title: Association of regulatory issues with an echovirus 18 meningitis outbreak at a children's summer camp in Alaska.
abstract: 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.
authors.affiliation: Epidemic Intelligence Service Program, Epidemiology Program Office, Centers for Disease Control and Prevention, Atlanta, GA, USA. joe_mclaughlin@health.state.ak.us
authors.forename: Joseph B
authors.initials: JB
authors.lastname: McLaughlin
authors.forename: Bradford D
authors.initials: BD
authors.lastname: Gessner
authors.forename: Tracey V
authors.initials: TV
authors.lastname: Lynn
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Funk
authors.forename: John P
authors.initials: JP
authors.lastname: Middaugh
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D000413:Alaska / Q000453:epidemiology; D002165:Camping; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D003140:Communicable Disease Control; D004196:Disease Outbreaks; D004457:Echovirus Infections / Q000175:diagnosis / Q000453:epidemiology*; D029822:Enterovirus B, Human / Q000145:classification*; D005260:Female; D006801:Humans; D007223:Infant; D016015:Logistic Models; D008297:Male; D008587:Meningitis, Viral / Q000175:diagnosis / Q000453:epidemiology*; D008875:Middle Aged; D015999:Multivariate Analysis; D011336:Probability; D012189:Retrospective Studies; D018570:Risk Assessment; D017678:Sex Distribution