||Surveillance for Waterborne Disease Outbreaks and Other Health Events Associated with Recreational Water United States, 20072008 and Surveillance for Waterborne Disease Outbreaks Associated with Drinking Water United States, 2007-2008. Morbidity and Mortality Weekly Report, Surveillance Summaries, Vol. 60, No. 12, September 12.
||Agency for Toxic Substances and Disease Registry, Atlanta, GA. Div. of Health Studies.; Agency for Toxic Substances and Disease Registry, Atlanta, GA. Div. of Health Studies.; Environmental Protection Agency, Research Triangle Park, NC.; Centers for Disease Control and Prevention, Atlanta, GA.
Since 1978, CDC, the U.S. Environmental Protection Agency, and the Council of State and Territorial Epidemiologists have collaborated on the Waterborne Disease and Outbreak Surveillance System (WBDOSS) for collecting and reporting data on waterborne disease outbreaks associated with recreational water. This surveillance system is the primary source of data concerning the scope and health effects of waterborne disease outbreaks in the United States. In addition, data are collected on other select recreational water-associated health events, including pool chemical-associated health events and single cases of Vibrio wound infection and primary amebic meningoencephalitis (PAM). Data presented summarize recreational water-associated outbreaks and other health events that occurred during January 2007-December 2008. Previously unreported data on outbreaks that have occurred since 1978 also are presented. The WBDOSS database includes data on outbreaks associated with recreational water, drinking water, water not intended for drinking (excluding recreational water), and water use of unknown intent. Public health agencies in the states, the District of Columbia, U.S. territories, and Freely Associated States are primarily responsible for detecting and investigating waterborne disease outbreaks and voluntarily reporting them to CDC using a standard form. Only data on outbreaks associated with recreational water are summarized in this report. Data on other recreational water-associated health events reported to CDC, the Agency for Toxic Substances and Disease Registry (ATSDR), and the U.S. Consumer Product Safety Commission (CPSC) also are summarized.