There have been seven (7) confirmed Primary Amoebic Meningoencephalitis (PAM) cases in the U.S. from contaminated public water systems infected with Naegleria fowleri. The cases included immersion of the head in a bathtub, using a slip-n-slide in the yard from a hose, from a splash pad and mixing solutions for nasal irrigation using tap water. PAM infections also occurred in Australian public water systems, during the 1980s, from showering and swimming in pools that had contaminated when water was added.
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