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MEDICS SUSPECT THAT a swimming pool in the HSE South area was the cause of an outbreak of Hepatitis A last year.
A new paper in the current edition of the Irish Medical Journal (IMJ) shows that last summer five people, including three children – two aged 10 – fell ill with the disease.
The disease is extremely rare here and there were only two other cases of the bug confirmed in the HSE South area in 2016, and both were people returning from travel overseas.
However, the medics at the Public Health Office HSE South state that the outbreak could have been contained and illnesses prevented if there had not been a 13-day delay in notifying it of the first case.
They stated that the case “illustrates the public health consequences of delayed notification”.
“Timely notification would have facilitated prompt contact vaccination and may have prevented illness in subsequent contacts. Improved communication with clinicians and laboratory staff should improve the speed of notification in the future,” they said.
The five Hepatitis A cases were notified over a four week-period between 9 August and 7 September last.
The public health office there detected a link between two of the victims attending a swimming pool which had sub-optimal chlorine levels. People can contract Hepatitis A by swallowing water with fecal content.
In very rare cases, it can result in death but, for the vast majority, the symptoms of fever, nausea, fatigue and jaundice usually last less than two months, although some people can be ill for as long as six months.
Swimming pool link
In the first case in the HSE South area, a 10-year-old child was hospitalised in July 2016 for investigation of jaundice, anorexia and vomiting and was diagnosed with Hepatitis A on 27 July. However, the public health office was not notified until 13 days later – on 9 August.
The onset of symptoms for another 10-year-old going to the same school commenced on 6 August and the child was diagnosed on 8 August. The public health office was notified of the Hepatitis A case on 12 August. Prompt notification would have prevented the parents of the first child contracting the disease.
The 38-year-old mother of the first child contracted the bug and was diagnosed on 22 August with the public health office notified the following day while the child’s 38-year-old father got the bug and was diagnosed on 29 August, with the public office notified the same day.
A fifth case was confirmed on 21 August of a 13-year-old girl but there was an 18-day delay in the public health office being notified. The girl went to a secondary school in a different geographical area.
However, the medics found a potential link between the first child to contract the bug and the 13-year-old girl “via a visit to a swimming pool with suboptimal chlorine levels”.
Investigation
In response to the suspected outbreak, the public health office launched a comprehensive investigation consisting of epidemiological, environmental and microbiological investigations.
The investigators found that swimming pool attendance in early July 2016 was the only ascertainable link between the first child and the 13-year-old girl.
To avoid contracting the bug, a vaccine must be administered within two weeks of exposure. However, the medics point out that the contacts of the first child’s case and the teenage girl’s “were outside the window of vaccination due to delayed notification”.
Dr Helena Ferris, Specialist Registrar in Public Health Medicine, said yesterday: “A swimming pool with suboptimal chlorination levels was identified as one possible source.”
She said the investigation by the outbreak control team included a site inspection and repeat water sampling at the pool.
“The findings were discussed with the management of the swimming pool and the outbreak control team was satisfied that the sub-chlorination had been addressed and a satisfactory management plan put in place by swimming pool management to prevent a recurrence.”
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That’s fierce complicated.
iKnow right?
Why do Apple bury some many fantastic things so that they are hidden from us? Do they know about them themselves? Wish they would make a better on-screen keyboard for the iPad.
“Reading under the covers” mode, I’ve wanted this for so long. Thanks!
Good tip. I use my phone as an alarm clock at night. Even turned down, the screen is still very bright. This should help
Don’t have an iPhone but have my phone set to the lowest setting due to photophobia after a papercut to the eyeball. Sometimes when it kicks up stink I have to wear sunglasses looking at the phone.
Ahh ohhh “papercut in the eyeball”
That comment should have a warning!!
Ahhh Jesus wept!!!
Tell me… is it only iPhone’s that allow you to adjust brightness?!
No, in Android it’s in settings… pretty obvious. Another Apple over complication of a basic function.
This tip isn’t in settings is it not george?
@George Indeed it’s fairly simply on Android hence the sarcasm.
Tired. Missed tone of voice, seeing as it’s text. :p Let it go; you know full well far dumber things have been asked here…
Screen brightness is in settings on an iphone too and its not over complicated. It says ‘display and brightness’ did you check before you commented?
Even simpler to swipe up from bottom and adjust the brightness slider
Quinton, thank u for telling me & ur information seems useful. Be beware, NSA might be unimpressed as secret has broken out!
Poxy iphone, who’s gives a monkey’s nut.
People with iPhones
T-bone, d:ckhead
I smell dumb
Old man talkin tough, ain’t that cute
What about settings>display and brightness? Seems much simpler if you ask me.
That’s what I’ve been doing but this way makes it much duller again
Ah john,
Read the article.
Ah John. Your just misunderstood.
I like the tip. Did it on the iPad. Instructions could be better. Just sayin.
I don’t get it… Swipe up, move brightness to the left, job done. I can barely see it when it’s all the way to the left. Just what does this complicated method do that the brightness adjuster doesn’t? I can’t be arsed going through all that to check.
Hidden depths!
Using this feature ages and it really is very useful darkens the screen much lower than the standard brightness setting allows makes reading at night much better. And it’s handy just triple clicking when you need to lower the light for whatever reason in cinema etc.
Triple tap the home screen with 3 finger tips for a shortcut
have your say