An outbreak of the bacterial infection, Legionnaire’s disease, has sickened more than a hundred (120) and killed four people in the central Portuguese region of Vila Franca de Xira, a municipality in the Lisbon District, according to the head of Portugal’s health board, Francisco George.
Many of the cases are being treated in Lisbon.
The Portuguese authorities are seeking out the source of the outbreak. Samples have been taken from the area’s drinking water supply and disinfection of water tanks has been ordered. The Secretary of State for Health has warned the population to avoid taking showers or using Jacuzzis or hot-tubs until the source of the infection has been identified.
Legionnaires’ disease gained national notoriety in 1976 when the Centers for Disease Control and Prevention (CDC) discovered it during an epidemic of pneumonia among American legion members at a convention in Philadelphia.
The causative organism is the bacteria, Legionella pneumophila. Other species have also been implicated in Legionnaires’ disease. The legionella bacteria are found throughout nature, because of this most people become exposed to it but few develop symptoms.
The primary place in nature it’s found is water sources particularly at warmer temperatures; lakes, rivers and moist soil.
It is also found in man-made facilities (frequently the source of outbreaks) such as air-conditioning ducts and cooling towers,humidifiers,whirlpools and hospital equipment.
People get exposed through inhaling infectious aerosols from these water sources. There is no transmission from person to person.
The infection can appear in two clinical forms: Legionnaires’ disease and Pontiac fever.
Both conditions are typified by headache, fever, body aches and occasionally abdominal pain and diarrhea.
Legionnaires’ disease is the cause of pneumonia where a non productive cough is typical. Fatality rates of this form of the infection are around 15 % even with improvements in treatment.
Pontiac fever is a self limiting flu-like illness that does not progress to pneumonia or death. Diagnosis is usually made by typical symptoms in a outbreak setting.
Diagnosis of Legionnaires’ disease depends on identifying the bacteria in microbiological culture, detecting the antigen in urine samples or a fourfold increase in antibody titer.
Certain health conditions make you more susceptible to infection to include increasing age, smoking, chronic lung disease, malignancy and diabetes mellitus.
Legionnaires’ disease is treatable with antibiotics.
To following things can be done as preventive measures: cooling towers should be drained when not in use and cleaned to remove scale and sediment and biocides can be used to limit bacterial growth. Tap water should not be used in respiratory therapy devices.
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