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

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  • McOliver, C.C.
  • Lemerman, H.B.
  • Silbergeld, E.K.
  • Moore, R.D.
  • Graczyk, T.K.

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 recreationalwater 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.

Suggested Citation

  • McOliver, C.C. & Lemerman, H.B. & Silbergeld, E.K. & Moore, R.D. & Graczyk, T.K., 2009. "Risks of recreational exposure to waterborne pathogens among persons with HIV/AIDS in Baltimore, Maryland," American Journal of Public Health, American Public Health Association, vol. 99(6), pages 1116-1122.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2008.151654_9
    DOI: 10.2105/AJPH.2008.151654
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