Résumé :
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From december 1997 to april 1998,1060 laboratory-confirmed cryptosporidiosis cases were reported in New South Wales, Australia. In a case-control study, compared with 200 controls, the 100 cases were younger (mean age 4.2 versus 7.1 years ; P<0.0001), more likely to report swimming at a public pool (59% versus 38% ; adjusted OR and 95% CI=2.7 ; 1.4-5.1) and swimming in a dam, river or lake (OR=4.8 ; 1.1-20.3) but less likely to report drinking bottled water (OR=0.4 ; 0.2-0.9). In subgroup analyses, in rural areas illness was associated with swimming in a public pool. Cryptosporiduim oocysts were more commonly detected in pools to which at least two notified cases had swum (P=0.04). Outbreaks of cryptosporidiosis can be prolonged, involve multiple pools and be difficult to control. (R.A.).
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