Spain - Madrid - 46 cases of legionnaires disease - 5 fatalities

[Gert van der Hoek]

Machinetranslated - excerpt

An outbreak of Legionnaires' disease leaves one dead and 22 more infected and Retreat Center

24/10/2010

Health inspection services of the Community of Madrid are on alert: In the last week have detected 23 cases of legionnaires' disease. They all have a common link: these people live or work in districts and Retreat Center, which are adjacent to each other.

Identified one patient died on day 19 in the Hospital Gregorio Mara??n. Although the investigation is ongoing and from the Ministry of Health does not want to provide more data than just for security reasons and to avoid social unrest, early indications suggest that the infection point is not in any hospital.

Health has reported to continue for the remainder of the weekend conducting inspections and asking about what is the point of origin of the outbreak. Of course, this is a disease that spreads from person to person. It is also quite likely that more cases are detected during the investigation, the Health Ministry said in a statement.

Read more:

ABC


.
Un muerto y 23 afectados por un brote de legionela en Madrid

La Consejer?a de Sanidad ha activado el protocolo de control y vigilancia de la legionela en la Comunidad de Madrid para investigar 23 casos en vecinos residentes, en su mayor?a, en los distritos de Centro y Retiro de Madrid, que han sido notificados fundamentalmente en los ?ltimos d?as, al Servicio de Epidemiolog?a de la Direcci?n General de Atenci?n Primaria, inform? la Consejer?a de Sanidad.

Una de las personas afectadas falleci? el pasado 19 de octubre en el Hospital Gregorio Mara??n, d?ndose la circunstancia de que presentaba una patolog?a respiratoria grave, e ingres? ya enfermo de legionela.

Sanidad ha inspeccionado las torres de refrigeraci?n del centro hospitalario y guarda las oportunas medidas higi?nico-sanitarias, aunque, a ra?z de este caso se han extremado las medidas de precauci?n. En estos momentos, 20 pacientes permanecen ingresados en hospitales de la Comunidad de Madrid, y dos de los afectados ya han recibido el alta.

leer m?s

.

 

[CopitoSP]

Re: Spain - Madrid - 24 cases and 1 death of legionnaires disease

Re: Spain - Madrid - 24 cases and 1 death of legionnaires disease

The number of legionella cases rises to 24 in the Community of Madrid
One of those infected died on Oc tober 19 at the Hospital Gregorio Mara??n of Madrid capital

So far, twenty-four patients were diagnosed with legionella in the Community
Madrid, one more than he had counted up ste Saturday. The Minister of Health the Community of Madrid, Javier Fern?ndez-Lasquetty, has provided this information after visiting the workshop school basketball Hospital Universitario Ni?o Jes?s.

Fern?ndez-Lasquetty noted that twenty-four cases diagnosed, twenty are
admitted to various hospitals in the Madrid five are in the ICU and
rest on floor.

One of those infected died on Oc tober 19 at the Hospital Gregorio Mara??n, two patients were discharged and the affected quarter did not require hospitalization.

Lasquetty lamented the death of this patient, who was a person of advanced age and had a respiratory illness, aggravated by legionella.

Gregorio Maranon Hospital are admitted six people, four in hospital
Ram?n y Cajal, two in the Hospital de la Princesa, five in the Jim?nez D?az Foundation, one in Hospital de M?stoles, Alcorc?n other in the Foundation and another at the Hospital de Getafe.

All diagnosed cases have in common living or working in the district of Retiro and Centre. Those affected are nineteen men and five women, aged
between 32 and 92 years, with an average of 63 years of age.
"Generally, these patients have associated disease" after before
infected and suffer the legionella pneumonia occurs, explained CEO
Primary Care of the Community of Madrid, Antonio Alemany.



----------------------

[El n?mero de casos de legionella se eleva a 24 en la Comunidad de Madrid
Uno de los infectados falleci? el pasado 19 de oc tubre en el Hospital Gregorio Mara??n de la capital madrile?a


EFE / MADRID
D?a 24/10/2010 - 16.33h


Hasta el momento, se han diagnosticado veinticuatro pacientes con legionella en la Comunidad de Madrid, uno m?s de los que se hab?an contabilizado hasta ste s?bado. El consejero de Sanidad de la Comunidad de Madrid, Javier Fern?ndez-Lasquetty, ha ofrecido estos datos tras visitar la escuela taller de baloncesto del Hospital Universitario Ni?o Jes?s.

Fern?ndez-Lasquetty ha se?alado que de los veinticuatro casos diagnosticados, veinte est?n ingresados en distintos centros hospitalarios de la Comunidad de Madrid cinco en la UCI y el resto en planta-.

Uno de los infectados falleci? el 19 de oc tubre en el Hospital Gregorio Mara??n, otros dos pacientes fueron dados de alta y el cuarto afectado no requiri? hospitalizaci?n.

Lasquetty ha lamentado el fallecimiento de este paciente, que era una persona de avanzada edad y que ten?a una enfermedad respiratoria, agravada por la legionella.

En el Hospital Gregorio Mara??n se encuentran ingresadas seis personas, cuatro en el Hospital Ram?n y Cajal, dos en el Hospital de la Princesa, cinco en la Fundaci?n Jim?nez D?az, una en el Hospital de M?stoles, otra en la Fundaci?n Alcorc?n y otra en el Hospital de Getafe.

Todos los casos diagnosticados tienen en com?n que viven o trabajan en los distritos de Retiro y Centro. Las personas afectadas son diecinueve varones y cinco mujeres, con edades comprendidas entre los 32 y los 92 a?os, con una media de 63 a?os de edad.

"Generalmente, se trata de pacientes que tienen asociada alguna enfermedad" previa antes de contagiarse y sufrir la neumon?a que produce la legionella, ha explicado el director general de Atenci?n Primaria de la Comunidad de Madrid, Antonio Alemany

Source/Fuente: http://www.abc.es/20101024/local-madrid/legionella-veinticuatroafectados-201010241527.html

 

[Gert van der Hoek]

Re: Spain - Madrid - 24 cases legionnaires disease - 2 fatalities

Re: Spain - Madrid - 24 cases legionnaires disease - 2 fatalities

machinetranslated - excerpt

The outbreak of legionnaires' disease detected in the center of Madrid has claimed its second victim

25/10/2010

The outbreak of legionnaires' disease detected in the center of Madrid has claimed its second victim. Another old man died yesterday, 90 years. Also, the health minister, Javier Fernández-Lasquetty, has indicated that the number of cases has increased by three more in the last few hours, up to 27.

One of the newly diagnosed is entered on the ground at the Hospital of Geta faith, the others came to the Princess, but have not required hospitalization. In total, 19 people remain in various hospitals, including three in the ICU. One is quite serious and the other two are stable.

Read more

 

[Gert van der Hoek]

Re: Spain - Madrid - 27 cases legionnaires disease - 2 fatalities

Re: Spain - Madrid - 27 cases legionnaires disease - 2 fatalities

machinetranslated

Detected two more people affected by the outbreak of legionella in Madrid

The Ministry of Health of the Community of Madrid has detected two affected most of legionella in Madrid, bringing to 29 the number of diagnoses.

A total of six patients who remained hospitalized in the outbreak have been discharged while 21 remain hospitalized. For its part, the Ministry of Health has recalled that in Spain were 45 outbreaks of Legionnaires' disease each year and that "even though half of the outbreaks did not identify the cause of the outbreak goes away." After the publication of the thesis that aims to spread contamination and subsequent refrigeration inhaling infected water droplets, the Technical Committee of the National Association of Refrigeration and Cooling (ANEFRYC) has described as "highly unlikely. "

Javier Fern?ndez Lasquetty, the Minister of Health of the Community of Madrid, said that the 29 people already diagnosed, 21 remain hospitalized, six have been discharged and are at home with medication and two have died for this cause. Patients were 20 men and nine women, aged between 30 and 92, and 61% of them have previous pathologies or risk factors.

In addition, Lasquetty explained that can not be taken not to spread because the Legionella is spread by breathing and cooling towers. He recalled that Health has 30 inspectors working morning and afternoon and already inspected 231 facilities, although the result of bacterial culture will not be available until 29.

Read more

 

[Gert van der Hoek]

Re: Spain - Madrid - 31 cases legionnaires disease - 2 fatalities

Re: Spain - Madrid - 31 cases legionnaires disease - 2 fatalities

Two new cases detected of Legionnaires' disease, bringing the total number to 31

MADRID, OCTOBER 27

The health minister, Javier Fern?ndez-Lasquetty, has confirmed the emergence of two new patients affected by legionella, which implies that the total number of cases has risen from 29 in yesterday's 31 on Wednesday.

This was confirmed by the Minister after his participation in a conference organized by the Association of Victims of Medical Malpractice (AVINESA). Of this total of 31 cases, two are deceased, 20 are revenues (of which five are in the ICU and 15 on ground) and nine have been discharged following treatment at home. With the data provided by the Community of Madrid is confirmed that a person has been entered.

Read more

Detectados dos nuevos casos de legionela, lo que asciende el n?mero total a 31

MADRID, 27

El consejero de Sanidad, Javier Fern?ndez-Lasquetty, ha confirmado la aparici?n de dos nuevos pacientes afectados por legionela, lo que implica que el n?mero total de casos ha ascendido de los 29 de ayer a los 31 de este mi?rcoles.

As? lo ha confirmado el consejero tras su participaci?n en una jornada organizada por la Asociaci?n de V?ctimas de Negligencias M?dicas (AVINESA). De ese total de 31 casos, dos corresponden a los fallecidos, 20 son ingresos (de los que cinco est?n en la UCI y 15 en planta) y nueve han sido dados de alta siguiendo el tratamiento en sus domicilios. Con los datos aportados por la Comunidad de Madrid se confirma que una persona m?s ha sido ingresada.

 

[Gert van der Hoek]

Re: Spain - Madrid - 39 cases legionnaires disease - 2 fatalities

Re: Spain - Madrid - 39 cases legionnaires disease - 2 fatalities

Five new cases of Legionnaires' disease affected rise to 39 in Madrid

Madrid - 29/10/2010

Those affected by the outbreak of legionnaires' disease that affects about two weeks at the center of Madrid and is 39. In recent days had been given two or three new infections every day, but the count has made public this week the Ministry of Health shows that in the last few hours have been five new cases diagnosed.

The source of the outbreak is still missing. About thirty of Public Health inspectors are reviewing the facilities that may be contaminated with colonies of Legionella bacteria. To date 438 surveys have been conducted and sent 137 samples of water, Public Health Laboratory for analysis.

read more

 

[Gert van der Hoek]

Re: Spain - Madrid - 40 cases of legionnaires disease - 3 fatalities

Re: Spain - Madrid - 40 cases of legionnaires disease - 3 fatalities

IT STANDS 40 CONFIRMED CASES

Third person died in the outbreak of legionella in Madrid

A 73 year old man has died of Legionnaires' disease outbreak recorded in Madrid and has detected a new case, raising the conditions of the outbreak to 40 cases, said the Ministry of Health of the Community of Madrid.

2010-11-01

http://www.libertaddigital.com/soci...ed: libertaddigital/portada (Libertad Digital)

SE ELEVAN A 40 LOS CASOS CONFIRMADOS

Fallece una tercera persona por el brote de legionela en Madrid

Un hombre de 73 a?os ha fallecido a causa del brote de legionela registrado en Madrid y se ha detectado un nuevo caso, lo que eleva las afecciones del brote a 40 casos, inform? la Consejer?a de Sanidad de la Comunidad de Madrid.

 

[Gert van der Hoek]

Re: Spain - Madrid - 40 cases of legionnaires disease - 3 fatalities

Re: Spain - Madrid - 40 cases of legionnaires disease - 3 fatalities

Another legionella outbreak was reported from the north of Spain: Asturias.

.

 

[Gert van der Hoek]

Re: Spain - Madrid - 40 cases of legionnaires disease - 3 fatalities

Re: Spain - Madrid - 40 cases of legionnaires disease - 3 fatalities

Snip from ABC:


In Spain, some 45 outbreaks of Legionnaires' disease are recorded each year, which affect approximately about 1,400 patients.

.

 

[LaMenchos]

Re: Spain - Madrid - 40 cases of legionnaires disease - 3 fatalities

Re: Spain - Madrid - 40 cases of legionnaires disease - 3 fatalities

PROMED UPDATE LEGIONELLOSIS - SPAIN (05): MADRID

A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org

Date: Sat 13 Nov 2010
Source: Antena 3, Agencia EFE report [in Spanish, trans. Sr.Tech.Ed.MJ,edited]
<URL]http://www.antena3.com/noticias/espana/quinta-victima-epidemia-legionella-madrid_2010111300001.html[/URL]

According to reports from the Madrid Health Council, last 1 Nov 2010,
a person died in Madrid as a result of legionellosis, bringing the
number of deaths to 5 since the onset of this outbreak, which has
affected so far a total of 46 [other] people.

The 5th victim was an 87-year-old man whose symptoms began on 26 Oct
2010. He was admitted on 1 Nov 2010 in the emergency department at the
Fundacion Jimenez Diaz and died the same day.

The epidemiological confirmation of this case was made on 8 Nov 2010,
added the Health Council, which has sealed another 8 cooling towers
due to high _Legionella_ contamination, bringing to 12 the number of
sealed towers. The 8 newly sealed cooling towers are located in Gran
Via 29, Preciados 18, Jordan 11, Paseo de los Melancolicos 1, Arenal
4, Arenal 7; Puerta del Sol 11, and Peciados 32.

Of the 46 cases of legionellosis in the outbreak, 30 have been
discharged, 7 remain hospitalized (including 4 in the medical ward and
3 in the ICU), and 4 have not required hospitalization. This is in
addition to the 5 deaths recorded.

Of the 46 [surviving] cases, 2 have been recorded this week [week of 8
Nov 2010], one of them with symptoms since 8 Nov 2010, and the other
since 26 Oct 2010.

From the moment when the outbreak was reported, the Madrid Health
Council, according to the General Subdivision of Environmental Health
intervention protocol for legionellosis, ordered the cleaning of all
the towers that were inspected, and samples were taken from 179 of
them. The council is awaiting more test results of the cultures taken
during inspections and continues its inspection and control
activities. To date, 736 inspections have been carried out. Of the
culture results available, 122 have tested negative and 31 positive
for _Legionella pneumophila_ serogroup 1.

In addition, the protocol for control and monitoring of legionellosis
in the community of Madrid remains active in order to further
investigate the possible link between cases and the potential exposure
to a common source of infection.

--
Communicated by:
HealthMap Alerts via ProMED-mail
<promed@promedmail.org>

[Legionellosis is an infectious disease caused by a Gram-negative
bacillus of the genus _Legionella_, most commonly _Legionella
pneumophila_. Legionnaires' disease is the acute pneumonic form of the
disease. Pontiac fever is a non-pneumonic form of legionellosis that
is less severe than Legionnaires' disease and develops from hours to 2
days after initial infection, with fever, malaise and muscle aches.

Legionnaires' disease, and presumably Pontiac fever, is acquired by
inhalation of an infectious dose of aerosolized _Legionella_. Water
temperatures of 25-40 C (77-104 F) support the highest concentrations
of the organism in water storage tanks of plumbing systems.
Aerosolization of the contaminated warm water can occur in showers,
spa pools, sprays in groceries, fountains, and cooling towers. Why
some persons exposed to contaminated aerosols develop Legionnaires'
disease and others develop Pontiac fever is unknown.

Genotyping _L. pneumophila_ of patient and environmental isolates
should be done to confirm epidemiologic linkages. Identical genotypes
among patient isolates in an outbreak would suggest that there is a
common source. However, in a recent legionellosis outbreak in Wales,
UK, each clinical isolate was genetically distinct, which suggested
that multiple sources were responsible (see ProMED post Legionellosis,
fatal - UK (03): (Wales) 20101014.3725). Because _Legionella_ species
are commonly found in the environment even in the absence of illness,
matching the genotypes of clinical isolates with those of possible
environmental sources helps identify the environmental sources that
have given rise to the cases.

Madrid is the capital and largest city of Spain. The population of the
city is about 3.3 million (2009) and that of the metropolitan area
(urban area and suburbs) is nearly 6.5 million. It is the 3rd most
populous municipality in the European Union after London and Berlin
(http://en.wikipedia.org/wiki/Madrid).

The HealthMap/ProMED-mail interactive map of Spain can be accessed at

http://healthmap.org/r/01Dt. - Mod.ML]