1 National Association of County and City Health Officials, Washington, District of Columbia (Ms D'Angelo and Dr Galan); National Center for Environmental Health (Mr Laco), Centers for Disease Control and Prevention, Atlanta, Georgia; Cuyahoga County Board of Health, Parma, Ohio (Mr Fink); Kansas City, Missouri Health Department, Kansas City, Missouri (Mss Skaggs and Warren); and Northeast Ohio Aquatic Consulting & Training, LLC, Euclid, Ohio (Mr Kunsman).