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Volume 29, Number 8—August 2023
Research

Waterborne Infectious Diseases Associated with Exposure to Tropical Cyclonic Storms, United States, 1996–2018

Victoria D. LynchComments to Author  and Jeffrey Shaman
Author affiliation: Columbia University, New York, New York, USA

Main Article

Table 1

Description of pathogens included in analysis of waterborne infectious diseases associated with exposure to tropical cyclonic storms, United States, 1996–2018*

Pathogen No. (%) cases in NNDSS Pathogen type Incubation period, d (range)† Estimated cases attributed to waterborne transmission, %‡ Years reported in NNDSS
Legionella 77,765 (3.8) Biofilm-forming bacteria 5–6 (2–10) 97 1996–2018
Cryptosporidium 151,573 (7.4) Parasite 7 (2–12) 43 1998–2018
Giardia 297,379 (14.6) Parasite 7 (1–14) 44 2002–2018
STEC 128,332 (6.3) Enteric bacteria 0.5–4 (0.5–10) 5 1996–2018
Salmonella 964,293 (47.3) Enteric bacteria 0.5–2 (0.5–16) 6 1998–2016
Shigella 421,369 (20.4) Enteric bacteria 1–3 (0.5–7) 4 1998–2018

*NNDSS, National Notifiable Disease Surveillance System (https://www.cdc.gov/nndss); STEC, Shiga toxin–producing Escherichia coli. †According to D.W.K. Acheson (42). ‡According to S.A. Collier et al. (12).

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