Title |
Legionnaires’ Disease Outbreaks and Cooling Towers, New York City, New York, USA - Volume 23, Number 11—November 2017 - Emerging Infectious Diseases journal - CDC
|
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Published in |
Emerging Infectious Diseases, November 2017
|
DOI | 10.3201/eid2311.161584 |
Pubmed ID | |
Authors |
Robert Fitzhenry, Don Weiss, Dan Cimini, Sharon Balter, Christopher Boyd, Lisa Alleyne, Renee Stewart, Natasha McIntosh, Andrea Econome, Ying Lin, Inessa Rubinstein, Teresa Passaretti, Anna Kidney, Pascal Lapierre, Daniel Kass, Jay K. Varma |
Abstract |
The incidence of Legionnaires' disease in the United States has been increasing since 2000. Outbreaks and clusters are associated with decorative, recreational, domestic, and industrial water systems, with the largest outbreaks being caused by cooling towers. Since 2006, 6 community-associated Legionnaires' disease outbreaks have occurred in New York City, resulting in 213 cases and 18 deaths. Three outbreaks occurred in 2015, including the largest on record (138 cases). Three outbreaks were linked to cooling towers by molecular comparison of human and environmental Legionella isolates, and the sources for the other 3 outbreaks were undetermined. The evolution of investigation methods and lessons learned from these outbreaks prompted enactment of a new comprehensive law governing the operation and maintenance of New York City cooling towers. Ongoing surveillance and program evaluation will determine if enforcement of the new cooling tower law reduces Legionnaires' disease incidence in New York City. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 3 | 33% |
United Kingdom | 1 | 11% |
Unknown | 5 | 56% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 5 | 56% |
Scientists | 2 | 22% |
Science communicators (journalists, bloggers, editors) | 1 | 11% |
Practitioners (doctors, other healthcare professionals) | 1 | 11% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 66 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 14 | 21% |
Researcher | 11 | 17% |
Student > Bachelor | 7 | 11% |
Student > Ph. D. Student | 7 | 11% |
Student > Doctoral Student | 4 | 6% |
Other | 6 | 9% |
Unknown | 17 | 26% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 12 | 18% |
Environmental Science | 6 | 9% |
Nursing and Health Professions | 6 | 9% |
Immunology and Microbiology | 5 | 8% |
Biochemistry, Genetics and Molecular Biology | 4 | 6% |
Other | 15 | 23% |
Unknown | 18 | 27% |