An outbreak of norovirus gastroenteritis at a swimming club - Vermont, 2004.

TLDR: The cause of the outbreak was determined to be a combination of stool contamination, a blocked chlorine feed tube, and multiple lapses of pool-maintenance procedures, which underscores the importance of correct pool maintenance for rapid identification of water-quality problems to prevent outbreaks of swimming pool-associated illness.

Abstract: John Snow's historic investigation of a severe epidemic of cholera traced the cause of infection to a common water source. Today, 150 years later, waterborne diseases remain a public health problem, and similar investigations are used to identify the source of infection. On February 3, 2004, the Vermont Department of Health (VDH) was notified of an outbreak of acute gastroenteritis among children whose only common exposure was attendance at a swimming club the previous weekend (January 31-February 1). This report summarizes the results of an investigation conducted by VDH and CDC, which determined the cause of the outbreak to be a combination of stool contamination, a blocked chlorine feed tube, and multiple lapses of pool-maintenance procedures. The findings underscore the importance of correct pool maintenance for rapid identification of water-quality problems to prevent outbreaks of swimming pool-associated illness.