Record Display for the EPA National Library Catalog


OLS Field Name OLS Field Data
Main Title Searching for a Water Supply Connection in the Cabool, Missouri Disease Outbreak of 'Escherichia coli' 0157:H7.
Author Geldreich, E. E. ; Fox, K. R. ; Goodrich, J. A. ; Rice, E. W. ; Clark, R. M. ;
CORP Author Environmental Protection Agency, Cincinnati, OH. Risk Reduction Engineering Lab. ;National Center for Infectious Diseases, Atlanta, GA. Enteric Diseases Branch.
Publisher c1992
Year Published 1992
Report Number EPA/600/J-92/284;
Stock Number PB92-235662
Additional Subjects Escherichia Coli ; Water supply ; Water pollution ; Humans ; Feces ; Diarrhea ; Isolation ; Water distribution ; Distribution systems ; Models ; Ground water ; Reprints ; Water borne diseases
Library Call Number Additional Info Location Last
NTIS  PB92-235662 Most EPA libraries have a fiche copy filed under the call number shown. Check with individual libraries about paper copy. 06/01/1993
Collation 12p
A field investigation of a recent disease outbreak resulting in three deaths, 34 hospitalizations and a total of 240 documented cases of diarrhea was linked through on-site data gathering and use of a distribution system model to the public water supply. The pathogenic agent, E. coli serotype 0157:H7, was isolated from patient's feces and cases were restricted to people using public water supply. Untreated ground water quality was not a factor but some disturbance in the distribution system, possibly 2 line breaks allowed contaminants to enter the water supply. This is the first time a distribution system model has been used to show that the pattern of illness occurrences in a waterborne outbreak study were related to water movement patterns in the distribution network.