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Legionella E-news -- 21 July 1999

LEGIONELLA E-NEWS
HC Information Resources Inc.

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**IN THIS ISSUE**
1. Outbreaks update
2. New Legionella Electronic Source Directory
3. Plastics injection molding alert
4. Paper on Legionella-like amebal pathogens (LLAPs)--LLAPs may be the
cause of some of the 250,000 pneumonia cases of unidentified origin that occur each year in the U.S.

1. OUTBREAKS UPDATE   return to contents list

---Hospital, Havre de Grace, Maryland, USA, 5 cases, 3 deaths --- 
Five cases have been identified since 26 June. Three patients have died. Investigators believe that the hospital's hot-water system was the source.

---Hotel, Belgium ---
Four cases (age range 42 to 86 years) have been identified. Each of the four had stayed at least one night in the same hotel. 

--Spa resort, Spain ---
Two confirmed and six suspected cases of Legionnaires' disease were identified among people who were staying at a natural spa resort in the province of Guipúzcoa between 1 and 22 May 1999.

--Flower show, The Netherlands, Mar. 1999 ---
Update: As of 28 June 1999, Dutch health authorities confirmed that 242 people who visited the large flower show near Amsterdam became ill and 28 died. The strain of Legionella found in a whirlpool spa that was on display at the show was identical to that found in some of the patients.

For more information on these outbreaks, visit http://www.hcinfo.com/outbreaks-news.htm

2. New Legionella Electronic Source Directory   return to contents list
This international directory is a compilation of all our Legionella publication source directories--updated--plus more. Listings, as applicable, include the organization name, contact name, address, telephone, fax, e-mail address, and web site address. The directory works like a web page--you can click on an e-mail address to send a message, or click and go instantly to a web site. You can save the directory on your computer. No special software is needed. Categories include: Laboratories that culture environmental samples for Legionella, Consultants, Attorneys experienced in handling Legionnaires' cases, Government agencies, Professional societies, Thermostatic master control valves and antiscald fixtures, Thermometer for checking water temperatures, Dip slide suppliers, Disinfection systems for plumbing systems and industrial applications (Copper-silver ionization, Ultraviolet, Ozone), Sampling supplies, Products used by laboratories for culturing, Rapid urinary antigen test for L pneumophila serogroup 1. The source directory downloads in about 20 seconds (download time depends on your modem and other variables). Price: US$11. 

3. Plastics injection molding alert   return to contents list
(US) OSHA issued a Health Hazard Alert recently regarding Legionnaires' disease risk from plastics injection molding. The alert is posted at http://www.osha-slc.gov/OshDoc/HIB_data/HIB19981209.html . (Many thanks to Kevin Cummins for bringing this to our attention.)

4. Paper on Legionella-like amebal pathogens (LLAPs)   return to contents list
In "Legionella-Like Amebal Pathogens--Phylogenetic Status and Possible Role in Respiratory Disease" (EID Vol 2, No. 3, 1996), authors Adenike

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If you have suggestions regarding content of this newsletter--or any other suggestions--please let us know at mailto:hcinfo@hcinfo.com. We appreciate feedback!

Technical questions or comments on Legionella can be sent to hcinfo@hcinfo.com, or directly to Matt Freije, mf@hcinfo.com.

Thank you!

--
HC Information Resources Inc.

Tel: 800-801-8050 (US and Canada) or 760-494-3063
Fax: 800-290-1967 (US and Canada) or 619-839-3166
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