RESUMO
Water treatment plants in the United Kingdom at significant risk of cryptosporidiosis and using conventional filtration methods have been required to install 24-h monitoring systems since April 2000. No major waterborne outbreaks have been described since 2001. Small outbreaks have been associated with water. This paper describes such an outbreak. Data from a local multi-agency surveillance system was used to describe the outbreak, including mapping cases against water supply zones. A case-control study investigated hypotheses raised. All cases were genotype 1. Early cases were in the supply zone of a surface water-treatment plant that had met treatment standards. Later cases included residents in a different supply zone that temporarily received water from the implicated plant. Cases reported more consumption of domestic mains water than controls. Descriptive and analytical epidemiology thus supported drinking water as a source of cryptosporidiosis from a plant meeting regulatory requirements. The evidence for setting drinking-water standards needs review.
Assuntos
Criptosporidiose/epidemiologia , Surtos de Doenças , Gastroenterite/parasitologia , Abastecimento de Água , Água/parasitologia , Adolescente , Adulto , Estudos de Casos e Controles , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Oocistos , Reino Unido/epidemiologia , Microbiologia da ÁguaRESUMO
The appointment of a primary care mental health worker can relieve pressure on child and adolescent mental health services. In one health authority, GP practices with access to a liaison clinic run by a primary care mental health worker referred a third fewer cases to child and adolescent mental health services than practices without such access. Referrals by these practices were more likely to be assessed as appropriate and as high priority.
Assuntos
Serviços de Saúde do Adolescente , Serviços de Saúde da Criança , Medicina de Família e Comunidade/organização & administração , Serviços de Saúde Mental/organização & administração , Equipe de Assistência ao Paciente , Adolescente , Serviços de Saúde do Adolescente/estatística & dados numéricos , Criança , Serviços de Saúde da Criança/estatística & dados numéricos , Necessidades e Demandas de Serviços de Saúde/tendências , Humanos , Serviços de Saúde Mental/estatística & dados numéricos , Projetos Piloto , Atenção Primária à Saúde , Encaminhamento e Consulta/estatística & dados numéricos , Reino Unido , Listas de Espera , Recursos HumanosRESUMO
A survey was carried out to investigate general practitioners' attitude towards drug addicts and addiction. A questionnaire was sent to all GPs in the Norwich Health District and obtained an 87% response rate. A range of negative and positive attitudes was identified. The implications of these findings are discussed with particular reference to current government policy of encouraging GPs to extend their role in treating drug addiction.
