Skip to main content
. 2010 Jul;23(3):507–528. doi: 10.1128/CMR.00077-09

TABLE 3.

Etiology of waterborne outbreaks and cases, 1971 to 2006

Etiologic agent No. (%) associated with:
Drinking water
Water not intended for drinking
Water of unknown intent
All water types
Outbreaks Cases Outbreaks Cases Outbreaks Cases Outbreaks Cases
Non-Legionella bacteria 105 (13.5) 22,446 (3.9) 7 (14.9) 172 (20.0) 1 (16.7) 14 (38.9) 113 (13.6) 22,632 (3.9)
Legionellaa 24 (3.1) 126 (0.0) 9 (19.1) 241 (28.0) 5 (83.3) 22 (61.1) 38 (4.6) 389 (0.1)
Chemicals 90b (11.5) 3,901 (0.7) 0 0 0 0 90 (10.8) 3,901 (0.7)
Parasites 143 (18.3) 449,959c (78.0) 10 (21.3) 126 (14.6) 0 0 153 (18.4) 450,085 (77.9)
Viruses 64 (8.2) 16,728 (2.9) 2 (4.3) 47 (5.5) 0 0 66 (7.9) 16,775 (2.9)
Mixedd 6 (0.8) 1,755 (0.3) 1 (2.1) 2 (0.2) 0 0 7 (0.8) 1,757 (0.3)
Undetermined 348 (44.6) 82,179 (14.2) 18 (38.3) 273 (31.7) 0 0 366 (43.9) 82,452 (14.3)
Total 780 (100) 577,094 (100) 47 (100) 861 (100) 6 (100) 36 (100) 833 (100) 577,991 (100)
a

Outbreaks associated with Legionella were reported only during 2001 to 2006.

b

Includes 15 events in which a single ill person was identified.

c

Includes 403,000 cases from a single cryptosporidiosis outbreak in Milwaukee, WI.

d

More than one infectious agent type (i.e., bacteria, chemicals, parasites, and viruses).