Sammy Zahran, Shawn P McElmurry, Paul E Kilgore, David Mushinski, Jack Press, Nancy G Love, Richard C Sadler, Michele S Swanson
The 2014-2015 Legionnaires' disease (LD) outbreak in Genesee County, MI, and the outbreak resolution in 2016 coincided with changes in the source of drinking water to Flint's municipal water system. Following the switch in water supply from Detroit to Flint River water, the odds of a Flint resident presenting with LD increased 6.3-fold (95% CI: 2.5, 14.0). This risk subsided following boil water advisories, likely due to residents avoiding water, and returned to historically normal levels with the switch back in water supply...
February 5, 2018: Proceedings of the National Academy of Sciences of the United States of America