The importance of waterborne transmission of Cryptosporidium parvum to humans has been highlighted by recent outbreaks of cryptosporidiosis. The first step in a survey of contaminated water currently consists of counting C. parvum oocysts. Data suggest that an accurate risk evaluation should include a determination of viability and infectivity of counted oocysts in water. In this study, oocyst infectivity was addressed by using a suckling mouse model. Four-day-old NMRI (Naval Medical Research Institute) mice were inoculated per os with 1 to 1,000 oocysts in saline. Seven days later, the number of oocysts present in the entire small intestine was counted by flow cytometry using a fluorescent, oocyst-specific monoclonal antibody. The number of intestinal oocysts was directly related to the number of inoculated oocysts. For each dose group, infectivity of oocysts, expressed as the percentage of infected animals, was 100% for challenge doses between 25 and 1,000 oocysts and about 70% for doses ranging from 1 to 10 oocysts/animal. Immunofluorescent flow cytometry was useful in enhancing the detection sensitivity in the highly susceptible NMRI suckling mouse model and so was determined to be suitable for the evaluation of maximal infectivity risk.Cryptosporidium parvum is presently identified as a common cause of diarrhea in immunocompetent individuals. In immunodeficient individuals, cryptosporidiosis may lead to lifethreatening chronic diarrhea, and, because of the incidence of AIDS, the disease poses a significant public health problem in developing countries where AIDS is endemic (8,14,17,22).Recent outbreaks of cryptosporidiosis support the concern about C. parvum oocyst contamination of treated and surface water (15). In Sydney, Australia, from July to September 1998, contamination of the drinking water supply involved over 3,000,000 residents (16).Water oocyst count is a commonly used parameter to evaluate the infectious risk. However, the significance of oocyst numbers is questionable, since storage duration and environmental conditions, such as pH, temperature, and/or the presence of oxidants, are likely to influence oocyst viability (5, 10, 18). Moreover, factors such as salinity, temperature, or storage duration may not decrease the infectivity enough to prevent infection in susceptible individuals (11,12).Oocyst viability is currently estimated by the quantitation of in vitro excystation rates or by incorporation of nucleic acid dyes (7). However, dyeing is influenced by the degree of oocyst permeabilization and may not reflect parasite infectivity (3,21). Oocyst infectivity can be evaluated by monitoring in vitro parasite development in highly permissive cells (9,13,24). In vivo, C. parvum infection is usually investigated using susceptible animal models such as immunocompromised or neonatal mice (19).The aim of this work was to assess C. parvum oocyst infectivity using a suckling mouse model (6). Flow cytometry, a rapid and simple alternative to microscopy, was used to detect viable oocysts and to docume...