Investigation of Swedish cases reveals an outbreak of cryptosporidiosis at a Norwegian hotel with possible links to in-house water systems
2008

Outbreak of Cryptosporidiosis at a Norwegian Hotel

Sample size: 89 publication 10 minutes Evidence: moderate

Author Information

Author(s): Hajdu Agnes, Vold Line, Østmo Torild A, Helleve Anna, Helgebostad Sigrid R, Krogh Truls, Robertson Lucy, Jong Birgitta, Nygård Karin

Primary Institution: Norwegian Institute of Public Health

Hypothesis

Is there a link between in-house water systems and the outbreak of cryptosporidiosis among Swedish guests at a Norwegian hotel?

Conclusion

The outbreak likely went undetected without the alert from Swedish health authorities, highlighting the need for better awareness and diagnostics for cryptosporidiosis in Norway.

Supporting Evidence

  • 25 diarrhoeal cases were identified among 89 respondents.
  • 10 cases were laboratory-confirmed.
  • Consumption of ice cubes was a strong risk factor for illness.
  • Environmental samples were negative for Cryptosporidium.
  • Awareness of cryptosporidiosis should be raised among medical personnel in Norway.

Takeaway

Some people got sick after staying at a hotel in Norway, and it might be because of the water they drank there.

Methodology

A questionnaire was sent to groups who stayed at the hotel, and cases were defined based on symptoms and lab confirmation.

Potential Biases

Potential bias due to low health-seeking behavior among Norwegian guests.

Limitations

The specific vehicle of transmission was not definitively identified, and the investigation relied on self-reported data.

Participant Demographics

The majority of cases were male, predominantly aged 30-39 years.

Statistical Information

P-Value

<0.01

Confidence Interval

95% CI: 0.9–9.8

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2334-8-152

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