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Cited by 331

The DOI matches its Crossref record; 30 of the 30 references it cites were found in a registry or an index.

Estimate of Burden and Direct Healthcare Cost of Infectious Waterborne Disease in the United States

Open access
Collier, Sarah A., Deng, Li, Adam, Elizabeth A., Benedict, Katharine M., Beshearse, Elizabeth M., Blackstock, Anna J., Bruce, Beau B., Derado, Gordana, Edens, Chris, Fullerton, Kathleen E., Gargano, Julia W., Geissler, Aimee L., Hall, Aron J., Havelaar, Arie H., Hill, Vincent R., Hoekstra, Robert M., Reddy, Sujan C., Scallan, Elaine, Stokes, Erin K., Yoder, Jonathan S., Beach, Michael J.·2021·Emerging Infectious Diseases

Abstract

Provision of safe drinking water in the United States is a great public health achievement. However, new waterborne disease challenges have emerged (e.g., aging infrastructure, chlorine-tolerant and biofilm-related pathogens, increased recreational water use). Comprehensive estimates of the health burden for all water exposure routes (ingestion, contact, inhalation) and sources (drinking, recreational, environmental) are needed. We estimated total illnesses, emergency department (ED) visits, hospitalizations, deaths, and direct healthcare costs for 17 waterborne infectious diseases. About 7.15 million waterborne illnesses occur annually (95% credible interval [CrI] 3.88 million-12.0 million), results in 601,000 ED visits (95% CrI 364,000-866,000), 118,000 hospitalizations (95% CrI 86,800-150,000), and 6,630 deaths (95% CrI 4,520-8,870) and incurring US $3.33 billion (95% CrI 1.37 billion-8.77 billion) in direct healthcare costs. Otitis externa and norovirus infection were the most common illnesses. Most hospitalizations and deaths were caused by biofilm-associated pathogens (nontuberculous mycobacteria, Pseudomonas, Legionella), costing US $2.39 billion annually.

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Metadata

Authors
Collier, S. A., Deng, L., Adam, E. A., Benedict, K. M., Beshearse, E. M., Blackstock, A. J., Bruce, B. B., Derado, G., Edens, C., Fullerton, K. E., Gargano, J. W., Geissler, A. L., Hall, A. J., Havelaar, A. H., Hill, V. R., Hoekstra, R. M., Reddy, S. C., Scallan, E., Stokes, E. K., Yoder, J. S., & Beach, M. J.
Venue
Emerging Infectious Diseases
Published
2021-01
Volume
27
Issue
1
Pages
140-149
ISSN
  • 1080-6040 (ISSN-L)
  • 1080-6059
OpenAlex
W3116770058
Cited by
331
References
30
FWCI
11.20
Type
journal article
Language
en
Open access
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CoChat. (2026). Citation check: Estimate of Burden and Direct Healthcare Cost of Infectious Waterborne Disease in the United States. https://app.cochat.ai/papers/10.3201/eid2701.190676
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Collier, S. A., Deng, L., Adam, E. A., Benedict, K. M., Beshearse, E. M., Blackstock, A. J., Bruce, B. B., Derado, G., Edens, C., Fullerton, K. E., Gargano, J. W., Geissler, A. L., Hall, A. J., Havelaar, A. H., Hill, V. R., Hoekstra, R. M., Reddy, S. C., Scallan, E., Stokes, E. K., . . . Beach, M. J. (2021). Estimate of Burden and Direct Healthcare Cost of Infectious Waterborne Disease in the United States. Emerging Infectious Diseases. https://doi.org/10.3201/eid2701.190676

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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