2013—2014 Recreational Water-associated Outbreak Surveillance Report Supplemental Figures
These figures provide supplemental information not published in Outbreaks Associated with Treated Recreational Water — United States, 2000–2014 (MMWR Weekly) and Outbreaks Associated with Untreated Recreational Water — United States, 2000–2014 (MMWR Weekly).
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Figure 1 — Recreational Water–associated Outbreaks,* by Jurisdiction of Exposure United States, 2013–2014

*n=87; These numbers are largely dependent on public health capacity and reporting requirements, which vary across jurisdictions, and do not necessarily indicate the true occurrence in a given jurisdiction.
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Figure 2 — Recreational Water–associated Outbreaks,* by Type of Exposure, Predominant Illness†, and Etiology — United States, 2013–2014

Abbreviations: AGI: acute gastrointestinal illness; ARI: acute respiratory illness; LEP: leptospirosis; Multiple: a combination of predominant illnesses; Skin: illnesses, conditions, or symptoms related to skin.
* n=87
† The category of illness reported by ≥50% of ill respondents. All outbreaks of legionellosis (i.e., Legionnaires’ disease and Pontiac fever) are classified as ARI.
§ Percentages do not add up to 100% due to rounding.
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Figure 3 — Recreational Water–associated Outbreaks,* by Predominant Illness† and Month — United States, 2013–2014

Abbreviations: AGI: acute gastrointestinal illness; ARI: acute respiratory illness; LEP: leptospirosis; Multiple: a combination of predominant illnesses; Skin: illnesses, conditions, or symptoms related to skin.
* n=87
† The category of illness reported by ≥50% of ill respondents. All outbreaks of legionellosis (i.e., Legionnaires’ disease and Pontiac fever) are classified as ARI.
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Figure 4 — Recreational Water–associated Outbreaks of Acute Gastrointestinal Illness, by Type of Exposure, Etiology, and Water Type — United States, 2013–2014

*Percentages do not add up to 100.0% due to rounding.
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- AGI Outbreaks, by Type of Exposure [CSV – 262 B]
- AGI Outbreaks, by Etiology [CSV – 356 B]
- AGI Etiology: Untreated Water [CSV – 338 B]
- AGI Etiology: Treated Water [CSV – 326 B]
Figure 5 — Recreational Water–associated Outbreaks,* by Predominant Illness† and Year — United States, 1978–2014

Abbreviations/Terms: AGI: acute gastrointestinal illness; ARI: acute respiratory illness; Other: includes illness, condition, or symptom related to the ears or eyes; hepatitis; leptospirosis; meningitis; meningoencephalitis; and multiple predominant illnesses; Skin: illness, condition, or symptom related to the skin.
* n=971
† The category of illness reported by ≥50% of ill respondents. All outbreaks of legionellosis (i.e., Legionnaires’ disease and Pontiac fever) are classified as ARI.
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Figure 6 — Recreational Water–associated Outbreaks of Acute Gastrointestinal Illness,* by Type of Exposure and Year – United States, 1978–2014

* n=502; untreated recreational water–associated outbreaks n=184; treated recreational water–associated outbreaks n=318.
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Figure 7 — Recreational Water–associated Outbreaks of Acute Gastrointestinal Illness,by Type of Exposure and Etiology — United States, 2005–2014

* These include outbreaks caused by multiple etiologies (n=7), Campylobacter (n=3), algal toxin (n=1), Plesiomonas (n=1), and Salmonella (n=1).
† Percentages do not add up to 100% due to rounding.
§ These include outbreaks caused by algal toxin (n=1), Campylobacter (n=1), and Plesiomonas (n=1).
¶ These include outbreaks caused by multiple etiologies (n=3), Campylobacter (n=2), and Salmonella (n=1).