scholarly journals Did Municipal Water Distribution System Deficiencies Contribute to a Legionnaires’ Disease Outbreak in Quincy, IL?

2020 ◽  
Vol 7 (12) ◽  
pp. 896-902
Author(s):  
William J. Rhoads ◽  
Tim Keane ◽  
M. Storme Spencer ◽  
Amy Pruden ◽  
Marc A. Edwards
2010 ◽  
Vol 15 (39) ◽  
Author(s):  
A Trop Skaza ◽  
L Beskovnik ◽  
A Storman ◽  
S Ursic ◽  
B Groboljsek ◽  
...  

We report an outbreak of Legionnaires' disease in a nursing home in Slovenia in August 2010 affecting 15 of 234 residents. To date, Legionnaires' disease has been confirmed in four patients. Further serum analyses and genotyping of isolates are ongoing. The building's water distribution system with dead end sections has been identified as the probable source of infection.


2015 ◽  
Vol 42 (4) ◽  
pp. 250-258 ◽  
Author(s):  
Megan J. Liu ◽  
Stephen Craik ◽  
David Z. Zhu

Predicting disinfectant concentrations in water distribution systems using water quality models requires the input of the wall decay coefficient of the disinfectant. In this study, field water sampling data was integrated with network hydraulic and water quality model simulations of a section of the municipal water distribution system in the City of Edmonton, composed of predominantly cast iron piping, to determine a wall decay coefficient for combined chlorine (chloramine). Unique combined chlorine wall decay coefficients that provided the best fit of model-predicted chlorine concentrations to the field data were determined at two temperatures. Using the determined wall decay coefficients, the water quality model can be used to predict combined chlorine concentrations.


2009 ◽  
Vol 137 (12) ◽  
pp. 1713-1720 ◽  
Author(s):  
D. WERBER ◽  
D. LAUŠEVIĆ ◽  
B. MUGOŠA ◽  
Z. VRATNICA ◽  
L. IVANOVIĆ-NIKOLIĆ ◽  
...  

SUMMARYOn 24 August 2008, an outbreak alert regarding cases of acute gastroenteritis in Podgorica triggered investigations to guide control measures. From 23 August to 7 September, 1699 cases were reported in Podgorica (population 136 000) and we estimated the total size of the outbreak to be 10 000–15 000 corresponding to an attack rate of ~10%. We conducted an age- and neighbourhood-matched case-control study, microbiologically analysed faecal and municipal water samples and assessed the water distribution system. All cases (83/83) and 90% (89/90) of controls drank unboiled chlorinated municipal water [matched odds ratio (mOR) 11·2, 95% confidence interval (CI), 1·6–∞]. Consumption of bottled water was inversely associated with illness (mOR 0·3, 95% CI 0·1–0·8). Analyses of faecal samples identified six norovirus genotypes (21/38 samples) and occasionally other viruses. Multiple defects in the water distribution system were noted. These results suggest that the outbreak was caused by faecally contaminated municipal water. It is unusual to have such a large outbreak in a European city especially when the municipal water supply is chlorinated. Therefore, it is important to establish effective multiple-barrier water-treatment systems whenever possible, but even with an established chlorinated supply, sustained vigilance is central to public health.


2007 ◽  
Vol 28 (8) ◽  
pp. 1009-1012 ◽  
Author(s):  
Zhe Zhang ◽  
Carole McCann ◽  
Janet E. Stout ◽  
Steve Piesczynski ◽  
Robert Hawks ◽  
...  

In a 30-month prospective study, we evaluated the efficacy of chlorine dioxide to control Legionella organisms in a water distribution system of a hospital with 364 patient beds and 74 skilled nursing beds. The number of hot water specimens positive for Legionella organisms decreased from 12 (60%) of 20 to 2 (10%) of 20. An extended time (18 months) was needed to achieve a significant reduction in the rate of Legionella positivity among hot water specimens. At the time of writing, no cases of hospital-acquired Legionnaires disease have been detected at the hospital since the chlorine dioxide system was installed in January 2003. Use of chlorine dioxide was safe, based on Environmental Protection Agency limits regarding maximum concentrations of chlorine dioxide and chlorite.


2015 ◽  
Vol 119 ◽  
pp. 660-668 ◽  
Author(s):  
Sanda-Carmen Georgescu ◽  
Andrei-Mugur Georgescu ◽  
Remus Alexandru Madularea ◽  
Vlad-Florin Piraianu ◽  
Anton Anton ◽  
...  

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