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Legionella E-news -- 9 December 2003

**IN THIS ISSUE**
1. 28 cases and 2 deaths in Hereford, UK
2. Hot Spring Standards Considered in Japan
3. Full CDC Guideline Now Available
4. A Survivor's Story
5. Live Internet Courses Thursday and Friday

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1. 28 CASES AND 2 DEATHS IN HEREFORD, UK
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Cooling towers at a cider plant in the west of England, in Hereford, are being blamed for 28 cases of Legionnaires' disease that occurred in October and November. Two persons have died, a man in his 70s and a woman in her 50s. Health experts confirmed that the Legionella strain found in patients matched the strain found in samples collected from a cooling tower at the site. Source: news media
 

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2. HOT SPRING STANDARDS CONSIDERED IN JAPAN
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With the number of hot springs on the rise in Japan, the government is considering measures to maintain quality, according to a report published 9 December 2003 in The Daily Yomiuri. Improved drilling technology has led to more wells because the deeper the well, the easier it is to find hot spring sources. But drilled wells produce less water than do natural hot springs.  Although water will flow on its own initially from a well that has been bored, the natural output will sometimes stop after a few months, requiring pumps from then on. Many resorts that suffer hot water shortages add ordinary water to the hot spring water, which is then recirculated. Such was the case at the resort where 295 cases of Legionnaires' disease, including 7 deaths, occurred in Japan in July 2002 (see Legionella E-news, 31 July and 3 September, 2002).  There are currently no regulations regarding the depth of wells, the use of pumps, or adding, reheating, and recirculating water. The Environment Ministry has therefore decided to conduct a survey and to develop guidelines based on the results.
 

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3. FULL CDC GUIDELINE NOW AVAILABLE ==================================================================
The full version of the (US) CDC's Guideline for Environmental Infection Control in Heath-Care Facilities is now posted at http://www.cdc.gov/ncidod/hip/enviro/Enviro_guide_03.pdf.
 

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4. A SURVIVOR'S STORY
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Although this newsletter is focused almost exclusively on the scientific and technical aspects of Legionella, it's appropriate to include an occasional reminder that the bottom line is not about biofilm or piping, but about people. Many thanks to Denis Green for providing the link to this story, which apparently is the journal kept by the survivor's brother during her battle with Legionnaires' disease. You can read it at http://home.pacific.net.au/~cliff_watson/christine_difesa.htm.
 

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5. LIVE INTERNET COURSES THURSDAY AND FRIDAY ==================================================================
People are finding these live Internet courses a fun and economical way to gain practical knowledge and earn CEUs. Sign up now at https://www.keysecure.com/hcinfo.com/satelliteregform.htm so that you can get log-in instructions for the following courses:
 

* Thursday, 11 Dec 2003, 9:00am Pacific:  Waterborne Pathogens: Illness, Prevalence, and Risk Reduction Strategies (taught by Kelly Reynolds, PhD). 

* Friday, 12 Dec 2003, 9:00am Pacific:  Legionnaires' Disease: Update on Diagnosis, Treatment, Microbiology, Environmental Monitoring, and Disinfection (Janet Stout, PhD)  

* Thursday, 16 Dec 2003, 9:00am Pacific:  Reducing the Risk of Legionella in Cooling Towers (taught by Matt Freije)

Each course is about 90 minutes in length and costs US$159. Anyone who signs up for all three courses by 6:00pm Pacific Time on Wednesday 10 December will receive a discounted price of US$399 (just write "Legionella E-news Discount" in the comments box at https://www.keysecure.com/hcinfo.com/satelliteregform.htm).  

For more information on the courses, go to http://www.hcinfo.com/satellitecourseinfo.htm.

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(c) Copyright 2003, 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
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