“In recent years, Cryptosporidium has come to be regarded as one of the most important waterborne human pathogens in developed countries. Over 30 outbreaks associated with drinking water have beenreported in North America and Britain, with the largest infecting an estimated 403,000 people (Mackenzieet al. 1994). Recent research has led to improved methods for testing water for the presence of humaninfectious species, although such tests remain technically demanding and relatively expensive.
Cryptosporidium is an obligate parasite with a complex life cycle that involves intracellular development in the gut wall, with sexual and asexual reproduction. Thick-walled oocysts, shed in faeces are responsible for transmission. Concentrations of oocysts as high as 14,000 per litre in raw sewage and 5,800 per litre in surface water have been reported (Madore et al. 1987). Oocysts are robust and can survive for weeks to months in fresh water under cold conditions (King and Monis 2007).
There are a number of species of Cryptosporidium, with C. hominis and C. parvum identified as the main causes of disease (cryptosporidiosis) in humans. C. hominis appears to be confined to human hosts, while the C. parvum strains that infect humans also occur in cattle and sheep. C. parvum infection sare particularly common in young animals, and it has been reported that infected calves can excrete up to 10 billion oocysts in one day. Waterborne outbreaks of cryptosporidiosis have been attributed to inadequate or faulty treatment and contamination by human or livestock (particularly cattle) waste.
C. hominis and C. parvum can be distinguished from one another and from other Cryptosporidium species by a number of genotyping methods. Infectivity tests using cell culture techniques have also been developed. Consumption of contaminated drinking water is only one of several mechanisms by which transmission (faecal-oral) can occur. Recreational waters, including swimming pools, are an important source of cryptosporidiosis and direct contact with a human carrier is also a common route of transmission.Transmission of Cryptosporidium can also occur by contact with infected farm animals, and occasionally through contaminated food.” ADWG 2011