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Legionella E-news -- 3 August 2006

Legionella E-news, 3 August 2006
HC Information Resources Inc.
Matthew R. Freije, Editor

**IN THIS ISSUE**
1. Major Outbreak in Spain
2. Thirty Cases and Two Deaths in the Netherlands
3. Ten Cases Among Hospital Patients in San Antonio
4. Pittsburgh Legionella Lab Closes
5. $193 Million Awarded to Cruise Line
6. Legionella Management Plans

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1. MAJOR OUTBREAK IN SPAIN
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On June 1, four confirmed cases of Legionnaires' disease were reported in Pamplona, northern Spain. By June 8, the number of reported cases had grown to 139, all of which were diagnosed by urinary antigen tests. The patients ranged from 21 to 97 years of age. Seventy-six (55%) of the patients were hospitalized, seven of whom required intensive care. No deaths were reported. The investigators inspected cooling towers located at buildings in the neighborhood in which most of the initial cases occurred. Source: Eurosurveillance Weekly

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2. THIRTY CASES AND TWO DEATHS IN THE NETHERLANDS
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Health officials implicated a cooling tower as the source of an outbreak in Amsterdam that affected 30 people, aged from 32 to 81 years, who lived or worked near it. Onset of illness occurred between June 27 and July 21. Two have died. A high concentration (5,000,000 cfu/L) was found in the cooling tower, and the strain matched that found in patients. Samples from other possible sources were negative or had different AFLP (Amplified Fragment Length Polymorphism) patterns. The cooling tower was shut down on July 11.

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3. TEN CASES AMONG HOSPITAL PATIENTS IN SAN ANTONIO
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At least ten cases and three deaths occurred between April and June among patients of a San Antonio hospital who contracted Legionnaires' disease. A local health official said she suspects all 10 people--five visitors and five were patients--acquired the disease at the hospital. Source: News media

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4. PITTSBURGH LEGIONELLA LAB CLOSES
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The Special Pathogens Laboratory at the Pittsburgh VA Medical Center was closed on July 21 (see http://www.phillyburbs.com/pb-dyn/news/103-07192006-685727.html). Many thanks to Janet Stout, Victor Yu, and others behind the laboratory’s good work and life-saving research.

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5. $193 MILLION AWARDED TO CRUISE LINE
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During an eight-month period ending in July 1994, many cases of pneumonia, at least six confirmed cases of Legionnaires’ disease, and one death, occurred among passengers who traveled aboard a cruise ship between New York and Bermuda. The cases were allegedly caused by two defective swimming-pool filters. In 2004, claims by passengers were settled for $8.6 million. In June of this year, a New York jury ordered the company that purchased the filter manufacturer to pay $193 Million to the cruise line for business that it claimed to have lost because of the contaminated filters. Source: Pioneer Press

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6. LEGIONELLA MANAGEMENT PLANS
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For hospitals: http://hcinfo.com/318info.htm

For nursing Homes and Senior Living Facilities: http://hcinfo.com/319info.htm

For hotels: http://hcinfo.com/320info.htm

The management plans read like an in-house policy manual. Each is available in print (softcover) or on a CD for US$149 plus shipping, or can be downloaded at www.hcinfo.com for $119.

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(c) Copyright 2006, HC Information Resources Inc.
You have permission to send this newsletter to others, post it on your web site, or include it in listserv posts, under the strict condition that you include the following notice: "Excerpted from Legionella E-news, a free newsletter available at http://hcinfo.com."

HC Information Resources Inc. provides consulting services (facility assessments, domestic water disinfection recommendations, management plans, litigation support), seminars, publications, research, and training pertaining to Legionella and other waterborne pathogens.

 

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