Skip to main content
×
Home
    • Aa
    • Aa

Multi-pathogen waterborne disease outbreak associated with a dinner cruise on Lake Michigan

  • F. SERDAREVIC (a1) (a2), R. C. JONES (a1), K. N. WEAVER (a1), S. R. BLACK (a1), K. A. RITGER (a1), F. GUICHARD (a3), P. DOMBROSKI (a4), B. P. EMANUEL (a5), L. MILLER (a1) and S. I. GERBER (a6)...
Abstract
SUMMARY

We report an outbreak associated with a dinner cruise on Lake Michigan. This took place on the same day as heavy rainfall, which resulted in 42·4 billion liters of rainwater and storm runoff containing highly diluted sewage being released into the lake. Of 72 cruise participants, 41 (57%) reported gastroenteritis. Stool specimens were positive for Shigella sonnei (n=3), Giardia (n=3), and Cryptosporidium (n=2). Ice consumption was associated with illness (risk ratio 2·2, P=0·011). S. sonnei was isolated from a swab obtained from the one of the boat's ice bins. Environmental inspection revealed conditions and equipment that could have contributed to lake water contaminating the hose used to load potable water onto the boat. Knowledge of water holding and distribution systems on boats, and of potential risks associated with flooding and the release of diluted sewage into large bodies of water, is crucial for public health guidance regarding recreational cruises.

Copyright
Corresponding author
*Author for correspondence: S. I. Gerber, M.D., Cook County Department of Public Health, 15900 S. Cicero Avenue, Bldg. E-3rd Fl., Oak Forest, IL 60452, USA. (Email: sgerber@ccdph.net)
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

1.RM Rooney , A review of outbreaks of waterborne disease associated with ships: evidence for risk management. Public Health Reports 2004; 119: 435442.

2.DN Lawrence . Outbreaks of gastrointestinal diseases on cruise ships: lessons from three decades of progress. Current Infectious Disease Reports 2004; 6: 115123.

3.P Grenfell , CL Little , S Surman-Lee . The microbiological quality of potable water on board ships docking in the UK and the Channel Islands: an association of Port Health Authorities and Health Protection Agency Study. Journal of Water Health 2008; 6: 215224.

6.Metropolitan Water Reclamation District of Greater Chicago. District affirms lake discharge numbers: correct containment/management figures. Press release 30 September 2008.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Epidemiology & Infection
  • ISSN: 0950-2688
  • EISSN: 1469-4409
  • URL: /core/journals/epidemiology-and-infection
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords: