{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T09:28:38Z","timestamp":1791019718032,"version":"4.1.0"},"reference-count":18,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2009,5,15]],"date-time":"2009-05-15T00:00:00Z","timestamp":1242345600000},"content-version":"unspecified","delay-in-days":4914,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["journals.cambridge.org"],"crossmark-restriction":true},"short-container-title":["Epidemiol. Infect."],"published-print":{"date-parts":[[1995,12]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>An outbreak of cyptosporidiosis occurred in late April 1993 among resort hotel guests which was temporally associated with, but geographically distant from, a massive waterborne outbreak of cryptosporidiosis in Milwaukee, Wisconsin, that occurred in late March and early April of 1993. A case-control study was performed among groups with members who reported illness and among a systematic sample of groups who stayed at the resort hotel during the risk period. Of 120 persons interviewed, 51 (43%) met the case definition. Swimming in the resort hotel's pool was significantly associated with case status (OR = 9\u00b78; 95% Cl 3\u00b74, 29\u00b77), as was consumption of ice from the hotel's ice machines (OR = 2\u00b73; 95% Cl 1\u00b701, 5\u00b72). When analysis was restricted only to laboratory-confirmed cases and controls, swimming pool use was the only risk factor significantly associated with illness (OR=13\u00b70; 95%C1 2\u00b76, 88\u00b77). Following waterborne outbreaks of cryptosporidiosis associated with water supplies, swimming pools should be considered as possible ongoing sources for transmission regionally.<\/jats:p>","DOI":"10.1017\/s0950268800058714","type":"journal-article","created":{"date-parts":[[2009,5,15]],"date-time":"2009-05-15T08:38:04Z","timestamp":1242376684000},"page":"545-553","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":43,"title":["An outbreak of cryptosporidiosis associated with a resort swimming pool"],"prefix":"10.1017","volume":"115","author":[{"given":"W. R.","family":"MacKenzie","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. J.","family":"Kazmierczak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. P.","family":"Davis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2009,5,15]]},"reference":[{"key":"S0950268800058714_ref017","doi-asserted-by":"publisher","DOI":"10.1002\/j.1551-8833.1986.tb05682.x"},{"key":"S0950268800058714_ref013","volume-title":"Epidemiologic research: principles and quantitative methods","author":"Kleinbaum","year":"1982"},{"key":"S0950268800058714_ref012","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/147.5.824"},{"key":"S0950268800058714_ref011","first-page":"561","article-title":"Cryptosporidium infections associated with swimming pools in Dane County, Wisconsin","volume":"43","year":"1994","journal-title":"MMWR"},{"key":"S0950268800058714_ref007","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.82.5.742"},{"key":"S0950268800058714_ref006","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199407213310304"},{"key":"S0950268800058714_ref005","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268800049207"},{"key":"S0950268800058714_ref003","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198905253202103"},{"key":"S0950268800058714_ref001","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.79.1.39"},{"key":"S0950268800058714_ref009","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1994.03520200053035"},{"key":"S0950268800058714_ref018","first-page":"223","volume-title":"In: Methods for the investigation and prevention of waterborne disease outbreaks","author":"Rose","year":"1990"},{"key":"S0950268800058714_ref004","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268800049189"},{"key":"S0950268800058714_ref010","first-page":"R20","article-title":"Cryptosporidiosis associated with a swimming complex","volume":"4","author":"Hunt","year":"1994","journal-title":"Communi Dis Rep"},{"key":"S0950268800058714_ref016","doi-asserted-by":"crossref","first-page":"4203","DOI":"10.1128\/AEM.59.12.4203-4210.1993","article-title":"Ozone inactivation of Cryptosporidium parvum in demand-free phosphate buffer determined by in vitro excystation and animal infectivity","volume":"59","author":"Finch","year":"1993","journal-title":"Appl Environ Microbiol"},{"key":"S0950268800058714_ref014","doi-asserted-by":"crossref","first-page":"3189","DOI":"10.1128\/AEM.55.12.3189-3196.1989","article-title":"Evaluation of immunofluorescence techniques for detection of Cryptosporidium oocysts and Giardia cysts from environmental samples","volume":"55","author":"Rose","year":"1989","journal-title":"Appl Environ Microbiol"},{"key":"S0950268800058714_ref008","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268800049190"},{"key":"S0950268800058714_ref002","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-103-6-886"},{"key":"S0950268800058714_ref015","doi-asserted-by":"crossref","first-page":"1423","DOI":"10.1128\/AEM.56.5.1423-1428.1990","article-title":"Effects of ozone, chlorine dioxide, chlorine, and monocloramine on Cryptosporidium oocyst viability","volume":"56","author":"Korich","year":"1990","journal-title":"Appl Environ Microbiol"}],"container-title":["Epidemiology and Infection"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0950268800058714","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,5,18]],"date-time":"2020-05-18T05:02:21Z","timestamp":1589778141000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0950268800058714\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1995,12]]},"references-count":18,"journal-issue":{"issue":"3","published-print":{"date-parts":[[1995,12]]}},"alternative-id":["S0950268800058714"],"URL":"https:\/\/doi.org\/10.1017\/s0950268800058714","relation":{},"ISSN":["0950-2688","1469-4409"],"issn-type":[{"value":"0950-2688","type":"print"},{"value":"1469-4409","type":"electronic"}],"subject":[],"published":{"date-parts":[[1995,12]]},"assertion":[{"value":"Copyright \u00a9 Cambridge University Press 1995","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}