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Editor's Correspondence
September 8, 2003

National Disease Burden Due to Waterborne Transmission of Nosocomial Pathogens Is Substantially Overestimated

Author Affiliations

Copyright 2003 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2003

Arch Intern Med. 2003;163(16):1974-1975. doi:10.1001/archinte.163.16.1974-a

Anaissie and colleagues1 need to be congratulated on an impressive review of reported outbreaks of nosocomial illness linked to hospital water supplies. However, their conclusions about the burden of nosocomial disease due to water supplies are severely flawed. The authors' review exhibits several sources of bias that together would lead to substantial overestimation of disease burden.