Literature review of associations among attributes of reported drinking water disease outbreaks
The lack of adequate drinking water disease outbreak (DWDO) surveillance and scarcity of standardized data on DWDO characteristics hinders understanding and prevention of drinking water-borne disease. We identified 1519 outbreaks from 475 selected sources, most occurring in the US, the UK, and Canada; and analyzed data from them for associations between outbreak attributes and human health impacts. While implementation of surface water management policies is associated with decreased disease burden, further strengthening of related policies is needed to address the remaining burden attributed to the catchment and distribution system, and to groundwater viral and disinfection-only system outbreaks.
Literature review of associations among attributes of reported drinking water disease outbreaks. G. Ligon, J. Bartram. 2016. International Journal of Environmental Research and Public Health 13:6, pp. 527. doi.org/10.3390/ijerph13060527