Beginning in 2002, there have been major waterbird die-offs every spring and fall in Lake Onalaska (Navigation Pool 7 of the Upper Mississippi River) located near La Crosse, Wisconsin. This area is part of the Upper Mississippi River National Wildlife and Fish Refuge (UMR Refuge) and lies within the Mississippi Flyway, through which an estimated 40 percent of the continent's waterfowl migrate. Through the 2006 spring migration, total mortality on the UMR Refuge was estimated at 22,000 to 26,000 birds, primarily American coots (Fulica americana) and lesser scaup (Aythya affinis). Two trematodes (Sphaeridiotrema globulus and Cyathocotyle bushiensis) that use the exotic faucet snail (Bithynia tentaculata) as an intermediate host were found to infect and kill the waterbirds. The faucet snail was introduced into the United States from Europe in the late 1800s. Because Lake Onalaska is a major spring and fall stop-over area for waterfowl in the Mississippi Flyway, concerns were raised that the snail and trematodes may be spreading to other waterfowl stop-over areas on the river. Exploratory sampling for faucet snails was conducted in 2005 and 2006 in navigation Pools 4-9 (excluding Pool 5a which is located between Pools 5 and 6), 11, and 13. Infected snails were found in all the sampled pools except Pool 6. To our knowledge, these are the first records of faucet snails and associated trematodes beyond those found in Pool 7, Lake Onalaska. Waterbird die-offs are becoming a UMR Refuge-wide problem. Information obtained through research and monitoring, including the identification of the origin of infections in snails and birds and the role various environmental factors have on this process, should help guide managers to develop effective mitigation and control measures.