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A probabilistic model of bathing beach safety.

An improved mathematical model for bathing beach safety is proposed. It is derived by joining the probability of infection from a given dose (Poisson distribution and the probability of acquiring such a dose (lognormal distribution). Even in the absence of better clinical and epidemiological data, the model permits an assessment of relative risk from certain hazards and the design of more meaningful bacteriological standards for individual beaches.

Bacteria

The occurrence of Candida Albicans in Lake Ontario bathing beaches.

There are inherent weaknesses associated with currently used bacterial fecal pollution indicator systems. Fecal pollution indicator data would be more meaningful if supplemented with information relating to the occurrence of pathogens in recreational water. Through surveys of four bathing beaches on Lake Ontario, it was established that the opportunistically pathogenic yeast Candida albicans occurs in near shore waters. The beaches surveyed could be differentiated on the basis of bacterial fecal pollution indicator levels and numbers of the pathogens C. albicans and Pseudomonas aeruginosa. The occurrence of C. albicans and P. aeruginosa appeared to be related to elevated fecal pollution indicator levels. Maximum numbers of all parameters were observed in July and August in association with peak bather loads at the beaches. In only one instance does the data suggest that a beach was subjected to human fecal contamination.

Bathing Beaches

Relationship of microbial indicators to health effects at marine bathing beaches.

Findings are described from the second year of an epidemiological-microbiological study conducted at New York City beaches as part of the U.S. Environmental Protection Agency program to develop health effects-recreational water quality criteria. Symptomatology rates among swimmers (defined as immersion of the head in the water) relative to nonswimming but beach-going controls at a "barely acceptable" (BA) beach and a "relatively unpolluted" (RU) beach were examined. Data were collected by contacting family groups at the beach on weekends, obtaining information on bathing activity, and then questioning them by phone some 8--10 days later. In addition measurements were made for a number of potential water quality indicators. It was observed that the symptom rates, categorized as gastrointestinal (GI), respiratory, "other", and "disabling" (stayed home, stayed in bed, consulted a physician), were higher among swimmers than nonswimmers. As in the pretest conducted the previous year, the rate of GI symptoms was significantly higher among swimmers relative to nonswimmers at the BA but not the RU beach. Children, Hispanic Americans, and the low-middle socioeconomic groups were identified as the most susceptible portions of the population.

Adolescent

Tumors and amyloidosis in mice painted with crude oil found on bathing beaches.

Oil lumps collected on the beaches of Israel in 1970, 1971 and 1973 were extracted with pure acetone and the extracts were used to paint the skin of mice twice weekly for 12 months. The oil lumps originated from crude oil spilled from tankers. The less recently collected oils induced papillomata and lymphomata in some animals. They were also more active than the recent oil in the induction of generalized amyloidosis. Mice painted for 12 months with acetone alone developed amyloidosis to a similar extent as those painted with the oldest oil. In previously reported experiments, however, acetone was much less active than the oil in producing amyloidosis after 5 months of painting. The possibility that acetone and oil might act both synergistically or to be antagonistic at different phases of amyloidogenesis is discussed.

Amyloidosis

Respiratory colonization with Pseudomonas putrefaciens after near-drowning in salt water.

Pseudomonas putrefaciens, a marine organism infrequently found in human culture material, was repeatedly isolated from the sputum of a patient with pneumonia during a three-week period following a salt-water drowning accident. Similar organisms were found in the water at the site of the accident in Boston, and at ocean bathing beaches on nearby Martha's Vineyard.

Drowning

Rapid seven-hour fecal coliform test.

A rapid 7-h fecal coliform (FC) test for the detection of FC in water has been developed. This membrane filter test utilizes a lightly buffered lactose-based medium (m-7-h FC medium) combined with a sensitive pH indicator system. FC colonies appeared yellow against a light purple background after incubation at 41.5 degrees C for 7 to 7.25 h. Comparison of FC test results showed that the mean verified FC count ratio (7-h FC count/24-h FC count) for surface water samples was 1.08. The mean FC count ratio (7-h FC count/24-h FC count) for unchlorinater wastewater ranged from 1.95 to 5.05. Verification of yellow FC colonies from m-7-h FC medium averaged 97%. Data from field tests on Lake Michigan bathing beach water samples showed that unverified 7-h FC counts averaged 96% of the 24-h FC counts. The 7-h FC test was found to be suitable for the examination of surface waters and unchlorinated sewage and could serve as an emergency test for detection of sewage or fecal contamination of potable water.

Culture Media

An appraisal of sewage pollution along a section of the Natal coast after the introduction of submarine outfalls.

A bacteriological survey on the distribution and occurrence of coliforms and pathogenic indicators of pollution within the surf-zone and near-shore waters along a section of the Natal coast before the use of submarine outfalls with reported previously. In that report more than half the beaches in the region were found to be of Class IV or III quality. After the submarine outfalls became operational, ten further sampling runs were made. A considerable improvement in the sea-water quality was apparent, most of the beaches being regarded to Class II or I, notably in the bathing areas.

Bathing Beaches

Observation on biting midge infestations on Mamburao Beach, Mimdoro, Philippines.

The occurrence of biting midge infestation involving the species Leptoconops (Styloconops) spinosifrons Carter 1921 (Diptera, Ceratopogonidae) is reported from a beach resort in Mindoro Island, Philippines. The flies are most active between 0700 and 0900 hours, and again, between 1600 and 1800 hours; they are most abundant in the shoreline and sand beach area.

Bathing Beaches

Morbidity among bathers exposed to polluted seawater. A prospective epidemiological study.

As the first phase of a major programme to develop epidemiologically derived recreational water quality criteria for South Africa, a preliminary epidemiological-microbiological study was conducted in Cape Town during February and March 1990. Serial trials were carried out at a clean and at a relatively polluted beach over weekends. Participants were recruited at the beach, at which time information on swimming status and sociodemography was obtained. This provided for a beach-going but non-swimming control group. Symptoms which developed subsequent to the beach visit were obtained by follow-up telephone interviews conducted 3-4 days later. Water samples collected on trial days both before and during maximum swimming activity, were analysed for enterococci, faecal coliforms, staphylococci, coliphages and F-male-specific bacteriophages. Significant differences in the indicator levels at the beaches were observed. An excess in gastro-intestinal, respiratory and skin symptoms were found among swimmers relative to non-swimmers at the polluted beach. Although not statistically significant, the results are suggestive of a relationship between swimming-associated illness and water quality. The study demonstrated the feasibility of the methodology and the results of the overall programme will form the basis for the development of epidemiologically derived recreational water quality criteria for South African beaches.

Bathing Beaches

How dangerous is that visit to the beach? A pilot study of beach injuries.

OBJECTIVE: To determine the profile of injuries sustained on a resort beach during the summer holiday period. DESIGN/SETTING: Information was gathered from patients presenting to the surf club, hospital, surgery and pharmacy with injuries sustained on or around Lorne beach, Victoria. RESULTS: 211 injuries were recorded; 37% were lacerations/cuts, 18% were rescues. Of the listed causes of injuries, 20% were from surfboards and 19% were from beach litter. CONCLUSIONS: An injury profile was developed. The patterns were used to prepare the recommendations for preventive measures.

Adolescent

Contaminated marine wounds--the risk of acquiring acute bacterial infection from marine recreational beaches.

An animal model was used to determine the potential for causing wound infections of bacteria isolated from marine recreational beaches in Hong Kong. Water samples were characterized physically, chemically and bacteriologically and used to inoculate artificially-induced wounds in rats. Morbidity and mortality correlated significantly (P < 0.01) with MacConkey plate counts and faecal coliform counts (membrane filtration) and inversely with salinity of the water. The majority of deaths were due to infection caused by marine and estuarine bacteria rather then enteric organisms. A total of 318 bacterial strains was isolated from the wounds and blood of animals inoculated with seawater, of which 242 were marine/estuarine (predominantly Vibrio spp., Aeromonas hydrophila and Pseudomonas putrefaciens) and 40 were enterobacteria. The virulence of the animal strains were comparable with those from clinical sources.

Animals