Lack of specific regulations and enforcement may contribute to infectious outbreaks in children's summer camps.
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May support enhanced water testing and density limits in camps; leaves open regulatory enforcement effects on pediatric outbreaks.
We document an echovirus 18 meningitis outbreak occurring at a remote overnight children's camp in Alaska. The outbreak involved 26% of 113 camp residents, was associated with building overcrowding and occurred in a camp with a contaminated drinking water source. Lack of specific children's camp regulations and failure to implement and enforce existing regulations may have contributed to the outbreak.
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McLaughlin et al. (2004) studied this question.
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