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Pet farm visitors should follow basic guidelines to avoid infection as children begin school holidays - HPSC


The HSE Health Protection Surveillance Centre (HPSC) today (Friday) urged visitors to Open or Pet Farms to follow basic guidelines in order to reduce the risk of picking up infections, especially VTEC E.coli O157.

As schools break up for the Easter holidays and the clocks go forward this Sunday children and their parents are more likely to come into contact with farm animals and their environment, said HPSC specialist in public health medicine Dr Paul McKeown.

"Adherence to a number of basic guidelines will make sure that visits to farms are a safe and enjoyable experience for everyone, especially children, who get to learn more about rural life and experience contact with animals.

 
Visitors should:

"These guidelines are particularly important for vulnerable people such as children, the elderly or immunocompromised people. VTEC can cause severe bloody diarrhoea and abdominal cramps. Usually there is little or no fever, and patients recover within five to 10 days. However, some people, particularly children under five years of age and the elderly, are at risk of a complication called haemolytic uraemic syndrome (HUS), in which the red blood cells are destroyed and the kidneys fail. This happens in up to 10% of child cases. HUS is the principal cause of acute kidney failure in children, and the majority of cases of HUS are caused by E. coli O157:H7.

"So far in Ireland we have had no confirmed cases connected with Open or Pet Farms, although the UK has seen over a hundred such cases. Adherence to these simple guidelines, will ensure that such cases are kept to a minimum here," he said.

For further information see:
http://www.hpsc.ie/hpsc/A-Z/Gastroenteric/VTEC/Guidance/File,3973,en.pdf
http://www.hpsc.ie/hpsc/A-Z/Gastroenteric/VTEC/Guidance/File,3976,en.pdf
http://www.hpsc.ie/hpsc/A-Z/Gastroenteric/VTEC/Guidance/File,4199,en.pdf

Householders should properly maintain private water supplies following possible disease threat from heavy rainfall - HPSC


The HSE Health Protection Surveillance Centre today (Wednesday) strongly advised householders to ensure that any private water wells are properly maintained following an increase in Verotoxigenic E. coli (VTEC) cases in November, which may be linked with recent heavy rainfall. 

Twenty six cases of VTEC have been reported in November, compared with between two and 10 cases for the same period in previous years, according to HPSC specialist in public health medicine, Dr Paul McKeown.

“So far in 2009, a total 216 cases have been reported and anyone who drinks water from private wells may need to consider boiling water or taking other appropriate measures after periods of heavy rainfall. 

“This is particularly important for vulnerable people such as children, the elderly or immunocompromised people. Well water can become polluted without any noticeable change in taste or smell. In the longer term, householders should disinfect their private wells regularly and protect them from contaminated surface water. 

“VTEC can cause severe bloody diarrhoea and abdominal cramps. Usually there is little or no fever, and patients recover within five to 10 days. However, some people, particularly children under five years of age and the elderly, are at risk of a complication called haemolytic uraemic syndrome (HUS), in which the red blood cells are destroyed and the kidneys fail. This happens in up to 10% of child cases. HUS is the principal cause of acute kidney failure in children, and the majority of cases of HUS are caused by E. coli O157:H7.

“Around 10% of Irish homes get their water from private wells. However, around 70% of our recent cases report drinking water from private wells. While not all of these cases are caused by water consumption it does raise concerns that the water serving these households may be contaminated.

“The recent heavy rainfall has caused very high water table levels, excessive run off and flooding which increases the chances of drinking water being contaminated. Householders can get further advice on disinfecting and protecting private wells from your Local Authority and on microbiological testing of well water from the HSE Environmental Health Service,” he added.

Householders must properly maintain private water supplies following increase in contamination - HPSC


The Health Protection Surveillance Centre today (Friday) strongly advised householders who use water from private wells to ensure that their wells are properly maintained following an increase in Verotoxigenic E.coli (VTEC) cases.

139 VTEC cases have been reported so far this year compared to around 70-90 cases for the same period in previous years, according to HPSC director, Dr Darina O'Flanagan.

"There is evidence that the increase in VTEC cases may be linked with record rainfall this summer and use of private well water. After periods of heavy rainfall well users may need to consider boiling water intended for consumption or taking other appropriate measures. This is particularly important if vulnerable people such as children, the elderly or immunocompromised persons are drinking the water, especially if the water colour changes or it smells or tastes differently.

"VTEC can cause severe bloody diarrhoea and abdominal cramps. Usually there is little or no fever, and patients recover within 5 to 10 days. However, some people, particularly children under 5 years of age and the elderly, are at risk of a complication called haemolytic uraemic syndrome (HUS), in which the red blood cells are destroyed and the kidneys fail. This happens in up to 10% of child cases. HUS is the principal cause of acute kidney failure in children, and the majority of cases of HUS are caused by E. coli O157:H7.

"Private wells supply water to around 10% of Irish homes and we know that at least 30% of all VTEC cases are associated with water supplied in this way. While not all cases in private well households will have been caused by water consumption we are aware of a number of cases where the water has been shown to be contaminated with E.coli O157 or other E.coli organisms.

"This summer's heavy rainfall has caused very high water table levels, excessive run off and flooding which increases the chances of drinking water being contaminated. Householders can get further advice on private wells from both the HSE Environmental Health Service and local authorities who provide regular local advice on the quality and safety of drinking water," she added.


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