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1. Drinking and recreational water-related diseases: a bibliometric analysis (1980–2015) (PubMed)

 %) had the least international collaboration in water-related disease research. Environmental Protection Agency and Centers for Disease Prevention and Control were among top ten productive institutions. In the top ten cited articles, there were three articles about arsenic, one about aluminum, one about trihalomethane, one about nitrate, one about toxoplasmosis, one about gastroenteritis, and the remaining two articles were general ones.There was a linear increase in the number of publications (...) Drinking and recreational water-related diseases: a bibliometric analysis (1980–2015) Water - related diseases are worldwide health concern. Microbial contamination and contaminant products in water are a source of disease outbreaks and development of cumulative toxic effects. Ensuring safe water is one of the goals to be achieved at the global level. The aim of this study was to assess publications on drinking and recreational water from a health point of view to understand current problems

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2016 Annals of occupational and environmental medicine

2. Ex situ study of Enterococcus faecalis survival in the recreational waters of the southern coast of the Caspian Sea (PubMed)

Ex situ study of Enterococcus faecalis survival in the recreational waters of the southern coast of the Caspian Sea The US Environmental Protection Agency has suggested faecal enterococci as the primary bacterial indicators. Of more importance is their direct correlation with swimmer-associated gastroenteritis in recreation water quality monitoring. In contrast to other seawater bodies with 3.5% salinity, the recreational waters in the southern coast of the Caspian Sea possess its own salinity (...) (about 1% w/v) and thus require further investigations to determine the capacity of Enterococcus faecalis as the sole primary microbial index in this unique aquatic environment.The survey of the presence and survival of E. faecalis as a microbial index in the recreational waters of the southern Caspian Sea was carried out using a microcosm as an experimental model. The concentration of E. faecalis cells in samples of seawater were estimated by a standard membrane filtration method using m

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2016 Iranian journal of microbiology

3. Equivalency of risk for a modified health endpoint: a case from recreational water epidemiology studies. (PubMed)

Equivalency of risk for a modified health endpoint: a case from recreational water epidemiology studies. The United States Environmental Protection Agency (USEPA) and its predecessors have conducted three distinct series of epidemiological studies beginning in 1948 on the relationship between bathing water quality and swimmers' illnesses. Keeping pace with advances in microbial technologies, these studies differed in their respective microbial indicators of water quality. Another difference (...) , however, has been their specific health endpoints. The latest round of studies, the National Epidemiological Assessment of Recreational (NEEAR) Water studies initiated in 2002, used a case definition, termed "NEEAR GI illness" (NGI), for gastrointestinal illness corresponding closely to classifications employed by contemporary researchers, and to that proposed by the World Health Organization. NGI differed from the previous definition of "highly credible gastrointestinal illness" (HCGI) upon which

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2013 BMC Public Health

4. Role of self-caught fish in total fish consumption rates for recreational fishermen: Average consumption for some species exceeds allowable intake (PubMed)

to family or friends. Self-caught fish made up 7 to 92 % of fish diets. On average, self-caught fish were eaten for only 2 to 6 months of the year, whereas other fish (commercial or restaurant) were eaten up to 10 months a year. Anglers consumed from 5 to 36 meals of different fish a year, which resulted in intake of mercury ranging from 0.01 to 0.22 ug/kg/day. Average intake of Mako shark, swordfish, and tuna (sushi, canned tuna, self-caught tuna) exceeded the U.S. Environmental Protection Agency's (...) Role of self-caught fish in total fish consumption rates for recreational fishermen: Average consumption for some species exceeds allowable intake Studies of fish consumption focus on recreational or subsistence fishing, on awareness and adherence to advisories, consumption patterns, and contaminants in fish. Yet the general public obtains their fish from commercial sources. In this paper I examine fish consumption patterns of recreational fishermen in New Jersey to determine: 1) consumption

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2013 Journal of risk research

5. Improving outdoor air quality and health: review of interventions

and spend their leisure time. Whilst there are opportunities for individuals to reduce their personal exposure (or that of their children) these are limited. Likewise, whilst there are opportunities for local authorities to reduce the way air pollution concentrates in certain places (such as underpasses with heavy traffic) these are also limited. The interventions that will have the greatest impact on reducing harm to people’s health are, therefore, those which reduce emissions of air pollution

2019 Public Health England

6. Cyanobacteria and Drinking Water: Occurrence, Risks, Management and Knowledge Gaps for Public Health

J. Toxin-producing cyanobacteria in freshwater: a review of the problems, impact on drinking water safety, and efforts for protecting public health. J Microbiol. 2013 Feb;51(1):1-10. Available from: https://doi.org/10.1007/s12275-013-2549-3. 19. United States Environmental Protection Agency. Cyanobacteria and cyanotoxins: Information for drinking water systems. Washington, DC: US EPA; 2014 Sep. Report No.: EPA-810F11001. Available from: https://www.epa.gov/sites/production/files/2014-08 (...) weekly basis or relying on laboratory results with long turnaround times may have missed these events and prevented rapid response from operators. Advisories There are mixed approaches to issuing of an advisory for cyanobloom affected waters, which may differ by the types of uses (recreational, drinking water) and the trigger or alert levels used by the relevant authority (e.g. visual confirmation, confirmation of toxic cyanobacteria, MC levels above a threshold). In waterbodies where cyanoblooms

2019 National Collaborating Centre for Environmental Health

8. Environmental Exposures from Oil and Gas Emissions

. Environmental Protection Agency (EPA) Human Health Risk: https://www.epa.gov/risk ? Alberta Environmental Health: http://www.health.alberta.ca/newsroom/pub- environmental-health.html ? Ensure patients: o Understand roles and responsibilities of health care providers involved in their care including: ? Primary care physicians (PCPs)/medical specialists address health-related symptoms, rule out other medical causes of symptoms, treat and manage the overall health of the patient, and refer to a specialist when (...) from the fundamental goal of improving the patient’s quality of life. 7 Environmental Exposures from Oil and Gas Emissions | March 2017 Clinical Practice Guideline Page 7 of 14 Background ASSESSING ENVIRONMENTAL HEALTH RISK FROM ENVIRONMENTAL EXPOSURES The U.S. Environmental Protection Agency (EPA) describes a framework for assessing health risks. This framework is a good summation of the basic process and highlights the complexity and challenges involved. According to the EPA a human health risk

2017 Toward Optimized Practice

10. Skin Cancer Prevention: Behavioral Counseling

skin from the sun. . Accessed February 2, 2018. U.S. Food and Drug Administration. Indoor tanning: the risks of ultraviolet rays. . Accessed February 2, 2018. US Environmental Protection Agency. Sun safety. . Accessed February 2, 2018. US Preventive Services Task Force. Screening for skin cancer: US Preventive Services Task Force recommendation statement. JAMA. 2016;316(4):429-35. Crane LA, Deas A, Mokrohisky ST, et al. A randomized intervention study of sun protection promotion in well-child care (...) Administration (FDA) provides information to help guide patients and clinicians regarding sun protection and the use and effectiveness of broad-spectrum sunscreen. The FDA has determined that broad-spectrum sunscreens with a sun-protection factor of 15 or greater, reapplied at least every 2 hours, protect against both UVA and UVB radiation and reduce the risk of skin cancer and early skin aging. The FDA also provides consumer education materials on the dangers of indoor tanning. The Environmental Protection

2018 U.S. Preventive Services Task Force

11. Growing at Home: Health and Safety Concerns for Personal Cannabis Cultivation

unable to request the guidance or participation of federal regulators (Environmental Protection Agency), as cannabis remains an illicit substance. 45,46 In Canada, pest control products are reviewed and registered for use by the Pest Management Regulatory Agency (PMRA). PMRA has registered a number of products for use on medical cannabis, which are considered low-risk when used according to label directions. d At the time of writing, PMRA-approved pesticides included plant oils (garlic, neem, canola (...) . 13. Gourdet C, Giombi KC, Kosa K, Wiley J, Cates S. How four U.S. states are regulating recreational marijuana edibles. Int J Drug Policy. 2017;43:83-90. Available from: https://www.ncbi.nlm.nih.gov/pubmed/28343113. 14. Subritzky T , Pettigrew S, Lenton S. Into the void: regulating pesticide use in Colorado’s commercial cannabis markets. Int J Drug Policy. 2017;42:86- 96. Available from: https://www.ncbi.nlm.nih.gov/pubmed/28173984. 15. Canadian Centre on Substance Use and Addiction. Addictions

2018 National Collaborating Centre for Environmental Health

12. Identifying and Addressing the Public Health Risks of Splash Parks

that support safe drinking water have evolved to acknowledge risks from protozoan parasites such as Cryptosporidium, this is not necessarily the case for recreational water. For example, in the United States, the US Environmental Protection Agency requires water supplies to achieve a 2-log reduction in Cryptosporidium; however, there is no corresponding requirement for recreational water. 8 Likewise, in British Columbia, public water suppliers are required to achieve a 3-log reduction in Cryptosporidium (...) is consistent with past studies of recreational water outbreaks in which Cryptosporidium and Giardia were found to be the primary cause of outbreaks in treated recreational water. 11 Cryptosporidium is a protozoan parasite that forms an oocyst and is resistant to the levels of chlorine typically used in recreational water for up to several days. 12,13 In order to kill or deactivate Cryptosporidium, treatment methods in addition to chlorine are required, for example ultraviolet (UV) light

2017 National Collaborating Centre for Environmental Health

13. Lung Cancer Prevention (PDQ®): Health Professional Version

cancer risk from residential radon: meta-analysis of eight epidemiologic studies. J Natl Cancer Inst 89 (1): 49-57, 1997. [ ] Krewski D, Lubin JH, Zielinski JM, et al.: Residential radon and risk of lung cancer: a combined analysis of 7 North American case-control studies. Epidemiology 16 (2): 137-45, 2005. [ ] Environmental Protection Agency: Exposure to Radon Causes Lung Cancer In Non-smokers and Smokers Alike. Washington, DC: Environmental Protection Agency, 2011. . Last accessed November 30, 2017 (...) the relationships between lung cancer and dietary factors, confounding factors related to cigarette smoking cannot be dismissed as a possible explanation. Physical activity A meta-analysis of leisure-time physical activity and lung cancer risk revealed that higher levels of physical activity protect against lung cancer.[ ] The overall evidence for physical activity has been mixed, but several studies have reported that individuals who are more physically active have a lower risk of lung cancer than those who

2018 PDQ - NCI's Comprehensive Cancer Database

14. Prevalence and characterization of Escherichia coli isolated from the Upper Oconee Watershed in Northeast Georgia. (PubMed)

States Environmental Protection Agency (U.S. EPA) threshold for recreational water (235 CFU/100 ml based on a one-time measurement). Phylo-groups B2 (31.7%; 157/496) and B1 (30.8%; 153/496) were the most prevalent among the isolates. Enteropathogenic E. coli (EPEC) (19/496) and Shiga toxin-producing E. coli (STEC) (1/496) were the only diarrheagenic pathotypes detected. AR was observed in 6.9% (34/496) of the isolates, 15 of which were multidrug resistant (MDR; resistance to two or more classes (...) Prevalence and characterization of Escherichia coli isolated from the Upper Oconee Watershed in Northeast Georgia. Surface waters are important sources of water for drinking, industrial, agricultural, and recreational uses; hence, contamination of water by fecal, pathogenic, or antimicrobial resistant (AR) bacteria is a major environmental and public health concern. However, very little data is available on prevalence of these bacteria in surface water throughout a watershed. This study aimed

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2018 PLoS ONE

15. Health Risk of Escherichia coli Exposure in Fresh Water Beaches

such a model with parameters including weather conditions, bather use, and threshold E. coli levels. Research has shown that E. coli is a good indicator of gastrointestinal (GI) illness risk in recreational fresh water (3-6). For decades, E. coli has been the recommended indicator of the quality of recreational fresh water by Health Canada (7,8) and the U.S. Environmental Protection Agency (6,9) based on epidemiological studies. Health Canada has historically recommended a threshold of 200 colony-forming (...) contamination including upper respiratory illness, rash, eye ailments, earache, and infected cuts, GI illness was found to have the strongest association. See below for the description of each included review/guideline. 1. Do US Environmental Protection Agency Water Quality Guidelines for Recreational Waters prevent gastrointestinal illness? A systematic review and meta-analysis (Wade et al., 2003) (11) Results have shown that high E. coli levels in freshwater (ranging from 187-204 cfu/100 mL) were

2015 Peel Health Library

16. Lung Cancer Prevention (PDQ®): Health Professional Version

cancer risk from residential radon: meta-analysis of eight epidemiologic studies. J Natl Cancer Inst 89 (1): 49-57, 1997. [ ] Krewski D, Lubin JH, Zielinski JM, et al.: Residential radon and risk of lung cancer: a combined analysis of 7 North American case-control studies. Epidemiology 16 (2): 137-45, 2005. [ ] Environmental Protection Agency: Exposure to Radon Causes Lung Cancer In Non-smokers and Smokers Alike. Washington, DC: Environmental Protection Agency, 2011. . Last accessed November 30, 2017 (...) the relationships between lung cancer and dietary factors, confounding factors related to cigarette smoking cannot be dismissed as a possible explanation. Physical activity A meta-analysis of leisure-time physical activity and lung cancer risk revealed that higher levels of physical activity protect against lung cancer.[ ] The overall evidence for physical activity has been mixed, but several studies have reported that individuals who are more physically active have a lower risk of lung cancer than those who

2016 PDQ - NCI's Comprehensive Cancer Database

17. Concepts Series 11 - The built environment and health: an evidence review

, Moissonnier B, Monolbaev K, Moore R, Nicol S, Niemann H, Nygren C, Ormandy D, Röbbel N, Rudnai P. A Review of Evidence on Housing and Health. Background Document for the Fourth Ministerial Conference on Environment and Health. Budapest: WHO Regional Office for Europe; 2004. 10 United States Environmental Protection Agency. Care for your indoor air: A guide to indoor air quality. Washington, DC: United States Environmental Protection Agency; 2008. 11 Environment Agency. Better Environment, Healthier People (...) improve mental health and reduce the risk of obesity, coronary heart disease, type II diabetes and certain cancers 2,103-108 . The availability and accessibility of parks, recreation and sports facilities strongly influence physical activity levels, and areas of socioeconomic disadvantage often suffer due to the poor quality or unequal distribution of such resources 68,109 . The transport choices that people make are influenced by the distance that they have to travel to conduct daily routines

2013 Glasgow Centre for Population Health

18. The TRUMPets have sounded, and it’s nearly all bad news for science and medicine

with climate change. Given that all three branches of government are now under Republican control, with the purse strings in the hands of Congress, it’s unlikely that money will be forthcoming. BAD NEWS FOR THE ENVIRONMENTAL PROTECTION AGENCY AND ENERGY POLICY ClimateWire’s Robin Bravender is reporting that Trump has appointed Myron Ebell, director of the Center for Energy and Environment at the conservative Competitive Enterprise Institute, as head of transition plans for EPA. “His participation (...) . In addition to wrestling with Obamacare and facing the political prospect of suddenly depriving 22 million citizens–a number of whom probably voted for Trump–of their medical insurance, the new administration will have to deal quickly with Julie Rovner outlines them at KHN. UNCERTAIN NEWS FOR MARIJUANA Seven more states legalized cannabis, either for medical or “recreational” use. Weed is now legal in California, Maine, Massachusetts and Nevada, while Arkansas, Florida and North Dakota approved

2016 PLOS Blogs Network

19. Cryptosporidium Contamination and Attributed Risks in Yunlong Lake in Xuzhou, China (PubMed)

or diving in Yunlong Lake has a higher risk of Cryptosporidium infection than the acceptable risk level set by the United States Environmental Protection Agency. Thus, regular monitoring of water quality in recreation water bodies is strongly recommended.

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2017 The Canadian Journal of Infectious Diseases & Medical Microbiology = Journal Canadien des Maladies Infectieuses et de la Microbiologie Médicale

20. American Heart Association Guide for Improving Cardiovascular Health at the Community Level, 2013 Update

. AED indicates automatic external defibrillator; AHA, American Heart Association; CPR, cardiopulmonary resuscitation; CVD, cardiovascular disease; EPA, Environmental Protection Agency; MI, myocardial infarction; and TIA, transient ischemic attack. A major addition has been the listing of current programs ( ) that illustrate best practices at the national, regional, or local levels, including recommendations, methods, and tools to support strategic implementation to attain the goals of each (...) leisure-time physical activity (planned exercise) , 45% do at least 150 min/wk of moderate and/or vigorous activity combined Adherence with healthcare recommendations (eg, hyperlipidemia/hypertension/diabetes mellitus) Increase screening and diagnosis of risk factors (BP, total cholesterol, fasting blood glucose) , Provide health care to favorably modify behaviors and risk factors , , Hypertension (BP): >140/90 mmHg High total cholesterol: >200 mg/dL Diabetes mellitus (fasting blood glucose): >126 mg

2013 American Heart Association

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