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Approaches To Estimating the Waterborne Disease Outbreak Burden In the U.S.: Uses and Limitations of the Waterborne Disease Outbreak Surveillance System (External Review Draft)
Citation:
U. S. EPA. Approaches To Estimating the Waterborne Disease Outbreak Burden In the U.S.: Uses and Limitations of the Waterborne Disease Outbreak Surveillance System (External Review Draft). U.S. Environmental Protection Agency, Washington, D.C., EPA/600/R-06/066, 2006.
Impact/Purpose:
Information about U.S. Waterborne Disease Outbreaks (WBDOs) is voluntarily reported by state, territorial and local public health agencies to the Centers for Disease Control and Prevention (CDC). CDC and EPA jointly maintain the WBDO database that summarizes the information collected through this WBDO Surveillance System. The WBDO database describes outbreak attributes including, among other things, the drinking water system deficiency, the etiologic agent, and the number of individuals who became ill. Underreporting of WBDOs is assumed but the magnitude of underreporting is unknown.
Description:
The Approaches to Estimating the Waterborne Disease Outbreak Burden in the United States: Uses and Limitations of the Waterborne Disease Outbreak Surveillance System (External Review Draft) document presents approaches for estimating the epidemiologic and economic burden of disease associated with 665 WBDOs reported in the U.S. between 1971 and 2000. The term disease burden broadly refers to the magnitude of the impact incurred by society as a consequence of disease in the community (e.g. decrements in a population's health or the associated economic effects) and there are various metrics that can be employed by analysts to quantify burden. The external review draft report also includes recommendations for the collection and reporting of additional outbreak information that would improve the usefulness of the WBDO database for future disease burden estimates.
URLs/Downloads:
Approaches to Estimating the Waterborne Disease Outbreak Burden in the United States: Uses and Limitations of the Waterborne Disease Outbreak Surveillance System (PDF, 249 pp, 4457 KB, about PDF)Peer Review Questions for the Workshop on Oct 26-27 (PDF, 4 pp, 17 KB, about PDF)
FR NOTICE: OCTOBER 16, 2006
FR NOTICE: SEPTEMBER 15, 2006