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Italy: 878 pneumonia cases in Brescia province, legionella bacterium in the cooling towers

Falling pneumonia but hospital departments are full

Mantua Cases are falling say a little 'everyone and everywhere talking about the epidemic of pneumonia that hit in particular the provinces of Mantua and Brescia. All the doctors in Poma say so, where patients with pneumonia continue to arrive, and they are hospitalized all over the place, but especially in the Departments of Medicine, Emergency Medicine and Infectious Diseases. Twenty new hospitalizations during the past weekend compared to as many cases a day last week; in short, this epidemic will also be declining, but given the numbers, one should think that it is falling from figures much higher than the official ones. A "falling spike" of cases of pneumonia that in the last weekend also involved Bresciano, where on the day before yesterday, on Sunday, 33 new accesses were registered.

http://www.vocedimantova.it/articoli/6465794/Polmoniti-in-calo-ma-reparti-pieni-
 
[h=1]Legionella in Bresciano, reclamation started in the three companies suspected of the epidemic[/h]
Brescia, 19 September 2018 - Work in progress to sanitize the cooling towers of the three companies from which the abnormal wave of pneumonia and legionella in the lower Brescia region would have started. The paper mill of the Churches of Montichiari, the Acciaierie di Calvisano and the Gkn Wheels of Carpenedolo were reached, already on Monday evening, by the ordinances signed by the mayors of their respective municipalities, with the obligation to clear the towers within 72 hours to neutralize the health risks. The ordinances were drafted immediately after the results of the first analyzes of Ats Brescia had detected the presence of legionella in 9 samples out of 10 taken from the three subsidiaries. According to the director general of Ats Brescia, Carmelo Scarcella, the situation in Brescia is a case that "has no evidence in the international scientific literature, new in terms of size and mode of development".

Scarcella specifies that that of the towers for now is only a working hypothesis and that therefore there is no certainty that "they are responsible for the incident. It 'possible that they are - he explained - but we still have to analyze the weather data that allow us to understand if the emissions have moved in time in the direction of those municipalities that have been particularly affected by the episodes of pneumonia. It is not excluded that other cooling towers of neighboring municipalities may have made their contribution, so that Ats has extended the sampling to those known (there is, in fact, a monitoring). A series of concomitant factors such as high temperatures and a period of stoppage of plants, may have caused the water in the tanks to stagnate, creating a favorable situation for the reproduction of bacteria. The presence of legionella bacterium, alone, however, would not be enough to determine a contagion of such dimensions. An answer will come from the analysis of the winds. Among the hypotheses, there is also that the contagion could have started from a tower, and that from there, always the winds, may have spread the bacterium to the others, lighting more foci.

https://www.ilgiorno.it/brescia/cronaca/legionella-polmonite-1.4191758
 
[h=1]Pneumonia, ATS data: 43 people positive for legionella, almost 200 patients[/h]
It seems to be decreasing, at the level of cases, the epidemic of pneumonia that for a couple of weeks has been affecting the Bassa Bresciana and the Alto Mantovano. On Monday 17 September, with the results of the sampling carried out by the ATS, it was established that the epidemic is due to the cooling towers of some companies - positive for Legionella - in the Municipalities of Montichiari, Carpenedolo and Calvisano. So you get rid of the waters of the aqueducts that, right up to the other side, had come under the magnifying glass. The same ATS of Brescia then, after having definitively clarified the causes, continues with the daily collection and analysis of reports of cases of pneumonia, provided by public and private hospitals in the territories of ATS Brescia and ATS Valpadana. The data of last night, Tuesday, September 18, said this: 43 people positive to the legionella, 22 new accesses to the Emergency Room (including 5 at the ATS Valpadana), 14 admissions (including 4 at the ATS Valpadana) and 198 patients.

http://www.bsnews.it/2018/09/19/polmonite-dati-ats-legionella-positive-degenti/
 
[h=1]Contagion from Legionella, new suspected cases[/h]
The investigations are still ongoing to clarify the causes of the epidemic of pneumonia that is affecting the territory of Brescia. In these days access to the emergency rooms of the hospitals of Brescia and Mantua have decreased, but yesterday there have been more than 15 registered, with 12 new admissions. The cases of contagion from Legionella instead amounted to 43, with four people who had been hospitalized in serious conditions but which are now being improved. In the list of cases still to be clarified are added three friends who a few weeks ago went fishing in an artificial lake at Acquafredda. Under observation in a hospital in Mantua there is a 60-year-old woman from Asola: her case is suspect. The last established, however, is that of a 30 year old from Calcinato who works in a supermarket in Montichiari.

http://www.bsnews.it/2018/09/20/contagio-legionella-nuovi-casi-sospetti/
 
[h=1]Pneumonia, another dead: he was 57 years old and lived between Brescia and Mantua[/h] Pavia, September 21, 2018 - Another died of pneumonia. He is a 57-year-old from Remedello, in the province of Brescia, admitted to San Matteo di Pavia. Even if only the results of the analysis can ascertain whether it is the fault of the legionella bacteria, which since the beginning of September has caused a peak of infections, even fatal, in the eastern Lower Brescia and in the Alto Mantovano. The country of residence of the victim is one of the municipalities affected by the epidemic of bacterial pneumonia. The patient arrived at the hospital in Pavia fifteen days ago, after being admitted to Mantua, due to the aggravation of the conditions, so much so that the use of the ECM for extra-body breathing was essential. But the man died at dawn yesterday. On Wednesday, however, a 90-year-old resident in the province of Brescia died in the Mantua area. To date, in the area between the Bassa Bresciana and Mantovano, there are 450 accesses for pneumonia occurred in the emergency room and 45 confirmed cases of legionella with two deaths due to the bacterium.

https://www.ilgiorno.it/brescia/cronaca/polmonite-legionella-morto-1.4194980
 
[h=1]Remedello cries two deaths killed by pneumonia[/h]
it raises to to 5 the number of victims caused by the epidemic of pneumonia who does not want to learn to loosen the grip on the Bassa. To the sad and disturbing list (the first to die was an 85 year old from Carpenedolo for bacterial pneumonia, then a 69 year old from the village of Mezzane di Calvisano for legionella and finally a 68 year old from Roe Volciano for suspected legionella) two inhabitants of Remedello were added. Gianfranco Bignozzi, 57, was hospitalized in serious condition on September 3 at the Carlo Poma hospital in Mantua due to bacterial pneumonia. Subsequently, due to the worsening of health conditions, he had been transferred urgently to the hospital of Pavia. Here, on the night between Wednesday and Thursday, he died in the intensive care unit. BIGNOZZI, well-known and known to Remedello with affectionate fondness as "Bengio" or "Benjamin", already had some health problems and bacterial pneumonia compromised his clinical picture.

http://www.bresciaoggi.it/territori...ge-due-morti-uccisi-dalla-polmonite-1.6769493
 
[h=1]Pneumonia, the epidemic continues: another nine cases in the province of Brescia[/h]
The Brescia Healthcare Agency continues with the daily collection and analysis of reports of pneumonia cases, provided by public and private hospitals in the territories of ATS Brescia and ATS Valpadana. To date, 20 September, there are 45 people with a positive legionella. There were nine new emergency room accesses and in six cases it was necessary to admit the seriousness of the health conditions. Currently, in Brescia, there are 151 people admitted to hospitals with pneumonia. Furthermore, in the last days there has been a case of suspected death due to the disease.

http://www.bsnews.it/2018/09/20/pol...nove-casi-in-provincia-di-brescia/?refresh_ce
 
[h=1]Pneumonia, two more victims. Towers in companies sanified[/h]
If it were legionella, it would be the youngest victim in Bresciano: 57 years. But there is no evidence to say that the man from Remedello, who died yesterday at the Pavia hospital, died of legionella infection. Certainly the death is related to severe pneumonia: as reported by the health authorities, until yesterday the 57 year old was not on the list of 45 patients suffering from pneumonia and at the same time positive results in the legionella test.

In the meantime, in the meantime, the 72 hours granted to the companies of Calvisano, Carpenedolo and Montichiari have expired to sanitize the cooling towers that were positive for Legionella bacteria. We do not know the bacterial concentration found by the technicians who performed the samples, but the health authorities trust that in this way we can stop the airborne contamination: the bacterium, in fact, can infect humans only by air, not drinking infected water .

As is well known, in fact, the Ats of Brescia has also found positive results in the taps of 17 homes, but in these cases the low boiler temperature or the negligence of the pipes could play a role. At the water network - wells and aqueducts - all the analyzes conducted so far were negative. The technicians and sanitary workers continue to work, without excluding the hypothesis of expanding the number of sanitation towers.

Since the beginning of the pneumonia epidemic, the number of pneumonia sufferers between Brescia and Mantova has exceeded four hundred. Several were treated at home, with antibiotics. Five deaths for pneumonia are five: a 69-year-old woman from Mezzane di Calvisano (positive to the bacterium), a 68-year-old who died at the Gavardo hospital, a 84-year-old woman from Carpenedolo and then the last two victims - the 90-year-old died in Mantua and the 57-year-old died in Pavia - both excluded from the list of patients with positive legionella tests. The prognosis for the 29-year-old Ro? Volciano admitted to the hospital in Monza or for a 43-year-old from Remedello in Monza, whose mother is admitted to Desenzano, has not been resolved.

https://brescia.corriere.it/notizie...de-52dfd4c4-bd7d-11e8-92b2-6ab34b2db80e.shtml
 
Pneumonia in Brescia: 13 in the emergency room, 8 hospitalized in the last hours


There were 13 people arrived in the emergency room today, and 8 new admissions for pneumonia in Bresciano. This was announced by the Health Protection Agency of Brescia, which continues with the daily collection and analysis of reports of cases of pneumonia, provided by public and private hospitals in the areas of Ats Brescia and Ats Valpadana. To date there are no new cases of positivity to Legionella, according to the Ats reporting also that "today have been carried out new sampling of water". On the killer pneumonia the Brescia prosecutor's office has long opened an investigation, while the Welfare Minister Gallera last week indicated in the cooling towers of some companies the cause of the legionella.

https://milano.repubblica.it/cronaca...eri-207184285/
 
The epidemic of pneumonia is close to 500 cases: Legionella may not be the only cause

The reassurance of recent days collide with the reality of the facts. The epidemic of pneumonia that hit the provinces of Brescia and Mantua in Lombardy in particular since the beginning of September shows no sign of abating: the cases have reached a peak of 500. And they bring with them the uncertainty about the causes of contagion. Legionella, the bacterium considered the only one responsible, has so far been ascertained only in 45 of the 485 people affected by bacterial pneumonia.
In addition, more detailed investigations have "cleared" the paper mill of Lake Garda in Montichiari, Brescia, in whose cooling tower in recent days the Health Protection Agency had said it had traces of bacteria. And so, as written by the mayor of Montichiari Mario Fraccaro in a post, we came back in a certain sense to the starting point: "The Ats Brescia has just announced that the insights on the cooling tower West of the paper mill of Chiese have yielded negative and therefore ordered that the undersigned revokes the contingency and urgent sanitation recently issued against the company - wrote the first citizen in a post two days ago - We note this decision, but 14 days after the outbreak of the 'epidemic we are back to the starting point: therefore we are waiting for the solutions that Ats Brescia will want to provide as soon as possible about the pneumonia emergency to reassure our populations.

continua su: https://milano.fanpage.it/epidemia-...legionella-potrebbe-non-essere-la-sola-causa/
http://milano.fanpage.it/
 
[h=1]Four children admitted to the Civil hospital[/h]
The epidemic does not stop, on the contrary. For the first time since the beginning of the health emergency there have been cases of bacterial pneumonia among children: four small patients, aged between six and eight years and residing in the Bassa, are admitted to the Civil Pediatrics ward. In the last 24 hours, another 13 bacterial pneumonia were diagnosed, but no other legionella positivity was recorded. The number of people infected by the bacterium thus breaks through five hundred

http://www.bresciaoggi.it/territori/città/quattro-bambini-ricoverati-all-ospedale-civile-1.6776661
 
Health, pneumonia in Brescia: legionella confirmed in cooling towers

"The results of the surveys on the sampling carried out by Ats Brescia concerning the cooling towers of some companies in the Brescia area gave positive results to Legionella. In detail, 8 samples were positive on the 9 positive results initially, relating to the companies of the Municipalities of Carpenedolo and Calvisano. However, investigations continue to establish all the possible causes of the over 500 cases of registered pneumonia ". To take stock of the final results of the surveys carried out on the cooling towers of some companies in the Lower Bresciana region of eastern Italy, the Lombardy Region Councilor for Welfare, Giulio Gallera, also communicates an update on new access to the emergency rooms in the area: 26 (of which none in the territory of the Ats Valpadana). The admissions are instead 20 (none of Ats Valpadana), while the patients are a total of 132. And to date there are no new cases of positivity to Legionella.


Per approfondire http://www.meteoweb.eu/2018/09/sanit...8z6rPbY0sRS.99
 
[h=1]Legionella alarm, up to 3 today's infections[/h]
No sampling today, but confirmation of 3 new legionella infections. The Health Protection Agency of Brescia continues with the daily collection and analysis of reports of cases of pneumonia (and legionella), provided by public and private hospitals in the territories of ATS Brescia and ATS Valpadana.
Last data 25 September
"To date, September 25th there are 3 new cases of positivity to Legionella (of which 2 ATS Brescia and 1 ATS Valpadana - this is a patient for whom the investigations have detected the presence of legionellosis after admission)". positive cases and 17 access to the emergency room in the area, with 11 admissions and 132 in total patients.
 
„Pneumonia epidemic: 2 more suspicious deaths, and is a boom for new patients“

„Alarm pneumonia, new surge in access to the emergency room: after a few days of relative calm are 26 new cases recorded only Monday, twice what happened on Sunday. All in Brescia hospitals, with 20 new patients and a total of 132 patients. For the first time, the epidemic broke through 500, with 524 cases detected since early September. Of these there are 45 Legionella positive, with no new case, at least in the last days.“



„But in the meantime the Public Prosecutor's Office is already investigating two other deaths, considered as "suspicious deaths": they were two people from the Lower Brescia area (and its surroundings) who died from respiratory problems, perhaps from pneumonia. The deputy prosecutor Maria Cristina Bonomo is taking care of the matter: at the moment no more detailed information is available. The news that the death of a newborn in Manerbio could in some way be connected to the emergency was denied.“


https://www.bresciatoday.it/cronaca/...e-notizie.html
 
[h=1]Pneumonia: no legionella infection in the last 24 hours[/h]
Pneumonia, the epidemic is in the process of regression: no legionella infection confirmed in the last 24 hours. This is confirmed by the Ats health director, Fabrizio Speziani, who confirmed the continuous and incessant search for the cause of the contagion. To date, there are 14 people who came to the emergency room, of which 6 were hospitalized. 118 are present throughout the patients. The results of the analysis on the fourth cooling tower are also negative, which means that there are only two in which the legionella bacteria have been identified.

https://www.giornaledibrescia.it/st...o-da-legionella-nelle-ultime-24-ore-1.3303214
 
[h=1]Legionella, endless emergency: hospitalized 2 children with pneumonia[/h] The pneumonia emergency that has been keeping the eastern Bassa in check for more than 20 days does not seem to stop: the number of infected reached 541. Seventeen people who have already come to the emergency room in the last hours, including 11 hospitalized. In total, 132 patients are still in hospital beds. And while there are three new cases of positivity to legionella (out of a total of 48), worries the news that two children - one of Rezzato and the other of Botticino - are in turn admitted for bacterial pneumonia. ?The Region creates a task-force to study the cases? is the invitation of the regional councilor Gianantonio Girelli (Pd).

https://brescia.corriere.it/notizie...7c-11e8-bcc0-6fbb0e9f9aa8.shtml?refresh_ce-cp
 
[h=1]Pneumonia epidemic, another suspicious death[/h]
They do not seem destined to cease the concerns of the citizens of Brescia regarding the epidemic of pneumonia that is affecting the province. While the proportions of the contagion increase daily, which has largely exceeded 500 cases, another death has been recorded in the last hours. A 70-year-old man from Castenedolo died at the Poliambulanza. It is specified, however, that the elder was already hospitalized for another disease, even if this tragic epilogue had not been hypothesized. Now we will have to wait for an autopsy to understand the causes of death, which seems to be due to some respiratory complications. The latest updates confirm that there are at least 14 people with bacterial pneumonia who have accessed the emergency rooms of the hospitals of the Bassa and in the city. For six patients hospitalization was necessary, while all others were discharged with a home-based therapy.

http://www.bsnews.it/2018/09/27/epidemia-polmonite-morte-sospetta/
 
[h=1]Pneumonia, the cause is in a form of legionella more rare?[/h]
The ASL has ceased to spread to the newspapers the data on new cases of legiolella and pneumonia registered in the province of Brescia. But the epidemic shows no sign of stopping, and at the same time the analysis of the technicians in search of the sources of contagion continues. And a breakthrough could finally be close. According to what was published by the Bresciaoggi newspaper, in fact, in some patients the same type of legionella found in the cooling towers of the two companies of Carpenedolo and Calvisano was found. Not serogroup 1, responsible for nine out of ten cases in Italy, but serogroup 2-14, much rarer. Only rumors, for now, but that could give a new direction to the investigation of the health authorities.

http://www.bsnews.it/2018/09/29/polmoniti-la-causa-e-in-una-forma-di-legionella-piu-rara/?refresh_ce
 
[h=1]The bacterium hunting continues in the stratums[/h]
Valerio Morabito "The epidemic is in decline, but we must identify the sources of the spread to prevent similar episodes in the future". The director general of AST of Brescia Carmelo Scarcella personally wanted to reassure the population and illustrate the massive mobilization of health authorities in the health emergency that has hit the Lower East since the beginning of September. It is no coincidence that he did so during a meeting in the council chamber of Calvisano, one of the countries most affected by bacterial pneumonia and legionella, two diseases that have overlapped complicating the situation. Scientific certainties are beginning to emerge on the legion of the legionnaire's disease

http://www.bresciaoggi.it/territori/la-caccia-al-batterio-prosegue-nelle-falde-1.6792531
 
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