Giardia.
The
name sounds disarming enough. People who don’t know better
probably would confuse it with a New York airport or assume it’s
the name of a popular beachside report in the Caribbean.
In fact, Giardia is a microscopic parasite
that is considered one of the most common sources of waterborne
illness.
In some cases, it even can be fatal.
Like Cryptosporidium parvum, a pathogen to
which it is often compared, Giardia is neither a bacterium nor a
virus but a protozoan with an unusually complex life cycle.
Also, like Cryptosporidium, it lives in the
intestinal tracts of warm-blooded animals and is transmitted from
host to host in the form of an oocyst, similar to a plant seed or
microscopic egg.
Once the oocysts reach the intestinal tract after
ingestion by the host, they excyst (or hatch) and begin subdividing
and attaching to the intestinal wall.
"The result, known as giardiasis, often tends
to be typical gastrointestinal symptoms, such as persistent
diarrhea, weight loss, abdominal cramps, nausea and
dehydration," says Dr. Jim Hairston, an Alabama Cooperative
Extension System water quality scientist.
"Studies have shown it takes as few as 10
oocysts to cause giardiasis."
Symptoms associated with giardiasis typically last
about two weeks, though in some cases chronic symptoms can persist
for up to two months, Hairston says. Even worse, among some segments
of the population, including chemotherapy and AIDS patients and
others with compromised immune systems, the symptoms can last for
months and even be fatal.
Surface water is especially vulnerable to Giardia
contamination, and this explains why it is often called "beaver
fever" or backpacker disease.
"Many years ago, what we now know as
giaridiasis was called beaver fever, because people who drank creek
water downstream from a beaver dam often got sick," Hairston
says.
"Likewise, hikers and nature lovers who sample
what they believe is "pure" water from a stream often end
up sick because the water contains Gardia oocysts from
grazing cattle or game animals."
Giardia also shares one other thing in common
with Cryptosporidium: Its oocysts can survive common forms of
water disinfection, such as chlorination and ultraviolet
irradiation.
"The oocyst stage not only protects the
organism but allows it to remain dormant for many months in stream
sediments or similar moist environments," Hairston says.
That is why he and other water-quality scientists
urge water treatment facilities to be especially vigilant with Giardia.
In fact, to safeguard against outbreaks of
giardiasis, many water-treatment facilities have adopted what is
known as a multiple-barrier approach.
This often involves closely managing land around
surface water that supplies drinking water. Water filtration is also
a key to controlling the pathogen.
"Physical removal of the organism is the only
water treatment that is truly effective," Hairston says.
"But as an extra precaution, this technique is often
accompanied by other practices, such as chlorination and even
reverse osmosis and distillation.
Unlike cryptosporidiosis, giardiasis can be treated
with antibiotics.
Even so, this should not detract from the
seriousness of the disease, Hairston says.
"As the old saying goes, ‘an ounce of
prevention is worth a pound of cure,’" he says. "And
that is why the best approach to controlling giardiasis is making
sure you never get it in the first place."
This especially holds true for those with weakened
immune systems.
People with this condition should consult with their
local water treatment authority to determine the risk of giardiasis.
"In some cases, people with compromised immune
systems should consider boiling their water or installing a
point-of-use filter on their faucets," Hairston.
"If you choose to buy a filter, you should
check the label to make sure it is equipped to treat giardiasis,"
he says, adding that only filters with an absolute (not minimum)
pore size of one micron or smaller will ensure removal.
(Source: Dr. Jim
Hairston, Extension Water Quality Scientist, 334-844-3973.)