Two Community Clusters of Legionnaires' Disease Directly Linked to a Biologic Wastewater Treatment Plant, the Netherlands

A biologic wastewater treatment plant was identified as a common source for 2 consecutive Legionnaires' disease clusters in the Netherlands in 2016 and 2017. Sequence typing and transmission modeling indicated direct and long-distance transmission of Legionella, indicating this source type shou...

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Veröffentlicht in:	Emerging infectious diseases 2018-10, Vol.24 (10), p.1914-1918
Hauptverfasser:	Loenenbach, Anna D, Beulens, Christian, Euser, Sjoerd M, van Leuken, Jeroen P G, Bom, Ben, van der Hoek, Wim, Husman, Ana Maria de Roda, Ruijs, Wilhelmina L M, Bartels, Alvin A, Rietveld, Ariene, den Boer, Jeroen W, Brandsema, Petra S
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Aged, 80 and over Comorbidity Disease Outbreaks Dispatch environmental exposure Female Genetic aspects Geography, Medical Hospitalization Humans Legionella pneumophila Legionnaires' disease Legionnaires' Disease - epidemiology Legionnaires' Disease - transmission Male Middle Aged Netherlands Netherlands - epidemiology Public Health Surveillance Risk factors Seasons Sewage treatment Two Community Clusters of Legionnaires’ Disease Directly Linked to a Biologic Wastewater Treatment Plant, the Netherlands Waste Management Waste Water - microbiology Water Microbiology waterborne diseases
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Zusammenfassung:	A biologic wastewater treatment plant was identified as a common source for 2 consecutive Legionnaires' disease clusters in the Netherlands in 2016 and 2017. Sequence typing and transmission modeling indicated direct and long-distance transmission of Legionella, indicating this source type should also be investigated in sporadic Legionnaires' disease cases.
ISSN:	1080-6040 1080-6059
DOI:	10.3201/eid2410.180906