New York City's Waterborne Disease Risk Assessment Program was established to: (a) obtain data on the rates of giardiasis and cryptosporidiosis, along with demographic and risk factor information on case-patients; (b) provide a system to track diarrheal illness to assure rapid detection of any outbreaks; and (c) determine the contribution (if any) of tap water consumption to gastrointestinal disease. The program, jointly administered by the Departments of Health and Mental Hygiene and Environmental Protection, began in 1993. Produced annually, these reports provide an overview of program progress, and data collected during the reported year.