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Tytuł:
The 9th European Hypoxia Symposium 2018 From Molecules to Mt. Everest – From Science to Practice
IX Europejskie Sympozjum Hipoksji 2018 Od cząsteczek do Mount Everest – od nauki do praktyki
Autorzy:
Küpper, Thomas
Powiązania:
https://bibliotekanauki.pl/articles/2097992.pdf
Data publikacji:
2019-03-05
Wydawca:
Państwowa Wyższa Szkoła Zawodowa w Tarnowie
Tematy:
doniesienia konferencyjne
streszczenia
konferencje naukowe
conference reports
abstracts
scientific conferences
Źródło:
Health Promotion & Physical Activity; 2018, 5, 4; 37-44
2544-9117
Pojawia się w:
Health Promotion & Physical Activity
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
24th Annual Meeting of the German Society for Travel Medicine (DFR), Bremerhaven, Germany, 16–18 September 2021
Autorzy:
Küpper, Thomas
Powiązania:
https://bibliotekanauki.pl/articles/2098276.pdf
Data publikacji:
2021
Wydawca:
Państwowa Wyższa Szkoła Zawodowa w Tarnowie
Tematy:
German Society for Travel Medicine
DFR
conference
abstract
Opis:
About the MeetingThis year the Annual Meeting off the German Society of Travel Medicine took place in Bremerhaven, September 16th to 18th. This traditional harbour town where thousands of Germans were embarking hundred years ago facing an uncertain future, the so-called “climate house” (an exihibtion about several aspects of the world’s climate) and the Alfred-Wegener Institute for Arctic Research were a fantastic setting for the meeting’s motto “traveling under extreme conditions”. After a brillant introduction by Stefan Kröpelin about research in the Sahara two weeks away from the next pharmacy and a fascinating lecture by Eberhard Kohlberg how to organize expeditions to Antarctica and how to work and to live there several lecturers illuminated a wide field of travel medicine in more or less extreme conditions.
Źródło:
Health Promotion & Physical Activity; 2021, 16, 3; 40-51
2544-9117
Pojawia się w:
Health Promotion & Physical Activity
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Health challenges on research and cruise ship expeditions to Antarctica
Autorzy:
Heggie, Travis
Küpper, Thomas
Powiązania:
https://bibliotekanauki.pl/articles/2098309.pdf
Data publikacji:
2022-07-01
Wydawca:
Państwowa Wyższa Szkoła Zawodowa w Tarnowie
Tematy:
Antarctica
expedition
cruise ship
injury
illness
death
Opis:
Antarctica is one of the last great wilderness areas on Earth. Early Antarctic expeditions during the Heroic Age of Antarctic discovery (1895–1922) returned reports of frostbite, scurvy, snow blindness, and death. Today, over 50,000 people travel to the Antarctic each year via research expeditions, commercial cruise ships (tourism), and research cruises. This study reviewed the existing research reporting the health challenges encountered during modern day travel to Antarctica. The results identified a transition from the Heroic Age when death was common to a contemporary time when death is an uncommon event. The review identified musculoskeletal and soft tissue injuries resulting from moving equipment and supplies to be the most common health challenge encountered by long-term land expeditions. Digestive issues such as constipation and dyspepsia were also common in during the coldest months. For tourist oriented commercial cruise ships, motion sickness resulting from rough seas was most prominent. Specifically, the small nature of the cruise ships made them prone to rough seas in Drakes Passage. During scientific cruises where research is primarily conducted aboard the ship, dermatological conditions (viral, fungal, bacterial) such as dry skin, dry lips, eczema are the most common health challenge. Musculoskeletal and soft tissue injuries are also common given the physical challenge associated with strenuous research.
Źródło:
Health Promotion & Physical Activity; 2022, 19, 2; 1-7
2544-9117
Pojawia się w:
Health Promotion & Physical Activity
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Practicability of Enteritis – prevention in Trekking and Mountaineering at High Altitude by Systematic Hand Disinfection
Autorzy:
Ulmer, Hans-Volkhart
Risse, Julia
Küpper, Thomas
Powiązania:
https://bibliotekanauki.pl/articles/2098191.pdf
Data publikacji:
2020-12-07
Wydawca:
Państwowa Wyższa Szkoła Zawodowa w Tarnowie
Tematy:
wspinaczka górska
biegunka
profilaktyka zakażeń pokarmowych
dezynfekcja rąk
higiena rąk
trekking
mountaineering
diarrhea
enteritis prevention
hand disinfection
hand gel
Opis:
Introduction: The hygienic conditions during trekking or mountaineering at high altitudes are reduced, especially regarding defecation and hand hygiene. An additional problem exists in regions above the snowline, especially in highly frequented regions: snow may be contaminated by faecal microbes, causing diarrhea. Prevention against faecal-oral infections must include not only disinfection of drinking water, but hand disinfection, too, e.g. by a water-free hand gel. The practicability of this measure was tested during a Himalaya expedition on the way to Mt. Everest. Material and methods: 10 participants were instructed to use Stokosept-Gel, an alcohol based skin disinfectant, at least prior to meals, after using a toilet and after handling boot-laces and to note each use (including additional occasions). Results: A very good practicability of using the hand gel, which was absorbed quickly (ca. ¼ min) was reported. 100 ml were sufficient for at least 2 weeks and there were no side effects or problems at the skin. During the mountaineering phase which included a total of 250 person days in the field no diarrhea occurred. Conclusion: We conclude that using such hand gels is – additional to other procedures – a very practical prevention against diarrhea in mountaineering at high altitude.
Źródło:
Health Promotion & Physical Activity; 2020, 13, 4; 25-28
2544-9117
Pojawia się w:
Health Promotion & Physical Activity
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Femoral neck stress fracture during sport climbing
Autorzy:
Küpper, Thomas
Rutten, Steven
Morrison, Audry
Schöffl, Volker
Powiązania:
https://bibliotekanauki.pl/articles/2098278.pdf
Data publikacji:
2021-11-29
Wydawca:
Państwowa Wyższa Szkoła Zawodowa w Tarnowie
Tematy:
wspinaczka sportowa
urazy
diagnoza
rehabilitacja
fizjoterapia
złamania
sport climbing
injury
diagnosis
rehabilitation
physiotherapy
occult fracture
Opis:
While the epiphyseal stress fracture of the finger’s middle phalanx is a known sport-specific injury occurring only in adolescent climbers, and in other locations it’s rare, no femoral neck stress fracture (FNSF) in sports climbing has yet been reported. An experienced female sport climber (37y, 160 cm, 45 kg, BMI 17.5) suffered from pain in the left inguinal region while climbing, and later, also required a stick to walk. Routine radiography missed the FNSF and it was many weeks before a MRI accurately provided that diagnosis. The time between the X-ray and MRI should have been minimized as it resulted in a delayed diagnosis, unnecessary pain and delayed healing. In this situation the initial clinical investigation, the patient’s history and the X-ray did not lead to a clear diagnosis, and the initial treatment was ineffective. Further investigation by MRI and / or CT scans should have taken place sooner and would have been essential.
Źródło:
Health Promotion & Physical Activity; 2021, 17, 4; 1-5
2544-9117
Pojawia się w:
Health Promotion & Physical Activity
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Microbiological contamination of drinking water sources in tourist accommodations in South Luangwa National Park, Zambia
Autorzy:
Albanus, Celina
Heggie, Travis
Kattner, Simone
Küpper, Thomas
Powiązania:
https://bibliotekanauki.pl/articles/2098297.pdf
Data publikacji:
2022-06-06
Wydawca:
Państwowa Wyższa Szkoła Zawodowa w Tarnowie
Tematy:
water quality
Zambia
tourist accommodations
South Luangwa National Park
Opis:
Background: Water quality for tourists visiting South Luangwa National Park and other less developed regions is of the utmost importance in order to avoid gastrointestinal infections; one of the most common diseases among tourists. It is also important to the health of the local tourist accommodations and the local tourist economy. Methods: Water quality samples assessing microbiological contamination were taken from the borehole and point of use in 14 tourist lodges and camps. Turbidity was assessed optically with a DelAlgua turbidity tube. For microbiological analysis, samples were incubated in the DelAgua Dual Incubator at 37°C and 44°C. Thermotolerant Escherichia coli (E. coli) was used as theindicator bacterium for fecal pollution. Water samples were classified based of risk levels for pollution determined by the World Health Organization (WHO). Results: Fifty percent of borehole samples showed no contamination. Two were found to be at high risk and the others ranged between low and intermediate risk. At the point of use, 80% of the samples were clean and compliant with WHO guidelines. Water contamination generally improved from the borehole to point of use. Turbidity at borehole samples were clear in 75% of possible samples. At the point of use, turbidity was clear in 81% of samples. Conclusion: This study establishes the first baseline water quality data for tourist facilities at South Luangwa National Park in Zambia. While water quality at most sites is clean for human use, a regular monitoring system accompanied by maintenance is recommended.
Źródło:
Health Promotion & Physical Activity; 2022, 18, 1; 18-23
2544-9117
Pojawia się w:
Health Promotion & Physical Activity
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
The effect of hypoxia on exercise tolerance in individuals after acute coronary syndrome treated with angioplasty combined with coronary stent implantation – pilot studies
Autorzy:
Nowak, Agata
Kucio, Cezary
Nowak, Zbigniew
Küpper, Thomas
Powiązania:
https://bibliotekanauki.pl/articles/553042.pdf
Data publikacji:
2019
Wydawca:
Stowarzyszenie Przyjaciół Medycyny Rodzinnej i Lekarzy Rodzinnych
Tematy:
coronary artery disease
hypoxia
angioplasty.
Opis:
Background. Currently, there is little documented research evaluating the effect of a high-mountain environment on patients with ischemic heart disease. Objectives. The main aim of the study was to assess the effect of normobaric hypoxia on exercise tolerance in patients diagnosed with stable coronary disease. Material and methods. 22 men aged 37 to 72 (55.68 ± 9.86 years of age) with coronary disease were qualified. In the pre-study, in a normobaric normoxia environment, each patient underwent: resting ECG, spiroergometric test using a treadmill, laboratory tests (gasometry, lactic acid concentration). The patients stayed in the cabinet for 3 hours at the: 1) normoxia, 2) hypoxia (2000 m a.s.l), 3) hypoxia (3000 m a.s.l.) levels. After the 3-hour period, patients underwent a spiroergometric exercise tolerance test combined with a blood lactic acid concentration test. Venous blood and capillary blood were drawn for gasometry testing purposes. Results. Under 2000 and 3000 m hypoxia noted a significantly shorter duration of the exercise test, distance travelled and MET values. An increase in resting blood pH and a decrease of resting and peak pCO2 and pO2 were observed. Conclusions. As a result of a 3-hour exposure to normobaric hypoxia, the exercise tolerance of patients after acute coronary syndrome treated with angioplasty combined with coronary stent implantation decreases. There is no clear information for patients as to whether high mountain conditions are safe for them. The presented research was a form of introduction to wider and more thorough experiments that can result in practical information for patients.
Źródło:
Family Medicine & Primary Care Review; 2019, 2; 117-123
1734-3402
Pojawia się w:
Family Medicine & Primary Care Review
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Model Contract for Health Care on Trekking and Expeditions for Doctors – Recommendation of the Medical Commission of the Union Internationale des Associations d’Alpinisme (UIAA)
Autorzy:
Küpper, Thomas
Hillebrandt, David
Milledge, Jim
Basnayt, Buddha
Powiązania:
https://bibliotekanauki.pl/articles/2098028.pdf
Data publikacji:
2020-12-06
Wydawca:
Państwowa Wyższa Szkoła Zawodowa w Tarnowie
Tematy:
trekking
wyprawa
umowa
odpowiedzialność
prawa
expedition
contract
responsibilities
rights
Opis:
This suggested contract document attempts to clarify the rights and obligations of the tour operator (referred to herein as “organization”, OR), the ED and the EX to avoid trouble and misunderstandings during the trip. Being an Expedition or Trekking Doctor (referred to herein as “Expedition Doctor”, ED) is more than being merely a member which advises others in case of a health problem during the trip and who may get a discount on organized trips! An ED has specific responsibilities, has to provide special skills, and must always accept responsibility for any diagnosis made, whether right or wrong. Both, the tour operator and the participants of the Expedition (referred to herein as “Expedition”, EX) have their individual and often conflicting interests to which the ED’s own mountaineering interests must also be added. However, to minimize the possible multiple risks associated with these conflicts of interest, the rights, obligations and priorisation of medical and expedition scheduling should be made clear well in advance of the expedition. The following is a model text which may be adapted to an EX’s specific demands. In this text, EX includes the organizers of the trip, the expedition’s leaders and the participants.
Źródło:
Health Promotion & Physical Activity; 2020, 13, 4; 14-17
2544-9117
Pojawia się w:
Health Promotion & Physical Activity
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Performance of a new recuperative Heat and Moisture Exchange Mask
Autorzy:
Wehrle, Mario P.
Küpper, Thomas
Muth, Claus-M.
Powiązania:
https://bibliotekanauki.pl/articles/2098225.pdf
Data publikacji:
2021-03-05
Wydawca:
Państwowa Wyższa Szkoła Zawodowa w Tarnowie
Tematy:
heat exchanger mask
cold weather mask
heat and moisture exchanger mask
recuperative HME
Opis:
Aim of the study: The purpose of this work is to show the possibility to use a recuperative design of a heat and moisture exchange face mask (HME). Such HME are used as cold weather face masks for Arctic expeditions and conditioning of air for long-term intubated patients. Common regenerative HME have the disadvantage of increasing airway resistance and airway volume (dead space). In recuperative devices, the separation of inspired and expired airflow could reduce dead space and resistance. Materials and methods: Prototype HMEs were built using two concentric ducts of aluminium or cotton. A valve ensures that expired and inspired air are led through either the inner or the outer tube. The inner tube’s wall transmits heat and water. The HMEs were tested in a simulated Arctic environment using a breathing simulator and characterized in terms of heat and moisture exchange efficiency. The new design was also tested at room temperature in order to simulate the conditions of long-term intubation. To compare the results, the relative difference in temperature (Performance Coefficient PC) between the expired and the inspired air was calculated. Results: During the experiments, the ambient temperature was −37°C and therefore the absolute water content was about zero. The recuperative HME conditioned the air to 21°C and 10.7 mg/l water (61% relative humidity), giving a PC of 82%. At room temperature the recuperative mask showed a PC of 62%.Conclusion: The recuperative HME shows great potential. It might be of use in clinical conditions and Arctic expeditions.
Źródło:
Health Promotion & Physical Activity; 2021, 14, 1; 9-16
2544-9117
Pojawia się w:
Health Promotion & Physical Activity
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Sportspecific performance diagnosis in ski mountaineering — comparison of a sportspecific cardiopulmonary exercise test on a treadmill versus outdoors and at altitude, a pilot study
Autorzy:
Schöffl, Isabelle
Bliemsrieder, Bernhard
Küpper, Thomas
Schöffl, Volker
Powiązania:
https://bibliotekanauki.pl/articles/2098272.pdf
Data publikacji:
2021-09-28
Wydawca:
Państwowa Wyższa Szkoła Zawodowa w Tarnowie
Tematy:
spiroergometry
performance testing
ski mountaineering
exercise testing
CPEC
Opis:
Background: Ski mountaineering is a competitive sport that has gained popularity during the last years. As most competitions are held in altitudes between 1500 m and 3500 m, a considerable amount of training occurs at various hypobaric hypoxia degrees. It was establishing a sport-specific cardiopulmonary exercise protocol using standard ski mountaineering equipment on a treadmill. This study investigated altitude’s effects on a self-regulated incremental exercise field test at 3100 m with this protocol.Methods: Six athletes were tested (24.2 ± 4.2 years) from the German Ski Mountaineering National Team with a portable telemetric cardiopulmonary exercise test equipment. First, an incremental indoor step test with skis on a treadmill (altitude 310 m) and four days later outdoor on glacier snow (3085 m) after three days of acclimatization. All athletes were exposed to repetitive intermittent hypoxia during the weeks before the test. Standard cardiopulmonary exercise parameters were recorded while individual training zones were defined according to ventilatory thresholds.Results: In highly trained athletes, mean V̇O2peak (72/ml kg KG/min) was reduced by 25% or 9% per 1000 m altitude gain and by 18% and 23% at the first and second ventilatory thresholds, respectively. Mean maximum heart rate and the heart rate at the ventilatory thresholds were reduced at altitude compared to sea-level, as was the O2pulse.Conclusion: Due to distinctive individual reactions to hypoxia, cold, etc., an individual and sport-specific field performance analysis, representing the daily training environment, is highly useful in world-class athletes for precise training control. Our self-regulated cardiopulmonary field protocol could well prove to serve in such a way.
Źródło:
Health Promotion & Physical Activity; 2021, 16, 3; 16-25
2544-9117
Pojawia się w:
Health Promotion & Physical Activity
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Non-infectious Health Risks of Young Adults Serving in International Volunteer Services
Autorzy:
Küpper, Thomas
Neppach, K.
Martin, J.
Heggie, Travis
Rieke, B.
Powiązania:
https://bibliotekanauki.pl/articles/2098194.pdf
Data publikacji:
2020-12-11
Wydawca:
Państwowa Wyższa Szkoła Zawodowa w Tarnowie
Tematy:
wolontariat
bezpieczeństwo
zdrowie
podróże
wypadki
przemoc
stres
aktywność seksualna
volunteer service
safety
health
pre-travel advice
accidents
violence
psychosocial stress
sexual activity
Opis:
Introduction: Young people serving as volunteers in international projects show a different risk profile to “normal” travellers. Data are scarce. While infectious risks were published elsewhere we focus now on non-infectious risks. Material and methods: 153 questionnaires, obtained from volunteers returning from their project were evaluated. Questions included age, situation abroad (living space and work), travel experience, region of the project, language skills, pre-travel advise, type of problems abroad (accidents, traffic, violence, robbery, sexual assault, psychosocial stress etc.). Results: Several factors, normally not included in pre-travel advice, cause significant psychosocial stress which decreases a bit during the stay. Special problems are insufficient language skills, (subjective) safety at night, traffic / transport, and violence. Psychosocial stress was the most important reason to stop the activity and to return home ahead of schedule (4% of all volunteers). Conclusions: Pre-travel advice of young volunteers should include psychosocial factors and other topics additional to infectious diseases, vaccination, and hygiene. Sufficient training in common but minor medical problems (headache, sunburn, minor wounds) is a “must”. A comprehensive advice and training may need two days and may be realized in groups of 5 to 12 participants. Health and safety should become a more important topic of all projects.
Źródło:
Health Promotion & Physical Activity; 2020, 13, 4; 29-39
2544-9117
Pojawia się w:
Health Promotion & Physical Activity
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Tropical infections as occupational diseases – labor inspectorate physicians’ aspects of a complex problem
Autorzy:
Jansing, Paul J.
Morrison, Audry
Heggie, Travis W.
Küpper, Thomas
Powiązania:
https://bibliotekanauki.pl/articles/2098245.pdf
Data publikacji:
2021-07-20
Wydawca:
Państwowa Wyższa Szkoła Zawodowa w Tarnowie
Tematy:
tropical diseases
occupational diseases
travel medicine
malaria
diagnosis
prevention
surveillance
compensation
Opis:
Background: Occupational physicians work directly with individual employees regarding diseases that has been caused or exacerbated by workplace factors. However, employees are increasingly required to travel for their work, including to tropical countries where they risk exposure to diseases they would not normally encounter at home (i.e., malaria). Such disease/s may also take days to months to incubate before becoming symptomatic, even after their return home, thus delaying and complicating the diagnosis. Proving this was an occupational disease with respective sick leave entitlement or compensation can be challenging. There is a lack of data concerning occupational diseases caused by tropical infections.Material and methods: Employee case records for the period 2003-2008 from the State Institute for Occupational Health and Safety of North-Rhine Westphalia in Germany were analysed and assessed within Germany’s regulatory framework. These records included Germany’s largest industrial zone.Results: From 2003-2008the suspected cases of “tropical diseases and typhus”, categorized as occupational disease “Bk 3104” in Germany, have decreased significantly. A high percentage of the suspected cases was accepted as occupational disease, but persistent or permanent sequelae which conferred an entitlement to compensation were rare.Conclusion: There is scope to improve diagnosis and acceptance of tropical diseases as occupational diseases. The most important diseases reported were malaria, amoebiasis, and dengue fever. Comprehensive pre-travel advice and post-travel follow-ups by physicians trained in travel and occupational health medicine should be mandatory. Data indicate that there is a lack of knowledge on how to prevent infectious disease abroad.
Źródło:
Health Promotion & Physical Activity; 2021, 15, 2; 21-28
2544-9117
Pojawia się w:
Health Promotion & Physical Activity
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Portable hyperbaric chambers for the treatment of altitude disease
Przenośne komory hiperbaryczne w leczeniu chorób wysokościowych
Autorzy:
Küpper, Thomas
Gieseler, Ulf
Milledge, Jim
Morrison, Audry
Schöffl, Volker
Powiązania:
https://bibliotekanauki.pl/articles/12721265.pdf
Data publikacji:
2022
Wydawca:
Akademia Tarnowska
Tematy:
choroba wysokościowa
AMS
HAPE
HACE
obrzęk płuc
obrzęk mózgu
altitude disease
acute mountain sickness
high altitude pulmonary edema
high altitude cerebral edema
Opis:
Portable hyperbaric chambers are a therapeutic option for altitude disease in the mountains. By an increase of the oxygen partial pressure the patient’s symptoms ameliorate significantly. Portable hyperbaric chambers may be used as ‘stand alone therapy’ as well as in combination with other therapeutic options. Here we present the recommendation how to use the device and how to avoid problems. The recommendation has been agreed by all members of the medical commission of the world umbrella organization Union Internationale des Associations d’Alpinisme (UIAA MedCom).
Źródło:
Health Promotion & Physical Activity; 2022, 20, 3; 36-40
2544-9117
Pojawia się w:
Health Promotion & Physical Activity
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Water disinfection in the mountains – an update of the recommendation of the Medical Commission of the Union Internationale des Associations d’Alpinisme (UIAA)
Autorzy:
Albanus, C.
Timmermann, L.
Schoeffl, V.
Hillebrandt, D.
Milledge, J.
Küpper, Thomas
Powiązania:
https://bibliotekanauki.pl/articles/2098266.pdf
Data publikacji:
2021-07-21
Wydawca:
Państwowa Wyższa Szkoła Zawodowa w Tarnowie
Tematy:
drinking water
infection
prevention
traveller’s diarrhoea
Opis:
Safe water is still a major problem for travellers in many countries worldwide. In the last decade several new technical developments were made and more data exist about traditional procedures to produce safe water. This update includes such data with special regard to UV-C and held devices and SODIS.
Źródło:
Health Promotion & Physical Activity; 2021, 15, 2; 40-55
2544-9117
Pojawia się w:
Health Promotion & Physical Activity
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Prevention and Control of Legionella Infections in Mountain Huts – the New International Recommendation of the Medical Commission of the Union Internationale des Associations d’Alpinisme (UIAA MedCom)
Autorzy:
Donegani, Enrico
Zotti, Carla
Ditommaso, Savina
Stefanetti, Maria
Windsor, Jeremy
Hillebrandt, David
Küpper, Thomas
Powiązania:
https://bibliotekanauki.pl/articles/2098025.pdf
Data publikacji:
2020-12-06
Wydawca:
Państwowa Wyższa Szkoła Zawodowa w Tarnowie
Tematy:
Legionella pneumophila
legionelloza
higiena
schroniska górskie
kontrola infekcji
legionellosis
hygiene
mountain hut
infection control
Opis:
Legionnaire’s disease is a life threatening respiratory tract infection that is commonly associated with a stay in communal accommodations such as hotels, hostels, guesthouses and camping sites.In the European Alps and some other areas of the world mountain refuges and huts can sometimes accommodate over 100 guests in almost hotel like comfort. Such a “hut” may have cramped dormitories with multi-occupancy bunks and a basic water supply system possibly with hot water. Some will have showers. The water supply may be limited by the environment. As such these may pose a high risk for transmission of Legionellosis. In an environment of a hut which is more difficult to control than others. Unfortunately countries differ in their guidelines for the prevention of Legionnaire’s disease transmission within tourist accommodation. The aim of this paper is to propose a set of simple and pragmatic rules that can prevent the development of Legionella infections in mountain huts and other accommodations situated in the wilderness environment. 
Źródło:
Health Promotion & Physical Activity; 2020, 13, 4; 8-13
2544-9117
Pojawia się w:
Health Promotion & Physical Activity
Dostawca treści:
Biblioteka Nauki
Artykuł

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