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Euro Surveill. Outbreaks associated to large open air festivals, including music festivals, 1980 to 2012

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  • Euro Surveill. Outbreaks associated to large open air festivals, including music festivals, 1980 to 2012

    [Source: Eurosurveillance, full text: (LINK). Abstract, edited.]
    Eurosurveillance, Volume 18, Issue 11, 14 March 2013
    Review articles
    Outbreaks associated to large open air festivals, including music festivals, 1980 to 2012

    E Botelho-Nevers<SUP>1</SUP>, P Gautret ()<SUP>1</SUP>
    1. Institut Hospitalo-Universitaire M?diterran?e Infection, Universit? Aix-Marseille, Facult? de M?decine, Marseille, France
    <HR>
    Citation style for this article: Botelho-Nevers E, Gautret P. Outbreaks associated to large open air festivals, including music festivals, 1980 to 2012. Euro Surveill. 2013;18(11):pii=20426. Available online: http://www.eurosurveillance.org/View...rticleId=20426
    Date of submission: 20 July 2012
    <HR>In the minds of many, large scale open air festivals have become associated with spring and summer, attracting many people, and in the case of music festivals, thousands of music fans. These festivals share the usual health risks associated with large mass gatherings, including transmission of communicable diseases and risk of outbreaks. Large scale open air festivals have however specific characteristics, including outdoor settings, on-site housing and food supply and the generally young age of the participants. Outbreaks at large scale open air festivals have been caused by Cryptosporium parvum, Campylobacter spp., Escherichia coli, Salmonella enterica, Shigella sonnei, Staphylococcus aureus, hepatitis A virus, influenza virus, measles virus, mumps virus and norovirus. Faecal-oral and respiratory transmissions of pathogens result from non-compliance with hygiene rules, inadequate sanitation and insufficient vaccination coverage. Sexual transmission of infectious diseases may also occur and is likely to be underestimated and underreported. Enhanced surveillance during and after festivals is essential. Preventive measures such as immunisations of participants and advice on-site and via social networks should be considered to reduce outbreaks at these large scale open air festivals.
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