Evidence map›Paper›PMID 28520707›Full record

ArticleMMWR. Morbidity and mortality weekly report2017

Using Molecular Characterization to Support Investigations of Aquatic Facility-Associated Outbreaks of Cryptosporidiosis - Alabama, Arizona, and Ohio, 2016.

Michele C Hlavsa, Dawn M Roellig, Matthew H Seabolt, Amy M Kahler, Jennifer L Murphy, Taishayla K McKitt, Evelyn F Geeter, Ron Dawsey, Sherri L Davidson, Thuy N Kim and 19 more

Open access · bronzeAbstract read
In one paragraph

Article in MMWR. Morbidity and mortality weekly report, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.2field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 35 citations in OpenAlex.

  1. Large-scale molecular epidemiological survey ofJournal of clinical microbiology · 2026
    Article
  2. Cryptosporidium Genotyping for Epidemiology Tracking.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. High Diversity ofPathogens (Basel, Switzerland) · 2021
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Cryptosporidiosis Outbreaks - United States, 2009-2017.MMWR. Morbidity and mortality weekly report · 2019
    Article
  14. Article
  15. Article
  16. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

29 authors at 5 institutions in 1 country.

Michele C Hlavsa
Dawn M Roellig
Matthew H Seabolt
Amy M Kahler
Jennifer L Murphy
Taishayla K McKitt
Evelyn F Geeter
Ron Dawsey
Sherri L Davidson
Thuy N Kim
Theresa H Tucker
Sally Ann Iverson
Brenna Garrett
Nicole Fowle
Jennifer Collins
Gregory Epperson
Scott Zusy
Joli R Weiss
Ken Komatsu
Edwin Rodriguez
J Gage Patterson
Rebecca Sunenshine
Brandi Taylor
Katie Cibulskas
Lynn Denny
Keoni Omura
Boris Tsorin
Kathleen E Fullerton
Lihua Xiao
National Center for Emerging and Zoonotic Infectious Diseases · USAlabama Department of Public Health · USMaricopa County Department of Public Health · USOhio Department of Health · USArizona Department of Health Services · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cryptosporidiosis is a nationally notifiable gastrointestinal illness caused by parasitic protozoa of the genus Cryptosporidium, which can cause profuse, watery diarrhea that can last up to 2-3 weeks in immunocompetent patients and can lead to life-threatening wasting and malabsorption in immunocompromised patients. Fecal-oral transmission of Cryptosporidium oocysts, the parasite's infectious life stage, occurs via ingestion of contaminated recreational water, drinking water, or food, or following contact with infected persons or animals, particularly preweaned bovine calves (1). The typical incubation period is 2-10 days. Since 2004, the annual incidence of nationally notified cryptosporidiosis has risen approximately threefold in the United States (1). Cryptosporidium also has emerged as the leading etiology of nationally notified recreational water-associated outbreaks, particularly those associated with aquatic facilities (i.e., physical places that contain one or more aquatic venues [e.g., pools] and support infrastructure) (2). As of February 24, 2017, a total of 13 (54%) of 24 states reporting provisional data detected at least 32 aquatic facility-associated cryptosporidiosis outbreaks in 2016. In comparison, 20 such outbreaks were voluntarily reported to CDC via the National Outbreak Reporting System for 2011, 16 for 2012, 13 for 2013, and 16 for 2014. This report highlights cryptosporidiosis outbreaks associated with aquatic facilities in three states (Alabama, Arizona, and Ohio) in 2016. This report also illustrates the use of CryptoNet, the first U.S. molecularly based surveillance system for a parasitic disease, to further elucidate Cryptosporidium chains of transmission and cryptosporidiosis epidemiology. CryptoNet data can be used to optimize evidence-based prevention strategies. Not swimming when ill with diarrhea is key to preventing and controlling aquatic facility-associated cryptosporidiosis outbreaks (https://www.cdc.gov/healthywater/swimming/swimmers/steps-healthy-swimming.html).

Indexed as

Disease OutbreaksSwimming PoolsAlabamaArizonaCryptosporidiosisCryptosporidiumHumansOhioPopulation Surveillance

Identifiers

PMID28520707
PMCPMC5657643
OpenAlexW2615443400

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.