Skip to main content Accessibility help
×
Home

An outbreak of cryptosporidiosis associated with a swimming pool

  • R. E. Joce (a1), J. Bruce (a1), D. Kiely (a1), N. D. Noah (a1), W. B. Dempster (a2), R. Stalker (a2), P. Gumsley (a3), P. A. Chapman (a4), P. Norman (a4), J. Watkins (a5), H. V. Smith (a6), T. J. Price (a7) and D. Watts (a8)...

Summary

In August 1988 an increase was noted in the number of cases of cryptosporidiosis identified by the microbiology laboratory at Doncaster Royal Infirmary. By 31 October, 67 cases had been reported. Preliminary investigations implicated the use of one of two swimming pools at a local sports centre and oocysts were identified in the pool water. Inspection of the pool revealed significant plumbing defects which had allowed ingress of sewage from the main sewer into the circulating pool water. Epidemiological investigation confirmed an association between head immersion and illness. The pools were closed when oocysts were identified in the water and extensive cleaning and repair work was undertaken. The pool water was retested for cryptosporidial oocysts and found to be negative before the pool re-opened.

    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      An outbreak of cryptosporidiosis associated with a swimming pool
      Available formats
      ×

      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      An outbreak of cryptosporidiosis associated with a swimming pool
      Available formats
      ×

      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      An outbreak of cryptosporidiosis associated with a swimming pool
      Available formats
      ×

Copyright

Corresponding author

*Dr R. Joce, Consultant in Communicable Disease Control, North and East Hertfordshire Departments of Public Health Medicine, Hampden House, Bedford Road, Hitchin, Herts SG5 2LH

References

Hide All
1.Nime, FA, Burek, JD, Page, DL, Holscher, MA, Yardley, JH. Acute enterocolitis in a human being infected with the protozoan Cryptosporidium. Gastroenterol 1976; 70: 592–8.
2.Casemore, DP, Armstrong, M, Sands, RL. Laboratory diagnosis of cryptosporidiosis. J Clin Pathol 1985; 38: 1337–41.
3. Cryptosporidium in Water Supplies. Report of the Group of Experts. Department of the Environment and Department of Health. London: HMSO. 1990.
4.Casemore, DP. Epidemiological aspects of human cryptosporidiosis. Epidemiol Infect 1990; 104: 128.
5.Current, WL. The biology of Cryptosporidium. ASM News 1988; 54: 605–11.
6.Hannah, J, Riordan, T. Case to case spread of cryptosporidiosis: evidence from a day nursery outbreak. Public Health 1988; 102: 539–44.
7.Anderson, BC, Donndelinger, T, Wilkins, RM, Smith, J. Cryptosporidiosis in a veterinary student. J Am Vet Med Assoc 1982; 180: 408–9.
8.Blagburn, BL, Current, WL. Accidental infection of a researcher with human Cryptosporidium. J Infect Dis 1983; 148: 772–3.
9.D'Antonio, RG, Winn, RE, Taylor, JP, et al. A waterborne outbreak of cryptosporidiosis in normal hosts. Ann Intern Med 1985; 103: 886–8.
10.Grabowski, DJ, Powers, KM, Knott, JA, et al. Cryptosporidiosis – New Mexico 1986. MMWR 1987; 36: 561–3.
11.Smith, HV, Patterson, WJ, Hardie, R, et al. An outbreak of waterborne cryptosporidiosis caused by post treatment contamination. Epidemiol Infect 1989; 103: 703–15.
12.Hayes, EB, Matte, TD, O'Brien, TR, et al. Large community outbreak of cryptosporidiosis due to contamination of filtered public water supply. N Engl J Med 1989; 320: 1372–6.
13.Sorvillo, FJ, Fujioka, K, Tormey, M, et al. Swimming-associated cryptosporidiosis – Los Angeles County. MMWR 1990; 39: 343–5.
14.Dean, AD, Dean, JA, Burton, JH, Dicker, RC. Epi Info. A word processing database, and statistics system for epidemiology on microcomputers. Version 5 available from: Centers for Disease Control. Atlanta. Georgia USA. 1990.
15.Tillett, HE, Statistical analysis of case-control studies of communicable disease. Int J Epidemiol 1986; 1: 126–33.
16.Chapman, PA, Rush, BA, McLauchlin, J. An enzyme immunoassay for detecting Cryptosporidium in faecal and environmental samples. J Med Microbiol 1990; 32: 233–7.
17.Smith, HV, Parker, JFW, Girdwood, RWA, et al. A modified method for the detection of Cryptosporidium species oocysts in water related samples. Comm Dis Scot Weekly Report 1989; No 15: 713.
18.Rose, JB. Occurrence and significance of Cryptosporidium in water. Journal AWWA 1988; 80: 53–8.
19.Cryptosporidium Roundtable. Journal AWWA 1988; 80: 1427.
20.Chapman, PA, Rush, BA. Efficiency of sand filtration for removing Cryptosporidium oocysts from water. J Med Microbiol 1990; 32: 243–5.
21.Harter, L, Frost, F, Grunenfelder, G, Perkins-Jones, K, Libby, J. Giardiasis in an infant and toddler swim class. Am J Public Health 1984; 74: 155–6.

An outbreak of cryptosporidiosis associated with a swimming pool

  • R. E. Joce (a1), J. Bruce (a1), D. Kiely (a1), N. D. Noah (a1), W. B. Dempster (a2), R. Stalker (a2), P. Gumsley (a3), P. A. Chapman (a4), P. Norman (a4), J. Watkins (a5), H. V. Smith (a6), T. J. Price (a7) and D. Watts (a8)...

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed