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Hurricane aftermath: Infectious disease threats from common, not exotic, diseases

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Another concern is diarrhea and gastrointestinal illnesses from the flood waters. Short bouts of diarrhea and upset stomachs sometimes occur after natural disasters and can be caused sewage contamination of the water. Although at high levels in floodwaters, the E. coli found in New Orleans is the type commonly associated with fecal contamination and is not the E. coli H7:O157 strain that can cause serious kidney disease and bloody diarrhea.

"At this point in time, I think it is just common sense to continue drinking only bottled water unless authorities have tested the water now being piped into some facilities and have declared it safe to drink," says Berkelman. "To also prevent risk of infection, people should practice basic hygiene, frequently washing their hands with soap and clean water or disinfecting hands with an alcohol-based hand cleaner. Individuals should not eat food that has been exposed to flood waters or that has not been properly refrigerated."

One common misperception is that the body of a person who died as the result of the hurricane and is still in the city poses a risk of infection.

"Decaying bodies pose very little risk for major disease outbreaks," says Berkelman. Furthermore, mosquitoes do not spread disease by feeding on dead bodies. There is, however, a risk of mosquito-borne diseases such as West Nile because mosquitoes breed in standing water. Appropriate pest management, including addressing the need to get rid of standing water, is an important public health measure, she said. A bacterial disease, leptospirosis, may be caused by exposure to water contaminated by rodent urine and can be treated successfully with antibiotics.

Over the long term, mold may also pose a threat. Mold growth is an indicator of excess moisture, and much will need to be done to dry out New Orleans and clean up mold growth. Some environmental molds can cause allergic reactions.


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Contact: Barbara Hyde
bhyde@asmusa.org
202-942-9206
American Society for Microbiology
13-Sep-2005


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