{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T10:39:09Z","timestamp":1791196749201,"version":"4.1.0"},"reference-count":17,"publisher":"Cambridge University Press (CUP)","issue":"11","license":[{"start":{"date-parts":[[2009,5,11]],"date-time":"2009-05-11T00:00:00Z","timestamp":1242000000000},"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":[[2009,11]]},"abstract":"<jats:title>SUMMARY<\/jats:title><jats:p>Tri-County Health Department investigated an outbreak of cryptosporidiosis linked to a community swimming pool. A cohort study was conducted in 37 persons who were invited to the pool party; 12 (57%) of 21 attendees had primary cryptosporidiosis infection. Risk factors for illness included swimming, getting water in mouth, and swallowing water. The pool met chlorination guidelines and used UV light irradiation, a supplemental disinfection technology that inactivates<jats:italic>Cryptosporidium<\/jats:italic>. A follow-up survey of the cohort was completed 7\u20138 weeks after the pool party; four (25%) of 16 non-attendees had secondary cryptosporidiosis infection. The median duration of illness, including patients with recurring symptoms, was 26 days. Clinical response rate to nitazoxanide, a therapeutic agent, was 67%. This study is unique because it describes a cryptosporidiosis outbreak from a well-maintained community swimming pool using supplemental disinfection. It also reports information on disease burden and treatment response.<\/jats:p>","DOI":"10.1017\/s0950268809002696","type":"journal-article","created":{"date-parts":[[2009,5,11]],"date-time":"2009-05-11T08:42:30Z","timestamp":1242031350000},"page":"1651-1654","source":"Crossref","is-referenced-by-count":23,"title":["Cryptosporidiosis from a community swimming pool: outbreak investigation and follow-up study"],"prefix":"10.1017","volume":"137","author":[{"given":"T. K.","family":"BOEHMER","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N. B.","family":"ALDEN","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T. S.","family":"GHOSH","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. L.","family":"VOGT","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2009,5,11]]},"reference":[{"key":"S0950268809002696_ref005","first-page":"1","article-title":"Surveillance for waterborne disease and outbreaks associated with recreational water \u2013 United States, 2003\u20132004","volume":"55","author":"Dziuban","year":"2006","journal-title":"Morbidity and Mortality Weekly Report"},{"key":"S0950268809002696_ref006","doi-asserted-by":"publisher","DOI":"10.1086\/428839"},{"key":"S0950268809002696_ref017","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2005.12.020"},{"key":"S0950268809002696_ref003","first-page":"729","article-title":"Cryptosporidiosis outbreaks associated with recreational water use \u2013 five states, 2006","volume":"56","year":"2007","journal-title":"Morbidity and Mortality Weekly Report"},{"key":"S0950268809002696_ref010","doi-asserted-by":"publisher","DOI":"10.1016\/j.pt.2004.11.009"},{"key":"S0950268809002696_ref002","doi-asserted-by":"publisher","DOI":"10.1016\/S1286-4579(02)01630-1"},{"key":"S0950268809002696_ref008","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.17.1.72-97.2004"},{"key":"S0950268809002696_ref016","doi-asserted-by":"publisher","DOI":"10.1086\/321008"},{"key":"S0950268809002696_ref009","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1002\/j.1551-8833.1999.tb08602.x","article-title":"Medium-pressure UV for oocyst inactivation","volume":"91","author":"Bukhari","year":"1999","journal-title":"Journal of the American Water Works Association"},{"key":"S0950268809002696_ref001","first-page":"1","article-title":"Cryptosporidiosis surveillance \u2013 United States, 2003\u20132005","volume":"54","author":"Yoder","year":"2007","journal-title":"Morbidity and Mortality Weekly Report"},{"key":"S0950268809002696_ref004","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 monochloramine on Cryptosporidium parvum oocyst viability","volume":"56","author":"Korich","year":"1990","journal-title":"Applied and Environmental Microbiology"},{"key":"S0950268809002696_ref015","doi-asserted-by":"publisher","DOI":"10.1128\/AEM.68.5.2576-2579.2002"},{"key":"S0950268809002696_ref011","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199407213310304"},{"key":"S0950268809002696_ref012","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268806006777"},{"key":"S0950268809002696_ref014","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/21.1.57"},{"key":"S0950268809002696_ref007","unstructured":"7. Food and Drug Administration. Nitazoxanide prescribing information [from label approved 15 June 2005] (http:\/\/www.fda.gov\/cder\/foi\/label\/2005\/021498s003lbl.pdf). Accessed 23 June 2008."},{"key":"S0950268809002696_ref013","doi-asserted-by":"publisher","DOI":"10.1080\/00365540410021072"}],"container-title":["Epidemiology and Infection"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0950268809002696","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,5,18]],"date-time":"2020-05-18T02:03:27Z","timestamp":1589767407000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0950268809002696\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,5,11]]},"references-count":17,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2009,11]]}},"alternative-id":["S0950268809002696"],"URL":"https:\/\/doi.org\/10.1017\/s0950268809002696","relation":{},"ISSN":["0950-2688","1469-4409"],"issn-type":[{"value":"0950-2688","type":"print"},{"value":"1469-4409","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,5,11]]}}}