well understood. Process response models developed for pure sand or gravel beaches cannot be directly applied to these beaches. The Canterbury Bight coastline is apparently abundantly supplied with sediments from large rivers and coastal alluvial cliffs, but a large part of this coastline is experiencing long-term erosion. Sediment budget models provide little evidence to suggest sediments are stored within this system. Current sediment budget models inadequately quantify and account for the processes responsible for the patterns of erosion and accretion of this coastline. We outline a new method to extrapolate from laboratory experiments to the field using a geographical information system approach to model sediment reduction susceptibility for the Canterbury Bight. Sediment samples from ten representative sites were tumbled in a concrete mixer for an equivalent distance of 40 km. From the textural mixture and weight loss over 40 km tumbling, we applied regression techniques to generate a predictive equation for Sediment Reduction Susceptibility (SRS). We used Inverse Distance Weighting (IDW) to extrapolate the results from fifty-five sites with data on textural sediment composition to field locations with no data along the Canterbury Bight, creating a continuous sediment reductions susceptibility surface. Isolines of regular SRS intervals were then derived from the continuous surface to create a contour map of sediment reductions susceptibility for the Canterbury Bight. Results highlighted the variability in SRS along this coastline.

Bathing Beaches↗

Microbial communities and fecal indicator bacteria associated with Cladophora mats on beach sites along Lake Michigan shores.

A high biomasses of Cladophora, a filamentous green alga, is found mainly during the summer along the shores of Lake Michigan. In this study, the abundance and persistence of the fecal indicator bacterium Escherichia coli and sulfate-reducing bacteria (SRB) on Cladophora mats collected at Lake Michigan beaches were evaluated using both culture-based and molecular analyses. Additionally, 16S rRNA gene cloning and sequencing were used to examine the bacterial community composition. Overall, E. coli was detected in all 63 samples obtained from 11 sites, and the average levels at most beaches ranged from 2,700 CFU/100 g (wet weight) of Cladophora to 7,500 CFU/100 g of Cladophora. However, three beaches were found to have site average E. coli densities of 12,800, 21,130, and 27,950 CFU/100 g of Cladophora. The E. coli levels in the lake water collected at the same time from these three sites were less than the recommended U.S. Environmental Protection Agency limit, 235 CFU/100 ml. E. coli also persisted on Cladophora mats in microcosms at room temperature for more than 7 days, and in some experiments it persisted for as long as 28 days. The SRB densities on Cladophora mats were relatively high, ranging from 4.4x10(6) cells/g (6.64 log CFU/g) to 5.73x10(6) cells/g (6.76 log CFU/g) and accounting for between 20% and 27% of the total bacterial counts. Partial sequences of the 16S rRNA gene clones revealed a phylogenetically diverse community, in which the Cytophaga-Flavobacterium-Bacteroides cluster and the low-G+C-content gram-positive bacteria were the dominant organisms, accounting for 40% and 12.8%, respectively, of the total clone library. These results further reveal the potential public health and ecological significance of Cladophora mats that are commonly found along the shoreline of Lake Michigan, especially with regard to the potential to harbor microorganisms associated with fecal pollution and odor-causing bacteria.

Bathing Beaches↗

Running economy of elite surf iron men and male runners, on soft dry beach sand and grass.

The primary aim of this study was to measure the energetics of six elite surf iron men (who participate in regular sand running training), performing steady-state running trials on grass in shoes at 8, 11 and 14 km x h(-1), and on sand bare foot and in shoes, at both 8 and 11 km x h(-1). The net total energy cost (EC, J x kg(-1) x m(-1)) was determined from the net steady-state oxygen consumption and respiratory exchange ratio (net aerobic EC) plus net lactate accumulation (net anaerobic EC). For the sand barefoot and sand in shoes running trials at 8 and 11 km x h(-1), net aerobic EC and total net EC (but not anaerobic EC) were significantly greater (P < 0.001) than the grass running trial values. No differences (P > 0.05) existed between the sand barefoot and sand in shoes trials. These measures were compared with data obtained from eight well-trained male recreational runners who performed the same protocol in a previous study, but who were not accustomed to running on sand. Comparisons of net aerobic EC between the two groups for the surface conditions were not significantly different (P > 0.05). For net anaerobic EC, the iron man values were significantly less (P < 0.02) than the recreational runner values. For net total EC, the iron man values were less than the recreational runner values, but the differences were only significant when both groups ran on sand barefoot (P < 0.03: on grass P = 0.158; on sand in shoes P = 0.103). The lower lactate accumulation values recorded for the iron men on both grass and sand may indicate that running on sand potentially reduces metabolic fatigue when running on firm or soft surfaces.

Adult↗

Application of a magnetic extraction technique to assess radionuclide-mineral association in Cumbrian shoreline sediments.

An assessment has been made of the association of (239+240)Pu, 241Am and 210Po (in secular equilibrium with 210Pb) with iron minerals using a magnetic extraction technique. Grab samples of beach sand from the Cumbrian (UK) coastline were subjected to successive extractions with an approximately 0.1 T ferrite magnet and an approximately 0.3 T rare-earth magnet procedure to separate magnetic iron oxide minerals. Radionuclide concentrations in the magnetic extracts were enhanced (by approximately 4-6-fold) relative to the residue. Those in the approximately 0.1 T magnet extracts were broadly similar to those in the antiferromagnetic material extracted by the approximately 0.3 T magnet, despite the very large differences in magnetic property values between the two fractions (one to two orders of magnitude). The percentage of magnetic material in terms of mass was small and therefore, the majority of these radionuclides (on average 88%) were associated with the residue. Removal of stable Fe was incomplete. Given that the radionuclides may also bind to paramagnetic (nonmagnetic) Fe minerals, the data were extrapolated by normalising the results to quantitative Fe removal. This yielded average values of 37%, 45% and 46% for (239+240)Pu, 241Am and 210Po(210Pb), respectively, as upper limits for the fraction associated with magnetic + nonmagnetic Fe minerals. There are significant uncertainties inherent in quantifying data from this extraction technique. Nevertheless, it seems reasonable to conclude that radionuclide association with Fe minerals is unlikely to have a significant impact upon the physical dispersion of sediment contaminated by Sellafield discharges in the Irish Sea. However, it may be an important factor in governing Pu redox and redissolution behaviour.

Americium↗

The energy cost of running on grass compared to soft dry beach sand.

This study compared the energy cost (EC) (J x kg(-1) x m(-1)) of running on grass and soft dry beach sand. Seven male and 5 female recreational runners performed steady state running trials on grass in shoes at 8, 11 and 14 km x h(-1). Steady state sand runs, both barefoot and in shoes, were also attempted at 8 km x h(-1) and approximately 11 km x h(-1). One additional female attempted the grass and sand runs at 8 km x h(-1) only. Net total EC was determined from net aerobic EC (steady state VO2, VCO2 and RER) and net anaerobic EC (net lactate accumulation). When comparing the surface effects (grass, sand bare foot and sand in shoes) of running at 8 km x h(-1) (133.3 m x min(-1)) in 9 subjects who most accurately maintained that speed (133.3 +/- 2.2 m x min(-1)), no differences (P>0.05) existed between the net aerobic, anaerobic and total EC of sand running barefoot or in shoes, but these measures were all significantly greater (P<0.05) than the corresponding values when running on grass. Similarly, when all running speed trials (n = 87) performed by all subjects (n = 13) for each surface condition were combined for analysis, the sand bare foot and sand in shoes values for net aerobic EC, net anaerobic EC and net total EC were significantly greater (P<0.001) than the grass running measures, but not significantly different (P>0.05) from each other. Expressed as ratios of sand to grass running EC coefficients, the sand running barefoot and sand in shoes running trials at 8 km x h(-1) revealed values of 1.6 and 1.5 for net aerobic EC, 3.7 and 2.7 for net anaerobic EC and 1.6 and 1.5 for net total EC respectively. For all running speeds combined, these coefficients were 1.5 and 1.4 for net aerobic EC, 2.5 and 2.3 for net anaerobic EC and 1.5 and 1.5 for net total EC for sand running barefoot and in shoes respectively. Sand running may provide a low impact, but high EC training stimulus.

Adult↗

[The EU Bathing Water Directive. Risk assessment and standards].

In an attempt to reduce the risk of infection in natural bathing waters the European Union is in the process of improving the Bathing Water Directive 76/160/EWG, which regulates the safety of such waters. The proposal contains several positive innovations which will improve the protection of the bathers: (1) health-related indicators, (2) harmonized detection methods, (3) requirements for active bathing water management, and (4) stricter standards for coastal waters. One of the most salient features of the current draft is the introduction of bacterial standards that are more stringent for coastal than for fresh waters. This decision on different standards seems unjustified: it was taken solely on the grounds that in two epidemiological studies-one carried out in coastal, the other in fresh waters-the maximum excess rate of gastroenteritis among bathers in coastal waters was higher than among bathers in fresh waters. However, it was not taken into account that the concentrations of bacterial indicators at which the gastroenteritis rate began to increase was nearly identical in both studies. The ratio between the standard concentrations of E. coli and intestinal enterococci in the draft was set at 2.5. This value does not correspond to the ratio found in German surface waters with low pollution levels, with ratios ranging from 2.7 to 4.0, and to the even higher ratios found in raw and treated sewage effluents. As a consequence in a majority of cases the non-compliance of bathing waters in Germany would be caused exclusively by a violation of E. coli standards. In assessing risks of infection it must also be taken into account that the adequacy of E. coli and intestinal enterococci for signaling the presence of viruses in water is far from optimal. The decay of viruses in water-estimated by the decay of bacteriophages-was found to be substantially slower than the die-off of indicator bacteria.

Bathing Beaches↗

Cercarial dermatitis in Austria: questionnaires as useful tools to estimate risk factors?

Cercarial dermatitis is a worldwide occurring skin disease characterized by itching and skin papulation. It is caused by cercariae of the fluke family Schistosomatidae. In the tropics and subtropics species of the genus Schistosoma can cause severe diseases of man. However, several genera (e.g. Trichobilharzia, Bilharziella) of medical significance are prevalent in Europe as well; they are also known as "bird schistosomes", because waterfowl is the final host. Pulmonate snails act as intermediate hosts. Humans are accidental hosts; they get infested by penetration of the cercariae into the skin of swimmers/bathers in ponds and lakes. They can not mature in humans, but die shortly after penetration. Cercarial dermatitis is known in Austria since 1969, with regularly occurrences nearly every summer. In early 2003 we created a homepage to provide information about the causative agents for the public/patients, to document the occurrences and to get data about the distribution of this parasitic disease. We therefore created a questionnaire and asked people for the following parameters: personal data, information about the waters, activity in the water and details about the dermatitis itself. A total of 34 questionnaires were returned. The results will be discussed according to their relevance as risk factors. The way how people interact with the water seems to be essential, but not demographic features. In addition, this approach revealed a new segment of the public that is at risk - owners/users of swimming ponds.

Adolescent↗

Marine water quality assessment at Mumbai West Coast.

In recent past, Mumbai Municipal corporation was not able to keep pace with required infrastructural facilities due to unprecedented population growth. Sewage disposal is one of the major issues, which needed immediate attention because huge quantity of sewage with only preliminary treatment is disposed into the nearby coastal areas and has deteriorated the water quality of the near coastal region. World Bank assisted Bombay Sewage Disposal Project (BSDP) undertaken by the Municipal Corporation of Bruhan Mumbai (MCBM) envisaged sewage discharges through marine outfalls at Worli and Bandra and treatment by aerated lagoons for other areas before disposal in creeks. During BSDP programme, studies were undertaken on water quality assessment along the west coast of Mumbai before and after commissioning of the Worli outfall. A pre- and post-commissioning water quality database for selected parameters was generated for near shore as well as west coast region up to 5 km seaward distance to assess the efficacy of the Worli outfall and delineate the areas affected around diffuser location of the outfall due to sewage disposal. This paper presents observations of the coastal studies at Mumbai and the impact zone of Worli outfall.

Bathing Beaches↗

Reducing fluxes of faecal indicator compliance parameters to bathing waters from diffuse agricultural sources: the Brighouse Bay study, Scotland.

The European Water Framework Directive requires the integrated management of point and diffuse pollution to achieve 'good' water quality in 'protected areas'. These include bathing waters, which are regulated using faecal indicator organisms as compliance parameters. Thus, for the first time, European regulators are faced with the control of faecal indicator fluxes from agricultural sources where these impact on bathing water compliance locations. Concurrently, reforms to the European Union (EU) Common Agricultural Policy offer scope for supporting on-farm measures producing environmental benefits through the new 'single farm payments' and the concept of 'cross-compliance'. This paper reports the first UK study involving remedial measures, principally stream bank fencing, designed to reduce faecal indicator fluxes at the catchment scale. Considerable reduction in faecal indicator flux was observed, but this was insufficient to ensure bathing water compliance with either Directive 76/160/EEC standards or new health-evidence-based criteria proposed by WHO and the European Commission.

Agriculture↗

Revision of the EU Bathing Water Directive: economic costs and benefits.

The European Union (EU) Bathing Water Directive of 1976 ([Commission of the European Communities, 1976. Council Directive of 8th December 1975 Concerning the Quality of Bathing Water (76/160/EEC). Official Journal of the European Community. 5th February 1976, L31/1, Brussels]) sets out standards for designated bathing waters which should be complied with by all member states. Intervening advances in pollution science, related technology and managerial expertise have allowed the European Commission to consider revision of EU environmental legislation where appropriate. As a result, a number of revisions to the 1976 Directive have been proposed ([Commission of the European Communities, 1994. Commission Proposal for a Council Directive Concerning the Quality of Bathing Water. Communication from the Commission to the European Parliament and the Council, COM (94) 36 Final, Brussels; Commission of the European Communities, 2000. Developing a New Bathing Water Policy, Communication from the Commission to the European Parliament and the Council, COM (2000) 860 Final, 21/12/200, Brussels; Commission of the European Communities, 2002. Commission Proposal for a Directive of the European Parliament and of the Council Concerning the Quality of Bathing Water, COM (2002) 581 Final, 24/10/2002, Brussels]). This paper considers these revisions in terms of the economic costs and benefits associated with any change in policy. The focus is on the public's willingness to pay for a revised Directive and the consequent public health benefits afforded to individuals and society. These economic benefits are compared to the costs of implementing changes to bring bathing waters up to the required standard.

Bathing Beaches↗

An operational method for the real-time monitoring of E. coli numbers in bathing waters.

The aim of this study was to investigate the potential application of the beta-d-glucuronidase (GLUase) activity measurement for the routine detection and quantification of E. coli in marine bathing waters. GLUase activity was measured as the rate of hydrolysis of 4-methylumbelliferyl-beta-d-glucuronide. Culturable E. coli were quantified by the most probable number (MPN) microplate method. Both methods were applied to a large set of seawater samples. Significant correlation was found between the log of GLUase activity and the log of culturable E. coli. The mean coefficient of variation (CV) of the GLUase activity was less than 15% at concentrations around the current standards of International regulations whereas the CV of the microplate method was around 30%. When samples were stored at 4 degrees C and 20 degrees C, the mean CV of the GLUase activity remained below 15% up to 6 hours after sample collection whereas the range of variation of the microplate method varied between 10 and 50%. We concluded that the GLUase activity is an operational, reproducible, simple, very rapid and low cost method for the real-time enumeration of E. coli in bathing waters and should be preferred to the microplate method. The GLUase activity method should be routinely applied to the rapid enumeration of E. coli in recreational waters and recommendations for its application were suggested to water quality managers.

Analysis of Variance↗

Sustainable reduction in the flux of microbial compliance parameters from urban and arable land use to coastal bathing waters by a wetland ecosystem produced by a marine flood defence structure.

'Natural' treatment systems such as wetlands and reed beds have been proposed as sustainable means of reducing fluxes of faecal indicator organisms (FIOs) to recreational and shellfish harvesting waters. This is because FIO fluxes to coastal waters from both point (effluent) and diffuse (catchment) sources can cause non-compliance with microbiological standards for bathing and shellfish harvesting waters. The Water Framework Directive requires competent authorities in the member states to manage both point and diffuse sources of FIOs in an integrated manner to achieve compliance with 'good' water quality as defined in a series of daughter Directives. This study was undertaken to investigate the relative sources of FIOs to the popular bathing waters around Clacton, UK. In this predominantly arable (mainly cereal cropping) farming area, the principal land use predictor, explaining 76% of the variance in geometric mean presumptive Escherichia coli concentration at sub-catchment outlets during the bathing season, was the proportion of built-up (i.e. urbanised) land in each sub-catchment. This new finding contrasts with earlier studies in livestock farming regions where the proportion of improved grassland has proven to be the strongest predictor of microbial concentration. Also novel in this investigation, a flood defence wall has been built creating a wetland area which discharges every tidal cycle. The wetland produces over 97% reduction in the flux and concentrations of FIOs to the marine recreational waters. Also, FIO concentrations in water draining through the wetland to the sea were similar to concentrations measured in six UK sewage treatment plant effluents subject to secondary (biological) treatment followed by UV disinfection.

Agriculture↗

Classification of bathing water quality based on the parametric calculation of percentiles is unsound.

Analyses of Irish bathing water quality data sets are reported to investigate whether the parametric calculations proposed in the draft Bathing Water Directive are valid. Faecal coliforms (assumed to be Escherichia coli) and faecal streptococci (assumed to be intestinal enterococci) have been analysed separately. It was noted that classifications based on the parametric 95th percentile calculations disagreed with those based on percentage compliance with the standards on 13.8% of occasions. When these disagreements were studied, it was found that the datasets frequently contained many censored data points (Result < 1). Also, the datasets were not log normally distributed on at least 85% of occasions. Both these findings fatally undermine the validity of using a parametric method for calculating 95th percentiles to classify bathing water quality. By contrast the non-parametric Hazen method is a better estimate of true population 95th percentiles, but essentially gives very similar classifications to the percentage compliance approach, fully agreeing on over 95% of occasions. The same is also true when considering 90th percentiles. A series of Monte Carlo studies were also conducted to determine the impact of small numbers. It was ascertained that small sample sizes are very undependable in determining bathing water classification and the parametric method in particular is particularly unreliable. In conclusion, the parametric method for calculating bathing water compliance is so severely and fatally flawed statistically that it should not form the basis of any legislation. The Hazen method gives a better estimate of true 90th or 95th percentiles, though as the resultant classifications agree with percentage compliance so closely it is doubtful that there is any statistical value in using a percentile approach over the long established and well understood percentage compliance approach.

Bathing Beaches↗