Outbreak of diarrhoea among participants of a triathlon and a duathlon on 12 July 2015 in Utrecht, the Netherlands

SUMMARY On 12 July 2015, a triathlon competition with 900 participants took place in Utrecht, the Netherlands. An outbreak investigation was initiated after 56 participants reported health complaints. An online questionnaire was sent to 700 participants. Stool specimens from six participants and four water specimens were collected from the swimming location. A total of 239 participants completed the questionnaire (response rate: 34%), 73 (31%) of them met the case definition for acute gastrointestinal illness (AGI). A total of 67% of the respondents were male and the median age was 38 years. A... Mehr ...

Verfasser: PARKKALI, S.
JOOSTEN, R.
FANOY, E.
PIJNACKER, R.
VAN BEEK, J.
BRANDWAGT, D.
VAN PELT, W.
Dokumenttyp: Artikel
Erscheinungsdatum: 2017
Reihe/Periodikum: Epidemiology and Infection ; volume 145, issue 10, page 2176-2184 ; ISSN 0950-2688 1469-4409
Verlag/Hrsg.: Cambridge University Press (CUP)
Schlagwörter: Infectious Diseases / Epidemiology
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-26850078
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : http://dx.doi.org/10.1017/s0950268817001017

SUMMARY On 12 July 2015, a triathlon competition with 900 participants took place in Utrecht, the Netherlands. An outbreak investigation was initiated after 56 participants reported health complaints. An online questionnaire was sent to 700 participants. Stool specimens from six participants and four water specimens were collected from the swimming location. A total of 239 participants completed the questionnaire (response rate: 34%), 73 (31%) of them met the case definition for acute gastrointestinal illness (AGI). A total of 67% of the respondents were male and the median age was 38 years. Almost half (42%) of swimmers reported health complaints. Consumption of energy drinks and ingesting ⩾3 mouthfuls of canal water were identified as risk factors for AGI among swimmers only (adjusted relative risks (aRR) 1·6; 95% confidence intervals (CI) 1·0–2·5 and aRR 2·6; 95% CI 1·5–4·8). The collected water specimens tested positive for norovirus genogroup I and rotavirus and stool specimens tested positive for norovirus genogroup II. Our findings indicate that the outbreak could have been caused by exposure to norovirus during swimming. Swimmers should get information about the health risks for making an informed choice about participating. For future events, the organisers decided to change the swimming location from a canal to a recreational lake.