Under certain conditions, direct exposure to wastewater effluents during swimming or indirect exposure via consumption of shellfish taken from contaminated waters or drinking water produced from contaminated supplies may cause human infectious disease. Prior data on outbreaks associated with such cases will be reviewed along with relevant epidemiological and dose‐response studies. The relationship between these data and policy setting for microbial effluent criteria will be discussed.
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Haas et al. (1986) studied this question.
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