Infective Cryptosporidium parvum oocysts were detected in mussels (Mytilus galloprovincialis) and cockles (Cerastoderma edule) from a shellfish-producing region (Gallaecia, northwest Spain, bounded by the Atlantic Ocean) that accounts for the majority of European shellfish production. Shellfish were collected from bay sites with different degrees of organic pollution. Shellfish harboring C. parvum oocysts were recovered only from areas located near the mouths of rivers with a high density of grazing ruminants on their banks. An approximation of the parasite load of shellfish collected in positive sites indicated that each shellfish transported more than 10 3 oocysts. Recovered oocysts were infectious for neonatal mice, and PCR-restriction fragment length polymorphism analysis demonstrated a profile similar to that described for genotype C or 2 of the parasite. These results demonstrate that mussels and cockles could act as a reservoir of C. parvum infection for humans. Moreover, estuarine shellfish could be used as an indicator of river water contamination.Cryptosporidium parvum is a cause of diarrheal disease in humans and farm animals and is a major cause of diarrhea in children and neonatal ruminants (9). Moreover, in immunocompromised subjects, this disease can be life threatening. Transmission of C. parvum occurs mainly by ingestion of oocysts either by fecal-oral contact or through contaminated food or drinking water. Localized epidemics of food-borne cryptosporidiosis have been associated with uncooked sausage, offal, raw milk, apple cider, or foodstuffs, but waterborne transmission seems to play a more prominent role and is implicated in most outbreaks of human cryptosporidiosis (16). The presence of Cryptosporidium oocysts in drinking water supplies has been well documented since 1984, and waterborne epidemics of cryptosporidiosis have been reported frequently in the United States, United Kingdom, and Japan, among other countries (25). The potential for water contamination by cryptosporidial oocysts is high in areas where dumping of raw sewage is a common practice (25). In addition, the presence of waterborne C. parvum oocysts of animal origin needs to be considered, since a single neonatal ruminant can shed up to 10 10 oocysts during the course of infection (21).The presence of oocysts in river waters may also be a source of contamination of the marine environment. Rivers polluted by anthropogenic and livestock fecal discharges could play a major role in contamination by oocysts of shellfish in estuaries and coastal environments. Experimental data show that C. parvum oocysts can survive in seawater up to 30 ppt for as long as 1 month (11,24). Oocysts also have been detected in seawater in Hawaii near a sewage discharge site (18). Moreover, oocysts with a size, shape, and appearance consistent with those of C. parvum have been detected in mussels (Mytilus edulis) from western Ireland (6) and in bent mussels (Ischadium recurvum) from Chesapeake Bay in the United States (14). Laboratory data show that the...