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Sick leave due to diarrhea caused by contamination of drinking water supply with Cryptosporidium hominis in Sweden: a retrospective study
Umeå University, Faculty of Medicine, Department of Clinical Microbiology, Clinical Bacteriology. Unit of Communicable Disease Control and Prevention – Östersund.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine. Unit of Clinical Research Center – Östersund.
2018 (English)In: Journal of Water and Health, ISSN 1477-8920, E-ISSN 1996-7829, Vol. 16, no 5, p. 704-710Article in journal (Refereed) Published
Abstract [en]

We investigated sick leave from work, studies, preschool, and kindergarten occurring between 1 November 2010 and 31 January 2011 and associated with a waterborne outbreak of diarrhea caused by Cryptosporidium hominis in late November 2010 in Östersund, Sweden with 45.2% of 60,000 residents being symptomatic. A questionnaire defining acute watery diarrhoea and/or ≥3 diarrhea episodes/day as cryptosporidiosis was sent to 1,508 residents in late January 2011 (response rate 69.2%). Among adults aged 18–60 years, 24.0% took sick leave for a mean of 4.6 (SD ± 4.0) days due to cryptosporidiosis, and an additional 10.6% were absent from work a mean of 4.0 (±2.2) days to care for symptomatic children. Among children (aged ≤17 years), 35.0% stayed home sick from kindergarten/preschool or school/university for a mean of 5.2 (±3.8) days resulting in 5.1 (±4.4) days of absence from work per sick child shared between parents/guardians. The estimated total number of sick leave days was 50,000 for adults and 20,700 for children, with an estimated direct cost of €7 million for employers. The potential impact on society of sick leave caused by waterborne diseases must be considered in decisions regarding the quality of drinking water.

Place, publisher, year, edition, pages
IWA Publishing, 2018. Vol. 16, no 5, p. 704-710
Keywords [en]
cryptosporidiosis, disease outbreaks, drinking water, sick leave
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-152575DOI: 10.2166/wh.2017.311ISI: 000446334800003PubMedID: 30285952OAI: oai:DiVA.org:umu-152575DiVA, id: diva2:1255466
Available from: 2018-10-12 Created: 2018-10-12 Last updated: 2019-05-20Bibliographically approved

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Widerström, MicaelLilja, Mikael

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