Record Display for the EPA National Library Catalog


Main Title Waterborne Giardiasis: A Communitywide Outbreak of Disease and a High Rate of Asymptomatic Infection.
Author Lopez, Carlos E. ; Dykes, Abuert C. ; Juranek, Dennis D. ; Sinclair, Susanne P. ; Conn, Judity M. ;
CORP Author Health Effects Research Lab., Cincinnati, OH.
Year Published 1980
Report Number EPA-600/J-80-214;
Stock Number PB81-165177
Additional Subjects Diseases ; Infectious diseases ; New Hampshire ; Epidemiology ; Public health ; Water pollution ; Signs and symptoms ; Giardiasis ; Gastrointestinal diseases ; Viruses ; Water pollution effects(Humans) ; Infections ; Giardia lamblia ; Berlin(New Hampshire)
Library Call Number Additional Info Location Last
NTIS  PB81-165177 Some EPA libraries have a fiche copy filed under the call number shown. 07/26/2022
Collation 14p
A communitywide outbreak of gastrointestinal illness due to Giardia lamblia infection occurred in the city of Berlin, New Hampshire, during April and May 1977. The clinical, epidemiologic, and laboratory aspects of this outbreak are described here. In 213 predominantly symptomatic cases of G. lamblia infection diagnosed at the local hospital laboratory in a 6-week period, illness was characterized by prolonged diarrhea (median duration 10 days) and 13% of symptomatic infections required hospitalization. Treatment with either quinacrine or metronidazole was generally followed by symptomatic improvement. A communitywide survey of the city residents revealed that the majority (76%) of G. lamblia infections occurring during the epidemic period were asymptomatic and ran a self-limited course without treatment. No significant secondary, person-to-person spread occurred and no enteric pathogens other than G. lamblia were implicated.