A Review and Update on Waterborne Viral Diseases Associated with Swimming Pools

Lucia Bonadonna and Giuseppina La Rosa
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Lucia Bonadonna: Italian National Institute of Health, Viale Regina Elena, 299-00161 Rome, Italy
Giuseppina La Rosa: Italian National Institute of Health, Viale Regina Elena, 299-00161 Rome, Italy

IJERPH, 2019, vol. 16, issue 2, 1-11

Abstract: Infectious agents, including bacteria, viruses, protozoa, and molds, may threaten the health of swimming pool bathers. Viruses are a major cause of recreationally-associated waterborne diseases linked to pools, lakes, ponds, thermal pools/spas, rivers, and hot springs. They can make their way into waters through the accidental release of fecal matter, body fluids (saliva, mucus), or skin flakes by symptomatic or asymptomatic carriers. We present an updated overview of epidemiological data on viral outbreaks, a project motivated, among other things, by the availability of improved viral detection methodologies. Special attention is paid to outbreak investigations (source of the outbreak, pathways of transmission, chlorination/disinfection). Epidemiological studies on incidents of viral contamination of swimming pools under non-epidemic conditions are also reviewed.

Keywords: adenovirus; enterovirus; hepatitis A virus; norovirus; swimming pool; waterborne disease (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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