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Two Community Clusters of Legionnaires' Disease Directly Linked to a Biologic Wastewater Treatment Plant, the Netherlands.
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.
Emerg Infect Dis ; 24(10): 1914-1918, 2018 10.
Article in English | MEDLINE | ID: mdl-30226165

ABSTRACT

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.


Subject(s)
Legionnaires' Disease/epidemiology , Waste Management , Wastewater/microbiology , Water Microbiology , Aged , Aged, 80 and over , Comorbidity , Disease Outbreaks , Female , Geography, Medical , Hospitalization , Humans , Legionnaires' Disease/transmission , Male , Middle Aged , Netherlands/epidemiology , Public Health Surveillance , Seasons
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