Join CSTE   |   Career Center   |   Print Page   |   Contact Us   |   Report Abuse   |   Sign In
CSTE Features
Blog Home All Blogs
Search all posts for:   

 

View all (128) posts »
 

A Decade after CSTE’s Call to Action, a New Voluntary Model Health Code Launches

Posted By Douglas Sackett, Friday, October 24, 2014


What began with strong surveillance and epidemiologic data supporting a CSTE position statement has spurred a national, multidisciplinary model pool code development process, a multi-thousand-person public dialogue, and the creation of a new non-profit organization to ensure the model code remains up to date. Learn how you can improve health and safety at public pools while saving staff time and resources by adopting this exciting, new model health code in your state or local health department.
In 2004, CSTE issued a position statement, citing the increasing trend in reporting of waterborne outbreaks at swimming pools across the country. It called for Centers for Disease Control and Prevention (CDC) to lead a national workshop to develop a unified strategy to reduce future occurrence of waterborne outbreaks at public swimming venues. The following year, over 100 individuals from public health, academia, and the aquatics industry met to develop this strategy; the major recommendation was an open-access, national model code that would help local and state agencies incorporate science-based practices without having to reinvent the wheel each time they create or revise pool codes.

What our subsequent efforts produced became the Model Aquatic Health Code (MAHC), 1st Edition, released by CDC in August 2014. The scope of the MAHC reflects its multidisciplinary approach. We expanded the prevention guidance beyond just infectious disease prevention to make the MAHC an all-inclusive guidance document covering prevention of infectious diseases, drowning, and injuries through a data and best practices-driven approach to design and construction, operation and maintenance as well as policies and management.

The steering committee set to work in 2007 with a development working plan followed by the recruitment of technical committee volunteers. As an all-volunteer effort, we took time to discuss and incorporate the multifaceted perspectives and evidence from both public health and industry participants. We opened the MAHC to two rounds of public comment. After receiving more than 4400 comments, we incorporated 72 percent of comments—over 3,000 citizen suggestions made a substantive impact. The depth, quality, and practicability of the MAHC stem from our recognition of the importance of partnerships, data-driven change, incorporation of input from all sides of aquatics, and implementable changes.

The culmination of our efforts, the MAHC 1st Edition, is now available to assist health departments in working on their pool codes through voluntary adoption. In targeting aquatic design, operation, and management, the code reflects modern epidemiological practice. The code's foundation is built on strong surveillance and investigation data from key national surveillance systems, such as National Electronic Injury Surveillance System, the National Outbreak Reporting System, and the Waterborne Disease and Outbreak Surveillance System. The annex that accompanies the MAHC lays out the rationale for code-specific requirements with scientific data and references to explain the why behind the what. The MAHC also recommends decision making informed by incorporating routine pool inspections as surveillance data.

 

Finally, CDC is setting up sentinel surveillance to track the impact of key MAHC elements on aquatic venue operation. We will have the opportunity to analyze these data, evaluate the model code's impact, and update the code based on findings. This will occur every two years as part of a meeting convened by the new non-profit organization, the Conference for the Model Aquatic Health Code, which is tasked with collecting national input and advising CDC on necessary updates.

 

If you work with or for a state or local health department, please consider taking the next step for improving health and safety at aquatic facilities: familiarize yourself with the Model Aquatic Health Code.

 

Your community can benefit from the MAHC's guidance for the prevention of chlorine-tolerant diseases such as cryptosporidiosis, improved training requirements, enhanced design features to reduce chemical injuries, and improved drowning and injury prevention. As the MAHC is fresh out of the box, you can also get involved with our conference to help drive future improvements. What CSTE members precipitated 10 years ago, based on sound epidemiologic practice and strong surveillance data, has now come to fruition.

We need CSTE to take a fresh look at the data and the MAHC and renew its commitment to health and safety improvement. CSTE members can bring the best of epidemiology to bear by raising awareness about the MAHC, driving discussion about potential adoption, and participating in future MAHC update discussions. With this renewed commitment, CSTE can continue drive data-based improvements in public health and safety at our nation's aquatic facilities.

Douglas Sackett is Executive Director for the Conference for the Model Aquatic Health Code. To learn more, look at CDC's easy-to-read infographic, outlining the problem, process, and product.


Are you a member with an important message to tell the CSTE community? Tell us about it!
Do you use social media? Stay tuned to CSTE on Facebook and Twitter for daily updates!

Tags:  acquatics  cryptosporidiosis  epidemiology  health code  MAHC  occupational health  pool  rwi  waterborne diseases 

Share |
Permalink | Comments (0)
 
Association Management Software Powered by YourMembership.com®  ::  Legal