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7420906 
Journal Article 
Human illnesses and animal deaths associated with freshwater harmful algal blooms-Kansas 
Trevino-Garrison, I; Dement, J; Ahmed, FS; Haines-Lieber, P; Langer, T; Ménager, H; Neff, J; van Der Merwe, D; Carney, E; , 
2015 
Toxins
ISSN: 2072-6651 
MDPI 
BASEL 
353-366 
English 
Freshwater harmful algal bloom (FHAB) toxins can cause morbidity and mortality in both humans and animals, and the incidence of FHABs in the United States and Kansas has increased. In 2010, the Kansas Department of Health and Environment (KDHE) developed a FHAB policy and response plan. We describe the epidemiology of FHAB-associated morbidity and mortality in humans and animals in Kansas. Healthcare providers and veterinarians voluntarily reported FHAB-associated cases to KDHE. An investigation was initiated for each report to determine the source of exposure and to initiate public health mitigation actions. There were 38 water bodies with a confirmed FHAB in 2011. There were 34 reports of human and animal FHAB-associated health events in 2011, which included five dog deaths and hospitalization of two human case patients. Five confirmed human illnesses, two dog illnesses and five dog deaths were associated with one lake. Four human and seven dog cases were exposed to the lake after a public health alert was issued. Public health officials and FHAB partners must ensure continued awareness of the risks to the public, educate healthcare providers and veterinarians on FHAB-related health events and encourage timely reporting to public health authorities. 
Blue-green algae; Canine; Cyanobacteria; Cyanotoxin; Dog; Harmful algal bloom; Hepatotoxin; Microcystin; alanine aminotransferase; bacterial toxin; colestyramine; microcystin; bacterial toxin; cyanobacterial toxin; fresh water; marine toxin; microcystin; adolescent; adult; algal bloom; Anabaena; animal disease; Article; clinical assessment; cyanobacterium; disease surveillance; dog; dog disease; enzyme linked immunosorbent assay; female; freshwater harmful algal bloom; health care personnel; health impact assessment; human; male; microbial identification; Microcystis; middle aged; nonhuman; public health; risk assessment; United States; veterinarian; water sampling; adverse effects; animal; chemically induced; Drug-Induced Liver Injury; environmental monitoring; legislation and jurisprudence; microbiology; policy; procedures; veterinary; water pollution; algae; Animalia; Canis familiaris; Chlorophyta; Cyanobacteria; Animals; Bacterial Toxins; Dog Diseases; Dogs; Drug-Induced Liver Injury; Environmental Monitoring; Fresh Water; Harmful Algal Bloom; Kansas; Marine Toxins; Microcystins; Public Health; Public Policy; Water Microbiology; Water Pollution, Chemical 
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• Harmful Algal Blooms- Health Effects
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