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This powerpoint presentation begins by providing a brief overview of global warming and how climate change will affect waterborne disease. Epidemiological challenges of climate change are presented, along with health impacts, disease ecology, climate sensitivity of bacteria, viruses and parasites, weather and waterborne disease outbreaks, and projected effects for the Great Lakes area of the U.S. Essential services for responding to outbreaks are presented, along with public health measures. Includes tables, figures.