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Town Branch First Surface in West Lexington

This project aims to assess the impact of cholera epidemics on community health in Lexington, KY. The study includes water sampling, analysis of stream samples, and surveys of healthcare practitioners. Results show a correlation between gastroenteritis cases and the presence of certain pathogens.

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Town Branch First Surface in West Lexington

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  1. Town Branch First Surface in West Lexington

  2. Lexington Cholera Epidemics1833 & 1849

  3. Main St Flood-Lexington, KY 1928

  4. COMMUNITY HEALTH IMPACT SURVEY Friends of Wolf Run- Lexington, KentuckyTerry Foody, RN, MSN Project Coordinator Lexington-Fayette Urban County Government Department of Environmental Quality Stormwater Quality Incentive Grants Program Class A (Neighborhood ) Project July, 2010 - June, 2011. May, 2012 – August 2015. terryfoody@juno.com - (859)277.5291 www.WolfRunWater.org

  5. Project Methods • Known presence of human E.coli. In Wolf Run stream. • Question: evidence of waterborne disease? • Apply for and secure stormwater grant (FoWR & Foody). • Acquire samples: 5 stream sites x 4 rounds. (FoWR). • Analysisof stream samples at UK Micro.Lab (Dr.Ribes). • Survey of Health Care Practitioners in Watershed for incidence of waterborne disease in patients. (Foody)

  6. Stool Cultures for Water Samples Julie A. Ribes, M.D., Ph.D. UKHealthCare Clinical Microbiology Laboratory

  7. Wolf Run Water Findings D13 BAP • Sweep oxidase to pick up • Aeromonas • Pleisiomonas • Spready colony worked up for possible Bacillus cereus

  8. Stream Results from One Station

  9. Wolf Run Water Findings D13 XLD • Usual coliforms are yellow • Need to screen black colonies for possible Salmonella spp. • Need to screen clear red colonies for possible Shigella spp.

  10. Potentially Significant Organisms Isolated • D13 8/24/10Bacillus cereus, Aeromonas sobria, Pleisiomonas shigelloides • D10 8/24/10Aeromonas sobria, Bacillus cereus • D14 8/24/10Bacillus cereus, Aeromonas sobria • D16 8/24/10Aeromonas caviae, Aeromonas sobria, Bacillus cereus • D18 8/24/10Bacillus cereus, Aeromonas hydrophila, Aeromonas schubertii, Aeromonas sobria, Aeromonas caviae

  11. Aeromonas hydrophila Aeromonas caviae

  12. Survey of Agencies • Tool Preparation – validity & reliability. • Input from MDs, Epidemiologists, RNs • Health Department – Disease registry. • Watershed agencies: Lexington Clinic, KY Clinic South, Family Care Center, W Hope Center, Bluegrass Com. Health Clinic. • 2012-13, added outside watershed: Salvation Army, Health First Lexington, Men’s Hope Center & 4 Schools.]

  13. Results2010-2011 • Four agencies in the watershed: • 273 total cases gastroenteritis. • Adults, children, male, female with watery or bloody diarrhea. • Health Department confirmed reportable diseases: 34 cases from specific pathogens. • Note! Correlation to stream not provable.

  14. 2012-2013 • Hold on water sampling. • Expand survey to agencies outside Wolf Run Watershed . • Community education to professionals, neighborhoods. • Medical/city stormwater coalition. Roundtable Meetings: Jan, 2011. May 2013.

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