Byleveld P M, Hunt A, McAnulty J M
New South Wales Department of Health, Sydney, NSW.
Med J Aust. 1999 Oct 18;171(8):426-8. doi: 10.5694/j.1326-5377.1999.tb123724.x.
Cryptosporidiosis has been increasingly recognised as a cause of diarrhoeal illness in both immunocompetent and immunocompromised people. Massive outbreaks have been linked to municipal drinking water supplies in North America and Europe, but so far none have been reported in Australia. There is evidence that modes of transmission other than drinking water are more important. There can be no guarantee that infective Cryptosporidium oocysts will not contaminate an Australian water supply. Therefore, a permanent "boil water" warning may be warranted on medical advice in severely immunocompromised people, for whom cryptosporidiosis could be persistent and life threatening.
隐孢子虫病已越来越多地被认为是免疫功能正常和免疫功能低下人群腹泻病的病因。大规模疫情与北美和欧洲的市政饮用水供应有关,但迄今为止澳大利亚尚未报告此类疫情。有证据表明,饮用水以外的传播方式更为重要。无法保证感染性隐孢子虫卵囊不会污染澳大利亚的供水。因此,对于免疫功能严重低下的人群,根据医学建议可能有必要长期发布“煮沸饮用水”的警告,因为隐孢子虫病可能会持续存在并危及生命。