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Surveillance Summaries October 22,

2004 / Vol.

53 / No. SS-8 depar depar depar depar department of health and human ser tment of health and human ser tment of health and human ser tment of health and human ser tment of health and human services vices vices vices vices Centers for Disease Control and Prevention Centers for Disease Control and Prevention Centers for Disease Control and Prevention Centers for Disease Control and Prevention Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report Title Surveillance for Waterborne-Disease Outbreaks Associated with Recreational Water ― United States, 2001C2002 and Surveillance for Waterborne-Disease Outbreaks Associated with Drinking Water ― United States, 2001C2002 MMWR CONTENTS Surveillance for Waterborne-Disease Outbreaks Associated with Recreational Water ― United States, 2001C2002.1 Introduction.2 Background

2 Methods

2 Results.4 Discussion

9 Conclusion

13 Acknowledgments

14 References.14 Appendix

16 Glossary

20 Surveillance for Waterborne-Disease Outbreaks Associated with Drinking Water ― United States, 2001C2002.23 Introduction.24 Background

24 Methods

25 Results.27 Discussion

34 Conclusion

38 Acknowledgments

38 References.38 Appendix

40 Glossary

44 SUGGESTED CITATION General: Centers for Disease Control and Prevention. Surveillance for waterborne-disease outbreaks associatedwithrecreationalwater―UnitedStates, 2001C2002 and Surveillance for waterborne- disease outbreaks associated with drinking water ― United States, 2001C2002. In: Surveillance Summaries, October 22, 2004. MMWR 2004:53(No. SS-8). Specific: [Author(s)]. [Title of particular article]. In: Surveillance Summaries, October 22, 2004. MMWR 2004;

53(No. SS-8):[inclusive page numbers]. The MMWR series of publications is published by the Coordinating Center for Health Information and Service (Proposed), Centers for Disease Control and Prevention (CDC), U.S. Department of Health and Human Services, Atlanta, GA 30333. Centers for Disease Control and Prevention Julie L. Gerberding, M.D., M.P.H. Director Dixie E. Snider, M.D., M.P.H. (Acting) Chief of Science Tanja Popovic, M.D., Ph.D. (Acting) Associate Director for Science Coordinating Center for Health Information and Service (Proposed) James S. Marks, M.D., M.P.H. (Acting) Director John W. Ward, M.D. Editor, MMWR Series Suzanne M. Hewitt, M.P.A. Managing Editor, MMWR Series C. Kay Smith-Akin, M.Ed. Lead Technical Writer/Editor Jeffrey D. Sokolow, M.A. Project Editor Beverly J. Holland Lead Visual Information Specialist Lynda G. Cupell Malbea A. LaPete Visual Information Specialists Kim L. Bright, M.B.A. Quang M. Doan, M.B.A. Erica R. Shaver Information Technology Specialists Vol.

53 / SS-8 Surveillance Summaries

1 Corresponding author: Michael J. Beach, Ph.D., Epidemiologist, CDC/ NCID/DPD,

1600 Clifton Rd., NE, MS F-22, Atlanta, GA 30341;

Fax: 770-488-7761;

E-mail: mjb3@cdc.gov. Surveillance for Waterborne-Disease Outbreaks Associated with Recreational Water ― United States, 2001C2002 Jonathan S. Yoder, M.P.H., M.S.W.,1,2 Brian G. Blackburn, M.D.,2,3 Gunther F. Craun, M.P.H.,4 Vincent Hill, Ph.D.,2 Deborah A. Levy, Ph.D.,5 Nora Chen, Sc.M.,1 Sherline H. Lee, M.P.H.,5 Rebecca L. Calderon, Ph.D.,6 Michael J. Beach, Ph.D.2 1Public Health Prevention Service, Epidemiology Program Office, CDC;

2Division of Parasitic Diseases, National Center for Infectious Diseases, CDC;

3Epidemic Intelligence Service, Epidemiology Program Office, CDC;

4Gunther F. Craun and Associates, Staunton, Virginia;

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