A Review of national legionellosis surveillance in Australia, 1991 to 2000
DOI:
https://doi.org/10.33321/cdi.2002.26.45Keywords:
legionellosis, legionnaires’ disease, surveillance, Legionella longbeachae, Legionella pneumophilaAbstract
A study was undertaken to analyse legionellosis notifications for the period 1991 to 2000 to establish the distribution of legionellosis in Australia with the aim of identifying risk factors amenable to public health intervention. Legionellosis notification rates ranged from 0.6 cases per 100,000 population in 1991 to 2.5 cases per 100,000 population in 2000. Notifications were highest in autumn (March to May). Sixty-nine per cent of cases were males. At-risk population included those aged over 50 years. The upward trend in notification rates of legionellosis indicated that this disease remains a significant public health problem particularly among older people. Seasonal differences in notification rates require further investigation to develop appropriate prevention and control strategies. To have a better understanding of the epidemiology of legionellosis, further information is needed on smoking history, chronic illnesses, whether the notification is outbreak-related and the species of Legionella isolated. Commun Dis Intell 2002;26:462-470.
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Fraser DW, Tsai TR, Orenstein W, Parkin WE, Beeham HJ, Sharrar RG, et al. Legionnaires' disease: description of an epidemic of pneumonia. New Engl J Med 1977;297:1189-1197.
Harkness J, Wright R, Hayes J, Bryant D, O'Connell B. Legionnaires' disease. Med J Aust 1978;2:266.
Barlett C, Macrae A, Mcfarlane J. Legionella infections. London: Edward Arnold; 1986.
Fliermans C. Philosophical ecology: Legionella in historical perspective. In: Thornsberry et al, ed. The 2nd International Symposium, American Society of Microbiology. Washington: 1984:285-289.
Kuritsky J, Reingold A, Hightower A, Broome C. Sporadic legionellosis in the United States 1970-1982. In: Thornsberry, et al, eds. The 2nd International Symposium, American Society for Microbiology. Washington: 1984.
Bhopal RS, Fallon RJ. Variation in time and space in non-outbreak Legionnaires' disease in Scotland. Epidemiol Infect 1991;106:45-61.
Stout JE, Yu VL, Muraca P, Joly J, Troup N, Tompkins LS. Potable water as a cause of sporadic cases of community-acquired Legionnaires' disease. New Engl J Med 1992;326:151-155.
Bhopal RS, Fallon RJ, Buist EC, Black RJ, Urquhart JD. Proximity of the home to a cooling tower and risk of non-outbreak Legionnaires' disease. BMJ 1991;302:378-383.
Muder RR, Yu VL, Fang GD. Community-acquired Legionnaires' disease. Semin Respir Infect 1989;4:32-39.
Marston BJ, Lipman HB, Breiman RF. Surveillance for Legionnaires' disease. Risk factors for morbidity and mortality. Arch Intern Med 1994;154:2417-2422.
Curran M, Herceg A. Surveillance in CDI. Commun Dis Intell 1997;21:5-9.
National Health and Medical Research Council. Surveillance case definitions. Canberra: Australian Government Publishing Service; 1994.
Stout JE, Yu VL. Legionellosis. New Engl J Med 1997;337:682-687.
Formica N, Tallis G, Zwolak B, Carnie J, Beers M, Hogg G, et al. Legionnaires' disease outbreak: Victoria's largest identified outbreak. Commun Dis Intell 2000;24:199-202.
Surveillance of notifiable infectious diseases in Victoria 2000. Melbourne: Victorian Department of Human Services; 2000:27-28.
Chin J, ed. Control of Infectious Diseases Manual 17th ed. Washington: American Public Health Association; 2000.
Adhikari P, Summerill A. 1998 National Drug Strategy Household Survey. Canberra: Australian Institute of Health and Welfare; 2000:6.
Cameron S, Roder D, Walker C, Feldheim J. Epidemiological characteristics of Legionella infection in South Australia: implications for disease control. Aust N Z J Med 1991;21:65-70.
Bell JC, Jorm LR, Williamson M, Sharw NH, Kazandjian DL, Chiew R, et al. Legionellosis linked with a hotel car park - how many were infected? Epidemiol Infect 1996;116:185-192.
Christley S, Rubin G, Christopher P. Legionnaires' disease. Sydney: Epidemiology and Health Services Evaluation Branch, New South Wales Health Department; 1989.
Christopher PJ, Noonan LM, Chiew R. Epidemic of Legionnaires' disease in Wollongong. Med J Aust 1987;147:127-128.
Levy M, Westley-Wise V, Blumer C, Frommer M, Rubin G, et al. Report on Legionnaires' disease in South-Western Sydney, April 1992. Sydney: South-Western Sydney Area Health Service Public Health Unit, New South Wales Health Department; 1992.Top of page
McDonald L. Master of Applied Epidemiology theses. National Centre of Epidemiology and Population Health. Canberra: Australian National University; 1995:38-39.
Colbourne J, Dennis P. The ecology and survival of Legionella pneumophila. Journal of the Institute of Water and Environmental Management 1989;3:345-350.
Bhopal RS, Fallon RJ. Seasonal variation of Legionnaires' disease in Scotland. J Infect 1991;22:153-160.
Breiman RF, Cozen W, Fields BS, Mastro TD, Carr SJ, Spika JS, et al. Role of air sampling in investigation of an outbreak of Legionnaires' disease associated with exposure to aerosols from an evaporative condenser. J Infect Dis 1990;161:1257-1261.
Garbe PL, Davies BJ, Weisfeld JS, Markowitz L, Miner P, Garrity F, et al. Nosocomial Legionnaires' disease. JAMA 1985;254:521-524.
Glick TH, Gregg MB, Berman B, Mallison G, Rhodes WW Jr, Kassanoff I. Pontiac fever. An epidemic of unknown etiology in a health department: I. Clinical and epidemiologic aspects. Am J Epidemiol 1978;107:149-160.
Bercovier H, Fattal B, Shuval H. Seasonal distribution of Legionellae isolated from various types of water in Israel. Isr J Med Sci 1986;22:644-646.
Broadbent C. Developments in Australia to control Legionella. ASHRAE 1997;97:258-264.
Pinna G. A 21-month review of Legionella and Standard Plate Count analyses of cooling tower water. AIRAH Journal 1994;48:31-35.
Broadbent C, Bentham R, Marwood L. A model to explain autumn outbreaks of Legionnaires' disease associated with small cooling towers. AIRAH Journal 1994;48:19-30.
Addiss DG, Davides JP, Wand PJ, McKinney RM, Gradus MS, Martins RR. Two cases of community-acquired Legionnaires' disease: evidence for association with a cooling tower. J Infect Dis 1989;159:572-575.
McDonald L. Master of Applied Epidemiology theses. National Centre of Epidemiology and Population Health. Canberra: Australian National University; 1995:40.
Cowell N. Legionella pneumophila: deaths linked to heated spa. Environmental Health Bulletin 1995;1:1-2.
Jalaludin B, Goldthorpe I, Chow C, Liddle J, Shaw N, Capon A. Legionnaires' disease outbreak in Western Sydney. Commun Dis Intell 1995;19:114-115.
Surveillance of notifiable infectious diseases in Victoria 1996. Melbourne: Victorian Department of Human Services; 1996.
South Australian Health Commission. Infectious and notifiable diseases in South Australia: annual summary 1996. Adelaide: 1996:33-37.
Tallis G. Surveillance of notifiable infectious diseases in Victoria 1998. Melbourne: Public Health Division, Victorian Department of Human Services; 1998:31-34.
Brown J, Hort I, Bouwman R, Capon A, Bansal N, Goldthorpe I, et al. Investigation and control of a cluster of cases of Legionnaires' disease in western Sydney. Commun Dis Intell 2001;25:63-66.
Surveillance of notifiable infectious diseases in Victoria 1999. Melbourne: Victorian Department of Human Services; 1999:21-22.
NSW Health Department. Infectious diseases, NSW March 1999. NSW Public Health Bulletin 1999;10:22.
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