Question

Case Report #5 On July 4, 2007, Florida's Central District Health Department (CDHD) received a complaint of several ill persons with watery diarrhea after attendance at a municipal splash park on June 26. Water samples collected from splash features and an adjacent drinking fountain tested positive. The report by Florida Department of Health summarized the investigation of the outbreak and highlights the importance of splash park design, operation, access to hygiene facilities, and public education in prevention of waterbome parasites and other infectious agents. The exposures occurred at a recently constructed splash park located within a municipal park in a suburban community in Florida with a surrounding population of 550,000. Splash parks are increasingly popular venues associated with recreational water illness. The initial investigation by CDHD and CDC began on July 7 with interviews of 20 persons who attended a party at the splash park on June 26. Among those 20 persons, 12 reported gastrointestinal illness that began July 1--66--11 days after exposure), including eight persons who reported watery diarrhea. All 12 ill persons reported exposure to splash-feature water, and six reported exposure to water from a nearby drinking fountain. No food items at the party were implicated as the source of the outbreak. Investigators hypothesized that swallowing contaminated splash park water was the source of illness. A clinical case was defined as the onset of diarrhea (three or more loose stools in 24 hours) or four or more symptoms consistent with gastroenteritis (i.e., abdominal cramps, nausea, vomiting, fever, or body aches) in a person within 1--12 days after visiting the municipal park A confirmed case was defined as illness in a person with a positive IFA stool test result. Oocysts in stool specimens and molecular analysis of the specimens also gave positive test results. Watery diarrhea was the most frequent symptom, and in some patients was accompanied by dehydration, weight loss, abdominal pain, fever, nausea and vomiting. No hospitalizations or deaths associated with illness were reported The following topics should be answered. Type the question and then your answer under the question. 1. What are some of the symptoms of the disease? What would occur if there is worsening of symptoms? 2. What is the mode of transmission or source of the infection (how does a person become infected)? 3. How would you confirm the disease (serum, antibodies, diagnostic test sts? Be specific)? 4. What medical treatment is recommended and appropriate? 5. What else must be determined about the disease or your particular case study if you choose; (particulars about the patient history, source of infection, reoccurrence, risk of exposure, etc) 6. Is this a nationally notifiable disease, or an emerging infectious disease? 7. What are some statistics of incidence and prevalence of this discase in certain areas of the world as reported by WHO? In the United States reported in MMWR by the CDC?? 8. Any other information you might find appropriate for your particular disease such as a case study (find on cdc.gov) and/or up to date research. 9. The last page of your paper should include "Reference page with resources cited.

Answer 1

1, Abdomen cramps, nausea, vomiting, fever, watery diarrhea, and body ache are the symptoms of the disease. If there is a worsening of symptoms it causes dehydration, weight loss, and continuous fever.
2, Mode of transmission is fecal-oral root. Accidental ingestion of contaminated water through drinking and recreational water and stool causes this infection.
3, Stool samples and tissue samples from the intestine can confirm the disease.
4, Medical treatment includes relieving symptoms and increasing immunity with anti-parasitic drugs, antimotility drugs and to avoid dehydration fluid replacement therapy and to boost immune response Highly Active Antiretroviral Therapy(HAART) is important.