GIS-supported investigation of human EHEC and cattle VTEC O157 infections in Sweden: geographical distribution, spatial variation and possible risk factors

This article describes the spatial and temporal distribution of verotoxin-producing Escherichia coli among humans (EHEC) and cattle (VTEC) in Sweden, in order to evaluate relationships between the incidence of EHEC in humans, prevalence of VTEC O157 in livestock and agricultural structure by an ecological study. The spatial patterns of the distribution of human infections were described and compared with spatial patterns of occurrence in cattle, using a Geographic Information System (GIS). The findings implicate a concentration of human infection and cattle prevalence in the southwest of Sweden. The use of probability mapping confirmed unusual patterns of infection rates. The comparison of human and cattle infection indicated a spatial and statistical association. The correlation between variables of the agricultural structure and human EHEC incidence was high, indicating a significant statistical association of cattle and farm density with human infection. The explained variation of a multiple linear regression model was 0.56.     

A geographical information system (GIS) as a tool for microbial risk assessment in catchment areas of drinking water reservoirs

The main tributaries of three drinking water reservoirs of Northrhine-Westfalia (Germany) were monitored within a 14-month period mainly for bacterial and parasitic contamination. In this context a detailed geo-ecological characterisation within the differing catchment areas was carried out to reveal a reliable informational basis for tracing back the origin of microbial loads present in the watercourses. To realise a microbial risk assessing geo-ecological information system (MRA-GIS), a Geographical Information System (GIS) has been implemented for the study areas. The results of the microbiological investigations of the watercourses showed an input of pathogens into all three of the tributaries. It could be demonstrated that the use of MRA-GIS database and some GIS-techniques substantially support the spatial analysis of the microbial contamination patterns. From the hygienic point of view, it is of the utmost importance to protect catchment areas of surface water reservoirs from microbial contamination stemming from human activities and animal sources. This constitutes essential part of the multi-barrier concept which stresses the importance of reducing diffuse and point pollution in catchment areas of water resources intended for human consumption. MRA-GIS proves to be helpful to manage multi-barrier water protection in catchment areas and ideally assists the application of the HACCP concept on drinking water production.     

Assessment of a groundwater contamination with vinyl chloride (VC) and precursor volatile organic compounds (VOC) by use of a geographical information system (GIS)

Regarding the health effects of volatile organic compounds (VOC) and their decomposition products (particularly vinyl chloride (VC)) under chronic low-dose exposure, VOC groundwater contaminations are seen to be an ongoing public health issue. This article presents results of a long-term investigation surveying VOC and VC groundwater contamination upstream of a large groundwater works in Cologne, Germany. For 10 years a contaminated aquifer has been monitored for different VOC and for VC. In total, 255 samples have been taken to assess both the 3-dimensional distribution and the temporal dynamics of the contaminants. VOC and VC precursor substances have been measured by means of pentane-liquid-liquid-extraction, GC and ECD, VC by means of derivatisation to 1,2 dibromochloroethane, GC, ECD, and by purge and trap technique and GC-MS-coupling. For spatial analysis all test results and additional hydrogeological attribute data have been transferred to a GIS. The spatial VOC distribution has been assessed by use of kriging interpolation indicating a decrease of the initial contaminants in time. A cluster analysis allowed to distinguish several independent contaminations within the large contamination area. The VC contamination was increasing. Anaerobic microbial dechlorination of VOC and subsequent VC accumulation were seen to be as credible from several indications (VC presence, downstream change of tetra/trichloroethylene-ratio and anaerobic conditions in the aquifer, high Fe(2+)- and Mn(2+)-concentrations). There was no statistically significant vertical differentiation of VOC and VC concentrations. The VOC load within the different water protection zones of the waterworks could be assessed.     

GIS-based analysis of drinking-water supply structures: a module for microbial risk assessment

Water-related infections constitute an important health impact world-wide. A set of tools serving for Microbial Risk Assessment (MRA) of waterborne diseases should comprise the entire drinking-water management system and take into account the Hazard Analysis and Critical Control Point (HACCP) concept which provides specific Critical Control Points (CCPs) reflecting each step of drinking-water provision. A Geographical Information System (GIS) study concerning water-supply structure (WSS) was conducted in the Rhein-Berg District (North Rhine-Westphalia, Germany). As a result, suitability of the existing water databases HYGRIS (hydrological basis geo-information system) and TEIS (drinking-water recording and information system) for the development of a WSS-GIS module could be demonstrated. Spatial patterns within the integrated raw and drinking-water data can easily be uncovered by GIS-specific options. The application of WSS-GIS allows a rapid visualization and analysis of drinking-water supply structure and offers huge advantages concerning microbial monitoring of raw and drinking water as well as recognition and investigation of incidents and outbreaks. Increasing requests regarding health protection and health reporting, demands for a better outbreak management and water-related health impacts of global climate change are major challenges of future water management to be tackled with methods including spatial analysis. GIS is assumed to be a very useful tool to meet these requirements.     

A Geographical Information System (CIS) as a tool for microbial risk assessment in catchment areas of drinking water reservoirs

The main tributaries of three drinking water reservoirs of Northrhine-Westfalia (Germany) were monitored within a 14-month period mainly for bacterial and parasitic contamination. In this context a detailed geo-ecological characterisation within the differing catchment areas was carried out to reveal a reliable informational basis for tracing back the origin of microbial loads present in the watercourses. To realise a microbial risk assessing geo-ecological information system (MRA-GIS), a Geographical Information System (GIS) has been implemented for the study areas.The results of the microbiological investigations of the watercourses showed an input of pathogens into all three of the tributaries. It could be demonstrated that the use of MRA-GIS database and some GIS-techniques substantially support the spatial analysis of the microbial contamination patterns.From the hygienic point of view, it is of the utmost importance to protect catchment areas of surface water reservoirs from microbial contamination stemming from human activities and animal sources. This constitutes essential part of the multi-barrier concept which stresses the importance of reducing diffuse and point pollution in catchment areas of water resources intended for human consumption. MRA-GIS proves to be helpful to manage multi-barrier water protection in catchment areas and ideally assists the application of the HACCP concept on drinking water production.     

Analysis of the distribution of the tick Ixodes ricinus L. (Acari: Ixodidae) in a nature reserve of western Germany using Geographic Information Systems

From May to November 2003, at five selected sites of the 'Siebengebirge', a nature reserve near Bonn, Germany, data on microclimate, pedology, plant sociology and tick abundance were collected weekly and correlated. A total of 2832 host-seeking Ixodes ricinus (2660 nymphs and 172 adults) were collected, with maximal abundance in June and a minor second increase in abundance in August. The spatial and temporal variation in tick abundance was closely related to the air temperature, relative humidity, soil water content and specific vegetation type. Increases in tick abundances in individual habitats were most likely caused by climate change and/or anthropogenic interventions such as increased numbers of wild boar, a host of I. ricinus. When combined with data from previous investigations a correlation of plant communities with six semi-qualitative tick abundance categories (ranging from 'no ticks' to 'very high tick abundance') was revealed, and GIS analysis indicated that 56.5% of the 'Siebengebirge' is made up of plant communities belonging to the three highest tick abundance categories. Therefore, the risk of visitors in the 'Siebengebirge' of being exposed to tick bites and being infected by Borrelia burgdorferi sensu lato had increased.     

Association between environmental risk factors and campylobacter infections in Sweden

Campylobacter sp. is the most common cause of acute bacterial gastroenteritis in Sweden and the incidence has been increasing. Case-control studies to identify risk factors have been conducted in several countries, but much remains unexplained. The geographical distribution of campylobacter infections varies substantially, and many environmental factors may influence the observed pattern. Geographical Information Systems (GIS) offer an opportunity to use routinely available surveillance data to explore associations between potential environmental risk factors showing a geographical pattern and disease incidence, complementing traditional approaches for investigating risk factors for disease. We investigated associations between campylobacter incidence and environmental factors related to water and livestock in Sweden. Poisson regression was used to estimate the strength of the associations. Positive associations were found between campylobacter incidence and average water-pipe length per person, ruminant density, and a negative association with the percentage of the population receiving water from a public water supply. This indicates that drinking water and contamination from livestock may be important factors in explaining sporadic human campylobacteriosis in Sweden, and that contamination occurring in the water distribution system might be more important than previously considered.     

Charakterisierung, Risikoeinschätzung und Prävention wasserassoziierter Parasitosen

In the developed countries, Cryptosporidium and Giardia are two of the most common agents of water-associated infections and disease outbreaks. The control of these parasitic infections is difficult of the high resistance of the oocysts and cysts to the environmental stress and disinfectants, because of the low infection dose, and of the different routes of the infections. The main clinical symptom of these infections is diarrhoea. The infections are generally self-limiting. In immunosuppressed persons Cryptosporodiosis in particular may cause a severe and life-threatening illness. Causal therapy is available only for the Giardia infections. In the developed countries, the prevalence rate of Cryptosporidiosis is 1–3%, of Giardiasis 2–5%. In Germany, data of systematic epidemiological surveys are still not available. Surface water often contains both of these parasites. The level of contamination is particularly dependent on the land use in the water-catchment area, on wastewater discharge and on weather conditions. In areas with higher contamination of the source water and inadequate water treatment the risk of incidence of water-associated parasitic diseases is increased. As measures which decrease this risk we recommend to implement the HACCP concept, to minimise the contamination of the source water by appropriate management of the water-catchment area, to prevent contamination of drinking water by wastewater and in the case of contaminated raw water to perform parasitological analysis of water. Drinking water should be analysed when raw water is known to be contaminated and water treatment is unsatisfactory. The surveillance of the waterborne parasitic diseases should be improved and a contingency plan for the case of an incident should be prepared. Designated medical hygienic institutions should play a decisive role in the management of these tasks.     

Sense of place and place identity: review of neuroscientific evidence

The aim of this review is to bring the phenomenological sense of place approach together with current results from neuroscience. We searched in neuroscientific literature for ten dimensions which were beforehand identified to be important in a phenomenological sense of place/place identity model: behaviour, body, emotion, attention, perception, memory, orientation, spirituality, meaning/value and culture/sociality. Neuroscience has identified many neurobiological correlates of phenomenological observations concerning sense of place. The human brain comprises specific and specialised structures and processes to perceive, memorise, link, assess and use spatial information. Specific parts (hippocampus, entorhinal, parahippocampal and parietal cortex), subregions (parahippocampal place area, lingual landmark area), and cells (place cells, grid cells, border cells, head direction cells) have been identified, their specific function could be understood and their interaction traced. Neuroscience has provided evidence that place constitutes a distinct dimension in neuronal processing. This reinforces the phenomenological argumentation of human geography and environmental psychology.