ABSTRACT
BACKGROUND: An explosive outbreak of Legionnaires' disease (LD) was identified on 11 December 2015 in Manzanares, Ciudad Real, Spain, and was declared closed by 03 February 2016. The number of declared cases was 593 with 277 confirmed cases so that it can be considered as one of the outbreaks with highest attack rate. This rate could be attributed to the ageing of the population, among others, in addition to various risk factors and habits, and the meteorological conditions (thermal inversion) maintained in this municipality at the time. The Public Health Services succeeded in breaking the bacterial transmission. Several facilities were early identified by microbiological analysis, including a cooling tower and a decorative fountain, as possible infectious sources. Rapid analytical techniques for rapid Legionella detection and the shutdown and preventative closure of positive installations have been considered key elements in the control of this outbreak. RESULTS: Rapid microbiological analysis helped to the early identification of potential risk sources in a Legionnaires´ disease outbreak, reducing decision-making processes according to the actual needs of the intervention in public health and shortening the exposure of the population. CONCLUSIONS: Protocolized and immediate intervention in an outbreak is a crucial issue to reduce their effects on public health. For this, identification and control of the suspicious sources able to disseminate the bacteria and cause the illness is required. Rapid analytical techniques like immunomagnetic separation (IMS) method based on the whole bacterial cell detection are shown as excellent tools to investigate all the potential sources of risk.
Subject(s)
Biosensing Techniques/methods , Disease Outbreaks , Disease Reservoirs/microbiology , Environmental Monitoring/methods , Legionella pneumophila/isolation & purification , Legionnaires' Disease/epidemiology , Aged , Disease Reservoirs/statistics & numerical data , Early Diagnosis , Environment , Environmental Microbiology , Humans , Immunoassay/methods , Legionella pneumophila/immunology , Legionnaires' Disease/microbiology , Public Health/methods , Risk Factors , Spain/epidemiology , Water MicrobiologyABSTRACT
Tapered roller bearings can accommodate high radial loads as well as high axial loads. The manufacturing process consists of machining processes for ring and component assembly. In this contribution, the parameters of influence on the measurement procedure were studied. These parameters of influence were classified as environmental, process, and machine parameters. The main objective of this work was to optimize the process using real-time measurements, which required the study of the influence of several parameters on the measurement uncertainty and how to correct their effects.
