Record Display for the EPA National Library Catalog


Main Title Waterborne Disease Outbreaks, 1986-1988.
Author Levine, W. C. ; Stephenson, W. T. ; Craun., G. F. ;
CORP Author Center for Infectious Diseases, Atlanta, GA.;Health Effects Research Lab., Cincinnati, OH.
Publisher c1990
Year Published 1990
Report Number EPA/600/J-90/089;
Stock Number PB90-245382
Additional Subjects Aquatic microbiology ; Epidemiology ; Public health ; Preventive medicine ; Giardia ; Pseudomonas ; Shigella sonnei ; Diarrhea ; Swimming ; Baths ; Water contamination ; Reprints ; Disease outbreaks ; Cryptosporidium ; Norwalk agent
Library Call Number Additional Info Location Last
NTIS  PB90-245382 Some EPA libraries have a fiche copy filed under the call number shown. 07/26/2022
Collation 17p
From 1986 to 1988, 24 states and Puerto Rico reported 50 outbreaks of illness due to water that people intended to drink, affecting 25,846 persons. The protozoal parasite Giardia lamblia was the agent most commonly implicated in outbreaks, as it has been for the last 10 years; many of the outbreaks were associated with ingestion of chlorinated but unfiltered surface water. Shigella sonnei was the most commonly implicated bacterial pathogen; in outbreaks caused by the pathogen, water supplies were found to be contaminated with human waste. Cryptosporidium contamination of a chlorinated, filtered public water supply caused the largest outbreak during this period, affecting an estimated 13,000 persons. Although the total number of reported water-related outbreaks has been declining in recent years, the few large outbreaks due to Cryptosporidium, Norwalk-like agent, Shigella sonnei, and Giardia lamblia caused more cases of illness in 1987 than have been reported to the Water-Related Disease Outbreak Surveillance System for any other year since CDC and the Environmental Protection Agency began tabulating these data in 1971.