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Am J Public Health. 2009 Jun;99(6):1116-22. doi: 10.2105/AJPH.2008.151654. Epub 2009 Apr 16.

Risks of recreational exposure to waterborne pathogens among persons with HIV/AIDS in Baltimore, Maryland.

Author information

  • 1Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA. cmcolive@jhsph.edu

Abstract

OBJECTIVES:

We assessed the prevalence of recreational activities in the waterways of Baltimore, MD, and the risk of exposure to Cryptosporidium among persons with HIV/AIDS.

METHODS:

We studied patients at the Johns Hopkins Moore Outpatient AIDS Clinic. We conducted oral interviews with a convenience sample of 157 HIV/AIDS patients to ascertain the sites used for recreational water contact within Baltimore waters and assess risk behaviors.

RESULTS:

Approximately 48% of respondents reported participating in recreational water activities (fishing, crabbing, boating, and swimming). Men and women were almost equally likely to engage in recreational water activities (53.3% versus 51.3%). Approximately 67% (105 of 157) ate their own catch or that of friends or family members, and a majority (61%, or 46 of 75) of respondents who reported recreational water contact reported consumption of their own catch.

CONCLUSIONS:

Baltimoreans with HIV/AIDS are engaging in recreational water activities in urban waters that may expose them to waterborne pathogens and recreational water illnesses. Susceptible persons, such as patients with HIV/AIDS, should be cautioned regarding potential microbial risks from recreational water contact with surface waters.

PMID:
19372505
[PubMed - indexed for MEDLINE]
PMCID:
PMC2679786
Free PMC Article

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