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Legionella E-news -- 27 April 2004

Legionella E-news, 27 April 2004
HC Information Resources Inc.
Matthew R. Freije, Editor

**IN THIS ISSUE**
1. Outbreak in Austria Possibly Associated with Whirlpool Display
2. Five Cases, Three Deaths, in Italian Hospital
3. Review: Course on Microorganisms
4. Discovery of Legionella
5. New NSF Course on Waterborne Pathogens
6. New ASPE Seminar on Legionella Control in Plumbing Systems

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1. OUTBREAK IN AUSTRIA POSSIBLY ASSOCIATED WITH WHIRLPOOL DISPLAY
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Legionnaires' disease was confirmed by urinary antigen in three men, between 42 and 65 years of age, who attended a trade show in Austria from 5 to 7 March 2004. All three were hospitalized. The 65-year-old patient developed multiorgan failure and required mechanical ventilation and hemodialysis for 11 days, but was reported in stable condition earlier this month. The three men had visited a whirlpool display at the exhibition at approximately the same time. No additional cases have been detected since 31 March. The Austrian Agency for Health and Food Safety is investigating. Source: Eurosurveillance Weekly

Whirlpool displays have been implicated in previous Legionnaires' outbreaks. 192 confirmed cases, including 21 deaths, were blamed on a whirlpool display at a flower show in the Netherlands in 1999.

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2. FIVE CASES, THREE DEATHS, IN ITALIAN HOSPITAL
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Five cases of Legionnaires' disease occurred in a hospital in Matera, Italy, during the first quarter of this year. All five patients were elderly or HIV-infected; three have died. The report stated that the hospital plumbing system has been disinfected, but nothing was mentioned about a risk assessment or ongoing water treatment.

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3. REVIEW: COURSE ON MICROORGANISMS
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Earlier this month I attended Aerotech's course "The Science Behind Microorganisms" and found it to provide an excellent overview of the subject. The five instructors varied in presentation skills but each demonstrated good knowledge of their subject area. The course covered bacteria, fungi, human illness, bioterrorism agents, medical uses, and industrial uses. For more information, go to http://www.aerotechtraining.com/register.aspx. --MRF

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4. DISCOVERY OF LEGIONELLA
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An interesting article about the discovery of Legionella is posted at http://www.icr.org/headlines/legionnairesdisease.html. It highlights research by Joseph McDade and Carl Fliermans. Many thanks to Denis Green for providing the link to this article.

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5. NEW NSF COURSE ON WATERBORNE PATHOGENS
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NSF International will host the new course "Waterborne Pathogens: Minimizing Risk Associated with Building Water Systems" in conjunction with HC Information Resources Inc. The course will be held May 18, 2004 at NSF's headquarters in Ann Arbor, Michigan (USA).

Kelly Reynolds, Ph.D., an environmental science researcher and public health educator at the University of Arizona, will begin the seminar with an overview of several waterborne pathogens, discussing microbiology, associated illnesses, exposure routes, prevention, water treatment, and control.

Matt Freije will cover government regulations and industry guidelines for Legionella, outlining risk reduction strategies for hospitals, hotels, office buildings, and industrial facilities. Recommendations will be given for implementing preventive measures and disinfection methods, and for reducing legal risk. Attendees will also see television news clips covering outbreaks and prevention.

The tuition of US$445 includes a course manual, copy of Legionellae Control in Health Care Facilities: A Guide for Minimizing Risk, certificate, and 0.6 CEUs.

To register or get more information, telephone NSF at 1-800-673-6275 (734-769-8010 outside the USA), or go to www.nsf.org/cphe or www.hcinfo.com.

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6. NEW ASPE SEMINAR ON LEGIONELLA CONTROL IN PLUMBING SYSTEMS
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The American Society of Plumbing Engineers (ASPE) will present the one-day seminar "Legionella in Plumbing Systems: Protecting Occupants and Reducing Legal Risk" on 13 May in Atlanta, 27 May in Dallas, and 17 June in Randolph (Boston).

Taught by Matt Freije, the workshop will cover background facts about Legionnaires' disease and Legionella bacteria, preventive measures for the design, installation, operation, and maintenance of plumbing systems, and disinfection methods.

The tuition of US$475 includes a course manual, certificate, and 0.6 CEUs. Members of ASPE, PHCC, MCAA, or PCA receive a discount.

For more information, go to http://www.hcinfo.com/seminarplumbing_aspe.htm.

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(c) Copyright 2004, 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
mf@hcinfo.com
--
HC Information Resources Inc.

Tel: 760-494-3063
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