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ERROR: type should be string, got "https://www.tbdhu.com/sites/default/files/images/hero-images/boat.jpg\nBoat going through Water\nCryptosporidiosis\nReporting Obligations\nIndividuals with suspect or confirmed cases must be reported to the Thunder Bay District Health Unit by the next working day by fax, phone or mail.\nPhone: 625-5930 or toll-free at 1-888-294-6630, ext. 5930\nMail: 999 Balmoral Street, Thunder Bay, ON P7B 6E7\nAetiologic Agent:\nCryptosporidium are oocyst-forming coccidian protozoa. Oocysts are excreted in feces of an infected host. The most common species causing disease in humans are C. hominis, which only infects humans, and C. parvum, which infects humans, cattle and other mammals.\nOocysts may survive for 2 to 6 months in a moist environment. Cryptosporidium is resistant to most disinfectants including 3% hypochlorite, iodophors, and 5% formaldehyde and can survive for days in treated recreational water venues.\nThe infectious dose is low; studies have demonstrated that the ingestion of ≤10 C. hominis or C. parvum oocysts can cause infection in healthy persons.\nClinical Presentation:\nCryptosporidiosis is a parasitic infection that commonly presents as gastroenteritis. The major symptom is diarrhea associated with cramping and abdominal pain. In children, diarrhea can be watery and profuse preceded by anorexia and vomiting. General malaise, fever, anorexia, nausea and vomiting occur less often. Symptoms often wax and wane but remit in less than 30 days in most immunologically healthy people. Asymptomatic infections are common and constitute a source of infection for others.\nIn immunodeficient persons, especially those infected with HIV, who may be unable to clear the parasite, the disease has a prolonged and fulminant clinical course contributing to death. Patients with AIDS who have cryptosporidiosis have a wide spectrum of disease depending on the site of infection and the CD4+ T-cell count. Among the immunocompromised (e.g., those who are HIV positive or have AIDS), symptoms can also relapse.\nThis parasite can also cause extraintestinal complications involving the gallbladder, biliary tree, and pancreatic ducts.\nModes of Transmission:\nFecal-oral, which includes person-to-person, animal-to-person, waterborne (recreational or drinking water) and foodborne transmission.\nIncubation Period:\nNot known precisely; 1–12 days is the likely range with an average of about 7 days.\nPeriod of Communicability:\nOocysts, the infectious components of the parasites life cycle, appear in stool at the onset of symptoms and are infectious immediately upon excretion; duration of post-symptomatic oocyst excretion varies from several weeks to up to 60 days. The duration of oocyst infectiousness in the environment under suitable soil conditions can range from 2 to 6 months.\nSymptoms can last for 30 days or less in healthy hosts, or longer in immunocompromised. Mean duration has been reported as 12.7 days or up to a month in healthy adults, relapse/recurrence can occur after an asymptomatic period. Among the immunocompromised (e.g., those who are HIV positive or have AIDS), symptoms can be chronic/relapsing.\nRisk Factors/Susceptibility\nPersons with intact immune function usually have asymptomatic or self-limiting illness. It has been estimated that 10-20% of AIDS patients develop infection at some time during their illness. Those who are particularly prone to infection include children under two, animal handlers, travelers, men who have sex with men and close personal contacts of infected individuals (family, healthcare and daycare workers).\nAnal-oral contact (sexual)\nAnimal contact\nClose contact with case\nConsumption of: potentially contaminated water; unpasteurized milk or milk products; unpasteurized juice or cider; raw, unwashed produce\nRecreational water contact\nPoor hand hygiene\nTravel outside the province within the last 12 days\nDiagnosis & Laboratory Testing\nDiagnosis is through demonstration of Cryptosporidium oocysts in appropriate clinical specimen (e.g. stool, intestinal fluid, or small bowel biopsy) through microscopy or through detection of Cryptosporidium DNA or demonstration of Cryptosporidium antigen by an approved method (e.g. EIA, ICT).\nTesting Information & Requisition\nTreatment & Case Management\nTreatment is under the direction of the patient’s health care provider. There is no specific treatment except rehydration when indicated.\nInform patient that symptomatic cases will be excluded from conducting activities in high-risk settings such as the food industry, healthcare, or daycare, until 24 hours after diarrhea resolves. Cases should not use recreational water venues (swimming pools, lakes and rivers) for 2 weeks after symptoms resolve.\nAssess household members and contacts who may have shared a common source exposure. Symptomatic contacts that are food handlers, healthcare workers, daycare staff and attendees should be assessed by their healthcare provider to determine if infected and should be excluded as above.\nProvide education about the illness and how to prevent the spread of infection. This includes proper hand hygiene after toileting, diapering, handling pets and before/after handling food; washing produce; cooking thoroughly all food derived from animal sources; avoiding consumption of surface water without prior treatment; and regular testing of private water samples.\nPatient Fact Sheet\n1. Ministry of Health and Long Term Care, Infectious Diseases Protocol, 2018 Appendix A (2019) and Appendix B (2019)\nMOHLTC. \"Cryptosporidiosis\"\nReportable Diseases (Diseases of Public Health Significance)\nImmunization Resources\nOutbreak Management in Long-Term Care Homes: Learning Modules for Staff\nQuit Smoking for Health Care Providers\nAcquired Immunodeficiency Syndrome (AIDS/HIV)\nAcute Flaccid Paralysis (AFP)\nCOVID-19 for Health Care Providers\nCarbapenamase-producing Enterobacteriaceae (CPE)\nChickenpox (Varicella)\nChlamydia trachomatis infections\nClostridium difficile Infection (CDI) outbreaks in public hospitals\nCreutzfeldt-Jakob Disease, all types (Transmissible Spongiform Encephalopathy)\nCyclosporiasis\nEchinoccoccus multilocularis\nGastroenteritis, Outbreaks in institutions and public hospitals\nGroup A Streptococcal disease, invasive\nGroup B Streptococcal Disease, neonatal\nHaemophilus influenzae disease, all types, invasive\nHantavirus Pulmonary Syndrome\nHemorrhagic Fevers\nLegionellosis\nMeningococcal disease, invasive\nOphthalmia Neonatorum\nParalytic Shellfish Poisoning (PSP)\nParatyphoid Fever\nPneumococcal disease, invasive\nPoliomyelitis, Acute\nPsittacosis/Ornithosis\nRespiratory Infection Outbreaks in Institutions and Public Hospitals\nRubella, congenital syndrome\nTrichinosis\nVerotoxin-producing E. Coli infection indicator conditions, including Heamolytic Uraemic Syndrome (HUS)\nWest Nile Virus Illness\nYersiniosis\nDaily update on the status of COVID-19 in the Thunder Bay District Health Unit"