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Community-acquired Legionnaires' Disease in Nottingham – too many cases?

Published online by Cambridge University Press:  23 December 2003

W. S. LIM ,
R. SLACK ,
A. GOODWIN ,
J. ROBINSON ,
J. V. LEE ,
C. JOSEPH  and
K. NEAL
W. S. LIM
Affiliation:
Respiratory Medicine, Nottingham City Hospital, Hucknall Road, Nottingham NG5 1PB
R. SLACK
Affiliation:
Nottingham Health Protection Unit, Standard Court, Nottingham NG1 6GN
A. GOODWIN
Affiliation:
Nottingham Health Protection Unit, Standard Court, Nottingham NG1 6GN
J. ROBINSON
Affiliation:
Nottingham Health Informatics Service, 1 Standard Court, Nottingham NG1 6GN
J. V. LEE
Affiliation:
Water and Environmental Microbiology Reference Unit, Health Protection Agency, 61 Colindale Avenue, London NW9 5EQ
C. JOSEPH
Affiliation:
Communicable Disease Surveillance Centre, Health Protection Agency, 61 Colindale Avenue, London NW9 5EQ
K. NEAL
Affiliation:
Division of Public Health Sciences, University of Nottingham Medical School, Clifton Boulevard, Nottingham NG7 2UH
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Abstract

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The aim of this study was to compare the incidence of community-acquired Legionnaires' Disease in Nottingham with England and Wales and to explore reasons for any difference observed. Based on data from the National Surveillance Scheme for Legionnaires' Disease (1980–1999), the rate of infection in England and Wales was 1·3 per million/year compared with 6·6 per million/year in Nottingham. Domestic water samples were obtained from 41 (95%) of 43 Nottingham cases between 1997 and 2000. In 16 (39%) cases, Legionella sp. were cultured in significant quantities. Proximity to a cooling tower was examined using a 1[ratio ]4 case-controlled analysis. No significant difference in the mean distance between place of residence to the nearest cooling tower was noted (cases 2·7 km vs. controls 2·3 km; P=0·5). These data suggest that Nottingham does have a higher rate of legionella infection compared to national figures and that home water systems are a source.

Type
Research Article
Information
Epidemiology & Infection , Volume 131 , Issue 3 , December 2003 , pp. 1097 - 1103
Copyright
2003 Cambridge University Press