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Debbie Lee

Publications and source records attributed to Debbie Lee.

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Study design and methods of the Wells and Enteric disease Transmission (WET) Trial, a randomised controlled trial

Introduction: The burden of disease attributed to drinking water from private wells is not well characterised. The Wells and Enteric disease Transmission trial is the first randomised controlled trial to estimate the burden of disease that can be attributed to the consumption of untreated private well water. To estimate the attributable incidence of gastrointestinal illness (GI) associated with private well water, we will test if the household treatment of well water by ultraviolet light (active UV device) versus sham (inactive UV device) decreases the incidence of GI in children under 5 years of age. Methods and analysis: The trial will enrol (on a rolling basis) 908 families in Pennsylvania, USA, that rely on private wells and have a child 3 years old or younger. Participating families are randomised to either an active whole-house UV device or a sham device. During follow-up, families will respond to weekly text messages to report the presence of signs and symptoms of gastrointestinal or respiratory illness and will be directed to an illness questionnaire when signs/symptoms are present. These data will be used to compare the incidence of waterborne illness between the two study groups. A randomly selected subcohort submits untreated well water samples and biological specimens (stool and saliva) from the participating child in both the presence and absence of signs/symptoms. Samples are analysed for the presence of common waterborne pathogens (stool and water) or immunoconversion to these pathogens (saliva). Ethics: Approval has been obtained from Temple University’s Institutional Review Board (Protocol 25665). The results of the trial will be published in peer-reviewed journals. Trial registration number: NCT04826991.

Pennsylvania

Environmental DNA calibration study interim technical review report December 2014

The Environmental DNA Calibration Study (ECALS) is a multi-year study to improve the understanding and interpretation of the detection of Asian carp DNA in environmental samples (eDNA) used in early detection monitoring. eDNA surveillance programs seek to detect the presence of genetic material (DNA in cells sloughed off in slime, feces, urine, etc.) extracted from water samples; the detection of genetic material is linked to the possible presence of Asian carp. The study involves collaboration between the U.S. Army Corps of Engineers, the U.S. Geological Survey, and the U.S. Fish and Wildlife Service. ECALS addresses three major Action Items from the Asian Carp Regional Coordinating Committee (ACRCC) Asian Carp Control Strategy Framework, of which results to date are presented below. Initial ECALS efforts focused on eDNA vectors whereas marker development and calibration experiments received greater attention in 2013.

Report

Environmental DNA calibration study. Interim technical review report

Invasive aquatic nuisance species pose a major threat to aquatic ecosystems worldwide. Invasive Asian carps, including bighead carp (Hypophthalmichthys nobilis) and silver carp (H. molitrix) have been steadily dispersing upstream through the Mississippi, Illinois, and Des Plaines Rivers since the 1990s. To prevent further movement up the Illinois River into the Chicago Area Waterway System (CAWS, see Figures 1.1.1 to 1.1.3) and possibly Lake Michigan and the Great Lakes ecosystem, an electrical barrier has been operating near Lockport to deter the advance of Asian carp. Although one adult individual has been detected in Lockport pool of the Illinois Waterway, the leading edge of the invasion of bighead and silver carp is considered to be at RM 281.5 in Dresden Island Pool, 15 miles downstream from the barrier and 55 miles from Lake Michigan, and that front has not progressed upstream since 2006. Although spawning activity has been observed in Marseilles pool in 2012, verified capture of eggs and larvae remain downstream in Peoria pool, over 140 miles from Lake Michigan (Figure 1.1.1). Should a sustainable Asian carp population become established in the Great Lakes, native fish populations, as well as many threatened or endangered plant/animal species populations, could be impacted. In response to this threat, the Asian Carp Regional Control Committee (ACRCC) was formed in part to coordinate efforts to understand and organize against the Asian carp threat. The Asian Carp Control Strategy Framework (2012a) outlined major tasks to be completed for a better understanding of factors related to the advance of Asian carp populations towards the Great Lakes. In addition, the ACRCC formed the Monitoring and Rapid Response Workgroup to address Asian carp monitoring and removal (ACRCC 2012b).

Midwest waterways