logo
Here's what you need to know about E. coli while swimming in Indiana

Here's what you need to know about E. coli while swimming in Indiana

Hoosiers looking to cool off with a dip in open waters this summer may be met with health risks and beach closures due to E. coli pollution. The bacteria prompted temporary swimming bans at Eagle Creek and a few beaches in Hamilton County as the summer season kicked off.
Some forms of the fecal bacteria can pose a health risk to people, so precautions may be needed as you pack up the towels and swimsuits for an afternoon in the sun and water.
There are a few ways E. coli finds its way into our water, and state agencies remind everyone to keep an eye out for any health advisories at beaches where regular testing is performed. Here are a few reminders before heading out for a beach day.
E. coli, or Escherichia coli, is a coliform bacteria living in many places including human and animal intestines. There are many types of E. coli, but a few strains of the bacteria, such as E. coli 0157:H7, can cause people to have severe stomach cramping, bloody diarrhea and vomiting, according to the Mayo Clinic.
E. coli is a fecal coliform that health departments can test for in Indiana waters. The bacteria ends up in our waters from the gastrointestinal tracts of people and warm-blooded animals.
The bacteria can get into water three ways, according to the Waterkeeper Alliance.
There are many forms of E. coli, and only a handful of them will make you sick if you swallow the bacteria.
Young children under 5 years old, adults above 65 and people with weakened immune systems can be more susceptible to E. coli infection, according to the Centers for Disease Control and Prevention.
While less severe symptoms may include a day or two of diarrhea, more severe strains of Shinga-carrying E. coli can cause a serious health risk called hemolytic uremic syndrome. This can lead to kidney failure, permanent health problems and even death, according to the CDC.
Some E. coli infections can cause urinary tract infections and other gastrointestinal issues, according to the Cleveland Clinic. The clinic also says E. coli cases can lead to prostate, bloodstream or gallbladder infections and, in rare cases, pneumonia and meningitis.
Symptoms can take up to 10 days to appear after being exposed to E. coli, but some bacteria strains will make you sick within hours.
High counts of E. coli found where Hoosiers might want to swim means that there is likely feces contamination in the river, stream or lake, according to the Clean Lakes Alliance.
The Indiana Department of Environmental Management did not make an expert available for this article, but sent a document that recommends Hoosiers check for regularly monitored beaches that have posted advisories as one way to reduce E. coli exposure. If a waterbody or beach is not regularly monitored, the department recommends finding a swimming location with good water circulation.
Hoosiers should also shower after coming into contact with surface water, the department advises.
IndyStar's environmental reporting project is made possible through the generous support of the nonprofit Nina Mason Pulliam Charitable Trust.
Orange background

Try Our AI Features

Explore what Daily8 AI can do for you:

Comments

No comments yet...

Related Articles

Alcohol-related liver problems escalate in Wisconsin, especially for women, young people
Alcohol-related liver problems escalate in Wisconsin, especially for women, young people

Yahoo

time44 minutes ago

  • Yahoo

Alcohol-related liver problems escalate in Wisconsin, especially for women, young people

Deaths from liver diseases that result from consuming too much alcohol are escalating dramatically in Wisconsin, and even more alarming, such diseases are showing up more in younger people. The numbers mirror national trends described in a June 11 study in JAMA Open Network, which found a "significant acceleration" in alcohol-associated liver disease deaths during and after the COVID-19 pandemic. Nationwide, such deaths increased nearly 9% annually between 2018 and 2022. In Wisconsin, deaths from cirrhosis of the liver — one of several liver diseases tied to alcohol consumption — rose 35% between 2019 and 2023, according to data from the Centers for Disease Control and Prevention. It's well-documented that Americans began drinking more during the pandemic, and coupled with Wisconsin's deeply entrenched drinking culture, experts worry about the toll they're seeing on people's physical health. Alcohol-related deaths generally, which include myriad other causes besides liver problems, increased three-fold in Wisconsin between 1999 and 2020, a January analysis from the Journal Sentinel found. But experts say multidisciplinary treatment, reduced stigma around alcohol use disorder, and a renewed emphasis on education and prevention could improve the situation. "I think the narrative often in Wisconsin is just, 'Oh, we're just big drinkers,' and that's all there is," said Maureen Busalacchi, director of the Wisconsin Alcohol Policy Project at the Medical College of Wisconsin. "The message is not that you can't drink at all. It's more, really think about it, and just drink less." More: Wisconsin's alcohol-related deaths more than tripled since 1999: See the data U.S. dietary guidelines for alcohol urge people of drinking age to limit consumption to one drink or fewer per day for women and two drinks or fewer per day for men. When people consume significant amounts of alcohol over a prolonged period of time, fat begins to turn up in the liver, and then scar tissue, which can lead to cirrhosis, said Dr. Rita German, a transplant hepatologist at UW Health in Madison. Many times, German said, liver disease symptoms such as jaundice, fever and confusion don't show themselves until the disease has progressed, making it harder to treat. Nearly 3,000 Wisconsinites died from alcohol-related liver diseases from 2019 to 2023, CDC data show. The large majority — 2,072 — were from cirrhosis. Deaths from most types of liver diseases due to alcohol consumption increased in those years, including alcoholic fatty liver and alcoholic hepatic failure in addition to cirrhosis. Deaths from alcoholic hepatitis fell slightly. Busalacchi called the numbers a huge concern. Most of these deaths are preventable, she contended. Doctors used to think of alcohol-related liver diseases as affecting people past middle age, German said. But increasingly, that age is dropping. At UW Health's multidisciplinary clinic for patients with such diseases, she said, the average age is now 45, and she's treated some as young as 25. More: Alcohol-related deaths in Wisconsin tripled since 1999. Will a new warning from the surgeon general slow the trend? That may seem to conflict with recent research showing young people, particularly Gen Z, drinking less. But while some are cutting back, those who do drink are drinking more heavily, Busalacchi said. And while alcohol use among Wisconsin high schoolers has generally decreased in recent years, more than one in 10 reported binge drinking in the last 30 days on the state's most recent Youth Risk Behavior Survey, done in 2023. The JAMA study noted, in particular, increases in alcohol-related liver disease deaths among adults ages 25-44. Deaths among women also increased disproportionately. Women absorb more alcohol into their bloodstream because they're generally smaller than men and because women's bodies have less gastric alcohol dehydrogenase, the enzyme that breaks down alcohol in the stomach, German said. Thus, they're at greater risk for liver damage. The Medical College of Wisconsin's liver transplant team reports younger and younger women needing transplants due to alcohol consumption, Busalacchi said. More: US to drop guidance to limit alcohol to one or two drinks per day, sources say To catch alcohol-related liver diseases earlier, German said, it's critical that patients be forthcoming about their alcohol use at the doctor's office. And for that to happen, she said, doctors must view alcohol use disorder for what it is — a disease, not a personal failing. People who are concerned about their alcohol consumption may also request an ultrasound of their liver, German said. From there, they can begin treatment if need be. She also sees the benefits in treatment that is comprehensive. At UW Health's clinic, patients not only see doctors like German who attend to the liver, but addiction specialists and counselors to treat underlying mental health conditions that can drive alcohol use. The clinic has treated between 250 and 300 people since it began in 2021. If it's caught in time, fat and scarring in the liver can be reversed by abstaining from alcohol, German said. Busalacchi's work continues to focus on changing societal perceptions on drinking culture. She sees encouraging signs around the state from communities that are offering more education about the consequences of excessive drinking, especially for youth. Some are taking a harder stance on age compliance checks for alcohol sales. Madeline Heim covers health and the environment for the Milwaukee Journal Sentinel. Contact her at 920-996-7266 or mheim@ This article originally appeared on Milwaukee Journal Sentinel: Wisconsin deaths from alcohol-related liver diseases sharply rise

Letters to the Editor: Vaccines save millions of lives. Don't let Robert F. Kennedy Jr. diminish them
Letters to the Editor: Vaccines save millions of lives. Don't let Robert F. Kennedy Jr. diminish them

Los Angeles Times

time3 hours ago

  • Los Angeles Times

Letters to the Editor: Vaccines save millions of lives. Don't let Robert F. Kennedy Jr. diminish them

To the editor: For Robert F. Kennedy Jr. to be our secretary of Health and Human Services is not only having the fox guard the chicken coop — the fox is invited right into the chicken coop. His unfitness for the job and danger to the health of our citizens was beautifully laid out by columnist Robin Abcarian in her article on the critical role of vaccines and the dangers we face because he belittles their validity and importance ('RFK Jr. is dismantling trust in vaccines, the crown jewel of American public health,' June 29). During my pediatric residency decades ago, some of the 'old-timers' occasionally brought in patients who had diseases that we rarely saw anymore because of vaccines, including measles. One night, a toddler came into the emergency room and we admitted her immediately to the intensive care unit because we could see she had a grave infection. She died the next day. The infection she had, Haemophilus influenzae type B, is now part of the vaccination schedule. That vaccine alone is estimated to have saved 2.85 million lives from 1989 to 2024. There is little that prevents infant mortality like vaccines. Even though the insurance industry has followed Centers for Disease Control and Prevention recommendations for vaccines, paying for the ones recommended by the CDC Advisory Committee for Immunization Practices, I recommend and hope they will pivot to following the recommendations of professional medical organizations such as the American Academy of Pediatrics. Our children and others receiving vaccines deserve this protection. Linda Randolph, Los Angeles .. To the editor: Operation Warp Speed was a great success that enabled testing and widespread distribution of COVID-19 vaccines by the end of the first pandemic year, 2020. According to one study, in just the first seven months of 2021, the vaccines saved approximately 279,000 U.S. lives. Now, as Abcarian discusses, we have a Health secretary who tells Americans to eat healthy while he feasts on junk science that erroneously claims that COVID vaccines, along with other vaccines, are harmful. We should all be concerned about our nation's transition from Operation Warp Speed to what I call 'Operation Warped Mind' — a foolish opposition to vaccines — and the risks that this poses to our health. And we should all question why the president nominated an unqualified person to be the Health secretary and why all Republican senators except Mitch McConnell voted to confirm him. It's notable that McConnell, a survivor of childhood polio, explained his position by saying, 'I will not condone the relitigation of proven cures, and neither will millions of Americans who credit their survival and quality of life to scientific miracles.' David Michels, Encino

As Florida mosquito season peaks, officials brace for new normal of dengue cases
As Florida mosquito season peaks, officials brace for new normal of dengue cases

Miami Herald

time3 hours ago

  • Miami Herald

As Florida mosquito season peaks, officials brace for new normal of dengue cases

As summer ushers in peak mosquito season, health and vector control officials are bracing for the possibility of another year of historic rates of dengue. And with climate change, the lack of an effective vaccine, and federal research cuts, they worry the disease will become endemic to a larger swath of North America. About 3,700 new dengue infections were reported last year in the contiguous United States, up from about 2,050 in 2023, according to the Centers for Disease Control and Prevention. All of last year's cases were acquired abroad, except for 105 cases contracted in Florida, California or Texas. The CDC issued a health alert in March warning of the ongoing risk of dengue infection. 'I think dengue is here with us to stay,' said infectious disease specialist Michael Ben-Aderet, associate medical director of hospital epidemiology at Cedars-Sinai in Los Angeles, about dengue becoming a new normal in the U.S. 'These mosquitoes aren't going anywhere.' Dengue is endemic — a label health officials assign when diseases appear consistently in a region — in many warmer parts of the world, including Latin America, India and Southeast Asia. Dengue cases increased markedly last year in many of those places, especially in Central and South America. The disease, which can spread when people are bitten by infected Aedes mosquitoes, was not common in the contiguous United States for much of the last century. Today, most locally acquired (meaning unrelated to travel) dengue cases in the U.S. happen in Puerto Rico, which saw a sharp increase in 2024, triggering a local public health emergency. Most people who contract dengue don't get sick. But in some people symptoms are severe: bleeding from the nose or mouth, intense stomach pain, vomiting, and swelling. Occasionally, dengue causes death. MORE: Dengue fever on the rise. What to know about the mosquito-borne illness in Florida California offers a case study in how dengue is spreading in the U.S. The Aedes aegypti and Aedes albopictus mosquitoes that transmit dengue weren't known to be in the state 25 years ago. They are now found in 25 counties and more than 400 cities and unincorporated communities, mostly in Southern California and the Central Valley. The spread of the mosquitoes is concerning because their presence increases the likelihood of disease transmission, said Steve Abshier, president of the Mosquito and Vector Control Association of California. From 2016 through 2022, there were an average of 136 new dengue cases a year in California, each case most likely brought to the state by someone who had traveled and been infected elsewhere. In 2023, there were about 250 new cases, including two acquired locally. In 2024, California saw 725 new dengue cases, including 18 acquired locally, state data shows. Climate change could contribute to growth in the Aedes mosquitoes' population, Ben-Aderet said. These mosquitoes survive best in warm urban areas, often biting during the daytime. Locally acquired infections often occur when someone catches dengue during travel, then comes home and is bitten by an Aedes mosquito that bites and infects another person. 'They've just been spreading like wildfire throughout California,' Ben-Aderet said. Dengue presents a challenge to the many primary care doctors who have never seen it. Ben-Aderet said doctors who suspect dengue should obtain a detailed travel history from their patients, but confirming the diagnosis is not always quick. 'There's no easy test for it,' he said. 'The only test that we have for dengue is antibody tests.' He added that 'most labs probably aren't doing it commercially, so it's usually like a send-out test from most labs. So you really have to suspect someone has dengue.' Best practices for avoiding dengue include eliminating any standing pools of water on a property — even small pools — and using mosquito repellent, Abshier said. Limiting activity at dusk and dawn, when mosquitoes bite most often, can also help. Efforts to combat dengue in California became even more complicated this year after wildfires ripped through Los Angeles. The fires occurred in a hot spot for mosquito-borne illnesses. San Gabriel Valley Mosquito and Vector Control District officials have worked for months to treat more than 1,400 unmaintained swimming pools left in the wake of fire, removing potential breeding grounds for mosquitoes. San Gabriel vector control officials have used local and state resources to treat the pools, said district spokesperson Anais Medina Diaz. They have applied for reimbursement from the Federal Emergency Management Agency, which has not historically paid for vector control efforts following wildfires. In California, vector control agencies are often primarily funded by local taxes and fees on property owners. Some officials are pursuing the novel method of releasing sterilized Aedes mosquitoes to reduce the problem. That may prove effective, but deploying the method in a large number of areas would be costly and would require a massive effort at the state level, Abshier said. Meanwhile, the federal government is pulling back on interventions: Several outlets have reported that the National Institutes of Health will stop funding new climate change-related research, which could include work on dengue. This year, reported rates of dengue in much of the Americas have declined significantly from 2024. But the trend in the United States likely won't be clear until later in the year, after the summer mosquito season ends. Health and vector control researchers aren't sure how bad it will get in California. Some say there may be limited outbreaks, while others predict dengue could get much worse. Sujan Shresta, a professor and infectious disease researcher at the La Jolla Institute for Immunology, said other places, like Nepal, experienced relatively few cases of dengue in the recent past but now regularly see large outbreaks. There is a vaccine for children, but it faces discontinuation from a lack of global demand. Two other dengue vaccines are unavailable in the United States. Shresta's lab is hard at work on an effective, safe vaccine for dengue. She hopes to release results from animal testing in a year or so; if the results are positive, human trials could be possible in about two years. 'If there's no good vaccine, no good antivirals, this will be a dengue-endemic country,' she said. Phillip Reese is a data reporting specialist and an associate professor of journalism at California State University-Sacramento. This article was produced by KFF Health News, which publishes California Healthline, an editorially independent service of the California Health Care Foundation. KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF—an independent source of health policy research, polling, and journalism. Learn more about KFF.

DOWNLOAD THE APP

Get Started Now: Download the App

Ready to dive into a world of global content with local flavor? Download Daily8 app today from your preferred app store and start exploring.
app-storeplay-store