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Legionella E-news -- 31 July 2002

**IN THIS ISSUE**
1. Nine Cases, Two Deaths at LA Hospital
2. Seven Pneumonia Cases, 1 LD Death, at Youth Hostel in Greece
3. Hot Water System Blamed for 4 Cases at Mass. Nursing Home
4. Legionnaires' Kills Two at Japan Hot Spring
5. Locations for Legionella Seminar 
6. Ulm Conference Papers Now Available at HCINFO.COM
 

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1. NINE CASES, TWO DEATHS AT LA HOSPITAL *******************************************************************
In March, two cases of Legionnaires' disease apparently contracted at a 408-bed hospital in Los Angeles were reported to county health officials. Water samples that were subsequently collected tested negative. Two months later two more cases were reported, one of which resulted in the death of a 67-year-old man. Samples were again collected, this time showing Legionella bacteria. The hospital attempted to decontaminate the plumbing system by heat shock. Then, on 25 May, a 55-year-old man who entered the hospital with heart problems contracted Legionnaires'. He died 15 June. The hospital's chief of staff contended that the patients had underlying illnesses, so Legionnaires' disease may not have been the primary cause of death. All nine of the patients were over 50 and had heart problems. Eight of the nine spent time on the same floor of the hospital before becoming ill. Sources: LA Times; Reuters; Associated Press

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2. SEVEN PNEUMONIA CASES, 1 LD DEATH, AT YOUTH HOSTEL IN GREECE *******************************************************************
Late June, health officials in Greece linked the death of a 22-year-old man to Legionnaires' disease. The authorities were alerted to the outbreak after seven children from a youth hostel contracted pneumonia and experienced other Legionnaires' symptoms. Health officials found Legionella in the water supply. Two of the water tanks were found to be rusty and unclean and were promptly replaced.  The children were treated and sent home. The last published report indicated that officials were awaiting blood sample test results to determine if there is a definite connection between the illnesses and the hostel. Source: Hellenic Resources Network, 6 July 2002
 

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3. HOT WATER SYSTEM BLAMED FOR 4 CASES AT MASS. NURSING HOME *******************************************************************
Four cases of Legionnaires' disease that occurred at a Massachusetts nursing home in June are being blamed on the building's hot water system. One of the cases occurred in an employee; the other three were in residents. Six environmental samples were collected after the cases were identified. Four of six tested positive for Legionella, three from showers and one from a whirlpool bath. The incoming water supply tested negative. The nursing home attempted to decontaminate the system via hot water flush.
 

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4. LEGIONNAIRES' KILLS TWO AT JAPAN HOT SPRING  *******************************************************************
A woman in her 60s and a man in his 70s who visited a spa in Japan have died after contracting Legionnaires' disease. The woman went to the hot spring on 7 July, was admitted to a hospital with respiratory problems on 14 July, and died 22 July. The man bathed at the hot spring on 4 July, was admitted to a hospital on 9 July, and died 15 July. In all, 98 people in the area showed Legionnaires' symptoms, 59 of whom were hospitalized. Legionella was found in 5 of the 98. Source: The Daily Yomiuri

******************************************************************* 5. LOCATIONS FOR LEGIONELLA SEMINAR
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We anticipate that the next course will be in December 2002 or January 2003; we hope to finalize dates and locations within the next two weeks. If you have a meeting facility, and would like to host a course, please let us know. We can provide the two-day comprehensive course for a mixed group (health officials, hospital personnel, plumbing engineers, water treatment professionals, industrial hygienists, etc.), or tailor a lower-cost one-day course for a specific audience. You can also get private training for your organization. For more information, visit http://hcinfo.com/legionellaseminar.htm.
 

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6. ULM CONFERENCE PAPERS NOW AVAILABLE AT HCINFO.COM
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Because of a special licensing arrangement between HCINFO and ASM Press (American Society for Microbiology), each chapter of ASM's book _Legionella_, edited by Richard Marre et al, is now available online at hcinfo.com. The 85 chapters, each of which is a paper presented at the International Conference on Legionella held September 2000 in Ulm, Germany, are available for US$6 each. The files can be read online, saved on your computer, and printed.

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******************************************************************* (c) Copyright 2002, 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 to properly credit the source: "Excerpted from Legionella E-news, a free e-newsletter available at http://hcinfo.com." 

THANK YOU! 

Matt Freije, Editor
HC Information Resources Inc.

Tel: 760-494-3063
Fax: 619-839-3166
hcinfo@hcinfo.com

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