Clostridium and Cryptosporidium outbreak linked to a splash pad.

BACKGROUND: . Splash pads for recreational purposes are widespread. Using these pads can pose a health risk if they lack installation regulation and water quality supervision. Our aim was to describe a waterborne disease outbreak caused by Clostridium perfringens and Cryptosporidium spp. in a Barcelona district and the measures taken for its control. METHODS: . On August 2018, 71 cases of acute gastroenteritis were detected, affecting people who used a splash pad or were in contact with a user. Microbiological and environmental investigations were carried out. A descriptive analysis of the sample and Poisson regression models adjusted for age and sex were performed, obtaining frequencies, median values, and adjusted prevalence ratios with their 95% confidence intervals. RESULTS: The median age of the cases was 6.7 years, 27 (38%) required medical care, and three (4.2%) were hospitalized. The greater the number of times a person entered the area, the greater the number of symptoms and their severity. Nineteen (76%) of the 25 stool samples collected from cases showed the presence of one or both pathogens. Environmental investigations showed deficiencies in the facilities and identified the presence of both species in the splash pad. Health education and hygiene measures were carried out, and 14 days after the closure of the facilities, no more cases related to the pad were recorded. CONCLUSIONS: . Specific regulations are needed on the use of splash pads for recreational purposes. Until these regulations are in place, these types of facility should comply with the regulations that apply to swimming pools and spas, including those related to the design of the tanks, water recirculation systems, and adequate disinfection systems.

Qualitative and quantitative changes in traffic and waste incineration PCDD/Fs in urban air and soils under different seasonal conditions (Metropolitan Area of Barcelona).

A sampling and analysis scheme was implemented to discriminate between inputs of polychlorodibenzo-p-dioxins and polychlorodibenzofurans (PCDD/Fs) at low concentrations in urban areas. Ambient air and soils were sampled and analyzed in five stations in the Metropolitan area of Barcelona (2018-2019); one located in a reference urban traffic site and four in the area of influence of an integrated waste management facility (IWMF) that included a solid waste incinerator. Seasonality was the main factor determining the PCDD/F composition, and involved lower values in the warmer months. This seasonal effect was related to enhanced photooxidation of PCDDs compared to PCDFs and faster depletion of the less chlorinated congeners due to volatility at higher ambient temperature; consistent with the compounds' octanol-air partition coefficients. The ratio 2,3,7,8-tetrachlorobenzofuran/1,2,3,4,6,7,8-heptachlorobenzofuran allowed, for the first time, identifying cases of preferential contributions of IWMF and traffic inputs, i.e. values of 0.06 and 0.32, respectively. Combination of this ratio with the airborne PCDD/F levels illustrated that the quantitative PCDD/F levels were not a useful criterion for elucidation between IWMF and traffic inputs. PCDD/Fs levels in soils ranged between 9.0 and 22 pg WHO-TEQ/g in the two sites closest to the IWMF, while the other sites, including the traffic site, showed values between 0.8 and 1.9 pg WHO-TEQ/g. The levels in the former group were higher than those observed in other urban areas and above 5 pg WHO-TEQ/g, which is a limit reference value in several European countries. The C7 and C8 observed congener distributions in all soils examined were different from those in the air samples and similar to those reported in sewage sludge from waste water treatment plants, not showing influences from IWMF or traffic PCDD/F inputs.

Street Cleaning Trucks as Potential Sources of Legionella pneumophila.

In 2015, Legionnaires' disease was diagnosed in a street cleaning worker. We found Legionella pneumophila serogroup 1 in the water and internal foam from the tanks of 2 trucks used by the worker during the incubation period. The internal foam was removed, and a Legionella prevention program was implemented.