More and more people are hearing about parasites
called "Cryptosporidium" and "Giardia". Cryptosporidium is quietly becoming
a public health concern and it is a subject that is widely misunderstood
by the public. The following will help you understand a little about why
it is becoming a talked about topic in reference to drinking water.
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Cryptosporidiosis (krip-toe-spo-rid-e-o-sis) is the disease, often called
"crypto," caused by a single-celled animal,
cryptosporidium parvum.
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Tiny oocysts, shell-like coverings protect the
cryptosporidium inside. Oocysts can be ingested
by humans through a variety of ways including drinking water. Once inside
the human digestive system, the oocyst breaks open releasing
cryptosporidium parasites into the intestinal
lining. The resulting infection and irritation is called cryptosporidiosis.
The cryptosporidium then infect the lining of
the small intestine. The infected cells lining the small intestine appear
normal, but their ability to absorb water and nutrients is severely impaired.
The water and food ingested by the infected person simply pass through the
digestive system. After infection, an individual can pass cryptosporidia
in the stool for months, and may give the disease to other people.
Cryptosporidium can be found on clothing, bedding
or other things used by infected persons, such as persons with diarrhea or
children in diapers. This is why it is important that individuals always
wash their hands after touching these things and before touching food or
the mouth.
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Cryptosporidium is a protozoan parasite,
not a bacteria or virus. It cannot be seen with the naked eye.
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Cryptosporidiosis infection can be caused by swallowing only a small amount
of cryptosporidium and/or the oocysts.
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Although cryptosporidium can be found in
approximately 95 percent of the surface water in the United States,
concentrations of the organism vary greatly. At low concentrations, the organism
most likely will not cause disease in healthy individuals.
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Cryptosporidium is not killed or eliminated
from water by the chlorine used to treat municipality drinking water.
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Cryptosporidium and
Giardia are very resistant and MAY NOT BE KILLED
by traditional disinfection agents such as chlorine and ultraviolet light.
These organisms are often not removed by municipal water treatment. Today
there is still a debate over chlorine and UV lights effectiveness so at this
time you should not rely on these technologies untill a more definitive answer
is available.
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Point-of-use filters that remove particulates one micrometer or less in
diameter are effective against cryptosporidium
and giardia. Filters in this category include
those labeled as "Absolute" 1 or less micron filters
(1 micron, 0.5 micron, etc.. the smaller the number the better),
or those labeled as certified by NSF International under NSF standard 53
for cyst removal. Note: The "Nominal" one micron
filter may not reliably remove Cryptosporidium. It must be an "Absolute"
1 micron or less!
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Ozone gas is being investigated for large treatment plants but it is a
very expensive and costly method because it requires long contact times and
high concentrations of ozone to be effective.
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Water Distillers are probably the BEST effective
method of combating cryptosporidium. Distillation
is one of the MOST effective, reliable and consistent methods of eliminating
the threat of microbiological contaminants such
as cryptosporidium
and giardia.
Reverse osmosis (RO) is another good
method of stopping them as well!
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When people get infected with cryptosporidium
they can have watery diarrhea, stomach cramps, an upset stomach and/or a
slight fever.
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There are no drugs that can cure cryptosporidiosis.
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Cryptosporidiosis can also be fatal. Individuals who are most at risk
are the immune suppressed, infants, children, the elderly, cancer patients,
organ-transplant recipients and people who are HIV positive or have AIDS.
Others also at risk are farmers, veterinarians, day care and heath professionals.
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The first symptoms of crypto may appear 2 to 10 days after a person becomes
infected. In a healthy person with a normal immune system, symptoms normally
will last for about two weeks or less, although individuals may recover then
get worse again. Some people with crypto may not get sick, but they can still
pass the disease to others. After infection an individual can pass cryptosporidia
in the stool for months, and may give the disease to other people.
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In 1993, cryptosporidium captured the nation's
attention. Its presence in the Milwaukee public water supply gave more than
400,000 people acute and often prolonged diarrhea or other gastrointestinal
symptoms. 4,000 people had to be hospitalized and by the time the outbreak
ended, 100 people had died. It was the largest episode of waterborne disease
in the United States in the 70 years since health officials began tracking
such outbreaks. Since the Milwaukee outbreak in 1993, concern about the safety
of drinking water in the United States has increased.
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In 1994, dozens of cases of cryptosporidiosis were also reported among
aids patients in the city of Las Vegas.
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An NBC made for TV movie called "Thirst" (aired Oct. 26, 1998) raises
public awareness and interest about the
cryptosporidium parasite.
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Unfortunately, assessing the risk of
Cryptosporidium infection from your drinking
water is difficult. Many cities do not test for
Cryptosporidium in their water because testing
is expensive and time-consuming, and the results are difficult to interpret.
A positive test does not necessarily mean there is a risk, and a negative
test does not necessarily mean there is no risk.
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Giardiasis, which is caused by Giardia cyst,
is one of the most common causes of diarrhea in North America. Infection
is more common among children and may last for up to three weeks. Unlike
cryptosporidiosis, giradiasis may be effectively treated with antibiotics.
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