Viewing Study NCT06413485



Ignite Creation Date: 2024-05-19 @ 5:33 PM
Last Modification Date: 2024-10-26 @ 3:29 PM
Study NCT ID: NCT06413485
Status: ACTIVE_NOT_RECRUITING
Last Update Posted: 2024-06-04
First Post: 2024-05-09

Brief Title: Canadian Beach Cohort Study
Sponsor: Toronto Metropolitan University
Organization: Toronto Metropolitan University

Study Overview

Official Title: Canadian Beach Cohort Study Prospective Study to Assess the Burden of Recreational Water Illness
Status: ACTIVE_NOT_RECRUITING
Status Verified Date: 2024-06
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: Swimming and other water activities at public beaches are increasingly popular leisure activities among Canadians However these activities can lead to increased risks of acquiring acute gastrointestinal illness and respiratory skin ear and eye infections among beachgoers These illnesses have a significant health and economic burden on society with young children having much higher rates of illness than other age groups Currently baseline data are lacking on the risk of recreational water illness in Canada and beachgoers may lack awareness and understanding of these risks and how to prevent them This study will identify the burden of recreational water illness among Canadian beachgoers The results will be used to develop recommendations for improving recreational water quality guidelines for safe swimming in Canada as well as public health risk management and communication strategies with beachgoers The study will use a mixed-methods approach consisting of a prospective cohort study and a qualitative study of beachgoers The investigators will determine the risk of acquiring recreational water illness outcomes in beachgoers that engage in different levels of water and sand contact The investigators will examine differences in illness risks by beachgoer gender age and location The investigators will examine relationships between fecal indicator bacteria E coli environmental conditions and host-specific biomarkers with the risk of gastrointestinal illness among beachgoers The investigators will also evaluate beachgoer risk perceptions and behaviours toward recreational water quality The study will take place at five targeted beach sites in British Columbia Manitoba and Ontario The study will be coordinated by a multidisciplinary research team with activities guided by a stakeholder steering group consisting of key knowledge users The long-term goal is to reduce the burden of recreational water illness in Canada contributing to improved public health
Detailed Description: Swimming and other beach water activities are increasingly popular outdoor leisure activities among Canadians However these activities increase the risk of acquiring acute gastrointestinal illness AGI and other acute illnesses among beachgoers Recreational water illness RWI has a significant health burden with young children having the highest rates of illness These illnesses result in substantial costs to society due to healthcare costs and lost productivity Data are lacking in Canada on the risk and burden of RWI and beachgoers may lack awareness and understanding of RWI risks and how to prevent them There is a critical need to conduct timely research on the burden of RWI in Canada to inform recreational water quality guidelines and public health risk management

The purpose of this study is to identify the burden of RWI among Canadian beachgoers and to develop recommendations for improving recreational water quality risk management communication and pollution source prevention The objectives are to

1 Measure the risk and burden of five different RWI outcomes AGI respiratory eye ear and skin infections in beachgoers that engage in different levels of water and sand contact
2 Identify differences in RWI risks by beachgoer gender age and beach location
3 Determine relationships between fecal indicator bacteria environmental parameters host-specific biomarkers and the risk of AGI among beachgoers and
4 Understand beachgoer risk perceptions and behaviours related to recreational water quality and socio-political issues that may impact RWI risks among beachgoers

The study will use a mixed-methods approach consisting of a prospective cohort study Objectives 1-3 with embedded qualitative research Objective 4 The cohort study will involve enrolling participants at public beaches ascertaining their water and sand contact exposure status then following-up to determine the incidence of acute RWI outcomes The investigators will combine beachgoer exposure data with routinely collected secondary data on environmental parameters and E coli levels in beach water The investigators will also test for enterococci as another fecal indicator using rapid molecular methods and will conduct microbial source tracking to determine the contribution of different sources of fecal contamination eg human avian to AGI The study will take place at eight targeted freshwater and marine beach sites in British Columbia Manitoba and Ontario The qualitative research will consist of focus groups to determine beachgoer risk perceptions and behaviours toward recreational water quality and key informant interviews with stakeholders to provide additional socio-political insights and context

The long-term goal of this study is to reduce the burden of RWI in Canada contributing to improved public health The study will be led by an experienced diverse and multi-disciplinary research team including engagement with public health and environmental authorities Activities will be guided by a stakeholder steering group consisting of key knowledge-users KUs This integrated KT approach will help to ensure that the results are relevant and useful to KUs facilitating their direct uptake to influence recreational water quality policies and practice

Study Oversight

Has Oversight DMC: None
Is a FDA Regulated Drug?: False
Is a FDA Regulated Device?: False
Is an Unapproved Device?: None
Is a PPSD?: None
Is a US Export?: None
Is an FDA AA801 Violation?: None