Outbreak of Cutaneous Larva Migrans at a Children's Camp — Miami, Florida, 2006

On July 19, 2006, the director of a children's aquatic sports day camp notified the Miami-Dade County Health Department (MDCHD) of three campers who had received a diagnosis of cutaneous larva migrans (CLM), or "creeping eruption," a skin condition typically caused by dog or cat hookworm larvae of the genus Ancylostoma. MDCHD conducted an investigation to determine the source and magnitude of the outbreak and prevent additional illness. This report summarizes the results of that investigation, which identified exposure to cat feces in a playground sandbox as the likely source of infection. Although CLM outbreaks are reported rarely to the Florida Department of Health, evidence indicates that CLM is a potential health hazard in Florida. This disease cluster highlights the importance of appropriate environmental hygiene practices and education in preventing CLM.