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Legionella E-news -- 10 September 2008

Legionella E-news, 10 September 2008
HC Info
Matthew R. Freije, Editor

**IN THIS ISSUE**
1. Legionnaires' Outbreaks
2. Increase in Legionnaires' Disease in the USA
3. Travel-Associated Legionnaires’ Disease in Europe, 2006
4. Book Reviews

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1. LEGIONNAIRES' OUTBREAKS
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So many Legionnaires' outbreaks have occurred recently that we will report each only briefly:

Thirteen cases and one death in Syracuse, NY: An outbreak of Legionnaires' disease, beginning on June 30, in the Onondaga Hill area of Syracuse resulted in 13 infected persons, of whom six were patients at a hospital and one a resident of a nursing home. One of the infected persons has died.

Nine cases in Barcelona: Nine cases of Legionnaires disease occurred in Barcelona among persons living in the east part of Cerdanyola, which is close to where an outbreak ofmore than 100 cases of LD occurred in the summer of 2002. All nine patients were hospitalized and recovered. The first few cases were identified the first week in July.

Thirteen cases and one death in Elmira, NY: County health officials reported that 13 residents of a senior housing complex in Elmira, New York contacted Legionnaires' disease in August. One of them has died.

Three cases in Norton Shores, Michigan: In a period of about 30 days in April and May, three older men living in Norton Shores, Michigan contracted Legionnaires' disease. One of the men died. As of the date of the news report, a source had not been identified. Source: woodtv.com

Five cases and two deaths in Norway: Eastern Norway experienced an outbreak of Legionnaire’s disease in five people from mid-June to late July, two of whom have died.

Five cases among guests of a hotel in Illinois: In May and June, five confirmed cases of Legionnaires disease occurred among guests of a hotel in McHenry, Illinois. The hotel hot tub was the suspected source for at least two of the cases. Source: Chicago Tribune

Seven cases in Hamilton, Ontario: Seven residents of Hamilton, Ontario contracted Legionnaires' disease in August. Although the cases live in the same area, no common source has been identified. All seven have recovered or are expected to.

Three cases in Charleston, WV: One male and two female residents of Charleston, West Virginia contracted Legionnaires' disease over a two-week period in June. One of the women died and the other two persons were hospitalized in intensive care. The source of contamination was not identified. Source: The Charleston Gazette

Two cases in Dublin: Two office workers contracted Legionnaires disease in Dublin. The first was diagnosed on June 27 and the other about 10 days later. The office building’s cooling tower was the suspected source. Source: dublinpeople.com

Two cases in Rochester, NY: Just yesterday it was reported that two residents of an assisted living facility in the Rochester area have contracted Legionnaires' disease. The first case occurred in late August and the second about two weeks later. Source: Rochester Democrat and Chronicle

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2. INCREASE IN LEGIONNAIRES' DISEASE IN THE USA
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In a paper published this month in Clinical Infectious Diseases, authors Karen Neil and Ruth Berkelman wrote, "an abrupt increase in the incidence of legionellosis in the United States has been noted since 2003." The paper stated that reported cases increased 70% from 2002 to 2003 and at a rate of more than 2000 cases a year from 2003 through 2005. From 2000 through 2005, 63% of the cases occurred in persons less than 65 years of age, most of whom were aged 45 to 64 years. Most cases were reported in summer or fall. The largest increase was in the eastern states. Reference: Neil K, Berkelman R. 2008. Increasing Incidence of Legionellosis in the United States, 1990–2005: Changing Epidemiologic Trends. CID, Sept. 2008

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3. TRAVEL-ASSOCIATED LEGIONNAIRES’ DISEASE IN EUROPE, 2006
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Eurosurveillance has issued a report summarizing travel-associated Legionnaires’ disease reported by 20 European countries. For more information, visit http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=18930.

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4. BOOK REVIEWS
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Book reviews are planned for upcoming issues of Legionella E-news. If you would like to submit a legionella-related book for review, please send it to HC Info. If you would like to write the book review yourself, please email it to hcinfo@hcinfo.com with your CV or bio.

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