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1. Contributors

Author

Yasser A. Alaska, Abdulaziz D. Aldawas, Saleh Ali Alesa, George A. Alexander, Hazem H. Alhazmi, Nawfal Aljerian, Majed AlJohani, Khaldoon H. AlKhaldi, Bryant Allen, Bader S. Alotaibi, Mohammad Alotaibi, Evan Avraham Alpert, Rakan S. Al-Rasheed, Mai Alshammari, Asaad Alsufyani, Siraj Amanullah, Ali Ardalan, Andrew W. Artenstein, Miriam Aschkenasy, Matthew R. Babineau, Kavita Babu, Olivia E. Bailey, Gregory T. Banner, Fermin Barrueto, Susan A. Bartels, Bruce M. Becker, Paul D. Biddinger, Eike Blohm, Susan R. Blumenthal, Stephen W. Borron, Michelangelo Bortolin, Michael Bouton, Peter Brewster, Churton Budd, James M. Burke, Frederick M. Burkle, Lynne Barkley Burnett, Nicholas V. Cagliuso, John D. Cahill, David W. Callaway, Duane C. Caneva, David M. Canther, Srihari Cattamanchi, Edward W. Cetaruk, James C. Chang, Zeno L. Charles-Marcel, Anna I. Cheh, David T. Chiu, Teriggi J. Ciccone, Gregory R. Ciottone, Jonathan Peter Ciottone, Robert A. Ciottone, Diana Clapp, Raphael G. Cohen, Kathe M. Conlon, Joanne Cono, Hilarie Cranmer, Cord W. Cunningham, Steven O. Cunnion, Alison Sisitsky Curcio, Robert G. Darling, Neil B. Davids, Timothy E. Davis, Scott Deitchman, John B. Delaney, Francesco Della Corte, Gerard DeMers, William E. Dickerson, Sharon Dilling, Ahmadreza Djalali, Joseph Donahue, K. Sophia Dyer, Jason Dylik, Benjamin Easter, Laura Ebbeling, Nir Eyal, Andrew J. Eyre, Saleh Fares, Katherine Farmer, Denis J. FitzGerald, Elizabeth Foley, Kerry Fosher, David Freeman, Robert L. Freitas, Franklin D. Friedman, Frederick Fung, Fiona E. Gallahue, Lucille Gans, Stephanie Chow Garbern, Mark E. Gebhart, James Geiling, Brian C. Geyer, Mary Jo Giordano, William A. Gluckman, J. Scott Goudie, Robert M. Gougelet, Benjamin Graboyes, Michael I. Greenberg, P. Gregg Greenough, Ashley L. Greiner, Mark Greve, Stephen Grosse, Shamai A. Grossman, Tee L. Guidotti, Jason B. Hack, Matthew M. Hall, John W. Hardin, John L. Hick, Nishanth S. Hiremath, Steven Horng, Geoffrey D. Horning, Kurt R. Horst, Ali A. Hosin, Amer Hosin, Hans R. House, Pier Luigi Ingrassia, Patrick M. Jackson, Irving 'Jake' Jacoby, Rajnish Jaiswal, Adam J. Janicki, Gregory Jay, Miriam John, Shawn E. Johnson, James R. Johnston, Jerrilyn Jones, Michael D. Jones, Josh W. Joseph, Patrice Joseph, Alexis Kearney, Donald Keen, Mark E. Keim, Elizabeth Kenez, Katharyn E. Kennedy, Anas A. Khan, Chetan U. Kharod, Sylvia H. Kim, Kevin King, Mark A. Kirk, Leo Kobayashi, Lara K. Kulchycki, Rick G. Kulkarni, Joseph Lauro, Benjamin J. Lawner, David V. Le, Debra Lee, Terrance T. Lee, Jay Lemery, Jeanette A. Linder, Lawrence S. Linder, Michael A. Loesch, Heather Long, Kate Longley-Wood, Michael D. Mack, John M. Mackay, Laura Macnow, James M. Madsen, Brian J. Maguire, Patrick J. Maher, Selwyn E. Mahon, John D. Malone, Marco Mangini, Paul M. Maniscalco, David Marcozzi, Pietro D. Marghella, Jeff Matthews, Peter McCahill, Sean D. McKay, C. Crawford Mecham, Mandana Mehta, Patricia L. Meinhardt, Laura Diane Melville, Angela M. Mills, Andrew M. Milsten, Clifford S. Mitchell, Dale M. Molé, Michael Sean Molloy, John Moloney, Ilaria Morelli, Jerry L. Mothershead, John Mulhern, Nicole F. Mullendore, Larry A. Nathanson, Amelia Marie Nelson, Erica L. Nelson, Lewis S. Nelson, Carey Nichols, Mariann Nocera, Erin E. Noste, Catherine Y. Ordun, Peter D. Panagos, Robert Partridge, Jeffrey S. Paul, Catherine Pettit, James Pfaff, James P. Phillips, Jason Pickett, William Porcaro, Thérèse M. Postel, Charles N. Pozner, P.R. Vidyalakshmi, Lawrence Proano, Peter B. Pruitt, Jeffrey S. Rabrich, Jeffrey D. Race, Luca Ragazzoni, Najma Rahman-Kahn, Kristin Allyce Reed, Wende R. Reenstra, Paul P. Rega, Michael J. Reilly, Andrew T. Reisner, Marc C. Restuccia, James J. Rifino, James Michael Riley, Paul M. Robben, Kevin M. Ryan, Heather Rybasack-Smith, Leon D. Sanchez, Ritu R. Sarin, Debra D. Schnelle, Valarie Schwind, Malcolm Seheult, Kinjal N. Sethuraman, Geoffrey L. Shapiro, Marc J. Shapiro, Sam Shen, Suzanne M. Shepherd, William H. Shoff, Craig Sisson, Alexander P. Skog, Jonathan E. Slutzman, Devin M. Smith, E. Reed Smith, Jack E. Smith, Peter B. Smulowitz, Angela M. Snyder, Joshua J. Solano, John Sorenson, Kimberly A. Stanford, Charles Stewart, M. Kathleen Stewart, Carol Sulis, Robert J. Tashjian, Elizabeth S. Temin, Andrea G. Tenner, Craig D. Thorne, Jason A. Tracy, Milana Trounce, Jonathan Harris Valente, Alice Venier, Faith Vilas, Gary M. Vilke, Janna H. Villano, Barbara Vogt, Amalia Voskanyan, Scott G. Weiner, Brielle Weinstein, Eric S. Weinstein, Scott D. Weir, Roy Karl Werner, Sage W. Wiener, Kenneth A. Williams, Robyn Wing, Wendy Hin-Wing Wong, Richard E. Wolfe, Stephen P. Wood, Robert H. Woolard, Prasit Wuthisuthimethawee, Kevin Yeskey, Sami A. Yousif, Nadine A. Youssef, and Brian J. Yun

Published
2016
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3. Recognizing waterborne disease and the health effects of water contamination: a review of the challenges facing the medical community in the United States

Author

Patricia L. Meinhardt

Subjects
Microbiology (medical), National health, medicine.medical_specialty, business.industry, Public health, Water contamination, Public Health, Environmental and Occupational Health, Stakeholder, Waterborne diseases, Disease, Public relations, medicine.disease, Infectious Diseases, Environmental health, medicine, business, Waste Management and Disposal, Healthcare providers, Educational outreach, Water Science and Technology
Abstract

Preservation of water quality and prevention of waterborne disease is a complicated task requiring a coordinated effort from many diverse disciplines including physicians, healthcare providers, epidemiologists, microbiologists, academic scientists, science researchers, local and national health authorities, public and environmental health specialists, water engineers and water purveyors. Any successful strategy to ensure water quality and safety in the United States must include the medical community as a valued stakeholder and active participant in this ongoing public health challenge. Unfortunately, the majority of practicing healthcare providers in the US has received limited training in the recognition and evaluation of water-related disease and faces many significant challenges and numerous barriers to diagnosing waterborne disease and the health effects of water pollution in their patients. The purpose of this review is to define the specific challenges facing the medical community with regard to clinical recognition of water-related disease and to provide recommendations for the development of specialized clinical resources and targeted educational outreach programs to assist the medical community in improving their ability to appropriately address water-related disease in their patients.

Published
2006
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4. WATER AND BIOTERRORISM: Preparing for the Potential Threat to U.S. Water Supplies and Public Health

Author

Patricia L. Meinhardt

Subjects
medicine.medical_specialty, Disease reservoir, Education, Continuing, Health Personnel, Disaster Planning, Disease Outbreaks, Distribution system, Water Supply, Environmental health, medicine, Information system, Humans, Environmental planning, Disease Reservoirs, Information Services, Service (business), Health Services Needs and Demand, Internet, Industrial society, Public health, Public Health, Environmental and Occupational Health, Water, Waterborne diseases, Planning Techniques, General Medicine, medicine.disease, Bioterrorism, United States, Population Surveillance, Terrorism, Clinical Competence, Public Health, Business, Centers for Disease Control and Prevention, U.S, Water Microbiology
Abstract

▪ Abstract Water supplies and water distribution systems represent potential targets for terrorist activity in the United States because of the critical need for water in every sector of our industrialized society. Even short-term disruption of water service can significantly impact a community, and intentional contamination of a municipal water system as part of a terrorist attack could lead to serious medical, public health, and economic consequences. Most practicing physicians and public health professionals in the United States have received limited training in the recognition and evaluation of waterborne disease from either natural or intentional contamination of water. Therefore, they are poorly prepared to detect water-related disease resulting from intentional contamination and may not be adequately trained to respond appropriately to a terrorist assault on water. The purpose of this review is to address this critical information gap and present relevant epidemiologic and clinical information for public health and medical practitioners who may be faced with addressing the recognition, management, and prevention of water terrorism in their communities.

Published
2005
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5. Recognizing waterborne disease and the health effects of water contamination: a review of the challenges facing the medical community in the United States

Author

Patricia L, Meinhardt

Subjects
Health Personnel, Communicable Disease Control, Water Pollution, Humans, Water Microbiology, Communicable Diseases, United States
Abstract

Preservation of water quality and prevention of waterborne disease is a complicated task requiring a coordinated effort from many diverse disciplines including physicians, healthcare providers, epidemiologists, microbiologists, academic scientists, science researchers, local and national health authorities, public and environmental health specialists, water engineers and water purveyors. Any successful strategy to ensure water quality and safety in the United States must include the medical community as a valued stakeholder and active participant in this ongoing public health challenge. Unfortunately, the majority of practicing healthcare providers in the US has received limited training in the recognition and evaluation of water-related disease and faces many significant challenges and numerous barriers to diagnosing waterborne disease and the health effects of water pollution in their patients. The purpose of this review is to define the specific challenges facing the medical community with regard to clinical recognition of water-related disease and to provide recommendations for the development of specialized clinical resources and targeted educational outreach programs to assist the medical community in improving their ability to appropriately address water-related disease in their patients.

Published
2006

6. CONTRIBUTORS

Author

GEORGE A. ALEXANDER, ANGELA C. ANDERSON, ANDREW W. ARTENSTEIN, KAVITA BABU, FERMIN BARRUETO, CARRIE BARTON, BRUCE M. BECKER, MATTHEW BERKMAN, ANDREW I. BERN, MILANA BOUKHMAN, PETER BREWSTER, CHURTON BUDD, JAMES M. BURKE, FREDERICK M. BURKLE, LYNNE BARKLEY BURNETT, NICHOLAS VINCENT CAGLIUSO, JOHN D. CAHILL, DUANE C. CANEVA, JULIE ANN P. CASANI, MARY W. CHAFFEE, HENRY C. CHANG, JAMES C. CHANG, ANNA I. CHEH, ESTHER H. CHEN, TERIGGI J. CICCONE, MARIANNE E. CINAT, GREGORY R. CIOTTONE, ROBERT A. CIOTTONE, STEVEN T. COBERY, JOANNE CONO, KELLY J. CORRIGAN, FRANCESCO Della CORTE, CHRISTO C. COURBAN, HILARIE CRANMER, STEPHEN O. CUNNION, ROBERT G. DARLING, DAVID DAVIS, TIMOTHY DAVIS, JENNIFER E. DELAPENA, CHAYAN DEY, WILLIAM E. DICKERSON, ERIC W. DICKSON, SHARON DILLING, K. SOPHIA DYER, JASON DYLIK, JONATHAN A. EDLOW, MARSHALL EIDENBERG, KHAMA D. ENNIS-HOLCOMB, DENIS J. FITZGERALD, KERRY FOSHER, ROBERT L. FREITAS, RYAN FRIEDBERG, FRANKLIN D. FRIEDMAN, FREDERICK FUNG, ROBERT D. FURBERG, WADE GAASCH, FIONA E. GALLAHUE, LUCILLE GANS, ALESSANDRo GEDDO, JAMES GEILING, PAUL GIANNONE, WILLIAM GLUCKMAN, SUSAN E. GORMAN, J. SCOTT GOUDIE, ROBERT M. GOUGELET, MARK A. GRABER, JILL A. GRANT, MICHAEL I. GREENBERG, P. GREGG GREENOUGH, SHAMAI A. GROSSMAN, TEE L. GUIDOTTI, DEBORAH GUTMAN, PINCHAS HALPERN, DAN HANFLING, RACHEL HAROZ, BONNIE H. HARTSTEIN, JOHN L. HICK, STEPHEN F. HOOD, MICHAEL HOROWITZ, KURT R. HORST, HANS R. HOUSE, CURTIS J. HUNTER, JASON IMPERATO, PIER LUIGi INGRASSIA, IRVING JACOBY, THEA JAMES, DAVID JASLOW, GREGORY D. JAY, MIRIAM JOHN, MICHAEL D. JONES, JEFFRY L. KASHUK, MARK E. KEIM, KATHARYN E. KENNEDY, PAUL D. KIM, SYLVIA H. KIM, LEO KOBAYASHI, LARA K. KULCHYCKI, RICK G. KULKARNI, CHRISTOPHer R. LANG, GREGORY L. LARKIN, THOMAS P. LeBosquet, BRUCE Y. LEE, CATHERINE Y. LEE, DAVID C. LEE, JAY LEMERY, DANIEL L. LEMKIN, JEANETTE A. LINDER, LAWRENCE S. LINDER, SHAN W. LIU, CRAIG H. LLEWELLYN, FRANCESCA LOMBARDI, HEATHER LONG, EDWARD B. LUCCI, DONALD MACMILLAN, LAURA MACNOW, JAMES M. MADSEN, BRIAN J. MAGUIRE, JOHN D. MALONE, PAUL M. MANISCALCO, DAVID MARCOZZI, PIETRO D. MARGHELLA, JAMES F. MARTIN, JAMES MCKINNELL, MICHELLE MCMAHON-DOWNER, C. CRAWFOrd MECHEM, SUMERU MEHTA, PATRICIA L. MEINHARDT, LAURA DIAne MELVILLE, JEFFERY C. METZGER, ANGELA M. MILLS, ANDREW M. MILSTEN, CLIFFORD S. MITCHELL, ELIZABETH L. MITCHELL, DALE M. MOLÉ, LOUIS N. MOLINO, JOHN MOLONEY, SEAN MONTGOMERY, JERRY L. MOTHERSHEAD, LEWIS S. NELSON, CONSTANCE G. NICHOLS, PATRICIA A. NOLAN, DANIEL F. NOLTKAMPER, DZIWE W. NTABA, ANDREW S. NUGENT, NEILL S. OSTER, PETER D. PANAGOS, ROBERT PARTRIDGE, NICKI PESIK, JAMES PFAFF, WILLIAM PORCARO, LAWRENCE PROANO, NAJMA RAHMAN-KAHN, VITTORIO J. RAHO, PRASANTHI RAMANUJAM, WENDE R. REENSTRA, ANDREW REISNER, MARK C. RESTUCCIA, JAMES MIChael RILEY, ALBERT J. ROMANOSKY, PETER ROSEN, MARC S. ROSENTHAL, JONATHAN M. RUBIN, LEON D. SANCHEZ, DEBRA D. SCHNELLE, JEREMIAH D. SCHUUR, ERIC M. SERGIENKO, KINJAL SETHURAMAN, MARC J. SHAPIRO, SAM SHEN, SUZANNE M. SHEPHERD, WILLIAM H. SHOFF, SEAN MICHael SILER, ALISON SISITSKY, CRAIG SISSON, PETER B. SMULOWITZ, JOHN H. SORENSON, CHARLES STEWART, M. KATHLEen STEWART, KENT J. STOCK, CAROL SULIS, NICHOLAS SUTINGCO, NELSON TANG, ELIZABETH TEMIN, RICHARD A. TEMPEL, CRAIG D. THORNE, JASON A. TRACY, STEPHEN J. TRAUB, JONATHAN Harris VALENTE, VICTORIA M. VANDERKAM, CAROL L. VENABLE, FAITH VILAS, GARY M. VILKE, BARBARA Vogt SORENSON, SCOTT G. WEINER, ERIC S. WEINSTEIN, ROY KARL WERNER, SAGE W. WIENER, ABIGAIL WILLIAMS, KENNETH A. WILLIAMS, TRACY E. WIMBUSH, ROBERT H. WOOLARD, KEVIN YESKEY, SANDRA S. YOON, and PATRICK ZELLEY

Published
2006
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8. Epidemiologic aspects of human cryptosporidiosis and the role of waterborne transmission

Author

David P. Casemore, Kenneth B. Miller, and Patricia L. Meinhardt

Subjects
medicine.medical_specialty, Disease reservoir, Cryptosporidium infection, Epidemiology, Cryptosporidiosis, Cryptosporidium, Disease, Disease Outbreaks, Water Supply, medicine, Disease Transmission, Infectious, Animals, Humans, Disease Reservoirs, Enterocolitis, biology, business.industry, Outbreak, Water, General Medicine, biology.organism_classification, medicine.disease, United States, Immunology, Emerging infectious disease, medicine.symptom, business
Abstract

As a result of the massive outbreak of waterborne cryptosporidiosis that occurred recently in Milwaukee, Wisconsin, affecting an estimated 403,000 individuals (1), there is renewed interest in the epidemiology, surveillance, and prevention of the emerging infectious disease caused by the protozoan parasite Cryptosporidiwn (2). Cryptosporidiwn is now recognized worldwide as a common cause of infectious gastroenteritis which characteristically results in a watery diarrhea that may sometimes be profuse and prolonged. The severity, persistence, and ultimate outcome of the infection is typically dependent on a variety of parasite characteristics and host factors. Although little is known regarding the pathogenic characteristics of the parasite, important host factors include both the immune status and frequency of exposure of the infected individual (3). In healthy, immunocompetent subjects, the disease most commonly presents as an acute, selflimited but often persistent enterocolitis. However, in immunocompromised and immunosuppressed individuals, particularly those infected with the human immunodeficiency virus, Cryptosporidium infection may be insidious in onset and may progress to a chronic and life-threatening disease resulting in multisystem involvement and mortality (3, 4). Although early reports of human cryptosporidiosis were often described in immunologically deficient adults, subsequent studies have confirmed that in many regions of the world peak incidence is seen among otherwise healthy children aged 1-5 years. Unfortunately, although more than 80 antimicrobial and chemotherapeutic agents

Published
1996

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