Base de dados : MEDLINE
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[PMID]:28453115
[Au] Autor:Rodríguez Miranda JP; García-Ubaque CA; García-Ubaque JC
[Ad] Endereço:Facultad del Medio Ambiente y Recursos Naturales. Universidad Distrital Francisco José de Caldas. Bogotá, Colombia. jprodriguezm@udistrital.edu.co.
[Ti] Título:[Waterborne diseases and basic sanitation in Colombia].
[Ti] Título:Enfermedades transmitidas por el agua y saneamiento básico en Colombia..
[So] Source:Rev Salud Publica (Bogota);18(5):738-745, 2016 Sep-Oct.
[Is] ISSN:0124-0064
[Cp] País de publicação:Colombia
[La] Idioma:spa
[Ab] Resumo:Objective : To analyze the relationship of sewerage coverage and wastewater treatment with waterborne disease behaviour. Methods: A descriptive retrospective study was conducted using secondary sources (document review and information available in databases) about basic sanitation coverage, treatment of domestic sewage in the country and the prevalence of waterborne diseases during the period 2008-2014. Results : The country invested USD 1,100 million in the implementation of wastewater treatment systems from 2011 until the first half of 2013. However, the incidence of waterborne diseases, such as acute diarrheal disease, foodborne diseases and typhoid and paratyphoid fever did not decrease during the period 2008-2014; only hepatitis A registered a decrease. Discussion: Investment in water supply and sewerage systems is relevant to improve health conditions of the population and to reduce the incidence and prevalence of various health conditions; however, it is necessary to address other aspects such as health education and social empowerment to address this problem more efficiently.
[Mh] Termos MeSH primário: Saneamento
Esgotos
Gerenciamento de Resíduos/normas
Doenças Transmitidas pela Água/epidemiologia
[Mh] Termos MeSH secundário: Colômbia/epidemiologia
Seres Humanos
Estudos Retrospectivos
Abastecimento de Água
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Sewage)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE


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[PMID]:28771145
[Au] Autor:Coly S; Vincent N; Vaissiere E; Charras-Garrido M; Gallay A; Ducrot C; Mouly D
[Ad] Endereço:INRA, UR346 - Unité d'Épidémiologie Animale, Centre de recherche de Clermont-Ferrand, 63122 Saint Genès Champanelle, France.
[Ti] Título:Waterborne disease outbreak detection: an integrated approach using health administrative databases.
[So] Source:J Water Health;15(4):475-489, 2017 Aug.
[Is] ISSN:1477-8920
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Hundreds of waterborne disease outbreaks (WBDO) of acute gastroenteritis (AGI) due to contaminated tap water are reported in developed countries each year. Such outbreaks are probably under-detected. The aim of our study was to develop an integrated approach to detect and study clusters of AGI in geographical areas with homogeneous exposure to drinking water. Data for the number of AGI cases are available at the municipality level while exposure to tap water depends on drinking water networks (DWN). These two geographical units do not systematically overlap. This study proposed to develop an algorithm which would match the most relevant grouping of municipalities with a specific DWN, in order that tap water exposure can be taken into account when investigating future disease outbreaks. A space-time detection method was applied to the grouping of municipalities. Seven hundred and fourteen new geographical areas (groupings of municipalities) were obtained compared with the 1,310 municipalities and the 1,706 DWN. Eleven potential WBDO were identified in these groupings of municipalities. For ten of them, additional environmental investigations identified at least one event that could have caused microbiological contamination of DWN in the days previous to the occurrence of a reported WBDO.
[Mh] Termos MeSH primário: Bases de Dados Factuais/utilização
Surtos de Doenças
Gastroenterite/epidemiologia
Vigilância da População/métodos
Doenças Transmitidas pela Água/epidemiologia
[Mh] Termos MeSH secundário: Doença Aguda
França/epidemiologia
Gastroenterite/etiologia
Seres Humanos
Doenças Transmitidas pela Água/etiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171103
[Lr] Data última revisão:
171103
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170804
[St] Status:MEDLINE
[do] DOI:10.2166/wh.2017.273


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[PMID]:28719263
[Au] Autor:Gibney KB; O'Toole J; Sinclair M; Leder K
[Ad] Endereço:The Peter Doherty Institute for Infection and Immunity, The University of Melbourne and the Royal Melbourne Hospital, Victoria, Australia.
[Ti] Título:Burden of Disease Attributed to Waterborne Transmission of Selected Enteric Pathogens, Australia, 2010.
[So] Source:Am J Trop Med Hyg;96(6):1400-1403, 2017 Jun.
[Is] ISSN:1476-1645
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:AbstractUniversal access to safe drinking water is a global priority. To estimate the annual disease burden of campylobacteriosis, nontyphoidal salmonellosis, cryptosporidiosis, giardiasis, and norovirus attributable to waterborne transmission in Australia, we multiplied regional World Health Organization (WHO) estimates of the proportion of cases attributable to waterborne transmission by estimates of all-source disease burden for each study pathogen. Norovirus was attributed as causing the most waterborne disease cases (479,632; 95% uncertainty interval [UI]: 0-1,111,874) followed by giardiasis and campylobacteriosis. The estimated waterborne disability-adjusted life year (DALY) burden for campylobacteriosis (2,004; 95% UI: 0-5,831) was 7-fold greater than other study pathogens and exceeded the WHO guidelines for drinking water quality (1 × 10 DALY per person per year) by 90-fold. However, these estimates include disease transmitted via either drinking or recreational water exposure. More precise country-specific and drinking water-specific attribution estimates would better define the health burden from drinking water and inform changes to treatment requirements.
[Mh] Termos MeSH primário: Água Potável/microbiologia
Água Potável/parasitologia
Água Potável/virologia
Doenças Transmitidas pela Água/epidemiologia
[Mh] Termos MeSH secundário: Austrália/epidemiologia
Infecções por Caliciviridae/epidemiologia
Infecções por Campylobacter/epidemiologia
Criptosporidiose/epidemiologia
Giardíase/epidemiologia
Seres Humanos
Anos de Vida Ajustados por Qualidade de Vida
Infecções por Salmonella/epidemiologia
Microbiologia da Água/normas
Qualidade da Água/normas
Doenças Transmitidas pela Água/microbiologia
Doenças Transmitidas pela Água/parasitologia
Doenças Transmitidas pela Água/virologia
Organização Mundial da Saúde
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Drinking Water)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170823
[Lr] Data última revisão:
170823
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170719
[St] Status:MEDLINE
[do] DOI:10.4269/ajtmh.16-0907


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[PMID]:28671392
[Au] Autor:Perkins A; Trimmier M
[Ad] Endereço:University of South Alabama College of Medicine, Mobile, AL, USA.
[Ti] Título:Recreational Waterborne Illnesses: Recognition, Treatment, and Prevention.
[So] Source:Am Fam Physician;95(9):554-560, 2017 May 01.
[Is] ISSN:1532-0650
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Illness after recreational water activities can be caused by a variety of agents, including bacteria, viruses, parasites, algae, and even chlorine gas. These illnesses are more common in summer. Waterborne illnesses are underreported because most recreational activity occurs in unsupervised venues or on private property, and participants tend to disperse before illness occurs. Symptoms of waterborne illness are primarily gastrointestinal, but upper respiratory and skin manifestations also occur. Gastrointestinal symptoms are usually self-limited, and supportive treatment may be all that is necessary. However, some infections can cause significant morbidity and mortality. Cryptosporidium and Giardia intestinalis are the most common cause of gastrointestinal illness and have partial chlorine resistance. Respiratory infections are typically mild and self-limited. However, if legionnaires' disease develops and is unrecognized, mortality may be as high as 10%. Cellulitis caused by Vibrio vulnificus can result in serious illness, amputation, and death. Early and appropriate antibiotic treatment is important. Chronically ill and immunocompromised persons are at high risk of infection and should be counseled accordingly.
[Mh] Termos MeSH primário: Doenças Transmitidas pela Água/diagnóstico
[Mh] Termos MeSH secundário: Gastroenteropatias/etiologia
Gastroenteropatias/microbiologia
Gastroenteropatias/parasitologia
Seres Humanos
Leptospirose/etiologia
Recreação
Doenças Respiratórias/etiologia
Doenças Respiratórias/microbiologia
Dermatopatias/etiologia
Dermatopatias/microbiologia
Doenças Transmitidas pela Água/prevenção & controle
Doenças Transmitidas pela Água/terapia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170804
[Lr] Data última revisão:
170804
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170704
[St] Status:MEDLINE


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[PMID]:28598348
[Au] Autor:Gargano JW; Adam EA; Collier SA; Fullerton KE; Feinman SJ; Beach MJ
[Ad] Endereço:Waterborne Disease Prevention Branch, Division of Foodborne, Waterborne, and Environmental Diseases, Centers for Disease Control and Prevention, 1600 Clifton Rd NE, MS C-09, Atlanta, GA, USA E-mail: eadam@cdc.gov.
[Ti] Título:Mortality from selected diseases that can be transmitted by water - United States, 2003-2009.
[So] Source:J Water Health;15(3):438-450, 2017 Jun.
[Is] ISSN:1477-8920
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Diseases spread by water are caused by fecal-oral, contact, inhalation, or other routes, resulting in illnesses affecting multiple body systems. We selected 13 pathogens or syndromes implicated in waterborne disease outbreaks or other well-documented waterborne transmission (acute otitis externa, Campylobacter, Cryptosporidium, Escherichia coli (E. coli), free-living ameba, Giardia, Hepatitis A virus, Legionella (Legionnaires' disease), nontuberculous mycobacteria (NTM), Pseudomonas-related pneumonia or septicemia, Salmonella, Shigella, and Vibrio). We documented annual numbers of deaths in the United States associated with these infections using a combination of death certificate data, nationally representative hospital discharge data, and disease-specific surveillance systems (2003-2009). We documented 6,939 annual total deaths associated with the 13 infections; of these, 493 (7%) were caused by seven pathogens transmitted by the fecal-oral route. A total of 6,301 deaths (91%) were associated with infections from Pseudomonas, NTM, and Legionella, environmental pathogens that grow in water system biofilms. Biofilm-associated pathogens can cause illness following inhalation of aerosols or contact with contaminated water. These findings suggest that most mortality from these 13 selected infections in the United States does not result from classical fecal-oral transmission but rather from other transmission routes.
[Mh] Termos MeSH primário: Doenças Transmitidas pela Água/mortalidade
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Criança
Seres Humanos
Meia-Idade
Estados Unidos/epidemiologia
Doenças Transmitidas pela Água/microbiologia
Doenças Transmitidas pela Água/parasitologia
Doenças Transmitidas pela Água/virologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171103
[Lr] Data última revisão:
171103
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170610
[St] Status:MEDLINE
[do] DOI:10.2166/wh.2017.301


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[PMID]:28483382
[Au] Autor:Rinaldo A; Bertuzzo E; Blokesch M; Mari L; Gatto M
[Ad] Endereço:Laboratory of Ecohydrology, School of Architecture, Civil and Environmental Engineering, Ecole Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland; Dipartimento ICEA, Università di Padova, Padova, Italy. Electronic address: andrea.rinaldo@epfl.ch.
[Ti] Título:Modeling Key Drivers of Cholera Transmission Dynamics Provides New Perspectives for Parasitology.
[So] Source:Trends Parasitol;33(8):587-599, 2017 08.
[Is] ISSN:1471-5007
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Hydroclimatological and anthropogenic factors are key drivers of waterborne disease transmission. Information on human settlements and host mobility on waterways along which pathogens and hosts disperse, and relevant hydroclimatological processes, can be acquired remotely and included in spatially explicit mathematical models of disease transmission. In the case of epidemic cholera, such models allowed the description of complex disease patterns and provided insight into the course of ongoing epidemics. The inclusion of spatial information in models of disease transmission can aid in emergency management and the assessment of alternative interventions. Here, we review the study of drivers of transmission via spatially explicit approaches and argue that, because many parasitic waterborne diseases share the same drivers as cholera, similar principles may apply.
[Mh] Termos MeSH primário: Cólera/transmissão
Modelos Teóricos
Parasitologia
[Mh] Termos MeSH secundário: Cólera/epidemiologia
Água Doce
Seres Humanos
Parasitologia/tendências
Doenças Transmitidas pela Água/epidemiologia
Doenças Transmitidas pela Água/transmissão
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171121
[Lr] Data última revisão:
171121
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170510
[St] Status:MEDLINE


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[PMID]:28425935
[Au] Autor:Gorham TJ; Yoo J; Garabed R; Mouhaman A; Lee J
[Ad] Endereço:Division of Environmental Health Sciences, College of Public Health, The Ohio State University, Columbus, OH 43210, USA. gorham.20@osu.edu.
[Ti] Título:Water Access, Sanitation, and Hygiene Conditions and Health Outcomes among Two Settlement Types in Rural Far North Cameroon.
[So] Source:Int J Environ Res Public Health;14(4), 2017 Apr 20.
[Is] ISSN:1660-4601
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:The Far North region in Cameroon has been more heavily impacted by cholera than any other region over the past decade, but very little has been done to study the drivers of waterborne diseases in the region. We investigated the relationship between water, sanitation, and hygiene (WASH) parameters, microbial and antibiotic resistance (AR) contamination levels in drinking water, and health outcomes using health survey and molecular analysis during June and July of 2014 in two settlement types (agro-pastoralist villages and transhumant pastoralist camps). Quantitative polymerase chain reaction was used to determine fecal contamination sources, enteric pathogens, and antibiotic resistance genes. Ruminant-associated fecal contamination was widespread in both settlement types (81.2%), with human-associated contamination detected in 21.7% of the samples. spp. (59.4%) and Shiga toxin-producing ( 1 44.9% and 2 31.9%) were detected across all samples. Tetracycline resistance was found only in village samples. A significant difference in diarrheal incidence within the past 28 days among young children was found between camps (31.3%) and villages (0.0%). Our findings suggest that water contamination may play an important role in contributing to gastrointestinal illness, supporting the need for future research and public health intervention to reduce gastrointestinal illness in the area.
[Mh] Termos MeSH primário: Bactérias/isolamento & purificação
Água Potável/microbiologia
Higiene
Saúde da População Rural
Saneamento
Abastecimento de Água
Doenças Transmitidas pela Água/epidemiologia
[Mh] Termos MeSH secundário: Antibacterianos/farmacologia
Bactérias/efeitos dos fármacos
Camarões/epidemiologia
Farmacorresistência Bacteriana
Incidência
Saúde Pública
Doenças Transmitidas pela Água/microbiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Bacterial Agents); 0 (Drinking Water)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170822
[Lr] Data última revisão:
170822
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170421
[St] Status:MEDLINE


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[PMID]:28424879
[Au] Autor:Bereskie T; Rodriguez MJ; Sadiq R
[Ad] Endereço:School of Engineering, University of British Columbia, Kelowna, BC, V1V 1V7, Canada. tyberesk@gmail.com.
[Ti] Título:Drinking Water Management and Governance in Canada: An Innovative Plan-Do-Check-Act (PDCA) Framework for a Safe Drinking Water Supply.
[So] Source:Environ Manage;60(2):243-262, 2017 Aug.
[Is] ISSN:1432-1009
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Drinking water management in Canada is complex, with a decentralized, three-tiered governance structure responsible for safe drinking water throughout the country. The current approach has been described as fragmented, leading to governance gaps, duplication of efforts, and an absence of accountability and enforcement. Although there have been no major waterborne disease outbreaks in Canada since 2001, a lack of performance improvement, especially in small drinking water systems, is evident. The World Health Organization water safety plan approach for drinking water management represents an alternative preventative management framework to the current conventional, reactive drinking water management strategies. This approach has seen successful implementation throughout the world and has the potential to address many of the issues with drinking water management in Canada. This paper presents a review and strengths-weaknesses-opportunities-threats analysis of drinking water management and governance in Canada at the federal, provincial/territorial, and municipal levels. Based on this analysis, a modified water safety plan (defined as the plan-do-check-act (PDCA)-WSP framework) is proposed, established from water safety plan recommendations and the principles of PDCA for continuous performance improvement. This proposed framework is designed to strengthen current drinking water management in Canada and is designed to fit within and incorporate the existing governance structure.
[Mh] Termos MeSH primário: Água Potável/normas
Regulamentação Governamental
Abastecimento de Água/normas
[Mh] Termos MeSH secundário: Canadá
Surtos de Doenças/prevenção & controle
Seres Humanos
Política
Abastecimento de Água/legislação & jurisprudência
Doenças Transmitidas pela Água/prevenção & controle
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Drinking Water)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170421
[St] Status:MEDLINE
[do] DOI:10.1007/s00267-017-0873-9


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[PMID]:28222687
[Au] Autor:Laine J; Laine O; Lumio J; Antonen J; Toikkanen S; Virtanen MJ; Kuusi M; Pirkanmaa Waterborne Outbreak Study Group
[Ad] Endereço:Department of Internal Medicine, Tampere University Hospital, P.O. Box 2000, 33521, Tampere, Finland. janne.laine@pshp.fi.
[Ti] Título:A controlled survey of less typical long-term consequences after an extensive waterborne epidemic.
[So] Source:BMC Infect Dis;17(1):161, 2017 Feb 21.
[Is] ISSN:1471-2334
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Extensive backflow of treated wastewater caused household water contamination in a Finnish town in 2007. The drinking water of 9 500 residents became heavily polluted with faecal microbes, resulting in a large gastroenteritis epidemic. Cases of reactive arthritis, milder joint symptoms and prolonged gastrointestinal symptoms were observed after the outbreak. A follow-up survey was performed to study less familiar long-term health consequences within a year from the outbreak. METHODS: The contaminated group comprised a sample of residents of the area with polluted water supply (N = 323) and the control group a sample of residents in a nearby municipality (N = 186). The presence of 20 general symptoms or complaints was inquired by a mail survey. Quarterly prevalence of each symptom or complaint was measured. Twelve of these proceeded to further analysis. RESULTS: The response rate was 53% (323/615) in the contaminated group and 54% (186/343) in the control group. Rash, eye irritation, heartburn and weight loss were more prevalent in the contaminated group during the first year quarter. In the last year quarter, only eye irritation was significantly more common in the contaminated group. CONCLUSION: The excess prevalence of four complaints at the first year quarter can be explained by acute gastroenteritis or intensive water chlorination. The excess prevalence of eye irritation at the fourth year quarter cannot be explained by chlorination anymore but might be a sign of co-existing reactive joint disease. In general, long-term consequences of the outbreak can be considered minor in terms of the surveyed symptoms or complaints.
[Mh] Termos MeSH primário: Surtos de Doenças/estatística & dados numéricos
Água Potável/efeitos adversos
Gastroenterite/epidemiologia
Águas Residuais
Microbiologia da Água
Poluição da Água/efeitos adversos
Doenças Transmitidas pela Água/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Estudos de Casos e Controles
Criança
Pré-Escolar
Água Potável/microbiologia
Feminino
Finlândia/epidemiologia
Seguimentos
Gastroenterite/diagnóstico
Gastroenterite/etiologia
Inquéritos Epidemiológicos
Seres Humanos
Lactente
Recém-Nascido
Masculino
Meia-Idade
Prevalência
Inquéritos e Questionários
Doenças Transmitidas pela Água/diagnóstico
Doenças Transmitidas pela Água/etiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Drinking Water); 0 (Waste Water)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170626
[Lr] Data última revisão:
170626
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170223
[St] Status:MEDLINE
[do] DOI:10.1186/s12879-017-2260-9


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[PMID]:28209895
[Au] Autor:Lamb JB; van de Water JA; Bourne DG; Altier C; Hein MY; Fiorenza EA; Abu N; Jompa J; Harvell CD
[Ad] Endereço:Department of Ecology and Evolutionary Biology, Cornell University, Ithaca, NY, USA. joleah.lamb@cornell.edu.
[Ti] Título:Seagrass ecosystems reduce exposure to bacterial pathogens of humans, fishes, and invertebrates.
[So] Source:Science;355(6326):731-733, 2017 02 17.
[Is] ISSN:1095-9203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Plants are important in urban environments for removing pathogens and improving water quality. Seagrass meadows are the most widespread coastal ecosystem on the planet. Although these plants are known to be associated with natural biocide production, they have not been evaluated for their ability to remove microbiological contamination. Using amplicon sequencing of the 16 ribosomal RNA gene, we found that when seagrass meadows are present, there was a 50% reduction in the relative abundance of potential bacterial pathogens capable of causing disease in humans and marine organisms. Moreover, field surveys of more than 8000 reef-building corals located adjacent to seagrass meadows showed twofold reductions in disease levels compared to corals at paired sites without adjacent seagrass meadows. These results highlight the importance of seagrass ecosystems to the health of humans and other organisms.
[Mh] Termos MeSH primário: Antozoários/microbiologia
Bactérias/patogenicidade
Biodiversidade
Doenças dos Peixes/microbiologia
Peixes/microbiologia
Água do Mar/microbiologia
Doenças Transmitidas pela Água/microbiologia
[Mh] Termos MeSH secundário: Animais
Bactérias/classificação
Bactérias/genética
Bactérias/isolamento & purificação
Exposição Ambiental
Saúde
Seres Humanos
Filogenia
RNA Ribossômico 16S/genética
Análise de Sequência de DNA
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (RNA, Ribosomal, 16S)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170920
[Lr] Data última revisão:
170920
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170218
[St] Status:MEDLINE
[do] DOI:10.1126/science.aal1956



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