Cryptosporidiosis Outbreak Response & Evaluation (CORE) [PDF - 224 KB] – guidelines for health departments, aquatics operators/managers, and child care program operators
Drop of News – newsletter highlighting state and local waterborne disease surveillance activities and informal CDC updates on waterborne disease and outbreak surveillance initiatives
EHS Feature News page: 2014 Recreational Water Illness and Injury (RWII) Prevention Week – feature page announcing RWII week and new environmental health materials related to healthy swimming
Environmental Health Systems Approach to Recreational Water Illness Prevention [PDF - 165 KB] or DOC [54 KB] – form in which to enter data for a better understanding of how the aquatic facility works
Environmental Public Health Online Courses (EPHOC) – a comprehensive online/on-demand package of courses for environmental public health practitioners including a module on swimming pools and recreational facilities
Health Hazard Evaluation Report: Investigation of Employee Symptoms at an Indoor Waterpark, Mason, OH [PDF - 1.3 MB] – results of the NIOSH investigation on the cause of symptoms reported at the Great Wolf Lodge indoor waterpark resort in Mason, Ohio
Healthy Housing Reference Manual – revision provides information on the impact of housing on health and safety and includes a chapter on swimming pools and spas
Model Aquatic Health Code (MAHC) – a model and guide under development for local and state agencies needing guidance to update or implement an aquatic health code in their jurisdictions
Model Pool Code Video – Check out a new short video on the Model Aquatic Health Code (MAHC) as a tool to prevent outbreaks, drowning, and chemical poisoning.
Outbreak of Cryptosporidiosis Associated with a Manmade Chlorinated Lake--Tarrant County, Texas, 2008. [PDF - 317 KB] – describes an assessment of cryptosporidiosis cases associated with a manmade lake in Texas
Prevalence of Cryptosporidium spp. and Giardia intestinalis in Swimming Pools, Atlanta, Georgia; EID – 2008 examination of public pools in Atlanta for the presence of Cryptosporidium spp. and Giardia spp.
Recommendations for Preventing Pool Chemical–Associated Injuries – seven categories of CDC recommendations for preventing pool chemical-associated injuries
Recreational Water Illness and Injury (RWII) Prevention Week – information about National Recreational Water Illness and Injury Prevention Week
Journal of Environmental Health (JEH) Articles Related to the National Recreational Water Illness and Injury Prevention Week
Recent JEH articles to highlight RWII week for earlier years please visit our JEH publications page.
May 2014 [PDF - 452 KB] – discusses the proposed operational guidelines for the Model Aquatic Health Code (MAHC) and progress to date
May 2013 [PDF - 520 KB] – discusses prevention of health events associated with pool chemicals and includes examples of pool chemical posters as well as information on the Model Aquatic Health Code and how it can be a beneficial tool in preventing accidents involved with pool chemicals
May 2012 [PDF - 385 KB] – discusses how the Model Aquatic Health Code (MAHC) and International Swimming Pool and Spa Code (ISPSC) can complement each other in identifying the respective roles of building and health officials to maintain healthy aquatic venues
May 2011 [PDF - 180 KB] – discusses using education, engineering, and enforcement to combat recreational water illnesses
May 2010 [PDF - 718 KB] – discusses a new pool inspection data study and the Model Aquatic Health Code (MAHC)
Selected Articles from MMWR - Morbidity and Mortality Weekly Reports
Reports by Environmental Public Health Leadership Institute Graduates
We have many recreational water reports that were prepared by graduates of CDC’s Environmental Public Health Leadership Institute. These documents have not been revised or edited to conform to agency standards. The findings and conclusions in these reports are those of the author(s) and do not necessarily represent the views of the Centers for Disease Control and Prevention. For these reports and others search the EPHLI fellow projects page.
Links to information from outside CDC
Battling the Parasite in Your Local Pool (Wall Street Journal) – news article about new measures to battle the threat of Cryptosporidium
Beaches (U.S. Environmental Protection Agency) – links to information about beaches, planning a trip to the beach, and about beach protection
Center for Watershed Protection – nonprofit 501(c)3 corporation that provides technical tools for protecting some of the nation’s most precious natural resources: our streams, lakes, and rivers
Nonhygienic Behavior, Knowledge, and Attitudes Among Interactive Splash Park Visitors [PDF - 417 KB] (Journal of Environmental Health) – study of nonhygienic behavior among children at Idaho splash parks and the influences of signage and hygiene attendants
Ocular and Respiratory Symptoms Among Lifeguards at a Hotel Indoor Waterpark Resort (Journal of Occupational and Environmental Medicine) – describes results of a study to determine the cause of eye and respiratory irritation symptoms among lifeguards at an indoor waterpark
Preventing Recreational Water Illness Outbreaks (National Swimming Pool Foundation) – article about a 2005 outbreak at a park linked to more than 3,000 illnesses and spread to 36 New York counties, 26 states, and two countries
Prevention and Control of Recreational Water Illnesses [PDF - 85 KB] (Council of State and Territorial Epidemiologists) – position paper concerning the prevention and control of recreational water illnesses
Virginia Graeme Baker Pool & Spa Safety Act (Consumer Product Safety Commission [CPSC]) – June 2008 guidance on technical requirements of new swimming pool and spa drain cover performance