Community acquired legionnaires' disease: lessons for surveillance from recent outbreaks

摘要

Ever since the recognition of the clinical syndrome of epidemic atypical pneumonia and the identification of the causative role of legionella organisms, legionnaires' disease has posed considerable logistical problems for public health services. Outbreaks continue to occur and may be explosive, high profile, and difficult to control despite appropriate tactical mobilisation and cooperation between the statutory organisations charged with surveillance and response. Hospital water systems initially featured as important preventable sources of legionella and a risk to susceptible groups, but nosocomial cases are now uncommon in the United Kingdom because of the successful implementation of proactive control measures directed towards reducing the risk from hot water and cooling systems.