FIGURE 5.5
Types of drinking water systems used for outbreak classification
TABLE 5.7
Waterborne-disease outbreaks associated with drinking water, by causative agent and type of water system, 2001–02
| Type of water systema | ||||||||
| Community | Noncommunity | Individual | Total | |||||
| Etiologic agent | Outbreaks | Cases | Outbreaks | Cases | Outbreaks | Cases | Outbreaks | Cases |
| Unknown | 0 | 0 | 2 | 98 | 5 | 19 | 7 | 117 |
| AGIb | 0 | 0 | 2 | 98 | 5 | 19 | 7 | 117 |
| Viruses | 1 | 71 | 4 | 656 | 0 | 0 | 5 | 727 |
| Norovirus | 1 | 71 | 4 | 656 | 0 | 0 | 5 | 727 |
| Parasitic | 3 | 14 | 0 | 0 | 2 | 16 | 5 | 30 |
| Giardia intestinalis | 2 | 12 | 0 | 0 | 1 | 6 | 3 | 18 |
| Cryptosporidium species | 0 | 0 | 0 | 0 | 1 | 10 | 1 | 10 |
| Naegleria fowleri | 1 | 2 | 0 | 0 | 0 | 0 | 1 | 2 |
| Chemical | 3 | 33 | 1 | 4 | 1 | 2 | 5 | 39 |
| Copper | 2 | 30 | 0 | 0 | 0 | 0 | 2 | 30 |
| Copper and other minerals | 0 | 0 | 1 | 4 | 0 | 0 | 1 | 4 |
| Ethyl benzene, toluene, xylene | 0 | 0 | 0 | 0 | 1 | 2 | 1 | 2 |
| Ethylene glycol | 1 | 3 | 0 | 0 | 0 | 0 | 1 | 3 |
| Bacterial (other than Legionella species) | 0 | 0 | 1 | 12 | 2 | 15 | 3 | 27 |
| Campylobacter jejuni | 0 | 0 | 0 | 0 | 1 | 13 | 1 | 13 |
| C. jejuni and Yersinia enterocolitica | 0 | 0 | 1 | 12 | 0 | 0 | 1 | 12 |
| Escherichia coli O157:H7 | 0 | 0 | 0 | 0 | 1 | 2 | 1 | 2 |
| Total | 7 | 118 | 8 | 770 | 10 | 52 | 25 | 940 |
| Percentage | (28.0) | (12.6) | (32.0) | (81.9) | (40.0) | (5.5) | (100.0) | (100.0) |
| Sample size > 25 | ||||||||
| a Community and noncommunity water systems are public water systems that serve ≥ 15 service connections or an average of ≥ 25 residents for ≥ 60 days/year. A community water system serves year-round residents of a community, subdivision, or mobile home park with ≥ 15 service connections or an average of ≥ 25 residents. A noncommunity water system can be nontransient or transient. Nontransient systems serve ≥ 25 of the same persons for > 6 months of the year, but not year-round (e.g., factories or schools), whereas transient systems provide water to places in which persons do not remain for long periods of time (e.g., restaurants, highway rest stations, or parks). Individual water systems are small systems not owned or operated by a water utility that serve < 15 connections or < 25 persons. Outbreaks associated with water not intended for drinking (e.g., lakes, springs and creeks used by campers and boaters, irrigation water, and other nonpotable sources with or without taps) are also classified as individual systems. | ||||||||
| b Acute gastrointestinal illness of unknown etiology. | ||||||||
FIGURE 5.6
Number of waterborne-disease outbreaks associated with drinking water, by causative agent and month, 2001–02
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