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ENGINEERING ASPECTS OF WATERBORNE DISEASE OUTBREAK INVESTIGATIONS
Citation:
Fox, K. ENGINEERING ASPECTS OF WATERBORNE DISEASE OUTBREAK INVESTIGATIONS. U.S. Environmental Protection Agency, Washington, D.C., EPA/600/A-93/256 (NTIS PB94112927), 1993.
Description:
Two recent headline causing events have reinforced the concern about the spread f diseases through waterborne routes. hese events include the current cholera epidemic in the Western Hemisphere that has caused more than 750,000 reported case of cholera through April, 1993, and the more recent cryptosporidiosis outbreak in Milwaukee, Wisconsin where 370,000 people had watery diarrhea during the time frame of concern. henever an enteric disease outbreak occurs, or even a small outbreak happens and drinking water is implicated, an investigation should take place to help determine if drinking water was a contributing factor. he investigation should attempt to overly the epidemiological data collected by local, state, and federal health agencies, and any data available from the drinking water from the systems. his paper discusses the types of information gathered in three case studies from past suspected waterborne disease outbreaks and how the data were used to implicate water as a mode of transmission. his information should help those involved with future outbreaks with guidance to determine what types of information are us waterborne disease investigations.
