SPAIN


Sant Pau deals with a case legionella

after registering a death in August The patient contracted the disease by cause that is not known outside the hospital, although in August another patient became infected in the center

BARCELONA.

A man of about 75 years the past entered weekend in the hospital of Sant Pau of Barcelona affected by  legionella.
The patient contracted the infection so that she is not known, entered in urgencies and one was diagnosed pneumonia caused to him by this bacterium. Now one is entered in the unit of intensive cares, according to confirmed sources of the hospitable center.
In principle, one is an isolated case that some does not have to tolerate alarm, unlike the outbreaks that have been detected in Vigo or Alcoy in the last weeks. Nevertheless, the case remembers the risk of infection by this micro-organism.
The past month of August, another person passed away of  legionella  in the same hospital of Sant Pau. In that case one was a patient who entered by another cause and that contracted the infection in the hospital.
The center adopted the measures of pertinent disinfection and prevention and also water samples were analyzed in agreement with the Municipal Institute of Salut (IMS) of the City council, according to sources of the hospital and of the IMS.
According to the hospital, it does not know itself how that was originated I infect, but more cases have not occurred, reason why it occurs like closed. In this sense, the hospital needed that the infected second, that entered this week, does not have anything to do with the first case, because I infect by the bacterium has been extra hospitable.
Sant Pau assures that it communicated the case day 23 to the IMS, although sources of the municipal institute assure that any case of legionella does not consist  to them from August.
When being a tactical mission it is difficult to investigate and to determine which could be the origin of I infect of the bacterium
In Barcelona usually they occur very few cases of  legionella . One calculates that ten to the year are detected about, and not in form of epidemic, but of isolated way, according to sources informed into the IMS.



15th November 2000

Outbreak of legionella in Barcelona

Seventeen people have admitted the hospital of the Sea, five of them in the UCI
All the affected ones live in a same zone of the Barceloneta, but the exact origin of the infection is still not known. The City council requests that alarmism does not become

BARCELONA

A outbreak of  legionella  detected in the district of the Barceloneta has caused the entrance of 17 people in the hospital of the Sea in the last days. Thus Joan confirmed it yesterday Guix, manager of Institute Municipal of Salut Pública (IMSP), who assured that to the closing of this editing five of the patients they were in the unit of intensive cares (UCI), four very serious them and one outside danger. The other twelve affected remained stable in conventional hospitable plants. All the affected ones, eight women and nine men, have ages between the 50 and 92 years.

The manager of the Institute did not discard " some type of mortality between the infected ones ". Sources next to the case indicated that one of the patients who are in the UCI he very had the deteriorated health because of cardiovascular problems. The 17 victims, indicated a municipal spokesman, already suffered some ailment before seeing themselves infected by this outbreak of  legionella .

According to Guix, the income of the people " with symptoms of pulmonary " began to take place does " two or three days ". The mentioned sources indicated that the hospital notified Monday the detection of the infection, since  legionella  is a disease of obligatory declaration.
A person in charge of the center of primary attention of the Barceloneta declared: In last the two weeks we have sent to the patient diverse hospital of the Sea with symptoms of pneumonia, but we do not know if the tests have finally given the result about which it was cases of  legionella

From the City council it was insisted on which  alarmism does not become , because  the outbreak has been detected and all the possible one is becoming to control it ". The great problem, as the own Guix recognized, is that the investigation is in its initial phase and still is not known where can be the original center of this infection. " At the moment - a note official of the City council indicated has not identified no common cause between these cases and the investigation continues. "

The affected ones reside in one of the zones of the Barcelona near the beach, but it has discarded that are neighbouring of a same building. Epidemiologic of IMSP, which he is the one that assumes in these cases the investigation, are verifying the circumstances of each one of the patients reason why so much to its house as to the work place talks about. Also one is studying to his relatives and their scope of relations. One of the hypotheses considered by these investigators is that I infect can have produced by the contact with a zone of works.

When the journalists asked to him yesterday what precautions can take that live in the affected zone, the manager of the Municipal Institute of the Salut recommended that " those that have the most fragile health they carry far his care and attention ". Conseller of health, Eduard Rius, added that all the measures of monitoring and control have settled down to that forces a outbreak of < legionella .



Mortal victim of legionella  in Tarragona

A neighbour of Calafell of 41 years, Pere Andreu Juncosa, died this week in the hospital Sant Pau i Santa Tecla de Tarragona affected by  legionella . The people in charge of the hospital discard that a possible outbreak of this disease takes place, since to this patient disease 27 of October was detected to him the past and since then - surpassed the ten days of incubation of  legionella  any other case has not been registered.



15th November 2000

There is no epidemic risk Legionella no cause great epidemics. It appears in form of isolated cases (like the one of the man who died the week last in Calafell) or of outbreaks (like the one of the month last in Vigo). Even in the zones where the outbreaks take place (like now in the Barceloneta), the risk from which a person is infected is very low. If the infection gets to take place, sends with antibiotics in the great majority of the cases.



16th November 2000
Alarm in the city
IF all news on an infectious outbreak is worrisome and causes alarm in the public opinion, the information generated in the district of the Barceloneta, where already there is a considerable number of affected of legionella >, do not escape, evidently, to this rule. Nevertheless, and in spite of the importance of the case, it is necessary to state that neither we are before an epidemic nor we were unprotected. The bacterium  Legionella  pneumophila , cause of the call  disease of the legionary, although propagates with facility and is infectious does not cause great epidemic contagious, according to the accumulated experience from its discovery in the United States in 1976. On the other hand,  legionella  is sensible to the processing with antibiotics, like most of pneumonias, and only in people previously affected of other ailments or with little resistance before the disease it can be mortal. We are, then, before sensible and delicate, but no dramatic nor alarming a problem.
At the present time, the Catalan health authorities do not know the concrete origin of the outbreak of  legionella, but they are already working to locate it.
It could happen, even, that the alarm was surpassed without it was known exactly why east episode has taken place. Without going more far, in last October there was already a similar outbreak in Galicia and today still we do not know its origin, but the disease is controlled and this is what matters.
Not to remember that in the very same palace of Buckingham the same problem in December of a pair ago of years was detected. The malignant bacterium had lodged, nothing less, than in the deprived bath of Isabel II Then we knew that every year 200 cases of legionella in  Great Britain take place about, as there are them also in other European countries.
So the necessary thing in these cases is a quick reaction of the health authorities, clear information, like which already it is occurring, to the population, and serenity in the public opinion. Here and now it does not have to lack none of these factors.


16th November 2000

Barcelona

Two of the infected ones are very serious and the doctors fear for the one life
since aerosol is an effect reason why it has been possible to transfer by the air. The work radius is ample ". No of the experts alluded to other possible reasons of the outbreak, like the hypothesis of works or to the possible effect of some boat beached in the port.
The confidence in the opinion of the epidemiologists is so much that the mayor Joan Close indicated that the outbreak of legionella  is communitarian  and tie to  some installation of the surroundings of the district .
The mayor of the city showed his confidence in which  soon  the origin will be detected and guaranteed that all the means have been put so that the infection does not become general. Clos wanted to tranquilize the citizens: " the health services are working with all correction, as much from the point of view epidemiologist like of attention.

The 17 cases registered until the night of Tuesday became 23 in the morning of yesterday. Hours later, the number of entered in the hospital of the Sea, only health center in which is infected by  legionella according to the IMSP, ascended up to 33. All the affected ones by this outbreaks, of which 13 are women and 20 men, have ages between the 47 and 92 years.



Legionella  came from the conditioned air

The experts say that the center that already has affected 33 people was " precise "

The epidemiologists analyse 15 cooling towers in the Barceloneta like possible origin of the center that last night had caused 33 confirmed cases

BARCELONA
Message of calm. People in charge of the Municipal Institute of Salut Pública (IMSP) and of the Department de health combined their forces to tranquilize the Barcelonian and, mainly, to the neighbours of the Barceloneta. The outbreak of  legionella  detected in the marine district of the city had caused until last night the hospitable entrance of 33 people, two of very serious them. The studies of the epidemiologists aim that the infection must water  precise  to a polluting steam transmission. This transmission, that apparently already is inactive, was originated in a cooling tower of some conditioned air installation
The scientists have reached the conclusion that only there was  a unique and precise exhibition  by the characteristics of the registered contagious: all have taken place in a same zone and in a term of very concrete time, it makes a pair of weeks, since the period of incubation of the   Legionella  pneumophila " oscillates between eight or ten days.  If it had had more than a exhibition, the cases would have occurred of staggered way more ", indicate the specialists.
A doubt shade, nevertheless, projected on this reassuring speech, whose spokesmen were Lluís Salleras, chief of a main directorate of Public Salut of the Department de health, and Joan Guix, manager of the IMSP. Although it seems certain the origin of the outbreak, which is not clear is where that origin is located. The objective now is to find the cooling tower " contagious ". The task will not be easy, recognized Salleras and Guix during the press conference celebrated yesterday in conselleria.  the center looks for , said Lluís Salleras. the towers are being analyzed, but the zone is relatively ample ", emphasized Joan Guix.
In the meetings that maintained with ocal representatives, the health authorities communicated to them that they have detected 15 cooling towers that will be reviewed to try to know if one of them is the cause of the outbreak. In these informative sessions one explained the residents of the Barceloneta that the origin of the infection can be in badly a maintenance of these apparatuses or in the water storage in some of them.
The confidence in the opinion of the epidemiologists is so much that the mayor Joan Clos indicated that the outbreak of legionella  is communitarian  and tie to  some installation of the surroundings of the district . The mayor of the city showed his confidence in which  soon  the origin will be detected and guaranteed that all the means have been put so that the infection does not become general. Clos wanted to tranquilize the citizens:  the health services are working with all correction, as much from the point of view epidemiologist like of attention



16th November 2000
Between the outbreak and the endemic disease
Legionella  is an infection originated by a bacterium that nests in the respiratory apparatus. Its origin usually is in humid and dirty places, and it propagates by water steam. Their symptoms are similar to those of the influenza. When two cases, it is considered that occur it is a outbreak.  legionella has an endemic incidence in Catalonia, Spain and the world ", according to Lluís Salleras, chief of a main directorate of the Department de health.
Thus, in 1999 223 isolated cases in Catalonia were registered. This year, until the outbreak of the Barceloneta, the things went better since the number was of 119. The immediate precedent was in January of 1999 when two workers in the port died. In 1994 there was a outbreak in the Example.



16th November 2000

The infection causes to disagreement and preoccupation in the Barceloneta

The health authorities inform and tranquilize to the neighbours in a meeting with organizations in the civic center

BARCELONA - Water, conditioned air, legionella , hospital... These were the words that yesterday, inevitably, were hunted to the flight in the conversations in the Barceloneta. The neighbours expressed their disagreement by the center of the infection and their restlessness so that this one extended and gave more contagious.  Goes if we are worried, without knowing from where it comes! They say that it is a bacterium that originates itself in conditioned air or water conductions in badly been or in a work... can be in many points. We do not know what to think , a woman in an unexpected social gathering in a bar of the Salamanca street commented. " But we are not either going away to lock up in house in group of forty. Preoccupation? yes, hysteria? not ", it added another



A BACTERIUM SOWING the ALARM the confirmed cases and the possible ones
The fear to I infect collapse urgencies of the hospital of the Sea in spite of the calm message
Relatives of patients assure not to include/understand how the contagious occurred and that the symptoms began days ago

BARCELONA. (Writing.) - To the daughter of Solitude the tears escape to him. Her mother, of 79 years, is admitted the hospital of the Sea Is one of the people affected by the outbreak of legionella > detected in the Barceloneta, although the doctors assure that he is not serious. The mother of Raquel hopes impatient in urgencies of the same health center. Her daughter only is 25 years old but for a pair of weeks she has been presenting/displaying symptoms of pulmonary perhaps or of pneumonia, she is one  legionella . That was the doubt of the attending physician that has sent them to the hospital so that they make tests to the young person. The service of urgencies of the hospital of the Sea collapse by the fear to I infect myself infectious. In the health center, in the last two days, analyses have been carried out numerous to confirm possible cases just arrived, as well as entered others of with pneumonia.

" we are collapsed, is people who come by her account because she fears that the respiratory fever or problems that suffer they are < legionella > and also, before the doubt, the doctors of primary send many cases to us ", explained the personnel of urgencies. In the waiting room, like the mother of Raquel, they are the son and the daughter-in-law of Julian, of 82 years. " We lived next to the Citadels, which would seem remote of the center, but the doctor has said to us that we come to do tests to him ", indicate.

The daughter of Solitude is obstinate to comment the situation, although the known neighbours and ask to him time and time again for their mother.  he did not suffer disease some; he made a pair of weeks that one was bad and yesterday (the day before yesterday) the case was confirmed , explains. The woman knows that < legionella  usually is originated in conditioned air or water conduits with bad maintenance, but assures that she does not include/understand how her mother infected itself: " If as soon as she left house , she comments.

All the families of the affected ones were made the same question yesterday: how she could infect itself? " a epidemiologist of the City council me asked it and I think it and it does not happen oneself to me how , it says Car to me. His husband, Manuel, of 66 years, is another one of the hospitalized ones. Day 6 entered, when already three days ago it felt bad.  We went to urgencies and first they said to us that pulmonary had to be one, but the same day they confirmed that he was < legionella . They said I that he was very bad and that did not do illusions to me , explains the wife. Yesterday, Car to me she was more contented within its preoccupation because the previous day his husband had left the unit of intensive cares.  Anyway, the doctors say that he will have to continue in the hospital at least a month , he adds.

But, Car to me she is not calm.  My husband it questions was healthy, so it can affect anyone and if it could happen once, how to know that it will not be repeated "

The health authorities made yesterday a call to the calm. Joan Guix, manager of the Municipal Institute of Salut Pública (IMSP), requested that  social alarm is not created , because the center  already has disappeared ". Lluís Salleras, chief of a main directorate of health, assured that " the repetition of the causes is not probable that have caused this outbreak , emphasized that  people must eat and drink with tranquility  and solicited that  the healthy  people do not go to the doctor before the fear to a hospitable collapse.  one is a outbreak within normality, is not exceptional. " The own hospital of the Sea spread an official notice in which it reiterated the health personnel who does not exist risk of I infect  person to person ".
 ========================
16th November 200

 In the streets of the Barceloneta he was not spoken yesterday of another thing that not outside legionella

In the administration of lottery number 56 of the Baluard street, in the heart of the Barceloneta, not very far from the market of the district, a man dressed in a black and grey Chantal and a hung ri6nonera of the shoulder it gives his version of the facts before the animated concurrence:

 This comes from the pipes that are removing. Good, in the end they are going to us to throw to all of here, and are going to make houses new. To the time.

The sky is encapotado and the newspapers have finished in a moment today in the kiosks of the zone. All the neighbours do not share the referred theory of the conspiracy. Two housewife's refute it:

If she must take to us, she will take, already you see to us.

 they have said that she only makes damage to greater and very ill people.

Resigned fatality and selective optimism. The menestral and popular Barceloneta takes the threat from < legionella with the same philosophy of the life that made the merenderos disappear possible. There where  break  was possible to make that at noon, that the new executives have replaced by a vegetal bocata and half an hour of yoga. The salesman of chucherías of the street Almirall Cervera had never seen so many equipment of television by these payments, but specially she is not alarmed. There is people eating with all normality in the bars and restaurants. They speak of the subject and is as if they already had it dominated. Today the faith is in antibiotics.

Baudrillard, that has teorizado on the virulence and the contemporary prophylaxis with regard to real and virtual epidemics, would have to come to see this and to prove prawns to the plate. This outbreak still is entirely modern, not posmoderno. It is a bacterium, not a virus. Most of bacteria they have processing, but not all the virus. A municipal detective is only necessary that she finds the center soon polluting. The one of the chándal knows it clearly:

 you will already see how the excavators will come!



16th November 2000
 

A BACTERIUM SOWING the ALARM the reaction of the neighbours

The infection causes to disagreement and preoccupation in the Barceloneta

The health authorities inform and tranquilize to the neighbours in a meeting with organizations in the civic center

BARCELONA - Water, conditioned air, legionella , hospital... These were the words that yesterday, inevitably, were hunted to the flight in the conversations in the Barceloneta. The neighbours expressed their disagreement by the center of the infection and their restlessness so that this one extended and gave more contagious.  Goes if we are worried, without knowing from where it comes! They say that it is a bacterium that originates itself in conditioned air or water conductions in badly been or in a work... can be in many points. We do not know what to think , a woman in an unexpected social gathering in a bar of the Salamanca street commented.  But we are not either going away to lock up in house in group of forty. Preoccupation? yes, hysteria? not ", it added another lady.

In the seat of the market and, in fact, in all the streets, corrillos formed. The certainties were mixed with the rumours. " it is not a poisoning that it has to do with the food; they say that it is originated in the water, although it is not infected drinking, it is possible to be drunk calmly , it assured a neighbour. " They say that there is a case in the street Admiral Cervera , it pointed another one.  They say that one of the family of the jewellery shop and another one of the bar , a neighbour added. " the peluquera for days pneumonia has been having one, now they do not know if he will be  legionella , explained another neighbour in the monopoly While are not contagious in the school, it said another one, expressing a common fear. In the street Walls, Admiral Barceló, the Salamanca street, Atlàntida... The outbreak seems that it leaves a drip of cases by all the district, a zone that to the neighbours feels like to them very ample to find out the center of the infection. Although the authorities do not relate the center to the harbour activity, some neighbour yes blamed to the proximity of the port remembering a outbreak that was in a boat, as well as the alarm by the soybean dust.  Perhaps never we will know what has caused the infection, the important thing is that there are not more cases... ", resigned a man.



16th November 2000

The fear to I infect collapse urgencies of the hospital of the Sea in spite of the calm message
Relatives of patients assure not to include/understand how the contagious occurred and that the symptoms began days ago

BARCELONA.

To the daughter of Solitude the tears escape to him. Her mother, of 79 years, is admitted the hospital of the Sea Is one of the people affected by the outbreak of legionella  detected in the Barceloneta, although the doctors assure that he is not serious. The mother of Raquel hopes impatient in urgencies of the same health center. Her daughter only is 25 years old but for a pair of weeks she has been presenting/displaying symptoms of pulmonía perhaps or of pneumonia, she is one legionella . That was the doubt of the attending physician that has sent them to the hospital so that they make tests to the young person. The service of urgencies of the hospital of the Sea collapse by the fear to I infect myself infectious. In the health center, in the last two days, analyses have been carried out numerous to confirm possible cases just arrived, as well as entered others of with pneumonia.

All the families of the affected ones were made the same question yesterday: how she could infect itself?  a epidemiologist of the City council me asked it and I think it and it does not happen oneself to me how , it says Car to me. His husband, Manuel, of 66 years, is another one of the hospitalized ones. Day 6 entered, when already three days ago it felt bad. We went to urgencies and first they said to us that pulmonía had to be one, but the same day they confirmed that he was  legionella . They said I that he was very bad and that did not do illusions to me , explains the wife. Yesterday, Car to me she was more contented within its preoccupation because the previous day his husband had left the unit of intensive cares. Anyway, the doctors say that he will have to continue in the hospital at least a month


16th November 2000

It alerts in all Spain
The main directorate of Public Health of the Ministry of Health and Consumption has been put in contact with the different autonomic councils to recommend that preventive measures are adopted before the possible appearance of new outbreaks of legionella , after the detected ones in Vigo (Galicia), Alcoy (Valencia) and now in Barcelona. Minister Celia Villalobos remembered that the communities have total competitions in public health and that the ministry is limited coordination workings from the Interterritorial Council (participated by the ministry and the autonomic councils). Villalobos thought that the administrations implied in the last I appear " have taken the opportune measures



Legionella  will take one week in being controlled
Thirty and eight affected, plus other two people in observation

BARCELONA
The dripping of patients by legionella  in the harbour district of the Barceloneta is growing, without the health authorities know how to put brake to this strange outbreak. Last night there were 38 people already entered the hospital of the Sea by this disease, to the margin of other two cases in other hospitals that was not known if they comprise of the same outbreak. In this context, the manager of the Municipal Institute of Public Salut, Joan Guix, only guessed right to say that until within one week it will not be possible to be said that the outbreak totally is controlled.
During ten hours the optimism in the municipal hospital reigned yesterday. Urgencies continued to top before the affluence of people who feared to have infected, but seemed that the outbreak no longer gave more of himself. This optimism became cloudy at night when they were ended up more confirming five cases, until reaching the number of 38 entered. Of the other two cases, one corresponds to a woman in Viladecans, that until five days ago lived in the Barceloneta, reason why the relation seems assured. The other case is investigated and could be one of which usually they occur isolated.
One did not inquire into the hospital where it was detected.
The epidemiologist reiterated that there is no risk of I infect to drink water. At the same time, they were applied thoroughly in the overhaul of an area in a radius of 1.5 kilometres around the heart of the Barceloneta, in search of the center of the infection. Until they had discarded yesterday like center 12 of the 19 investigated cooling towers. Also they gathered samples of water in seven points. Although they locate the center in a strip between the hospital of the Sea and the breakwater, the area that they review is ampler and includes buildings like the Arts hotel and the Maremàgnum.



 



17th November 2000

Rius will register the risk facilities and promises periodic controls
BARCELONA. 

 Before the alarm that has shot the outbreak of legionella  by the risks of the refrigeration facilities - considered the origin commonest of these infections , conseller of health, Eduard Rius, it reacted yesterday with an unusual rapidity. It announced that it will impel a norm that will include a census of existing facilities of risk in Catalonia, as well as the obligation of periodic controls from the health point of view. Thus, it is wanted to reinforce the present norm, more directed to guarantee aspects like the good maintenance or an environmental quality, according to the chief of a main directorate of Public Salut, Lluís Salleras.

health anticipates to process the norm in about three months, counting on the collaboration of the city councils and consellerias of Medi Ambient and Industrial, although which it is it is to carry far the guarantees of public health. According to Salleras, the idea is that the risk facilities register of propagating infections, mainly, cooling towers, but also others like condensers. The census would allow that in case of a outbreak, like the one of the Barceloneta, they were possible to be accelerated inspection to detect the center to them.

The norm will entail the obligation of controls as well as a forecast of sanctions if risks for the health in apparatuses with bad maintenance are derived.

The reaction to prevent new infections did not come only from health. Minister of Health and Consumo, Celia Villalobos, also announced her intention " to act with more forcefulness " before the detected outbreaks  of legionella, reason why its department studies to implant a homogenous national norm of controls of cleaning in all Spain, informs Celestial Lopez. The minister remembered that there is norms on the cleaning and maintenance of the cooling towers and the canalized water, but thought that " it is necessary to establish a national norm of forced sanctionable fulfilment and ".
***************
Villalobos reduced importance to the outbreak of  legionella in Barcelona. " It is an associated isolated case to the cooling towers of buildings or work places ", it indicated. The same argument was used by its predecessor, Romay Beccaría, when in 1996, 260 neighbours of Alcala de Henares were affected by a outbreak and Fourteen died.
***************



The bacterium that arose from the cold
The conditioned air usually is the origin of the outbreaks of legionella

Barcelona And one more probable origin of the origin of the outbreak of  legionella  of the Barceloneta is the one of some conditioned air system, according to have exposed the experts. The bacterium, if this hypothesis is confirmed, does not propagate with the air that the system injects in the interior of the building, but with the hot air that it sends to the street through the cooling towers.  legionella  can proliferate in the swimming pools that there are in the cooling towers, a spokesman of the Gremi de Calefacció explained yesterday, Ventilació i Condicionat Air. If the tower badly is maintained, it can escupir small drops of water to the outside and the bacterium can escape on board of these drops. Legionella  also can nest in the conditioned air apparatuses domestic, that do not have cooling towers,  although its risk is far below ", noticed Rafael yesterday Ruiz, engineer of the Test center of Refrigeration and Climatización (CERC) of the Universitat Politècnica. The risk is inferior because the water of the domestic apparatuses usually is to one more a temperature lower than the one of the cooling towers, which inhibits the proliferation of the bacterium. In the case of the Barceloneta, it is excluded that the outbreak can come from a domestic apparatus because has affected an elevated number of people who have not agreed in any building.



This of legionella  is not an influenza... not
The patients begin to be registered, but the doctors do not lower the guard because they continue arising cases

Barcelona
This of legionella  is not an influenza... not ", assures Jordi Simon. This neighbour of the Pescadors street of the Barceloneta knows well of what he speaks. It is one of the affected ones by the outbreak that has alarmed these days the district and, in fact, all Barcelona. Seated in his room of the hospital, with views to the sea, and accompanied by his woman, Joaquima, he explains that still a little tired feels, but that is well. Today he will have to receive the discharge. He will be able to celebrate his 69 birthdays, shortly, in house and practically restored absolutely. " I entered Thursday of the last week, although already four days ago he found me bad. I went to urgencies and they diagnosed one to me pulmonía. Today they have confirmed to me that was < Legionella They made the tests and they gave positive me. I am satisfied with which already it has happened and to have received a medical aid of quality



17th November 2000

The fear to the infection causes that more overhauls begin to call to each other
 

BARCELONA. (Writing.) - the outbreak of legionella  in the Barceloneta has increased the alarm that began to seed cases like those of Vigo or Alcoy. Thus, in the last days, some companies of installers have begun to receive more consultations and orders of overhauls of air conditioning systems.

Most of that they have been decided to carry out the maintenance of their apparatuses of air conditioning is companies whose systems would have to be reviewed at least once to the year, explain in Alcora, a company/signature that announces indeed as specialized in analysis to determine the presence of < legionella .

Other companies of the sector corroborate that in the last days, mainly yesterday and the day before yesterday, have received more consultations. " of individuals, that worry in case their apparatuses could be infectious ", they even comment in Ambiclima. The installers indicate that the apparatuses of air conditioning for a floor do not require great overhauls. They are the families with some person with respiratory problems those that usually take care of more east aspect. In the companies yes the overhauls are necessary and those that are made thoroughly, they are generally expensive.



A BACTERIUM SOWING the ALARM
Continues the investigation of the outbreak
The health authorities think that it is almost impossible to detect the center of legionella

BARCELONA - Not yet they throw the towel, but the epidemiologist of the Municipal Institute of Salut Pública (IMSP) and of the Department de health begin to think that it will be practicamente impossible to detect the center that caused the outbreak of legionella  that until had yesterday infected 41 people. 36 facilities of risk have been inspected, but yesterday, the health authorities admitted that they follow without tracks from where the infection could be originated. Of good faith or from fear of a sanction by badly been of their facilities, some proprietors have preferred to disinfect them before they could be inspected and samples were taken to analyze, which makes difficult the investigation. The technicians go to inspect the installation, they take samples from water and they recommend to the proprietors who make a disinfection and, in ahead, a good maintenance - as much if he has been very dirty as if not -. Therefore they will be avoided, at least by a time, new infections. He advises himself to go to specialized companies, because some facilities have become disinfected of very superficial way. Of 36 inspected facilities, 21 has discarded like infectious center, given their characteristics. Samples from water of 63 points have been taken, the majority, cooling towers of apparatuses of air conditioning, but also of sources and other points where a nebulized water effect can occur, because those gotitas are those that when breathing itself infect  legionella.
Between and the weekend a first hairdo of the zone will finish yesterday - an area in a radius of 1.5 kilometres around the heart of the Barceloneta -, according to explained the manager of the IMSP, Joan Guix. Between Monday and Wednesday one second inspection will become. And as of that day it is hoped to begin to have results of analyses that would have to allow to sharpen in the causes.



18th November 2000

The hospital of the Sea is reviewing pneumonias of the last months in case some case of legionella > could happen inadvertent. Thus it is wanted to discard the possibility that the infection goes back to before which is created. The manager of the IMSP explained that she is not which the Sea or other hospitals act negligently and they do not verify legionella. According to Guix, although each case must be declared to the IMSP, when there is an entrance by pneumonia or pulmonis is not forced nor fixed to diagnose if he is  legionella. First one treats the patient. If the ailment does not evolve as it had, the test becomes of orina that proves if he is < legionella . The test is fast, although expensive. It is also carried out when it is suspected that the infection was originated in the hospital, to detect the center and to avoid more cases, and when several cases agree, which can mean an external outbreak. This is what it happened with the present outbreak. Ever since this one is active, all the hospitals make the test to detect possible new cases



19th November 2000

The technicians seal a conditioned air installation in the Barceloneta
BARCELONA -

Municipal Technicians and of the Generalitat came yesterday to seal a conditioned air installation of the district of the Barceloneta that presented/displayed visible deficiencies. He cannot affirm that it has been the cause of the outbreak of  legionella  because the microbiological results of the gathered water samples will not be known before end of the next week, but it has come itself to his closing due to badly been in which it was and to the risk that could suppose for the health of the neighbours. Municipal sources indicated that he will be very difficult to establish the origin of the center of the outbreak.

Conseller of health, Eduard Rius, declared yesterday in Lleida that " has declared a new case of  legionella and, therefore, already are the 42 detected cases ". Rius assured that " the case is related to the previous ones, because the person also affected is of the Barcelo-net one ". One is a man of 45 years who entered the past with pneumonia in the hospital Clinic 16 of November, but has not been until now when it has been confirmed that the cause of the disease that suffers was  legionella .



19th November 2000

Unsuspected centers
The infectious centers can be unsuspected, although it has more common. Miquel Sabrià, head of the service of infectious diseases of the hospital Germans Trias i Pujol de Badalona and one of the expert mayores in legionella , explain that in Holland there was a outbreak of this infection in a exhibition of flowers. The center was the nebulized water sprinklers used to maintain the flowers brightest. In the United States, infections by the vaporizers have occurred that are placed in fruterías.



Clos announces a regulation to control the cooling towers
BARCELONA. (Writing.) - 

The mayor of Barcelona, Joan Clos, announced yesterday that the City council will create a regulation to control the good operation and the regular overhaul of the cooling towers, causes with all probability of the outbreak of legionella  that opened the last week and that has forced to enter 42 patients.

The mayor did these manifestations during the celebration of the day of Collserola and a day after municipal technicians and of the Generalitat decided to close Friday a conditioned air installation with many deficiencies in the district of the Barceloneta. 

The measurement announced by Clos is similar to which advanced conseller of Health, Eduard Rius. In the official notice facilitated afternoon of by the Department of Health and the Municipal Institute of Public Health of Barcelona one yesterday affirms that any new case of pneumonia by legionella  in the city of Barcelona has not been detected and that " the case of a patient of the hospital of Dog Ruti of Barcelona is being analyzed, that is related to the zone of study ". The scope of the investigation includes a kilometre and means of radio from the Barceloneta.


     

Tuesday, 28th November of 2000

 


They detect legionella in three emblematic buildings of the Olympic
Port of Barcelona  

  The
technicians consider that from the cooling towers he extended to the Barceloneta  

 BARCELONA.  

Three of the most emblematic buildings of the Olympic Port of Barcelona -- the Arts Hotel, the Mapfre tower and the discothèque Baja Beach -- had the bacterium of legionella in its cooling towers, and the technicians consider very probable that some of them propagated the disease to the neighbouring district of the Barceloneta and that caused the death to a person. Of twenty towers of refrigeration examined in six buildings of the zone, the bacterium has been in the circuits of water of three of them legionella of serogroups 1, the same one found in the patients entered the Hospital of the Sea  


The Virgin hospital of the Irises of Alcoy, where they remain entered ten people from legionella.

 

For that reason, it considers probable that some of these towers propagated disease, since this one spreads through water vaporized like that they emit to the east outside type of towers, but emphasize that until knowing analysis ampler the center cannot be established surely that caused the outbreak and it is not possible either to be discarded totally that the origin of the infection was another one. This epidemic outbreak, trim in the district of the Barceloneta, has affected a total of 48 people, one of who died, whereas 16 follow entered, four of them in the UCI.

The advisor of Health, Eduard Rius, the lieutenant of mayor of the city council of Barcelona and person in charge of the Municipal Institute of Public Health, Imma Mayol, and the councilman of Public Health, Jose Crow, presented/displayed yesterday the provisional results of the investigations on the origin of the outbreak.

Rius emphasized that the outbreak " is closed " because new income have not taken place from the past day 18 of November and in all the conditioned air facilities inspected preventive measures have been taken to eliminate the possible presence of the bacterium.

Without risk for the users


The director of the service of environmental monitoring of the city council, Pau Rodriguez, confirmed the finding of " legionella pneumophila " of serogrupo 1 in three of the inspected cooling towers, the same group that the isolated bacterium in the cultures of the eight first patients of whom trustworthy results are had.

According to the person in charge of environmental monitoring, the finding of legionella in three cooling towers of different buildings " us complicate enough the things " at the time of determining the exact origin of the polluting center, although all the technicians have discarded who could simultaneously be the three buildings. Rius, Mayol and Cuervo agreed in which maintenance of the systems of refrigeration of the Arts Hotel and the Mapfre tower was correct. However, the technicians closed the refrigeration of Baja Beach by deficiencies that, according to the studies, nothing had " to do " with legionella.

Before the surprise of the journalists by the fact that 15% of the 20 analyzed towers they had legionella in his waters, doctor Plasencia indicated that " he is not infrequent " because this bacterium " is ubicua and when you look for more, you find more " .

Nevertheless, the municipal and autonomic authorities do not consider a massive inspection of the great systems of conditioned air of the city because, according to Rius explained, now the priority is to develop the norm that the two administrations prepare to regulate the conditions of maintenance which they must fulfil these facilities and the possible sanctions that will be applied to those who do not respect them.

The health authorities assure that there is no danger for workers and users of these important centers of leisure because the inner refrigeration and the outer towers have different circuits of water.

At the moment they remain entered a patient in the hospital of Guadalajara, one in Viladecans (Barcelona), one in the residence of Dog Ruti, of Badalona, another one in the hospital of Sant Pau and 12 in the Hospital of the Sea, located in the own district of the Barceloneta as opposed to the presumed focuses of infection, of which one is very serious, other two are stable within the gravity and another one will leave the UCI in the next days.

 

 

 


A outbreak of Legionella was the cause of the death of both workers of the port of Barcelona.
Tuesday, 16 of February of 1999

 

The analyses clinical epidemiologists and have determined that the cause of the death of both workers of the port of Barcelona was a outbreak of Legionella who repaired a freight-carrying ship of Tunisian flag.

From the Council of Public Health of the City council of Barcelona it has been prevented, as measured you will prevent, the exit of the boat and the works that came on board being developed until it is not possible to be established that it does not represent a danger for the rest of the workers.

The water, its habitat

" The Legionella " is a bacterium whose habitat is the aquatic means. Usually they proliferate, for example, in conditioned air systems. The temperatures between 20 and 45 degrees favour their development. These factors influenced in the development of the outbreak registered in the water pumps of the Sousanne ship, berthed in this shipyard of the Port of Barcelona, and that caused the death to two workers soldering irons. One of the workers affected by Legionella was found dead in the train that lead to him to Cadiz, while his companion passed away in a hospital of Huesca.

They lived in Ciutat Vella

The city council of Barcelona has raised the suspension to prevent to the inn of the Ciutat Vella where the employees lodged since the analyses have not detected risk some. Nevertheless, the boat will not be able to leave the port at the moment nor will be able to be made works in the zone.

There is no danger

Since the origin of the outbreak is located in the boat, from the Barcelonian city council it has made sure that it does not involve danger for the population.

 


 Wednesday, 21 of February of 2001

hree cases of ' legionellá in the district of the Carmel of Barcelona

The doctors of the Vall hospital Hebrón the past diagnosed Monday three cases of ppneumonia by legionella in resident neighbours in the district of the Carmel of Barcelona. The three patients began to the past notice the first symptoms of the disease between the 26 of January and 11 of February. Nevertheless, one of the patients already has been registered and the other two present/display a ' good evolution clinical, according to the department of Health. Before the possibility that the three cases have a located origin common in the district of the Carmel, the authorities have initiated the investigations epidemiologists to determine the bacterial center



 
 



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