Surveillance Reports for Outbreaks Associated with Environmental & Undetermined Exposures to Water
CDC publishes summaries of outbreaks associated with environmental and undetermined exposures to water in the United States based on reports provided by state, local, and territorial health departments. These summaries help public health practitioners better understand the germs, settings, and contributing factors (for example, water was not disinfected properly) involved in outbreaks linked to environmental exposures. They also can help identify emerging waterborne disease threats and be used to inform and assess outbreak prevention measures.
Since 1971, CDC has published data on waterborne disease outbreaks associated with environmental and undetermined exposures to water:
- 2015 forward: Reports are published on CDC’s Summary Reports of Waterborne Outbreaks page.
- 2011–2014: Reports were published in the MMWR Weekly with supplemental content posted on this website.
- 1971–2010: Data on outbreaks in this category were previously published as outbreaks associated with “other non-recreational water,” “water not intended for drinking,” and “water of unknown intent.” Links to surveillance reports with these data are available on the Surveillance Reports for Drinking Water–associated Disease and Outbreaks
In 2021 CDC published an estimate of the burden and direct healthcare cost of infectious waterborne disease.
You can also explore waterborne disease outbreak data starting in 1971 on CDC’s National Outbreak Reporting System Dashboard.
Learn more about waterborne disease and outbreak surveillance milestones.
Most Recent Surveillance Data on Outbreaks Associated with Environmental & Undetermined Exposures to Water
CDC. Waterborne Disease and Outbreak Surveillance System (WBDOSS) Summary Report, United States, 2015. Atlanta, Georgia: U.S. Department of Health and Human Services, CDC, 2022.
2015 is the latest year a summary report is available due to limited capacity for waterborne disease surveillance and competing COVID-19 response priorities at CDC. Find more recent waterborne disease outbreak data on CDC’s National Outbreak Reporting System Dashboard.
Reports from 2011 through 2015
2015
- CDC. Waterborne Disease and Outbreak Surveillance System (WBDOSS) Summary Report, United States, 2015. Atlanta, Georgia: U.S. Department of Health and Human Services, CDC, 2022.
2013-2014
- McClung PR, Roth DM, Vigar M, Roberts VA, Kahler AM, Cooley LA, Hilborn ED, Wade TJ, Fullerton KE, Yoder JS, Hill VR. Waterborne disease outbreaks associated with environmental and undetermined exposures to water — United States, 2013–2014. 2017;66(44):1222–25.
- Strength-of-Evidence Classification
- Deficiency Classification
- 2013-2014 Supplemental Tables
- 2013-2014 Supplemental Figures
- Selected Outbreak Descriptions
2011-2012
- Beer KD, Gargano JW, Roberts VA, Reses HE, Hill VR, Garrison LE, Kutty PK, Hilborn ED, Wade TJ, Fullerton KE, Yoder JS. Outbreaks associated with environmental and undetermined water exposures — United States, 2011–2012. MMWR Morb Mortal Wkly Rep. 2015;64(31):849-51.
- Strength-of-Evidence Classification
- Deficiency Classification
- 2011–2012 Supplemental Tables
- 2011–2012 Supplemental Figures
- Selected Outbreak Descriptions