{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T12:31:51Z","timestamp":1776515511807,"version":"3.51.2"},"reference-count":7,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2011,5,19]],"date-time":"2011-05-19T00:00:00Z","timestamp":1305763200000},"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":[[2012,4]]},"abstract":"<jats:title>SUMMARY<\/jats:title><jats:p>We report an outbreak associated with a dinner cruise on Lake Michigan. This took place on the same day as heavy rainfall, which resulted in 42\u00b74 billion liters of rainwater and storm runoff containing highly diluted sewage being released into the lake. Of 72 cruise participants, 41 (57%) reported gastroenteritis. Stool specimens were positive for <jats:italic>Shigella sonnei<\/jats:italic> (<jats:italic>n<\/jats:italic>=3), <jats:italic>Giardia<\/jats:italic> (<jats:italic>n<\/jats:italic>=3), and <jats:italic>Cryptosporidium<\/jats:italic> (<jats:italic>n<\/jats:italic>=2). Ice consumption was associated with illness (risk ratio 2\u00b72, <jats:italic>P<\/jats:italic>=0\u00b7011). <jats:italic>S. sonnei<\/jats:italic> was isolated from a swab obtained from the one of the boat's ice bins. Environmental inspection revealed conditions and equipment that could have contributed to lake water contaminating the hose used to load potable water onto the boat. Knowledge of water holding and distribution systems on boats, and of potential risks associated with flooding and the release of diluted sewage into large bodies of water, is crucial for public health guidance regarding recreational cruises.<\/jats:p>","DOI":"10.1017\/s0950268811000896","type":"journal-article","created":{"date-parts":[[2011,5,19]],"date-time":"2011-05-19T10:41:27Z","timestamp":1305801687000},"page":"621-625","source":"Crossref","is-referenced-by-count":10,"title":["Multi-pathogen waterborne disease outbreak associated with a dinner cruise on Lake Michigan"],"prefix":"10.1017","volume":"140","author":[{"given":"F.","family":"SERDAREVIC","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. C.","family":"JONES","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K. N.","family":"WEAVER","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. R.","family":"BLACK","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K. A.","family":"RITGER","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F.","family":"GUICHARD","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"DOMBROSKI","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B. P.","family":"EMANUEL","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"MILLER","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. I.","family":"GERBER","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2011,5,19]]},"reference":[{"key":"S0950268811000896_ref003","doi-asserted-by":"publisher","DOI":"10.2166\/wh.2008.045"},{"key":"S0950268811000896_ref004","article-title":"Surveillance for waterborne disease and outbreaks associated with drinking water and water not intended for drinking \u2013 United States, 2005\u20132006","volume":"57","year":"2008","journal-title":"Morbidity and Mortality Weekly Report (Surveillance Summaries)"},{"key":"S0950268811000896_ref007","unstructured":"7. Metropolitan Water Reclamation District of Greater Chicago. District operations open all systems to stem flooding: 60 billion gallons of water dumped on region before noon. Press release 13 September 2008."},{"key":"S0950268811000896_ref002","doi-asserted-by":"publisher","DOI":"10.1007\/s11908-996-0007-7"},{"key":"S0950268811000896_ref005","unstructured":"5. Illinois State Climatologist Office. Heavy Rains in Illinois, September 2008 (http:\/\/www.isws.illinois.edu\/atmos\/statecli\/2008\/September2008\/tropical.htm). Accessed 26 March 2011."},{"key":"S0950268811000896_ref001","doi-asserted-by":"publisher","DOI":"10.1016\/j.phr.2004.05.008"},{"key":"S0950268811000896_ref006","unstructured":"6. Metropolitan Water Reclamation District of Greater Chicago. District affirms lake discharge numbers: correct containment\/management figures. Press release 30 September 2008."}],"container-title":["Epidemiology and Infection"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0950268811000896","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,25]],"date-time":"2019-04-25T19:43:10Z","timestamp":1556221390000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0950268811000896\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,5,19]]},"references-count":7,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2012,4]]}},"alternative-id":["S0950268811000896"],"URL":"https:\/\/doi.org\/10.1017\/s0950268811000896","relation":{},"ISSN":["0950-2688","1469-4409"],"issn-type":[{"value":"0950-2688","type":"print"},{"value":"1469-4409","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,5,19]]}}}