Chapter 14, Problem 4CT

Over 30 children younger than three years of age developed gastroenteritis after visiting a local water park. These cases represented 44% of the park visitors in this age group on the day in question. No older individuals were affected. The causative agent was determined to be a member of the bacterial genus Shigella. The disease resulted from oral transmission to the children. Based only on the information given, can you classify this outbreak as an epidemic? Why or why not? If you were an epidemiologist, how would you go about determining which pools in the water park were contaminated? What factors might account for the fact that no older children or adults developed disease? What steps could the park operators take to reduce the chance of future outbreaks of gastroenteritis?