Increased number of cryptosporidiosis cases with travel history to Croatia might be related to swimming pools, Germany, 2023

Author:

Schoeps Anja123ORCID,Röbl Klara14ORCID,Walter Nicole5,Neute Andrea6,Walter Bernadette47,Freudenau Inga8,Jurke Annette8ORCID,Klier Christiane9ORCID,Heinmüller Petra10,Saeed Syamend410,Metz Jasmin411,Wilking Hendrik12ORCID,Zanger Philipp23ORCID

Affiliation:

1. These authors contributed equally to this work and share first authorship.

2. Federal State Agency for Consumer and Health Protection Rhineland-Palatinate, Koblenz, Germany

3. Heidelberg Institute of Global Health (HIGH), Heidelberg University, Heidelberg, Germany

4. Postgraduate Training for Applied Epidemiology (PAE), Department of Infectious Disease Epidemiology, Robert Koch Institute, Germany

5. District Public Health Authority Rhein-Pfalz-Kreis, Ludwigshafen, Germany

6. Landesamt für Arbeitsschutz, Verbraucherschutz und Gesundheit (LAVG), Potsdam, Germany

7. Department for Health Protection, Infection Control and Epidemiology, State Health Office, Ministry of Social Affairs, Health and Integration Baden-Württemberg, Stuttgart, Germany

8. Landeszentrum Gesundheit Nordrhein-Westfalen, Fachgruppe Infektionsepidemiologie, Bochum, Germany

9. Niedersächsisches Landesgesundheitsamt, Abt. 2: Infektionsepidemiologie, Hannover, Germany

10. Hessisches Landesamt für Gesundheit und Pflege (HLfGP), Abteilung 2 Gesundheits- und Infektionsschutz, Dillenburg, Germany

11. Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit, München, Germany

12. Department of Infectious Disease Epidemiology, Robert Koch Institute, Germany

Abstract

In August and September 2023, an unusually high number of cryptosporidiosis cases identified by routine German surveillance had travelled to Croatia (n = 23). Nine cases had stayed in the same camping resort and seven further cases had stayed at other camping sites within 15 km. Based on our standardised questionnaires, the most likely source of infection was swimming pools (93%). Further environmental investigations on site might reveal potential common sources of contamination that could be targeted by control measures.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Subject

Virology,Public Health, Environmental and Occupational Health,Epidemiology

Reference15 articles.

1. Human cryptosporidiosis in Europe.;Cacciò;Clin Microbiol Infect,2016

2. An outbreak of cryptosporidiosis associated with drinking water in north-eastern Italy, August 2019: microbiological and environmental investigations.;Franceschelli;Euro Surveill,2022

3. Waterborne outbreak of cryptosporidiosis in the South East of Ireland: weighing up the evidence.;Mahon;Ir J Med Sci,2017

4. Cryptosporidiosis outbreaks associated with recreational water use--five states, 2006.;MMWR Morb Mortal Wkly Rep,2007

5. Robert Koch Institute (RKI). Falldefinitionen des Robert Koch-Instituts zur Übermittlung von Erkrankungs- oder Todesfällen und Nachweisen von Krankheitserregern. [Case definitions from the Robert Koch Institute for reporting case of illness or death and evidence of pathogens]. Berlin: RKI; 2023. German. Available from: https://www.rki.de/DE/Content/Infekt/IfSG/Falldefinition/Downloads/Falldefinitionen_des_RKI_2023.pdf?__blob=publicationFile

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