A community outbreak of Legionnaires' disease associated with a cooling tower in Vic and Gurb, Catalonia (Spain) in 2005

Eur J Clin Microbiol Infect Dis. 2009 Feb;28(2):153-9. doi: 10.1007/s10096-008-0603-6. Epub 2008 Aug 28.

Abstract

We report the investigation of a community-acquired outbreak of Legionnaires' disease. An epidemiological, environmental, and meteorological investigation was undertaken. Fifty-five cases were reported in October and November 2005. The exposure occurred in a large area, with 12 cases (21.8%) located between 1,800 and 3,400 metres from the source. Water sample cultures showed that Legionella pneumophila serogroup 1 (Lp-1) was present in five cooling towers in two industrial locations in Gurb (plants A and B). Two Lp-1 strains were recovered from plants A and B, but only Lp-1 strains from plant A showed a pulsed-field gel electrophoresis (PFGE) profile identical to those obtained from three of the cases. Inspection of the cooling towers in plant A revealed inadequate maintenance. Weather conditions in October 2005, with mostly high temperatures and high humidity, together with the flat terrain could have been favouring factors. This study showed a community outbreak from a cooling tower as a common source in a large area. Climate and terrain could explain the dissemination of contaminated aerosols.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Air Microbiology
  • Community-Acquired Infections / epidemiology*
  • Community-Acquired Infections / etiology
  • Community-Acquired Infections / microbiology
  • Disease Outbreaks*
  • Electrophoresis, Gel, Pulsed-Field
  • Female
  • Humans
  • Legionella pneumophila / genetics
  • Legionella pneumophila / isolation & purification*
  • Legionnaires' Disease / epidemiology*
  • Legionnaires' Disease / etiology
  • Legionnaires' Disease / microbiology
  • Male
  • Middle Aged
  • Models, Statistical
  • Normal Distribution
  • Risk Factors
  • Spain
  • Surveys and Questionnaires
  • Water Microbiology
  • Weather