Emerging Infectious Diseases (Oct 2018)

Two Community Clusters of Legionnaires’ Disease Directly Linked to a Biologic Wastewater Treatment Plant, the Netherlands

  • Anna D. Loenenbach,
  • Christian Beulens,
  • Sjoerd M. Euser,
  • Jeroen P.G. van Leuken,
  • Ben Bom,
  • Wim van der Hoek,
  • Ana Maria de Roda Husman,
  • Wilhelmina L.M. Ruijs,
  • Alvin A. Bartels,
  • Ariene Rietveld,
  • Jeroen W. den Boer,
  • Petra S. Brandsema

DOI
https://doi.org/10.3201/eid2410.180906
Journal volume & issue
Vol. 24, no. 10
pp. 1914 – 1918

Abstract

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A biologic wastewater treatment plant was identified as a common source for 2 consecutive Legionnaires’ disease clusters in the Netherlands in 2016 and 2017. Sequence typing and transmission modeling indicated direct and long-distance transmission of Legionella, indicating this source type should also be investigated in sporadic Legionnaires’ disease cases.

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