What question did this study set out to answer?

To establish a standardized classification framework for categorizing the strength of evidence linking reported disease outbreaks to drinking or recreational water exposure.

February 1, 1998Epidemiology and InfectionOpen Access

Surveillance of outbreaks of waterborne infectious disease: categorizing levels of evidence

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Authors

HTHilary E. TillettUniversity of London JLJohn de LouvoisUniversity of London PWPatrick WallUniversity College Dublin

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Implication

Surveillance analysis reveals an evidence-based categorization system for suspected waterborne disease outbreaks, indicating increased sensitivity for tracking broad public health risks.

Key Points

To establish a standardized classification framework for categorizing the strength of evidence linking reported disease outbreaks to drinking or recreational water exposure.
Evaluated outbreak reporting and investigation protocols utilized by the Communicable Disease Surveillance Centre across England and Wales.
Developed a three-tiered classification schema integrating epidemiological investigations, microbiological detections, and water quality testing parameters.
Classified waterborne outbreak associations into three explicit categories: 'strongly', 'probably', and 'possibly' linked.
Expanded surveillance capacity to capture potential waterborne incidents beyond those with confirmed environmental microbiology or intensive investigations.
Enhanced overall detection sensitivity for water-associated incidents, noting an inherent trade-off in specificity within the 'possible' association category.

Cite This Study

Tillett et al. (1998) studied this question.

synapsesocial.com/papers/6a700ff078a11c550e09db9f https://doi.org/10.1017/s0950268897008431

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Implication

Surveillance analysis reveals an evidence-based categorization system for suspected waterborne disease outbreaks, indicating increased sensitivity for tracking broad public health risks.

Surveillance of outbreaks of waterborne infectious disease: categorizing levels of evidence

Discussion

Member takes

Implication

Key Points

Cite This Study

Surveillance of outbreaks of waterborne infectious disease: categorizing levels of evidence

Discussion

Member takes

Implication

Key Points

Cite This Study

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