Recreation, Rainfall, and Waterborne Disease: How Social, Environmental, and Climatic Factors Influence Waterborne Disease Risk in Areas Impacted by Combined Sewer Overflows

Background: Rainfall is a major driver of waterborne disease. One mechanism by which rainfall can introduce pathogens into environmental waterways is by causing combined sewer overflows (CSOs). Exposure to contaminated surface water may occur during recreational activities that result in accidental ingestion of enteric waterborne pathogens. These pathogens can cause acute gastrointestinal illness (AGI), which is particularly harmful for certain vulnerable groups. Due to projected increases in precipitation in certain areas of the United States,...
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