The Milwaukee Cryptosporidium outbreak: assessment of incubation time and daily attack rate
1Department of Civil, Architectural and Environmental Engineering, Drexel University, Philadelphia, PA 19104, USA.
Abstract:
The time course of reported illnesses (epidemic curve) in the 1993 Milwaukee outbreak of cryptosporidiosis was analysed using a dynamic model considering time variant force of infection and incubation time distributions. Different functional forms for the force of infection and incubation time distribution were tested. The resulting model is a coupled integro-differential equation system. These models gave a good fit to the data, although depending upon the functional forms of the underlying distributions, different incubation time and force of infection curves were obtained. However there was reasonable agreement with respect to a baseline illness rate that existed. This demonstrates that useful information may be obtained in this manner, although it should be supplemented with other data (e.g. serology) for a precise assessment of dynamics of disease occurrence during waterborne epidemic conditions.
Insights
Analyzing the 1993 Milwaukee cryptosporidiosis outbreak, a dynamic model revealed insights into the epidemic curve. This approach aids understanding waterborne disease dynamics, though further data like serology is recommended for precise assessment.
Area of Science:
- Epidemiology
- Mathematical Modeling
- Public Health
Background:
- The 1993 Milwaukee outbreak of cryptosporidiosis was a significant public health event.
- Understanding the transmission dynamics of waterborne diseases is crucial for effective control.
Purpose of the Study:
- To analyze the epidemic curve of the 1993 Milwaukee cryptosporidiosis outbreak.
- To apply a dynamic model incorporating time-variant force of infection and incubation time distributions.
Main Methods:
- Utilized a dynamic model, a coupled integro-differential equation system.
- Tested various functional forms for force of infection and incubation time distributions.
- Analyzed the time course of reported illnesses (epidemic curve).
Main Results:
- The dynamic models provided a good fit to the outbreak data.
- Different functional forms yielded varying incubation time and force of infection curves.
- A consistent baseline illness rate was observed across models.
Conclusions:
- Dynamic modeling offers valuable insights into waterborne epidemic dynamics.
- Model results showed reasonable agreement regarding baseline illness rates.
- Supplementing with additional data, such as serology, is recommended for precise disease dynamics assessment.
Related Concept Videos
Investigation of Disease Outbreaks
Cryptococcal Meningitis
Toxoplasmosis
Giardiasis


