Which of the following diseases should be

of special concern to the environmental

engineer when designing, operating, or
managing water supply projects?
I. Acquired Immunodeficiency Syndrome (AIDS)

II. Rocky Mountain Spotted Fever

III. Botulism

IV. Legionnaires' disease

V. Cryptosporidium

VI. Hepatitis A
(A) I, III, and VI
(B) II, IV, and V
(C) IV
(D) IV, V and VI

The correct answer is D

Items I through III are NOT concerns:
AIDS is not a water-borne disease.
Rocky Mountain spotted fever is passed to
humans by ticks.
Botulism is food borne or can enter the
body through contaminated soil or needles.
Legionnaires' disease, on the other hand, is
associated with heat transfer systems,
swimming pool, cooling towers, warm
temperature water, and stagnant water.
Cryptosporidium is another common illness
causing bug in swimming pools. It is able to
survive and thrive, even in pools which have
been cleaned well. Unfortunately, chlorine
doesn't kill Crypto quickly.
Hepatitis A can also be spread through
contaminated water.