2005
DOI: 10.1080/09603120500155716
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Outbreaks associated with recreational water in the United States

Abstract: In this article, we review the causes of outbreaks associated with recreational water during 1971-2000. A bacterial or protozoan etiology was identified in three-quarters of the outbreaks; 23% of the outbreaks were of undetermined etiology. The most frequently identified agents were Cryptosporidium (15%), Pseudomonas (14%), Shigella (13%), Naegleria (11%), Giardia (6%), and toxigenic E. coli (6%). Outbreaks attributed to Shigella, E. coli O157:H7, and Naegleria were primarily associated with swimming in fresh … Show more

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Cited by 200 publications
(143 citation statements)
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“…In addition, while protozoans are important from a public health perspective, waterborne outbreaks of bacterial etiology remain a substantial concern in the United States as well (Craun et al 2005). Salmonella bacterial infections alone are responsible for over 40,000 cases of illness yearly (CDC 2008), and though the disease is most commonly foodborne, a recent salmonellosis outbreak linked to drinking water in Colorado indicates that waterborne transmission is still of concern (Berg 2008).…”
Section: Introductionmentioning
confidence: 99%
“…In addition, while protozoans are important from a public health perspective, waterborne outbreaks of bacterial etiology remain a substantial concern in the United States as well (Craun et al 2005). Salmonella bacterial infections alone are responsible for over 40,000 cases of illness yearly (CDC 2008), and though the disease is most commonly foodborne, a recent salmonellosis outbreak linked to drinking water in Colorado indicates that waterborne transmission is still of concern (Berg 2008).…”
Section: Introductionmentioning
confidence: 99%
“…Los datos epidemiol贸gicos tienen un mayor peso que los datos de calidad del agua por lo que los brotes sin datos de calidad del agua se pueden incluir, pero informes que carecen de datos epidemiol贸gicos no, pues contribuyen al subregistro [36,54].…”
Section: Enfermedades Transmitidas Por El Aguaunclassified
“…Por lo tanto y principalmente en los pa铆ses desarrollados se han propuesto una serie de recomendaciones a corto y largo plazo, incluyendo el aumento de la vigilancia de las fuentes de agua y aguas de consumo y la introducci贸n de equipos de medici贸n autom谩ticos y permanentes, adem谩s de garant铆a del cloro residual hasta el sitio de disposici贸n [36,54].…”
Section: Enfermedades Transmitidas Por El Aguaunclassified
“…In Argentina, some cases of HUS are associated with contaminated recreational water [13,31]. Children generally play for long periods of time in recreational waters and are more likely to intentionally or accidentally swallow water [32].…”
Section: Discussionmentioning
confidence: 99%