{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T17:49:41Z","timestamp":1775152181152,"version":"3.50.1"},"reference-count":7,"publisher":"Cambridge University Press (CUP)","issue":"6","license":[{"start":{"date-parts":[[2007,2,9]],"date-time":"2007-02-09T00:00:00Z","timestamp":1170979200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Epidemiol. Infect."],"published-print":{"date-parts":[[2007,8]]},"abstract":"<jats:title>SUMMARY<\/jats:title><jats:p><jats:italic>Escherichia coli<\/jats:italic> O157 causes a range of illnesses from mild diarrhoea to haemolytic uraemic syndrome (HUS) which carries a mortality rate of 3\u00b77%. Infection is more common in the under-5s. Between 1995 and 2000, 106 outbreaks of <jats:italic>E. coli<\/jats:italic> O157 were reported in England and Wales. Recreational water is well documented as a transmission route for infectious diseases worldwide. In the United Kingdom there have been very few reported outbreaks associated with swimming pools due to the relative susceptibility of <jats:italic>E. coli<\/jats:italic> O157 to adequate levels of free chlorine. This report describes the investigation of an outbreak associated with a local leisure centre pool and makes recommendations about the safe management of such facilities.<\/jats:p>","DOI":"10.1017\/s0950268807007947","type":"journal-article","created":{"date-parts":[[2007,2,9]],"date-time":"2007-02-09T09:22:41Z","timestamp":1171012961000},"page":"989-992","source":"Crossref","is-referenced-by-count":28,"title":["An outbreak of <i>E. coli<\/i> O157 associated with a swimming pool: an unusual vehicle of transmission"],"prefix":"10.1017","volume":"135","author":[{"given":"A.","family":"VERMA","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F.\u00a0J.","family":"BOLTON","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"FIEFIELD","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"LAMB","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"WOLOSCHIN","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N.","family":"SMITH","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"McCANN","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2007,2,9]]},"reference":[{"key":"S0950268807007947_ref006","first-page":"1","article-title":"Outbreak of E. coli O157:H7 infections associated with a water park","volume":"14","author":"Gilbert","year":"1998","journal-title":"Georgia Epidemiology Report"},{"key":"S0950268807007947_ref005","first-page":"1","article-title":"Surveillance for waterborne-disease outbreaks","volume":"49","author":"Barwick","year":"2000","journal-title":"Morbidity and Mortality Weekly Reports"},{"key":"S0950268807007947_ref003","unstructured":"3.\u00a0HACCP Now. Hazard analysis critical control points (http:\/\/www.haccpnow.co.uk\/WhatIsHACCP.asp). Accessed 24 August 2006."},{"key":"S0950268807007947_ref007","first-page":"14","article-title":"Guidelines for the control of infection with vero cytoxin producing Escherichia coli (VTEC)","volume":"3","year":"2000","journal-title":"Communicable Disease Report"},{"key":"S0950268807007947_ref001","unstructured":"1.\u00a0PWTAG. Swimming pool water treatment and quality standards. Pool Water Treatment Advisory Group, 1999."},{"key":"S0950268807007947_ref004","doi-asserted-by":"publisher","DOI":"10.1097\/01.inf.0000138081.84891.30"},{"key":"S0950268807007947_ref002","unstructured":"2.\u00a0Health and Safety Executive. Managing Health and Safety in Swimming Pools\u00a0\u2013\u00a0HSG 179, 3rd edn."}],"container-title":["Epidemiology and Infection"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0950268807007947","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,1]],"date-time":"2019-05-01T21:46:29Z","timestamp":1556747189000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0950268807007947\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,2,9]]},"references-count":7,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2007,8]]}},"alternative-id":["S0950268807007947"],"URL":"https:\/\/doi.org\/10.1017\/s0950268807007947","relation":{},"ISSN":["0950-2688","1469-4409"],"issn-type":[{"value":"0950-2688","type":"print"},{"value":"1469-4409","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,2,9]]}}}