Regional Perspective

1

• Regional Perspective
• Exposure Vs Disease

2
Regional Impacts

• Connecting Outbreak to Cause
• Regulatory Issue

3
Case Studies

• New York State Fair
• E. coli O157H7
• 921 Illnesses
• 116 confirmed cases of E. coli
• Contaminated Well head
• Cause not defined
• Septic Contamination from 4-H housing?
• Barnyard runoff ?

4
Eastern Washington

• Big Gun over-spray from fields to family garden
• Cryptosporidium confirmed in young family member
• Cause not defined
• Day care?
• Exposure to contaminated strawberries?

5
ORD Assistance - Connection

• Epidemiological investigations
• Microbial Source Tracking
• Rapid Test Methods

6
Regulatory Issue

• Change in NPDES regulation
• Requiring permit and allowing discharge
• Protective of Public Health??
• Difficult for Inspectors