EPA Science Inventory

Contact with beach sand among beach-goers and risk of illness

Citation:

Heaney, C. D., T. J. WADE, E. A. SAMS, R. L. CALDERON, M. Beach, AND A. P. DUFOUR. Contact with beach sand among beach-goers and risk of illness. AMERICAN JOURNAL OF EPIDEMIOLOGY. Johns Hopkins Bloomberg School of Public Health, 170(2):164-172, (2009).

Description:

Background: Recently, numerous studies of fecal contamination of beach sand have triggered interest among scientists, the news media, and the general public. Evidence shows that beach sand harbors higher concentrations of fecal indicator organisms (microbes considered to indicate the potential presence of fecal pathogens) than nearby bathing waters. Although fecal pathogens have also been isolated from beach sand, the risk of illness associated with beach sand contact is not well understood. Methods: Beach visitors at seven beaches were enrolled in the study and asked about sand contact the day of their visit to the beach (digging in the sand; body buried in the sand). Ten to twelve days after the beach visit participants were telephoned to answer questions about health symptoms experienced since the visit. Results: We completed a total of 27,365 interviews. Digging in the sand was positively associated with gastrointestinal (GI) illness (adjusted incidence proportion ratio [aIPR]=1.14, 95% CI 1.02–1.26) and diarrhea (aIPR=1.20, 95% CI 1.05–1.36). The association was stronger among those who had their body buried in the sand and GI illness (aIPR=1.22, 95% CI 1.04–1.42) and diarrhea (aIPR=1.23, 95% CI 1.01-1.51). Non-enteric illnesses did not show a consistent association with sand contact activities. Variation in beach specific results suggest site-specific factors may be important in the risk of illness following sand exposure. Conclusions: Sand contact activities were associated with enteric illness at beach sites but there was variability in the effect across beach sites.

Purpose/Objective:

research results

URLs/Downloads:

AMERICAN JOURNAL OF EPIDEMIOLOGY   Exit

Record Details:

Record Type: DOCUMENT (JOURNAL/PEER REVIEWED JOURNAL)
Projected Completion Date: 12/17/2011
Record Last Revised: 11/30/2009
Record Created: 12/26/2008
Record Released: 12/26/2008
OMB Category: Other
Record ID: 202630

Organization:

U.S. ENVIRONMENTAL PROTECTION AGENCY

OFFICE OF RESEARCH AND DEVELOPMENT

NATIONAL HEALTH AND ENVIRONMENTAL EFFECTS RESEARCH LAB

HUMAN STUDIES DIVISION

EPIDEMIOLOGY AND BIOMARKERS BRANCH