If you are concerned about your health, the importance of drinking water
that is not contaminated cannot be over emphasized.

One common water contaminate is Giardia, also known as GIARDIA LAMBLIA,
Giardiasis (GEE-are-DYE-uh-sis), Giardia intestinalis, and Lamblia intestinalis.
Giardia is an interesting looking critter that attaches itself to the lining
of your intestinal wall. All MiraculeWater drinking water processors have
3 filters designed to remove the Giardia bug from the finished product.
Giardiasis is the most frequent cause of non-bacterial diarrhea in North
America and in most other places around the World.
What is Giardiasis?
GIARDIA LAMBLIA, Giardiasis (GEE-are-DYE-uh-sis), Giardia intestinalis,
Lamblia intestinalis (as it is sometimes referred to in Europe) are
all terms that refer to the same Flagellated Protozoan/protozoa, a
single celled parasite just a little bigger than most bacteria in size.
Some people refer to Giardia as a bacteria and others as a cyst, but
it is actually a parasite. It is found in every region throughout the
world and has become recognized as one of the most common causes of
waterborne illness.
Giardiasis:
A diarrheal illness of the small intestine caused by infection of the
flagellated protozoan GIARDIA LAMBLIA. It is spread via contaminated
water and food and by direct person-to-person contact. The parasite is
passed in the stool of an infected person or animal. The parasite is
protected by an outer shell that allows it to survive outside the body
and in the external environment for long periods of time. During the
past 2 decades, Giardia has become recognized as one of the most common
causes of waterborne disease (drinking and recreational waters) in humans
in every region of the United States and many other areas of the world.
Organisms that appear identical to those that cause human illness have
been isolated from domestic animals (dogs and cats) and wild animals
(beavers and bears). A related but morphologically distinct organism
infects rodents, although rodents may be infected with human isolates
in the laboratory. About 40% of those who are diagnosed with Giardiasis
demonstrate disaccharide intolerance during detectable infection and
up to 6 months after the infection can no longer be detected. Lactose
(i.e., milk sugar) intolerance is most frequently observed. Some individuals
(less than 4%) remain symptomatic more than 2 weeks; chronic infections
lead to a malabsorption syndrome and severe weight loss. Chronic cases
of Giardiasis in immunodeficient and normal individuals are frequently
refractile to drug treatment. Flagyl is normally quite effective in terminating
infections. In some immune deficient individuals, giardiasis may contribute
to a shortening of the life span.
Nature of GIARDIA and Giardia infections:
Why might one person develop a Giardia infection while another does not
even though both were exposed?
Chances are that the person who does not develop an infection has a stronger
immune system and is in better health due to a better diet and life style
like drinking MiraculeWater daily.
Infectious Dose?
Ingestion of one or more parasite may cause disease, as contrasted to
most bacterial illnesses where hundreds to thousands of organisms must
be consumed to produce illness.
Normally the illness lasts for?
One to 6 weeks, but there are cases of chronic infections lasting months
to years. Chronic cases, both those with defined immune deficiencies
and those without, are difficult to treat.
What are the symptoms of giardiasis?
Symptoms include diarrhea, loose or watery stool, stomach cramps, and
upset stomach. These symptoms may lead to weight loss and dehydration.
Some people have no symptoms.
How long after infection does it take for symptoms to appear?
Symptoms generally begin 1-2 weeks after being infected.
How often and who is at risk?
Giardiasis occurs throughout the population, although the prevalence
is higher in children than adults, possibly because many individuals
seem to have a lasting immunity after infection. Chronic symptomatic
giardiasis is more common in adults than children. This organism is implicated
in 25% of the cases of gastrointestinal disease and may be present asymptomatically.
The overall incidence of infection in the United States is estimated
at 2% of the population. This disease afflicts many homosexual men, both
HIV-positive and HIV-negative individuals. This is presumed to be due
to sexual transmission but may also be due to weakened immune systems.
The disease is common in child day care centers, especially those in
which diapering is done.
How does Giardia work to produce illness?
The disease mechanism is unknown, with some investigators reporting that
the organism produces a toxin while others are unable to confirm that
this toxin exists. The organism has been demonstrated inside host cells
in the duodenum, but most investigators think this is such an infrequent
occurrence that it is not responsible for disease symptoms. Mechanical
obstruction of the absorptive surface of the intestine has been proposed
as a possible pathogenic mechanism, as has a synergistic relationship
with some of the intestinal flora.
Diagnosis of Human Illness:
Giardia lamblia is frequently diagnosed by visualizing the organism,
either the trophozoite (active reproducing form) or the cyst (the resting
stage that is resistant to adverse environmental conditions) in stained
preparations or unstained wet mounts with the aid of a microscope. A
commercial fluorescent antibody kit is available to stain the organism.
Organisms may be concentrated by sedimentation or flotation; however,
these procedures reduce the number of recognizable organisms in the sample.
An enzyme linked immunosorbant assay (ELISA) that detects excretory secretory
products of the organism is also available. So far, the increased sensitivity
of indirect serological detection has not been consistently demonstrated.
My water comes from a well; should I have my well water tested?
If you answer yes to any of the following questions, consider having
your well water tested or installing filtration equipment.
Are other members of your family or users of your well water ill?
If yes, your well may be the source of infection.
Is your well located at the bottom of a hill or is it considered shallow?
If so, runoff from rain or flood water may be draining directly into
your well causing contamination. [Shallow wells are often defined as
wells less than 300 feet or 100 meters deep.
Is your well in a rural area where animals graze?
Well water can become fecally contaminated if animal waste seepage contaminates
the ground water. This can occur if your well has cracked casings, is
poorly constructed, or is too shallow.
Is your well in a populated area where there might be septic tanks or
sewer systems near by?
Well water can become fecally contaminated if human waste seepage contaminates
the ground water. This can occur if your well has cracked casings, is
poorly constructed, or is too shallow.
Tests specifically for Giardia are expensive, difficult, and usually
require hundreds of gallons of water to be pumped through a filter. If
you answered yes to the above questions, consider testing your well for
fecal coliforms or E. coli instead of Giardia. Although fecal coliforms
or E. coli tests do not specifically test for Giardia, such testing will
show if your well has fecal contamination.
These tests are only useful if your well is not routinely disinfected
with chlorine since chlorine kills fecal coliforms and E. coli. If the
tests are positive, the water may also be contaminated with Giardia,
as well as other harmful bacteria and viruses. Look in your local telephone
directory for a laboratory or cooperative extension that offers water
testing. If the fecal coliform test comes back positive, indicating that
your well is fecally contaminated, contact the sales department of MiraculeWater
for evaluation and recommendations for water processing equipment.
Where does the Giardia parasite live?
Giardia lives in the intestine of infected humans or animals. Millions
of germs can be released in a bowel movement from an infected human or
animal. You can become infected after accidentally swallowing the parasite.
Giardia may be found in soil, food, water, or surfaces that have been
contaminated with the feces from infected humans or animals.
Giardia is not spread by contact with blood. Giardia can be spread:
By swallowing water contaminated with Giardia. Water in municipal water
supplies, swimming pools, hot tubs, Jacuzzis, fountains, lakes, rivers,
springs, ponds, or streams that can be contaminated with sewage or feces
from humans or animals. Water that is recirculated back into the water
supply lines after leaving a municipal treatment plants often contains
Giardia.
By putting something in your mouth or accidentally swallowing something
that has come in contact with the stool of a person or animal infected
with Giardia.
By eating uncooked food contaminated with Giardia. Thoroughly wash with
uncontaminated water all vegetables and fruits you plan to eat raw.
By accidentally swallowing Giardia picked up from surfaces (such as toys,
bathroom fixtures, changing tables, diaper pails) contaminated with stool
from an infected person.
Who is at risk?
Everyone. Persons at increased risk for giardiasis include child care
workers; children who attend day care centers, including diaper-aged
children; international travelers; hikers; campers, swimmers; and others
who drink or accidentally swallow water from contaminated sources that
is untreated (no heat inactivation, filtration, or chemical disinfection).
Several community-wide outbreaks of giardiasis have been linked to drinking
municipal water or recreational water contaminated with Giardia.
You have been diagnosed with a Giardia infection. Should You worry about
spreading infection to others?
Yes, Giardia can be very contagious. Follow these guidelines to avoid
spreading Giardia to others.
Wash your hands with soap and water after using the toilet, changing
diapers, and before eating or preparing food.
Avoid swimming in recreational water (pools, hot tubs, lakes or rivers,
the ocean, etc.) if you have Giardia and for at least 2 weeks after diarrhea
stops. You can pass Giardia in your stool and contaminate water for several
weeks after your symptoms have ended. This has resulted in outbreaks
of Giardia among recreational water users.
Avoid fecal exposure during sex.
What might a person do if they think they have giardiasis?
As with most any illness bed rest and plenty of fluids are normally directed
by health care providers. Your particular health care provider may recommend
Flagyl which is normally quite effective in terminating infections, or
some other pharmaceutical drug. Normally healthy people usually recover
with or without treatment of a health care provider.
If your child is diagnosed as having Giardiasis, but does not have any
diarrhea, and your health care provider says treatment is not necessary.
Is this true?
In general, the answer by the American Academy of Pediatrics is that
treatment is not necessary. However, there are a few exceptions. If your
child does not have diarrhea, but is having nausea, or is fatigued, losing
weight, or has a poor appetite, you and your health care provider may
wish to consider treatment. If your child attends a day care center where
an outbreak is continuing to occur despite efforts to control it, screening
and treatment of children without obvious symptoms may be a good idea.
The same is true if several family members are ill, or if a family member
is pregnant and therefore not able to take the most effective anti-Giardia
medications.
How is a Giardia infection diagnosed?
Health care providers will likely ask you to submit stool samples to
see if you have the parasite. Because Giardia can be difficult to diagnose,
he or she may ask you to submit several stool specimens over several
days.
How can You prevent Giardia infection?
Above all avoid water that might be contaminated.
MiraculeWater processors have three filters designed to remove Giardia
from the water. Two of these filters are certified at removing more than
99% of parasites, cysts and bacteria. With all three filters in line,
it is close to impossible for Girdia to get past them.
Avoid swallowing recreational water.
Avoid drinking untreated water from shallow wells, lakes, rivers, springs,
ponds, and streams.
Avoid drinking untreated water during community-wide outbreaks of disease
caused by contaminated drinking water.
Avoid using ice or drinking untreated water when traveling in countries
where the water supply might be unsafe.
If you are unable to avoid drinking or using water that might be contaminated,
then treat the water yourself by heating the water to a rolling boil
for at least 1 minute.
OR
Using a water filter that has an absolute pore size of less than 1 micron
or one that is NSF rated for "cyst removal."
If the methods above cannot be used, then try chemical inactivation of
Giardia by chlorination or iodination. Chemical disinfection may be less
effective than other methods because it is highly dependent on the temperature,
pH, and cloudiness of the water.
Practice good hygiene.
Wash hands thoroughly with soap and water.
a. Wash hands after using the toilet and before handling or eating food
(especially for persons with diarrhea).
b. Wash hands after every diaper change, especially if you work with
diaper-aged children, even if you are wearing gloves.
Protect others by not swimming if experiencing diarrhea (essential for
children in diapers).
Avoid food that might be contaminated.
Wash and/or peel all raw vegetables and fruits before eating.
Use uncontaminated water to wash all food that is to be eaten raw.
Avoid eating uncooked foods when traveling in countries with minimal
water treatment and sanitation systems.
Avoid fecal exposure during sex.
Growth in the Lab:
Giardia can be excysted, cultured and encysted in vitro; new isolates
have bacterial, fungal, and viral symbionts. Classically the disease
was diagnosed by demonstration of the organism in stained fecal smears.
Cool moist conditions favor the survival of the organism.
Strains of Giardia:
Several strains of G. lamblia have been isolated and described through
analysis of their proteins and DNA; type of strain, however, is not consistently
associated with disease severity. Different individuals show various
degrees of symptoms when infected with the same strain, and the symptoms
of an individual may vary during the course of the disease.
Associated Foods:
Giardiasis is most frequently associated with the consumption of contaminated
water. Outbreaks have been traced to food contamination by infected or
infested food handlers, and the possibility of infections from contaminated
vegetables that are eaten raw cannot be excluded.
Food Analysis:
Food is analyzed by thorough surface cleaning of the suspected food and
sedimentation of the organisms from the cleaning water. Feeding to specific
pathogen-free animals has been used to detect the organism in large outbreaks
associated with municipal water systems. The precise sensitivity of these
methods has not been determined, so that negative results are questionable.
Seven days may be required to detect an experimental infection.
[FDA Legal requirement notice] This fact sheet is for information only
and is not meant to be used for self-diagnosis or as a substitute for
consultation with a health care provider. If you have any questions about
the disease described above or think that you may have a parasitic infection,
consult a health care provider.
|