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Pediatr Infect Dis J. 2004 Sep;23(9):875-7.

Association of regulatory issues with an echovirus 18 meningitis outbreak at a children's summer camp in Alaska.

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Epidemic Intelligence Service Program, Epidemiology Program Office, Centers for Disease Control and Prevention, Atlanta, GA, USA.


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.

[Indexed for MEDLINE]

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