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Legionella E-news -- 20 November 2000

Legionella E-news, 20 November 2000
HC Information Resources Inc.
Matthew R. Freije, Editor

**IN THIS ISSUE**
1. Two major outbreaks in Spain
2. Sharp rise in reported cases coincides with increased patient
surveillance
3. Free article on ozone treatment in cooling towers
4. Recirculating hot water in homes
5. The first rapid field test for Legionella (Advertisement)

1. TWO MAJOR OUTBREAKS IN SPAIN return to contents list

Galicia -- 28 cases, 3 deaths: 28 cases of Legionnaires' disease were identified in Galicia, Spain between 18 September and 1 October 2000--21 men and 7 women, ranging from 30 to 79 years of age. Three have died. An epidemiologic study confirmed that living, working, or walking in the area near a particular hospital was associated with illness. Investigators are focusing on the hospital cooling towers but no source has been implicated. Source: Eurosurveillance Weekly, 26 October 2000. Reported by Xurxo Hervada, Servicio de Información de Saúde Pública, Dirección Xeral de Saúde Pública, Galicia. Spain, and Rosa Cano, National Center of Epidemiology. Madrid. Spain. 

Barcelona -- 40 cases: 40 cases of Legionnaires' disease were identified in Barcelona from 14-16 November. The victims range in age from 38 to 92. As of Friday, 17 November, four patients were in serious condition. All the victims live in Barceloneta, a neighborhood on Barcelona's Mediterranean waterfront. City health officials are investigating. Source: The Associated Press.

2. SHARP RISE IN REPORTED CASES COINCIDES WITH INCREASED PATIENT SURVEILLANCE  return to contents list
A record number of Legionnaires' cases was reported to the European Working Group for Legionella Infections (EWGLI) in 1999, according to a recent issue of WHO's Weekly Epidemiological Record. 2136 cases were reported in 1999, whereas 1442 cases were reported in 1998, and 1360 in 1997. The large increase is due in part to national surveillance schemes recently established in some of the reporting countries. Denmark has consistently reported more cases (relative to population) than any other country, which may be because it carries out high levels of testing for Legionella in patients with pneumonia and has a centralized reference laboratory for diagnosing and reporting cases. Source: Eurosurveillance Weekly, 2 November 2000

3. FREE ARTICLE ON OZONE TREATMENT IN COOLING TOWERS return to contents list
"Ozone Treatment for Cooling Towers: New Energy and Water Saving Technology to Reduce Cooling Tower Operating Costs" was produced for the US Department of Energy by the Pacific Northwest National Laboratory.

4. RECIRCULATING HOT WATER IN HOMES  return to contents list
When building a new home, consider a plumbing system that recirculates hot water continuously. Tiefenbrunner's group found that homes with hot water recirculation systems were less susceptible to legionellae growth than were homes without them (Tiefenbrunner, F., A. Arnold, P. Dierich, and K, Emde. "Occurrence and Distribution of Legionella pneumophila in Water Systems of Central European Private Homes." In: Barbaree, J. M., R. F. Breiman, and A. P. DuFour, eds. Legionella: Current Status and Emerging Perspectives. Washington, D.C.: American Society for Microbiology, 1993; 235-238). The installer must extend the

5. THE FIRST RAPID FIELD TEST FOR LEGIONELLA (ADVERTISEMENT) return to contents list
Binax introduces the Equate Legionella Water Test, the first rapid test to deliver results in under an hour. Equate detects Legionella

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THANK YOU!

Matt Freije
HC Information Resources Inc.
http://hcinfo.com

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