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"On August 3 2006, the Lawrence-Douglas County Health Department (LDCHD) received a report of cryptosporidiosis. The case was an enrollee at Daycare Facility X, located in the city of Lawrence. Further investigation revealed a cluster of diarrheal illness at the daycare; in addition to the laboratory-confirmed case, three other enrollees and two staff members were also symptomatic. The daycare's total enrollment was 140; it employed 30 staff members. LDCHD distributed stool kits to test the symptomatic individuals. By August 11, both Giardia and Cryptosporidium were detected in enrollees. LDCHD notified the Epidemiologic Services Section (ESS) at the Kansas Department of Health and Environment (KDHE) of the outbreak. An outbreak investigation was begun. The purpose of the investigation was to determine the extent of the outbreak and to implement appropriate prevention and control measures."