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The changing epidemiology of cryptosporidiosis in North West England

Published online by Cambridge University Press:  14 July 2005

W. SOPWITH
Affiliation:
Health Protection Agency, North West Regional Office, Liverpool, UK
K. OSBORN
Affiliation:
United Utilities, Warrington, UK
R. CHALMERS
Affiliation:
Cryptosporidium Reference Unit, National Public Health Service for Wales, Swansea, UK
M. REGAN
Affiliation:
Health Protection Agency, North West Regional Office, Liverpool, UK
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Abstract

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Between 1996 and 2000, rates of cryptosporidiosis in North West England were significantly higher than overall in England and Wales, particularly during the first half of each year. In addition, during the second quarter of each year in this period, up to 40% of all cases recorded in England and Wales were from the North West Region. In 2001, cryptosporidiosis dramatically decreased throughout the United Kingdom and the springtime excess of cases formerly seen in the North West was no longer apparent. This changed epidemiology was due to a decline in cases of Cryptosporidium parvum (formerly genotype 2), associated with zoonotic transmission. Although the initial loss of a spring peak of infection corresponded with the outbreak of foot-and-mouth disease throughout the United Kingdom, its continued absence relates to major structural changes in the North West public water supply. This study highlights the far-reaching public health benefit of local working relationships in addressing re-occurring disease issues.

Type
Research Article
Copyright
2005 Cambridge University Press