1993年美国密尔沃基市隐孢子虫水污染事件探究
Investigation of Cryptosporidium Water Pollution Incident in Milwaukee, USA in 1993
DOI: 10.12677/ISL.2024.81002, PDF,   
作者: 费宇航, 韩家炳:安徽师范大学历史学院,安徽 芜湖
关键词: 隐孢子虫防控Water Cryptosporidium Prevention and Control
摘要: 1993年春美国威斯康星州密尔沃基市暴发的隐孢子虫水污染事件,是美国历史上影响范围最广、危害最严重的一次水传染病事件。涉及人口达160万,其中40.3万人受到不同程度的感染,4400人住院治疗,共造成103人死亡,患者的免疫系统受到极大损伤。该事件迫使密尔沃基市公共卫生部门改进了原有的水过滤系统,政府部门对饮用水处理厂进行大规模的改造并通过了新的法律法规,力求缓和人与水之间的矛盾,以此保证居民的饮用水安全。此外,该事件迫使密尔沃基市政府对饮用水处理厂进行大规模改造,令密尔沃基市及美国其他地区开始通过全流域治理保护水源地,直接推动了美国环保局出台了新的隐孢子虫检测方法,并在《地表水处理条例》的基础上新制定了《加强地表水处理条例》,将隐孢子虫列为优先监控对象,加强监测力度,改善旧有监管体系,扩大对民众自我安全保护意识的宣传,对全美与水相关的法案产生了重要影响。
Abstract: The outbreak of cryptosporidium water pollution in Milwaukee, Wisconsin in the spring of 1993 was the most widespread and harmful waterborne infectious disease event in the history of the United States. Of the 1.6 million people involved, 403,000 were infected to varying degrees, and 4400 were hospitalized, resulting in 103 deaths and severe damage to the immune system. The in-cident forced the Milwaukee Public Health Department to improve its water filtration system, un-dertake extensive renovations to drinking water treatment plants, and pass new laws and regula-tions aimed at easing the conflict between people and water in order to ensure the safety of drink-ing water for residents. In addition, the incident forced the city of Milwaukee to undertake a major renovation of its drinking water treatment plant, led Milwaukee and the rest of the United States to begin protecting water sources through basin-wide treatment, directly prompted the US Environ-mental Protection Agency to introduce cryptosporidium testing methods, and the new Enhanced Surface Water Treatment Act, based on the Surface Water Treatment Act. Prioritizing cryptospor-idium, strengthening surveillance efforts, improving the old regulatory system, and expanding pub-lic awareness of self-protection have had an important impact on water-related legislation across the United States.
文章引用:费宇航, 韩家炳. 1993年美国密尔沃基市隐孢子虫水污染事件探究[J]. 交叉科学快报, 2024, 8(1): 9-19. https://doi.org/10.12677/ISL.2024.81002

参考文献

[1] 王旭, 沈玉娟, 曹建平. 我国隐孢子虫病流行现状与防控进展[J]. 热带病与寄生虫学, 2022, 20(3): 136-148.
[2] Nime, F.A., Burek, J.D., et al. (1976) Acute Enterocolitis in a Human Being Infected with the Protozoan Cryptosporidium. Gastroenterology, 70, 592-593. [Google Scholar] [CrossRef
[3] Hunter, P., Hughes, S., Woodhouse, S., et al. (2004) Health Sequelae of Human Cryptosporidiosis in Immunocompetent Patients. Clinical Infectious, 39, 504-510. [Google Scholar] [CrossRef] [PubMed]
[4] Pane, S. and Putignani, L. (2022) Cryptos-poridium: Still Open Scenarios. Pathogens, 11, 515. [Google Scholar] [CrossRef] [PubMed]
[5] Guérin, A. and Striepen, B. (2020) The Biology of the Intestinal Intracellular Parasite Cryptosporidium. Cell Host and Microbe, 28, 509-510. [Google Scholar] [CrossRef] [PubMed]
[6] 何永频. 隐孢子虫的病原、表现、诊断与医疗[J]. 国外医学卫生学分册, 2001(4): 245-246.
[7] Leavitt, J.P. (2013) The Healthiest City: Milwaukee and the Politics of Health Re-form. University of Wisconsin Press, Madison, 25-28.
[8] [美]肯尼斯∙基普尔(主编). 剑桥世界人类疾病史[M]. 张大庆, 主译. 上海: 上海科技教育出版社, 2007: 855.
[9] Karanis, P., Kourenti, C. and Smith, H. (2022) Waterborne Transmission of Protozoan Parasites: A Worldwide Review of Outbreaks and Lessons Learnt. Journal of Water and Health, 5, 2-3. [Google Scholar] [CrossRef] [PubMed]
[10] Tyzzer, E.E. (1907) A Sporozoan Found in the Peptic Glands of the Common Mouse. Proceedings of the Society for Experimental, 5, 1-3. [Google Scholar] [CrossRef
[11] [美]亚当∙罗姆. 乡村里的推土机——郊区蔓延与美国环境保护主义的兴起[M]. 高国荣, 孙群郎, 耿晓明, 译. 北京: 中国环境科学出版社, 2011: 163-164.
[12] 孙群郎. 当代美国郊区的蔓延对生态环境的危害[J]. 世界历史, 2006(5): 18-19.
[13] 滕海键. 1972年联邦水污染控制法立法焦点及历史地位评析[J]. 郑州大学学报, 2016(5): 122.
[14] Rose, J.B., Landeen, L.K., Riley, K.R. and Gerba, C.P. (1989) Evaluation of Immunofluorescence Techniques for Detection of Cryptosporidium Oocysts and Giardia Cysts from Envi-ronmental Samples. Applied and Environmental Microbiology, 55, 3189-3190. [Google Scholar] [CrossRef] [PubMed]
[15] Hayes, E.B., Matte, T.D., et al. (1989) Large Community Outbreak of Cryptosporidiosis Due to Contamination of a Filtered Public Water Supply. The New England Journal of Medicine, 320, 1372-1376. [Google Scholar] [CrossRef
[16] Cruse, J.M. (1999) History of Medicine: The Metamorpho-sis of Scientific Medicine in the Ever-Present Past. The American Journal of the Medical Sciences, 318, 171-172. [Google Scholar] [CrossRef] [PubMed]
[17] Morris, B. and Whitehead, J. (2007) Review of the Im-pact of the 1999Water Regulation in Reducing Cryptosporidium Contamination Risk in Groundwater Public Supplies. Water and Environmental Journal, 21, 74-81. [Google Scholar] [CrossRef
[18] Corso, P.S., Kramer, M.H., et al. (2003) Costs of Illness in the 1993 Waterborne Cryptosporidium Outbreak, Milwaukee, Wisconsin. Emerging Infection Diseases, 9, 426-431. [Google Scholar] [CrossRef] [PubMed]
[19] Mac Kenzie, W.R., Hoxie, N.J., et al. (1994) A Massive Outbreak in Milwaukee of Cryptosporidium Infection Transmitted through the Public Water Supply. New England Journal, 331, 161-164. [Google Scholar] [CrossRef
[20] MacKenzie, W.R., Hoxie, N.J., et al. (1995) Massive Out-break of Waterborne Cryptosporidium Infection in Milwaukee, Wisconsin: Recurrence of Illness and Risk of Secondary Transmission. Clinical Infectious Diseases, 21, 58-59. [Google Scholar] [CrossRef] [PubMed]
[21] Koch, K.L. (1985) Cryptosporidiosis in Hospital Personnel: Evidence for Person-to-Person Transmission. Annals of Internal Medicine, 102, 593-596. [Google Scholar] [CrossRef] [PubMed]
[22] Jiang, X., Wang, M., Graham, D.Y. and Estes, M.K. (1992) Expression, Self-Assembly, and Antigenicity of the Norwalk Virus Capsid Protein. Journal of Virology, 66, 6527-6528. [Google Scholar] [CrossRef] [PubMed]
[23] Mc Crane (1991) What Your Colleagues Are Chargin. Medical Economics, 69, 191-193.
[24] 石凯, 邓俊良, 陈兆国, 等. 犬隐孢子虫病研究进展[J]. 动物医学进展, 2013(8): 97-101.
[25] Addiss, D.G., et al. (1996) Cryptosporidiosis in Wisconsin: A Case Control Study of Post-Outbreak Transmission. Epidemiology and Infection, 117, 297-298. [Google Scholar] [CrossRef
[26] Public Health Laboratory Service Study Group (1990) Cryptos-poridiosis in England and Wales: Prevalence and Clinical Epidemiological Features. British Medical Journal, 300, 774. [Google Scholar] [CrossRef] [PubMed]
[27] Navin, T.R. and Juranek, D.D. (1984) Cryptosporidiosis: Clinical, Epidemiologic, and Parasitologic Review. Reviews of Infectious Diseases, 6, 313-327. [Google Scholar] [CrossRef] [PubMed]
[28] 吴明松, 高云霞, 李绍峰, 黄君礼. 饮用水中隐孢子虫卵囊的杀灭技术[J]. 世界科技研究与发展, 2008(4): 426-428.
[29] Palit, C. and Sharp, H. (1983) Microcomputer-Assisted Tele-phone Interviewing. Sociological Methods & Research, 12, 169-172. [Google Scholar] [CrossRef
[30] Haddix, A.C., Teutsch, S.M., Shaffer, P.A. and Dunet, D.O. (1996) Prevention Effectiveness: A Guide to Decision Analysis and Economic Evaluation. Oxford University Press, New York, 100-101. [Google Scholar] [CrossRef
[31] Hoxie, N.J., Davis, J.P. and Vergeront, J.M. (1997) Cryptosporid-iosis-Associated Mortality Following a Massive Waterborne Outbreak in Milwaukee, Wisconsin. American Journal of Public Health, 87, 2032-2033.
[32] Meinhardt, P.L., Casemore, D.P. and Miller, K.B. (1996) Epidemiologic Aspects of Human Cryptosporidiosis and the Role of Waterborne Transmission. Epidemiologic Reviews, 18, 118-120. [Google Scholar] [CrossRef] [PubMed]
[33] Kramer, M.H. and Herwaldt, B.L. (1996) Surveillance for Waterborne-Disease Outbreaks—United States, 1993-1994. Morbidity and Mortality Weekly Report, 45, 1-3.
[34] Levin, R. and Kleiman, M. (2003) Drinking Water Disinfection in the United States: Balancing Infectious Dis-ease, Cancer and Costs, Market and Nonmarket Failures. Managing Water Urban Supply, 46, 167-175. [Google Scholar] [CrossRef
[35] Lechevallier, M.W., Norton, W.D. and Lee, R.G. (1991) Cryptosporidium in Filtered Drinking Water Supplies. Applied and Environmental, 57, 2617-2621. [Google Scholar] [CrossRef] [PubMed]
[36] Leland, D., McAnulty, J., Keene, W. and Stevens, G. (1993) A Cryptosporidiosis Outbreak in a Filtered-Water Supply. American Water Works Association, 85, 34-35. [Google Scholar] [CrossRef
[37] Frisby, H.R., et al. (1997) Clinical and Epidemiologic Features of a Massive Waterborne Outbreak of Cryptosporidioisis in Persons with HIV Infection. Epidemiology, 16, 367-370. [Google Scholar] [CrossRef] [PubMed]
[38] 许颖. 美国与墨西哥交界城市缺乏适宜排污设施和饮用水家庭的隐孢子虫和贾第鞭毛虫感染[J]. 国外医学(寄生虫病分册), 2004(3): 142.
[39] Morris, S.R. and Levin, R. (2000) Estimating the Incidence of Waterborne Infectious Disease Related to Drinking Water in the United States. Medicine, 4, 1-2.
[40] 徐样民, 于铭. 美国水污染控制法的调控机制[J]. 环境保护, 2005(12): 71-72.
[41] 于铭. 美国联邦水污染控制法研究[M]. 青岛: 中国海洋大学出版社, 2009: 35-36.
[42] Savioli, L., Thompson, A., et al. (2006) Giardia and Cryptosporidium Join the Neglected Diseases Initiative. Trends in Parasitology, 22, 203-205. [Google Scholar] [CrossRef] [PubMed]
[43] Kaid, B.F., et al. (1999) Once There Were Greenfields: How Urban Sprawl Is Undermining America’s Environment‚ Economy and Social Fabric. Forum for Applied Research and Public Policy, 14, 80-81.
[44] Hughes, J.M. (1998) Addressing Emerging Infectious Disease Threats—Accomplishments and Future Plans. Emerging Infectious Diseases, 4, 360-361. [Google Scholar] [CrossRef] [PubMed]
[45] Juranek, D.D. (1995) Cryptosporidiosis: Sources of Infection and Guidelines for Prevention. Clinical Infectious Diseases, 21, 60-61. [Google Scholar] [CrossRef
[46] Harrington, W. and Krupnick, A.J. (1991) Eco-nomics and Episodic Disease. Routledge, London, 66-67. [Google Scholar] [CrossRef
[47] 黄德春, 陈思萌, 张昊驰. 国外跨界水污染治理的经验与启示[J]. 水资源保护, 2009(4): 80.