Boil Water Order Issued
Media Release/Public Advisory Battlefords Health District
Public Information Contact Numbers
Fact Sheet on Cryptosporidiosis
Frequently Asked Questions

"BOIL WATER ORDER ISSUED"

The Battlefords Health District, the City of North Battleford, Saskatchewan Environment and Resource Management and Saskatchewan Health have announced that effective immediately a "BOIL WATER ORDER" has been issued for the City of North Battleford.

All residents and users of water from the municipal system serving the City of North Battleford are ordered to boil their water for three minutes before drinking or use in other food preparation.

The Order replaces the Precautionary Drinking Water Advisory issued on April 25. Information distributed to residents on April 26 still applies.

"We now have new information from the City of North Battleford and Saskatchewan Environment that indicates there was a problem at the City's water plant between March 21 and April 17, 2001, likely resulting in cryptosporidium entering the distribution system," said Medical Health Officer Dr. Gerhard Benade.

More than 100 persons with gastrointestinal symptoms have been seen in the hospital emergency department over the past several weeks. There has also been a preliminary report of many people in the community with mild to moderate symptoms.

"Our top priority is protecting the health of our residents. Therefore we need to take all reasonable measures," Benade said.

Cryptosporidia are microscopic parasites that can live in the intestines of humans and animals. Symptoms include diarrhea, stomach cramps, upset stomach and a slight fever. Some people have no symptoms.

The Order will remain in effect until the water treatment process and distribution system is determined to be providing safe potable water.

The Precautionary Drinking Water Advisory for the Town of Battleford will continue until further notice.

Battlefords Health District, Saskatchewan Health, Saskatchewan Environment and the City of North Battleford are working together to ensure the safety of the water and to protect the residents of the communities.

For more information contact:

Battlefords Health District 446-6400 (Dr. Gerhard Benade)
SERM (Sask Environment & Resource Management) 446-7683 (Mr. Scott Meekma)
City of North Battleford 445-1700  

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MEDIA RELEASE/PUBLIC ADVISORY BATTLEFORDS HEALTH DISTRICT

"Precautionary Drinking Water Advisory Issued"

Battlefords Health District, Saskatchewan Health, and Saskatchewan Environment and Resource Management (SERM) have issued a PRECAUTIONARY DRINKING WATER ADVISORY for the City of North Battleford and Town of Battleford.

All residents and users of water from the municipal systems of the city and town are urged to boil their water for three minutes before drinking or use in other food preparation.

The advisory is issued in response to confirmation Monday, April 23 and Tuesday, April 24 by the Provincial Laboratory in Regina of Cryptosporidium in fecal samples from residents of Battlefords Health District. A total of 10 cases have been confirmed. The Health District was first notified of a case of Cryptosporidiosis on the Easter weekend. The total increased to three cases by April 23, and now stands at 10.

Cryptosporidia are microscopic parasites that live in the intestines of humans and animals. Symptoms of Cryptosporidiosis include diarrhea, loose or watery stool, stomach cramps, upset stomach, and a slight fever. Some people have no symptoms.

Crypto can be spread through water or food, or by contact with the feces of infected persons or animals. The source of the contamination is not yet known.

In previous outbreaks elsewhere in Canada, water has been identified as a common source of infection. For that reason and in a proactive approach to guard public health, the precautionary drinking water advisory is issued.

The advisory will remain in place until we have evidence to confirm or exclude our water supply as the source of infection.

Battlefords District Health, Saskatchewan Health, SERM, the City of North Battleford, Town of Battleford and Health Canada are working together to identify the source and resolve the problem as quickly as possible.

For more information, contact:

Dr. Gerhard Benade, BHD Medical Health Officer 446-6426
Mr. Scott Meekma, SERM 446-7683

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PUBLIC INFORMATION CONTACT NUMBERS

Battlefords Health District 446-6400
City of North Battleford 445-1700
Town of Battleford 937-6200
SERM (Saskatchewan Environment and Resource Management) 446-7683

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FACT SHEET ON CRYPTOSPORIDIOSIS

Cryptosporidiosis is the disease often called "crypto" caused by the parasite cryptosporidium parvum.

Cryptosporidium infections can be caused by swallowing only a small amount of cryptosporidia through contaminated water or food. It can be spread through fecal-oral transmission by feces of an infected person or an object that has been contaminated with the infected person's feces. The illness that results is an infection of the bowel. The first symptoms may appear 2 - 10 days after a person becomes infected and they will normally last for about 2 weeks or less although some individuals may recover then get worse again.

Not everyone who is infected will feel sick. If symptoms do occur they may include:

Anyone can get Cryptosporidiosis. Those at greater risk are:

There are no prescribed antibiotics for this illness but some medications can lessen the severity of the symptoms.

To prevent the infection:

Most people with a healthy immune system will recover on their own. If you have diarrhea, drink plenty of fluids to prevent dehydration. If you have a severely weakened immune system, consult with your health care provider.

For more information contact:

Battlefords Health District Community Health Services at 446-6400
Saskatchewan Environment & Resource Management at 446-7683

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CRYPTOSPORIDIUM - FREQUENTLY ASKED QUESTIONS

Q What is Cryptosporidium and how is it transmitted?
A Cryptosporidium is a microscopic parasite that is found in the feces of infected humans or animals. Humans are infected when they ingest contaminated water or food, or touch contaminated objects, then touch their mouth before washing their hands well. Cryptospoidiosis, the disease caused by Crytosporidium, is a common cause of diarrhea among people with AIDS.

Q What are the symptoms?
A Symptoms of Cryptosporidium infection in persons with normal immune systems include diarrhea that lasts one to two weeks, often accompanied by abdominal cramps, fatigue, nausea, vomiting, and low-grade fever. People usually develop symptoms two to 10 days after ingesting the parasite. In persons with weakened immune systems, Cryptosporidiosis can be chronic and life threatening.

Q Who is at risk for severe Cryptosporidiosis?
A People at risk for severe Cryptosporidiosis include people with AIDS, people who have cancer, or organ or bone marrow or transplant patients who are taking drugs that suppress the immune system, and people who are born with genetically weakened immune systems.

Q Why is Cryptosporidium a problem in drinking water?
A Cryptosporidium is a problem because most water from lakes, rivers and streams contain some of the microscopic parasite. Most communities get their water from these "surface" sources, rather than from underground sources such as wells. Cryptosporidium is highly resistant to chlorine and other disinfectants, which are used to kill bacteria and viruses in drinking water. In addition, Cryptosporidium is so small that the type of filters used in conventional municipal water treatment does not easily remove it from the water.
Over half of the tested public water supplies that use surface water have been found to have small amounts of Cryptosporidium in the water sent to homes and businesses.

Q How can I tell if there is Cryptosporidium in my drinking water?
A You cannot tell without expensive, special tests. These tests are not very good for home use, and are not always reliable.

Q Is there a cure for Cryptosporidium infection?
A No. Some drugs, such as paromomycin (Par-o-mo-my-sin), may reduce the symptoms of Cryptosporiodosis, but no drug now known can cure it. Diarrhea can cause dehydration. People with diarrhea should contact their health care provider who may recommend an oral rehydration therapy mix.

Q Should I take extra protective measures?
A It depends on your health and your drinking water. If you have AIDS, if you have cancer or if you have had an organ or bone marrow transplant and are taking drugs that weaken your immune system, or if you were born with a genetically weakened immune system, you may want to take extra measures. You should talk to your health care provider regarding the level of your risk and on how to reduce it.
If you have a healthy immune system, you are at less risk for Cryptosporidiosis, but you may want to consider the quality of your drinking water. Unfortunately, assessing the risk of Cryptosporidium infection from your drinking water is not easy. Tests for Cryptosporidium in public water supplies are not easy 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. If your drinking water comes from surface source (lake, stream, river) that is unfiltered, or one that is located downstream from a sewage treatment facility or runoff from farming, your water may be at increased risk of containing Cryptosporidium.

Q What can immuno-suppressed people do to avoid infection with Cryptosporidium?
A Avoid sexual practices that may result in exposure to feces.
Avoid drinking water directly from lakes, rivers, ponds or streams.
Avoid swimming in lakes, rivers, streams, ponds, public swimming pools or recreational parks.
Avoid working with diaper-aged children.
Avoid contact with feces of all animals, particularly young farm animals such as calves.

Always wash hands thoroughly:

Q Do I need to buy bottled water?
A No. Boiled tap water is safe. Bottled water is safe provided it is treated by reverse osmosis, distilled or filtered through an absolute 1 micron or smaller filter.

Q Can I take a shower or bath?
A Yes, but avoid swallowing any water.

Q Can I use ice cubes already frozen?
A No. Discard all ice cubes because they may contain Cryptosporidium. Make new ice cubes with boiled, filtered or bottled water.

Q Can I brush my teeth with tap water?
A No. Use boiled, filtered or bottled water.

Q Is drinking water the only source of the parasite that causes Cryptosporidiosis?
A No, there are many other sources. For example, foods, such as unwashed fruits and vegetables, especially from a foreign country, swimming pools, recreational water and pets are common sources. (day care centres, nursing homes mentioned)

Q I have a filter on my tap. Is my water safe to drink?
A Not all available home water filters remove Cryptosporidium. Look for labels that say:

Reverse osmosis treated
Filtered through an absolute 1 micron or smaller filter
1 micron absolute
NSF Standard 53 certified for cyst removal/reduction

Q Is bottled water safe to drink?
A See chart below

Water processed by method effective against Cryptosporidium
Reverse Osmosis Treated
Filtered through an absolute 1 micron or smaller filter
Distilled
"1 micron absolute"

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