Showing source for: https://archive.cdc.gov/www_cdc_gov/healthywater/surveillance/rec-water-surveillance-reports.html
Duration: 0.260922s

<!DOCTYPE html>
<html lang="en-us" class="cdc-2022 theme-blue cdc-page-type-content">
<head>
	
<!-- Global / universal meta tags -->
<meta charset="utf-8" />
<meta http-equiv="X-UA-Compatible" content="IE=Edge" />
<meta content="width=device-width, initial-scale=1, shrink-to-fit=no" name="viewport" />
<meta name="mobile-web-app-capable" content="yes" />
<meta name="apple-mobile-web-app-capable" content="yes" />
<meta name="theme-color" content="#075290">

<link rel="shortcut icon" href="/TemplatePackage/4.0/assets/imgs/favicon.ico?_=202112">
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<link rel="stylesheet prefetch" href="/TemplatePackage/contrib/libs/bootstrap/latest/css/bootstrap.min.css" />
<link rel="stylesheet prefetch" href="/TemplatePackage/4.0/assets/css/app.css?_=71422" />
<link rel="stylesheet" media="print" href="/TemplatePackage/4.0/assets/css/print.min.css?_=71422" />
<link rel="manifest" href="/TemplatePackage/4.0/assets/json/manifest.json">

<!-- @prismcss@ -->
<style>
	header, footer, nav {
		display: none;
	}

    @media print {
        .is-external-archive .container {
            background-image: url('/TemplatePackage/4.0/assets/imgs/bg-archived-content.jpg') !important;
            background-repeat: repeat !important;
            -webkit-print-color-adjust: exact !important;
            color-adjust: exact !important;
            print-color-adjust: exact !important;
        }
    }
	
	@media screen and (min-width: 992px) {
		.cdc-2020-mobile-title.d-lg-none {
			display: none;
		}
	}

	.header-language-bar,
	.leftnav-wrapper,
	.cdc-journey-nav,
	.quick-feedback-block,
	.cdc-dfe-body__right,
	.cdc-page-banner,
	.site-footer,
	.site-title {
		display: none;
	}

	.breadcrumb {
		display: none;
	}

	nav {
		display: none;
	}

	.tab-content .tab-pane {
		display: block !important;
		border: 1px gray solid;
	}

	.cdc-card-slider,
	.accordion .collapse {
		display: block !important;
	}

	#archive-header {
		display: block;
	}

	#archive-header .archive-header-top {
		padding: 1rem;
	}

	#archive-header .archive-header-logo {
		align-items: center;
		display: flex;
		height: 80px;
		justify-content: center;
		max-width: 280px;
		width: 100%;
	}

	#archive-header .archive-header-logo-atsdr {
		align-items: center;
		display: flex;
		height: 80px;
		justify-content: center;
		max-width: 671px;
		width: 100%;
	}

	#archive-header .archive-header-bottom {
		background-color: rgb(251 171 24);
		border-top-width: 8px;
		border-top-style: solid;
		border-top-color: rgb(30 58 138 / 1);
		padding: 0.25rem 1rem;
	}

	#archive-header .archive-header-title {
		color: rgb(31 41 55 / 1);
		font-size: 1.75rem;
		font-weight: bold;
		text-decoration: none;
	}

	#archive-warning {
		background-color: rgb(255 236 179);
		margin-bottom: 1rem;
		padding: 1rem;
	}

	#archive-warning .archive-warning-title {
		font-size: 21px;
		font-weight: bold;
		margin-bottom: 1rem;
		margin-top: 0;
	}

	#archive-warning .archive-warning-body {
		display: flex;
		margin-bottom: 1rem;
	}

	#archive-warning .archive-warning-img+.archive-warning-info {
		margin-left: 1rem;
	}

	#archive-warning .archive-warning-info {
		margin-bottom: 0;
		margin-top: 0;
	}

	#archive-warning .archive-warning-btn {
		background-color: rgb(229 231 235);
		border: 2px solid rgb(235 216 159);
		border-radius: 4px;
		color: rgb(0 94 170);
		display: block;
		font-weight: bold;
		padding: 0.5rem 0.75rem;
		text-align: center;
		text-decoration: none;
	}

	@media screen and (min-width: 576px) {
		#archive-warning .archive-warning-btn {
			display: inline-block;
			text-align: left;
		}
	}

	#archive-warning .archive-warning-btn:focus,
	#archive-warning .archive-warning-btn:hover {
		text-decoration: underline;
	}

	#archive-warning .archive-warning-btn+.archive-warning-btn {
		margin-top: 0.5rem;
	}

	@media screen and (min-width: 576px) {
		#archive-warning .archive-warning-btn+.archive-warning-btn {
			margin-left: 0.5rem;
			margin-top: 0;
		}
	}

	#archive-footer {
		display: block;
	}

	#archive-footer .archive-footer-top {
		background-color: rgb(251 171 24);
		padding: .25rem 1rem;
	}

	#archive-footer .archive-footer-title {
		color: rgb(31 41 55);
		font-size: 1.75rem;
		font-weight: bold;
		text-decoration: none;
	}

	#archive-footer .archive-footer-bottom {
		background-color: rgb(31 41 55);
		padding: 1rem;
	}

	#archive-footer .archive-footer-nav {
		display: block;
	}

	#archive-footer .archive-footer-list {
		font-size: 15px;
		list-style-type: none;
		margin: 0;
		padding-left: 0;
	}

	@media screen and (min-width: 768px) {
		#archive-footer .archive-footer-list {
			display: flex;
			flex-wrap: wrap;
		}
	}

	@media screen and (min-width: 1200px) {
		#archive-footer .archive-footer-list {
			flex-wrap: no-wrap;
			justify-content: space-between;
		}
	}

	#archive-footer .archive-footer-item {
		margin: 0;
	}

	@media screen and (min-width: 768px) {
		#archive-footer .archive-footer-item {
			width: 50%;
		}
	}

	@media screen and (min-width: 1200px) {
		#archive-footer .archive-footer-item {
			width: auto;
		}
	}

	#archive-footer .archive-footer-item+.archive-footer-item {
		margin-top: 0.5rem;
	}

	@media screen and (min-width: 1200px) {
		#archive-footer .archive-footer-item+.archive-footer-item {
			margin-top: 0;
		}
	}

	@media screen and (min-width: 768px) {
		#archive-footer .archive-footer-item:nth-child(-n+2) {
			margin-top: 0;
		}
	}

	#archive-footer .archive-footer-link {
		color: #fff;
		text-decoration: none;
	}

	#archive-footer .archive-footer-link:hover {
		text-decoration: underline;
	}
	
	#archive-footer .archive-footer-bottom .archive-unlink {
		color: #ffffff !important;
	}
	.archive-unlink {
		color: #000000 !important;
	}
	.archive-unlink:focus,
	.archive-unlink:hover {
		color: #075290 !important;
	}
</style>
<script>

    class CDC_Archive_Page {

        archivedUrls = [];
        isATSDR = false;

        static ENABLE_ALL_LINKS_CLASS = 'archive-links-enabled';
        static ENABLE_LINK_CLASS      = 'archive-enable';
        static DISABLED_LINK_CLASS    = 'archive-unlink';
        static DATA_FILE_EXTENSIONS   = [
            '.csv',
            '.json',
            '.xml',
            '.xls',
            '.xlsx'
        ];

        constructor() {
            //Is this an ATSDR page
            if (window.location.pathname.includes('/www_atsdr_cdc_gov/')) {
                this.isATSDR = true;
            }

            //Add class to html if archive
            this.addArchiveSelectorClass();

            //Disable all links
            this.disableAllLinks();

            // Hide SSI Errors
            this.hideSSIErrors();

            // Hide youtube videos
            this.hideYoutube();

            // Render header/footer when outside of app
            this.renderArchiveHeaderFooter();

            //Ajax call to fetch links to allow (block until response)
            this.fetchArchiveLinks();

            //Enable select links
            this.processPageLinks();
        }

        addArchiveSelectorClass() {
            document.body.parentNode.classList.add('is-external-archive');
        }

        disableAllLinks() {
            var links = document.getElementsByTagName('a');
            for (var i = 0; i < links.length; i++) {
                links[i].addEventListener('click', (event) => {
                    event.preventDefault();
                    return false;
                });
                links[i].classList.add(CDC_Archive_Page.DISABLED_LINK_CLASS);
            }
        }

        hideSSIErrors() {
            document.querySelectorAll('B').forEach((element) => {
                if ('Error processing SSI file' === element.innerHTML) {
                    element.innerHTML = '';
                }
            });
            if (document.title && -1 < document.title.indexOf('<B>Error processing SSI file</B>')) {
                document.title = String(document.title).replace('<B>Error processing SSI file</B>', '');
                document.title = String(document.title).replace('<BR>', '');
            }
        }

        hideYoutube() {
            var youtubeContainers = document.getElementsByClassName('video-container');
            for (var i = 0; i < youtubeContainers.length; i++) {
                var youtubeContainer = youtubeContainers[i];
                while (youtubeContainer.firstChild) {
                    youtubeContainer.removeChild(youtubeContainer.firstChild);
                }
                var youtubeRemovedText = document.createTextNode("YouTube Video Removed");
                youtubeContainer.appendChild(youtubeRemovedText);
            }

            var youtubeIframes = document.querySelectorAll('iframe[src*="youtube"]');
            for (var i = 0; i < youtubeIframes.length; i++) {
                var replacementText = document.createTextNode("YouTube Video Removed");
                youtubeIframes[i].replaceWith(replacementText);
            }
        }

        renderArchiveHeaderFooter() {
            // Render Archive App Header/Warning/Footer when viewing content outside of iframe
            if (!window.frameElement) {
                var env = window.location.origin;
                var url = window.location.protocol + '/' + window.location.pathname;
                url = url.replace('_cdc_', '.cdc.');

                //CDC or ATSDR vars
                var logoSvg = '<svg xmlns="https://www.w3.org/2000/svg" version="1.1" id="Layer_1" x="0" y="0" viewBox="0 0 500 500" style="enable-background:new 0 0 500 500" xml:space="preserve"><style>.st0{fill:#0055b8}</style><path class="st0" d="M11.68 301.72h153.13c8.49 0 15.48-6.46 16.32-14.73.06-.55.08-1.11.08-1.68v-89.03H28.09a16.382 16.382 0 0 0-15.11 10.02 16.35 16.35 0 0 0-1.29 6.39v89.03z"/><path d="M28.09 193c-10.86 0-19.69 8.83-19.69 19.69V305h156.41c10.86 0 19.69-8.83 19.69-19.69V193H28.09zm128.2 61.16a.439.439 0 0 0-.61-.04c-1.03.93-4.55 3.72-9.84 3.81-6.66.11-13.4-5.41-13.4-14.99s6.96-14.99 13.48-14.99c4.84 0 7.96 2.28 8.91 3.08.18.15.44.13.6-.04l5.91-6.56c.14-.16.15-.4.02-.56-.97-1.16-5.12-5.38-14.44-5.38-.87 0-1.76.05-2.66.13l35.59-22.34h1.38v48.74l-24.31 9.82-.63-.68zm-64.92 2.57H86.4c-.24 0-.43-.19-.43-.43v-27.14c0-.24.19-.43.43-.43h5.7c8.8 0 14.64 4.34 14.64 13.61 0 10.72-5.7 14.39-15.37 14.39zm-1.86-37.61H75.99c-.24 0-.43.19-.43.43v46.35c0 .06.01.12.03.17l-50.91 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					<div class="col content "><div class="syndicate"><h1 id="content" class="page-title">Surveillance Reports for Recreational Water-associated Disease &amp; Outbreaks</h1></div>						<div class="title-bar">
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						<div class="row "><div class="col-md-12"><div class="row "><div class="col-md-12"><div class="card border-0 rounded-0 mb-3"><div class="card-body "><p>CDC publishes summaries of recreational water-associated waterborne disease outbreaks in the United States based on reports provided by state, local, and territorial health departments. These summaries help public health practitioners better understand the germs, settings, and contributing factors (for example, the filtration system didn&rsquo;t work) involved in outbreaks linked to recreational water. They also can help identify emerging waterborne disease threats and be used to inform and assess outbreak prevention measures.</p>
</div></div></div></div><div class="row "><div class="col-md-12"><div class="card mb-3"><div class="card-header h4 bg-primary">Top 5 causes of recreational water outbreaks&mdash;United States, 1971&ndash;2020</div><div class="card-body bg-gray-l2"><ol class="false">
<li><a href="/parasites/crypto/"><em>Cryptosporidium</em></a></li>
<li><a href="/healthywater/swimming/swimmers/rwi/rashes.html"><em>Pseudomonas</em></a></li>
<li><a href="/healthywater/swimming/swimmers/rwi/respiratory-infections.html"><em>Legionella</em></a></li>
<li><a href="/shigella/index.html"><em>Shigella</em></a></li>
<li><a href="/norovirus/">Norovirus</a></li>
</ol>
<p>Explore waterborne disease outbreak data on CDC&rsquo;s <a href="https://wwwn.cdc.gov/norsdashboard/">National Outbreak Reporting System (NORS) Dashboard</a>.</p>
</div></div></div></div><div class="row "><div class="col-md-12"><div class="card border-0 rounded-0 mb-3"><div class="card-body "><p>Since 1971, CDC has published data on waterborne disease outbreaks associated with recreational water:</p>
<ul class="false">
<li><strong>2015 forward</strong>: Reports are published on <a href="/healthywater/surveillance/annual-summaries-waterborne.html"> CDC&rsquo;s Summary Reports of Waterborne Outbreaks page</a>.</li>
<li><strong>2009&ndash;2014</strong>: Reports were published in the <a href="/mmwr/index.html">MMWR Weekly</a>&nbsp;with supplemental content posted below.</li>
<li><strong>1971&ndash;2008</strong>: Reports were published as <a href="/mmwr/mmwr_ss/ss_pvol.html">MMWR Surveillance Summaries</a>.</li>
</ul>
</div></div></div></div><div class="row "><div class="col-md-12"><div class="card mb-3"><div class="card-body bg-tertiary"><p>In 2021, CDC published an estimate of the <a href="/healthywater/surveillance/burden/index.html">burden and direct healthcare cost of infectious waterborne disease</a>.</p>
</div></div></div></div><div class="row "><div class="col-md-12"><div class="card border-0 rounded-0 mb-3"><div class="card-body "><p>Links to historical surveillance reports and appendices are also available below.</p>
<p>Learn more about <a href="/healthywater/surveillance/history-timeline.html">waterborne disease and outbreak surveillance milestones</a>.</p>
</div></div></div></div><div class="row "><div class="col-md-12"><div class="card mb-3"><div class="card-body bg-tertiary"><p><strong>Most Recent Recreational Water&ndash;associated Outbreak and Disease Surveillance Data</strong></p>
<p>Hlavsa MC, Aluko SK, Miller AD, Person J, Gerdes ME, Lee S, Laco JP, Hannapel EJ, and Hill VR. <a href="/mmwr/volumes/70/wr/mm7020a1.htm?s_cid=mm7020a1_w">Outbreaks Associated with Treated Recreational Water &mdash; United States, 2015&ndash;2019</a>. MMWR Morb Mortal Wkly Rep 2021;70(20):733&ndash;738. DOI: <a href="https://dx.doi.org/10.15585/mmwr.mm7020a1" class="tp-link-policy" data-domain-ext="org">http://dx.doi.org/10.15585/mmwr.mm7020a1<span aria-label="external icon" class="sr-only" role="img"></span><span class="fi cdc-icon-external x16 fill-external" alt="" aria-hidden="true"></span></a>.</p>
</div></div></div></div></div></div><div class="row "><div class="col-md-12"><div class="card border-0 rounded-0 mb-3"><div class="card-body "><h3>Reports from 1978 through 2019</h3>
</div></div><div class="row "><div class="col-md-12"><div class="w-md-col12  text-right mb-3"><button class="btn  openall">Open All</button> <button class="btn  closeall">Close All</button></div>
<div class="accordion indicator-plus accordion-white mb3" id="accordion-5" role="tablist"><div class="card border-0 rounded-0 mb-3"><div class="card-header h4 bg-white rounded-0 collapsed" role="tab" id="acc-header-5" href="#acc-panel-5" data-toggle="collapse" data-parent="#accordion-5" aria-controls="acc-panel-5" aria-expanded="false"><button class="card-title btn btn-link">2001-2019</button></div><div class="collapse" id="acc-panel-5" role="tablist" aria-labelledby="acc-header-5"><div class="card-body bg-white"><h4>2015-2019</h4>
<ul class="false">
<li>Hlavsa MC, Aluko SK, Miller AD, Person J, Gerdes ME, Lee S, Laco JP, Hannapel EJ, and Hill VR. <a href="/mmwr/volumes/70/wr/mm7020a1.htm?s_cid=mm7020a1_w">Outbreaks Associated with Treated Recreational Water &mdash; United States, 2015&ndash;2019</a>. MMWR Morb Mortal Wkly Rep 2021;70(20):733&ndash;738. DOI:&nbsp;<a href="https://dx.doi.org/10.15585/mmwr.mm7020a1" class="tp-link-policy" data-domain-ext="org">http://dx.doi.org/10.15585/mmwr.mm7020a1<span aria-label="external icon" class="sr-only" role="img"></span><span class="fi cdc-icon-external x16 fill-external" alt="" aria-hidden="true"></span></a>.</li>
</ul>
<h4>2015</h4>
<ul class="false">
<li>CDC. <a href="/healthywater/surveillance/2015_waterborne_outbreaks_annual_report.html#anchor_67082">Waterborne Disease and Outbreak Surveillance System (WBDOSS) Summary Report, United States, 2015</a>. Atlanta, Georgia: U.S. Department of Health and Human Services, CDC, 2022.</li>
</ul>
<h4>2000-2014</h4>
<ul class="false">
<li>Hlavsa MC, Cikesh BL, Roberts VA, et al. Outbreaks Associated with Treated Recreational Water &mdash; United States, 2000&ndash;2014. MMWR Morb Mortal Wkly Rep 2018;67:547&ndash;551. DOI: <a href="https://dx.doi.org/10.15585/mmwr.mm6719a3" class="tp-link-policy" data-domain-ext="org">http://dx.doi.org/10.15585/mmwr.mm6719a3<span aria-label="external icon" class="sr-only" role="img"></span><span class="fi cdc-icon-external x16 fill-external" alt="" aria-hidden="true"></span></a></li>
<li>Graciaa DS, Cope JR, Roberts VA, et al. Outbreaks Associated with Untreated Recreational Water &mdash; United States, 2000&ndash;2014. MMWR Morb Mortal Wkly Rep 2018;67:701&ndash;706. DOI: <a href="https://dx.doi.org/10.15585/mmwr.mm6725a1" class="tp-link-policy" data-domain-ext="org">http://dx.doi.org/10.15585/mmwr.mm6725a1<span aria-label="external icon" class="sr-only" role="img"></span><span class="fi cdc-icon-external x16 fill-external" alt="" aria-hidden="true"></span></a></li>
<li><a href="/healthywater/surveillance/outbreak-classifications.html">Strength-of-Evidence Classification for Waterborne Disease &amp; Outbreaks</a></li>
<li><a href="/healthywater/surveillance/rec-water-tables-figures/2013-2014-tables.html">2013&ndash;2014 Supplemental Data Tables</a></li>
<li><a href="/healthywater/surveillance/rec-water-tables-figures/2013-2014-figures.html">2013&ndash;2014 Supplemental Figures</a></li>
</ul>
<h4>2011-2012</h4>
<ul class="false">
<li>Hlavsa MC, Roberts VA, Kahler AM, et al. <a href="/mmwr/preview/mmwrhtml/mm6424a4.htm?s_cid=mm6424a4_w">Outbreaks of Illness Associated with Recreational Water &mdash; United States, 2011&ndash;2012</a>. MMWR Morb Mortal Wkly Rep 2015;64(24):668&ndash;672.
<ul>
<li><a href="/healthywater/surveillance/rec-water-tables-figures/2011-2012-tables.html">Supplemental Data Tables</a></li>
<li><a href="/healthywater/surveillance/rec-water-tables-figures/2011-2012-figures.html">Supplemental Figures</a></li>
</ul>
</li>
</ul>
<h4>2009-2010</h4>
<ul class="false">
<li>Hlavsa MC, Roberts VA, Kahler AM, et al. <a href="/mmwr/preview/mmwrhtml/mm6301a2.htm?s_cid=mm6301a2_w">Recreational Water&ndash;Associated Disease Outbreaks &mdash; United States, 2009&ndash;2010</a>. MMWR Morb Mortal Wkly Rep 2014;63(01):6&ndash;10.
<ul class="false">
<li><a href="/healthywater/surveillance/rec-water-tables-figures/2009-2010-tables.html">Supplemental Data Tables</a></li>
<li><a href="/healthywater/surveillance/rec-water-tables-figures/2009-2010-figures.html">Supplemental Figures</a></li>
</ul>
</li>
</ul>
<h4>2007-2008</h4>
<ul class="false">
<li>Hlavsa MC, Roberts VA, Anderson AR, et al. <a href="/healthywater/surveillance/pdf/ss6012.pdf" target="_blank">Surveillance for Waterborne Disease Outbreaks and Other Health Events Associated with Recreational Water &mdash; United States, 2007&ndash;2008 <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF &ndash; 80 pages]</span></a>. MMWR Morb Mortal Wkly Rep 2011;60(12):1&ndash;75.</li>
</ul>
<h4>2005-2006</h4>
<ul class="false">
<li>Yoder JS, Hlavsa MC, Craun GF, et al. <a href="/mmwr/preview/mmwrhtml/ss5709a1.htm">Surveillance for Waterborne Disease and Outbreaks Associated with Recreational Water Use and Other Aquatic Facility-Associated Health Events &mdash; United States, 2005&ndash;2006</a>. MMWR Morb Mortal Wkly Rep 2008;57(09):1&ndash;29.</li>
</ul>
<h4>2003-2004</h4>
<ul class="false">
<li>Dziuban EJ, Liang JL, Craun GF, et al. <a href="/mmwr/PDF/ss/ss5512.pdf" target="_blank">Surveillance for Waterborne Disease and Outbreaks Associated with Recreational Water &mdash; United States, 2003&ndash;2004 <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF &ndash; 68 pages]</span></a>. MMWR Morb Mortal Wkly Rep 2006;55(12):1&ndash;31.</li>
</ul>
<h4>2001-2002</h4>
<ul class="false">
<li>Yoder JS, Blackburn BG, Craun GF, et al. <a href="/healthywater/surveillance/pdf/ss5308.pdf" target="_blank">Surveillance for Waterborne-Disease Outbreaks Associated with Recreational Water &mdash; United States, 2001&ndash;2002 <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF &ndash; 48 pages]</span></a>. MMWR Morb Mortal Wkly Rep 2004;53(8):1&ndash;22.</li>
</ul>
</div></div></div></div><div class="accordion indicator-plus accordion-white mb3" id="accordion-6" role="tablist"><div class="card border-0 rounded-0 mb-3"><div class="card-header h4 bg-white rounded-0 collapsed" role="tab" id="acc-header-6" href="#acc-panel-6" data-toggle="collapse" data-parent="#accordion-6" aria-controls="acc-panel-6" aria-expanded="false"><button class="card-title btn btn-link">1991&ndash;2000</button></div><div class="collapse" id="acc-panel-6" role="tablist" aria-labelledby="acc-header-6"><div class="card-body bg-white"><h4>1999-2000</h4>
<ul>
<li><a href="/mmwr/preview/mmwrhtml/ss5108a1.htm">Surveillance for Waterborne-Disease Outbreaks &mdash; United States, 1999&ndash;2000</a> (MMWR, 2002)
<ul>
<li><a href="/mmwr/preview/mmwrhtml/ss5108a2.htm">Appendix A: Selected Case Descriptions of Outbreaks Associated with Drinking Water</a></li>
<li><a href="/mmwr/preview/mmwrhtml/ss5108a3.htm">Appendix B: Selected Case Descriptions of Outbreaks Associated with Recreational Water</a></li>
</ul>
</li>
<li><a href="/healthywater/surveillance/pdf/ss5108.pdf" target="_blank">Surveillance for Waterborne-Disease Outbreaks &mdash; United States, 1999&ndash;2000 <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF &ndash; 52 pages]</span></a></li>
</ul>
<h4>1997-1998</h4>
<ul>
<li><a href="/mmwr/preview/mmwrhtml/ss4904a1.htm">Surveillance for Waterborne-Disease Outbreaks &mdash; United States, 1997&ndash;1998</a> (MMWR, 2000)</li>
<li><a href="/healthywater/surveillance/pdf/ss4904.pdf" target="_blank">Surveillance for Waterborne-Disease Outbreaks &mdash; United States, 1997&ndash;1998 <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF &ndash; 44 pages]</span></a></li>
</ul>
<h4>1995-1996</h4>
<ul>
<li><a href="/mmwr/preview/mmwrhtml/00055820.htm">Surveillance for Waterborne-Disease Outbreaks &mdash; United States, 1995-1996</a> (MMWR, 1998)</li>
<li><a href="/healthywater/surveillance/pdf/ss4705.pdf" target="_blank">Surveillance for Waterborne-Disease Outbreaks &mdash; United States, 1995-1996 <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF &ndash; 80 pages]</span></a></li>
</ul>
<h4>1993-1994</h4>
<ul>
<li><a href="/mmwr/preview/mmwrhtml/00040818.htm">Surveillance for Waterborne-Disease Outbreaks &mdash; United States, 1993-1994</a> (MMWR, 1996)</li>
<li><a href="/healthywater/surveillance/pdf/ss4501.pdf" target="_blank">Surveillance for Waterborne-Disease Outbreaks &mdash; United States, 1993-1994 <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF &ndash; 40 pages]</span></a></li>
</ul>
<h4>1991-1992</h4>
<ul>
<li><a href="/mmwr/preview/mmwrhtml/00025893.htm">Surveillance for Waterborne Disease Outbreaks &mdash; United States, 1991-1992</a> (MMWR, 1993)</li>
<li><a href="/healthywater/surveillance/pdf/ss4205.pdf" target="_blank">Surveillance for Waterborne Disease Outbreaks &mdash; United States, 1991-1992 <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF &ndash; 44 pages]</span></a></li>
</ul>
</div></div></div></div><div class="accordion indicator-plus accordion-white mb3" id="accordion-7" role="tablist"><div class="card border-0 rounded-0 mb-3"><div class="card-header h4 bg-white rounded-0 collapsed" role="tab" id="acc-header-7" href="#acc-panel-7" data-toggle="collapse" data-parent="#accordion-7" aria-controls="acc-panel-7" aria-expanded="false"><button class="card-title btn btn-link">1980-1990</button></div><div class="collapse" id="acc-panel-7" role="tablist" aria-labelledby="acc-header-7"><div class="card-body bg-white"><h4>1989-1990</h4>
<ul>
<li><a href="/healthywater/surveillance/pdf/mmwr/MMWR_WBDOSS_Summary_1989-1990.pdf" target="_blank">MMWR WBDOSS Summary 1989-1990 <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF &ndash; 22 pages]</span></a>*</li>
</ul>
<h4>1986-1988</h4>
<ul>
<li><a href="/mmwr/preview/mmwrhtml/00001596.htm">Waterborne Disease Outbreaks, 1986-1988</a> (MMWR, 1990)</li>
<li><a href="/healthywater/surveillance/pdf/mmwr/MMWR_WBDOSS_Summary_1986-1988.pdf" target="_blank">MMWR WBDOSS Summary 1986-1988 <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF &ndash; 14 pages]</span></a></li>
</ul>
<h4>1985</h4>
<ul>
<li><a href="/mmwr/preview/mmwrhtml/00001765.htm">Water-Related Disease Outbreaks, 1985</a> (MMWR, 1988)</li>
<li><a href="/healthywater/surveillance/pdf/mmwr/MMWR_WBDOSS_Summary_1985.pdf" target="_blank">MMWR WBDOSS Summary 1985 <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF &ndash; 12 pages]</span></a></li>
</ul>
<h4>1984</h4>
<ul>
<li><a href="/healthywater/surveillance/pdf/mmwr/MMWR_WBDOSS_Summary_1984.pdf" target="_blank">MMWR WBDOSS Summary 1984 <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF &ndash; 17 pages]</span></a>*</li>
</ul>
<h4>1983</h4>
<ul>
<li><a href="/healthywater/surveillance/pdf/mmwr/MMWR_WBDOSS_Summary_1983.pdf" target="_blank">MMWR WBDOSS Summary 1983 <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF &ndash; 17 pages]</span></a>*</li>
</ul>
<h4>1982</h4>
<ul>
<li><a href="/healthywater/surveillance/pdf/mmwr/MMWR_WBDOSS_Summary_1982.pdf" target="_blank">MMWR WBDOSS Summary 1982 <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF &ndash; 17 pages]</span></a>*</li>
</ul>
<h4>1981</h4>
<ul>
<li><a href="/healthywater/surveillance/pdf/mmwr/MMWR_WBDOSS_Summary_1981.pdf" target="_blank">MMWR WBDOSS Summary 1981 <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF &ndash; 17 pages]</span></a>*</li>
</ul>
<h4>1980</h4>
<ul>
<li><a href="/healthywater/surveillance/pdf/mmwr/MMWR_WBDOSS_Summary_1980.pdf" target="_blank">MMWR WBDOSS Summary 1980 <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF &ndash; 17 pages]</span></a>*</li>
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