2003
DOI: 10.1001/archpedi.157.10.1016
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Lake-Associated Outbreak of Escherichia coli O157:H7 in Clark County, Washington, August 1999

Abstract: To date, this is one of the largest documented outbreaks of E coli O157:H7 infection associated with unchlorinated recreational water and represents the first outbreak in which the strain was isolated from lake water. Guidelines are needed to decrease the risk of enteric illness associated with swimming in recreational lakes.

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Cited by 45 publications
(32 citation statements)
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“…Escherichia coli O157:H7 is one of the most dangerous agents of food-borne diseases (1). Several of the reported outbreaks of E. coli O157:H7 have led to death, especially in cases involving children and the elderly (2)(3)(4)(5). Given the low infectious dose of E. coli O157:H7 (Ϸ10-100 cells), the presence of even a single bacterium in food may pose a serious health risk (1,6).…”
mentioning
confidence: 99%
“…Escherichia coli O157:H7 is one of the most dangerous agents of food-borne diseases (1). Several of the reported outbreaks of E. coli O157:H7 have led to death, especially in cases involving children and the elderly (2)(3)(4)(5). Given the low infectious dose of E. coli O157:H7 (Ϸ10-100 cells), the presence of even a single bacterium in food may pose a serious health risk (1,6).…”
mentioning
confidence: 99%
“…Waterborne disease outbreaks caused by E. coli O157:H7 are primarily associated with recreational lake waters (Bruce et al 2003). This is due to the ingestion of untreated water during swimming.…”
Section: Surface and Ground Watersmentioning
confidence: 99%
“…Domestic and wild animals are believed to be the source of contamination in most recreational surface waters. For example, following a 1999 recreational outbreak in Battle Ground Lake, Washington, E. coli O157:H7 was isolated from duck feces as well as the water (Samadpour et al 2002;Bruce et al 2003). Kurokawa et al (1999) detected 10 2 to 10 5 E. coli O157:H7 per mL in river water heavily polluted by industrial and agricultural wastes using fluorescence antibodies.…”
Section: Surface and Ground Watersmentioning
confidence: 99%
“…GI illnesses are the most frequent diseases associated with activities in recreational waters but they are usually mild and self-limiting, which can lead to some difficulties in their monitoring. Nonetheless, epidemiological studies have shown positive associations between sporadic cases of GI illness and activities in recreational waters and between fecal contamination of these waters and GI outbreaks [4][5][6][7][8].…”
Section: Introductionmentioning
confidence: 99%