||Estimating the Burden of Disease Associated with Outbreaks Reported to the U.S. Waterborne Disease Outbreak Surveillance System: Identifying Limitations and Improvements.
||Environmental Protection Agency, Cincinnati, OH. Office of Research and Development.
Water pollution effects ;
United States ;
Public health ;
Waterborne outbreak reports ;
Waterborne disease burden ;
Burden estimation methods ;
||Most EPA libraries have a fiche copy filed under the call number shown. Check with individual libraries about paper copy.
The purpose of the analyses presented in this document is to investigate the utility of archived waterborne outbreak reports as a surveillance-based approach to estimate a portion of the waterborne disease burden. We apply the burden estimation methods described herein to non-recreational waterborne outbreaks that occurred in the U.S. between 1971-2000 and were reported to the WBDOSS. It is important to note that limitations inherent in the outbreak estimation of the actual incidence and aggregate burden of outbreak-related waterborne illnesses on a national scale. This analysis of outbreak reports does not attempt to provide an estimate of the actual incidence and burden of outbreak-related waterborne illnesses in the U.S. because such an estimate would require additional data and procedures to estimate unreported outbreaks and unrecognized cases. Unreported outbreaks and cases are not considered in this report.