1. Barriers to effectiveLegionellacontrol in a changing world: a practitioner’s view
- Author
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Edwin John Routledge, K. Clive Thompson, and Aji Peter
- Subjects
0301 basic medicine ,Population ageing ,Environmental Engineering ,Health and safety executive ,Operations research ,biology ,Legionella ,business.industry ,030106 microbiology ,Disease ,biology.organism_classification ,medicine.disease ,Pollution ,Legionella pneumophila ,World health ,03 medical and health sciences ,0302 clinical medicine ,Community-acquired pneumonia ,Environmental health ,Code of practice ,Medicine ,030212 general & internal medicine ,business ,Waste Management and Disposal ,Water Science and Technology - Abstract
Inhalation of aerosols containing Legionella pneumophila, a water-borne bacteria commonly found in natural and manmade water systems, is the main causative agent of Legionnaires’ disease (LD). Approximately 10–15% of all reported cases of LD result in fatality, with susceptibility to the disease being higher in immunosuppressed patients, men over 45 years of age, alcoholics, smokers and individuals with underlying diseases. The World Health Organisation (WHO), European Centre for Disease Prevention and Control (ECDC) and The United Kingdom (UK) Health and Safety Executive (HSE) have implemented a strict code of practice and guidelines to minimise the risk of the public from contracting LD. This paper provides a critical review of these three published guidelines. Evidence suggests that the current detection methods for Legionella, by culture and quantitative polymerase chain reaction (qPCR), show large disparities in the detection and quantification of bacteria in water samples, raising concerns a...
- Published
- 2017
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