About
Below is a list of published papers, reports, and commentaries that focus on public health issues related to swimming, pools, and other types of recreational water venues, organized by topic area.

Publications and reports
Disease and outbreak tracking
- Lamere L, Smith E, Grieser H, Arduino M, Hlavsa MC, Combes S. Pseudomonas Infection Outbreak Associated with a Hotel Swimming Pool — Maine, March 2023. MMWR Morb Mortal Wkly Rep 2024;73:32–36.
- Nace ME, Wallace JL, Kline KE, Plipat N. Notes from the Field: Escherichia coli O157:H7 Outbreak in Children with Clostridioides difficile Colonization Associated with an Improperly Treated Swimming Pool — Pennsylvania, June 2021. MMWR Morb Mortal Wkly Rep 2022;71:690–691.
- Hlavsa MC, Aluko SK, Miller AD, Person J, Gerdes ME, Lee S, et al. Outbreaks associated with treated recreational water—United States, 2015–2019. MMWR. 2021;70(20):733-8. (Laco JP)
- Vanden Esschert KL, Mattioli MC, Hilborn ED, Roberts VA, Yu AT, Lamba K, et al. Outbreaks associated with untreated recreational water — California, Maine, and Minnesota, 2018–2019. MMWR. 2020;69(25);781-3. (Laco JP)
Diarrhea and vomiting
- Aluko SK, Ishrati SS, Walker DC, Mattioli MC, Kahler AM, Vanden Esschert KL, et al. Outbreaks of acute gastrointestinal illness associated with a splash pad in a wildlife park — Kansas, June 2021. MMWR. 2022;71(31);981-7. (Rokisky J Jr, Laco JP)
Swimming pool chemicals, operation, and disinfection
- Hlavsa M, Laco JP, Hill VR. . [commentary] J Environ Health. 2019;81(9):32-4.
- Wilken JA, DiMaggio M, Kaufmann M, O’Connor K, Smorodinsky, S, Armatas C, Barreau T, Kreutzer R, Ancheta L. Inhalational chlorine injuries at public aquatic venues — California, 2008–2015. MMWR Morb Mortal Wkly Rep. 2017;66:498–501.
- Hlavsa MC, Gerth TR, Collier SA, Dunbar ER, Rao G, Epperson G, Bramlett B, Ludwig DF, Gomez D, Stansbury MM, Miller F, Warren J, Nichol J, Bowman H, Huynh B, Loewe KM, Vincent B, Tarrier AL, Shay T, Wright R, Brown AC, Kunz JM, Fullerton KE, Cope JR, Beach MJ. Immediate closures and violations identified during routine inspections of public aquatic facilities — Network for Aquatic Facility Inspection Surveillance, five states, 2013. MMWR Surveill Summ. 2016;65(No. SS-5):1–26.
- Anderson AR, Welles WL, Drew J, Orr MF. . J Environ Health. 2014;76(9):10-5.
Recreational water venues guidance and the Model Aquatic Health Code
- Hlavsa M, Laco J. . [commentary] J Environ Health. 2023;85(9):32–3.
- Curtiss E, Hils J, Rokisky J. . [commentary] J Environ Health. 2022;84(10):42-3.
- Laco J, Aluko S, Hlavsa M. . [commentary] J Environ Health. 2022;84(9):32-3.
- Hlavsa MC, Laco JP, Hill VR, Sheehan PA. . [commentary] J Environ Health. 2021;83(9):30-1.
- D’Angelo EK, Galan DI, Laco JP, Fink T, Skaggs JM, Kunsman C, et al. . J Public Health Manag Pract. 2021;27(4):428-31.
- Laco J, Hubbard B, McClenahan S. . [commentary] J Environ Health. 2020;82(2):36-8.
Drowning and swimming-related injury
- Clemens T, Moreland B, Mack KA, Thomas K, Bergen G, Lee R. Vital Signs: Drowning Death Rates, Self-Reported Swimming Skill, Swimming Lesson Participation, and Recreational Water Exposure — United States, 2019–2023. MMWR Morb Mortal Wkly Rep 2024;73:467–473.
- Clemens T, Moreland B, Lee R. Persistent Racial/Ethnic Disparities in Fatal Unintentional Drowning Rates Among Persons Aged ≤29 Years — United States, 1999–2019. MMWR Morb Mortal Wkly Rep 2021;70:869–874.