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2. Clinical impact of five large-scale screening projects for chronic hepatitis B in Chinese migrants in the Netherlands

Author

Coenen, Sandra, van Meer, Suzanne, Vrolijk, Jan M, Richter, Clemens, van Erpecum, Karel J, Mostert, Marijke C, Veldhuijzen, Irene K, Reijnders, Jurriën G P, van Soest, Hanneke, Dirksen, Kees, Drenth, Joost P H, Koene, René P M, Bosschart, Maaike, Friederich, Pieter, Ter Borg, Martijn J, Daemen, Rick H P J, Arends, Joop E, Verhagen, Marc A M T, Schout, Christine, Spanier, B W Marcel, Coenen, Sandra, van Meer, Suzanne, Vrolijk, Jan M, Richter, Clemens, van Erpecum, Karel J, Mostert, Marijke C, Veldhuijzen, Irene K, Reijnders, Jurriën G P, van Soest, Hanneke, Dirksen, Kees, Drenth, Joost P H, Koene, René P M, Bosschart, Maaike, Friederich, Pieter, Ter Borg, Martijn J, Daemen, Rick H P J, Arends, Joop E, Verhagen, Marc A M T, Schout, Christine, and Spanier, B W Marcel

Published
2016

3. Clinical impact of five large-scale screening projects for chronic hepatitis B in Chinese migrants in the Netherlands

Author

Unit Opleiding Aios, MS MDL 1, Other research (not in main researchprogram), Cancer, MS Infectieziekten, Infection & Immunity, MS Interne Geneeskunde, Coenen, Sandra, van Meer, Suzanne, Vrolijk, Jan M, Richter, Clemens, van Erpecum, Karel J, Mostert, Marijke C, Veldhuijzen, Irene K, Reijnders, Jurriën G P, van Soest, Hanneke, Dirksen, Kees, Drenth, Joost P H, Koene, René P M, Bosschart, Maaike, Friederich, Pieter, Ter Borg, Martijn J, Daemen, Rick H P J, Arends, Joop E, Verhagen, Marc A M T, Schout, Christine, Spanier, B W Marcel, Unit Opleiding Aios, MS MDL 1, Other research (not in main researchprogram), Cancer, MS Infectieziekten, Infection & Immunity, MS Interne Geneeskunde, Coenen, Sandra, van Meer, Suzanne, Vrolijk, Jan M, Richter, Clemens, van Erpecum, Karel J, Mostert, Marijke C, Veldhuijzen, Irene K, Reijnders, Jurriën G P, van Soest, Hanneke, Dirksen, Kees, Drenth, Joost P H, Koene, René P M, Bosschart, Maaike, Friederich, Pieter, Ter Borg, Martijn J, Daemen, Rick H P J, Arends, Joop E, Verhagen, Marc A M T, Schout, Christine, and Spanier, B W Marcel

Published
2016

4. Clinical impact of five large-scale screening projects for chronic hepatitis B in Chinese migrants in the Netherlands

Author

Coenen, Sandra, primary, van Meer, Suzanne, additional, Vrolijk, Jan M., additional, Richter, Clemens, additional, van Erpecum, Karel J., additional, Mostert, Marijke C., additional, Veldhuijzen, Irene K., additional, Reijnders, Jurriën G. P., additional, van Soest, Hanneke, additional, Dirksen, Kees, additional, Drenth, Joost P. H., additional, Koene, René P. M., additional, Bosschart, Maaike, additional, Friederich, Pieter, additional, ter Borg, Martijn J., additional, Daemen, Rick H. P. J., additional, Arends, Joop E., additional, Verhagen, Marc A. M. T., additional, Schout, Christine, additional, and Spanier, B. W. Marcel, additional

Published
2016
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5. An outbreak of Legionnaires' disease linked to a municipal and industrial wastewater treatment plant, The Netherlands, September-October 2022.

Author

Pijnacker R, Brandsema P, Euser S, Vahidnia A, Kuiter A, Limaheluw J, Schout C, Haj Mohammad G, and Raven S

Subjects
Humans, Netherlands epidemiology, Male, Middle Aged, Aged, Female, Water Purification, Adult, Genotype, Legionnaires' Disease epidemiology, Legionnaires' Disease microbiology, Disease Outbreaks, Wastewater microbiology, Legionella pneumophila isolation & purification, Legionella pneumophila genetics, Water Microbiology
Abstract

Wastewater treatment plants (WWTPs) are increasingly identified as Legionnaires' disease (LD) sources. An outbreak investigation was initiated following five LD cases reported in September 2022 in Houten, the Netherlands. Case identification was based on the European LD case definition, with symptom onset from 1 September 2022, residence in or within 5 km of Houten, or visit to Houten within the incubation period, without other likely sources. We sampled potential sources and genotyped environmental and clinical isolates. We identified 15 LD cases with onset between 13 September and 23 October 2022. A spatial source identification and wind direction model suggested an industrial (iWWTP) and a municipal WWTP (mWWTP) as potential sources, with the first discharging water into the latter. Both tested positive for Legionella pneumophila serogroups 1 and 6 with multiple sequence types (ST). We detected L. pneumophila sg1 ST42 in the mWWTP, matching with one of three available clinical isolates. Following control measures at the WWTPs, no further cases were observed. This outbreak underlines that municipal and industrial WWTPs can play an important role in community LD cases and outbreaks, especially those with favourable conditions for Legionella growth and dissemination, or even non-favourable conditions for growth but with the influx of contaminated water.

Published
2024
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