PAMPLONA
SPAIN
AUGUST 2001


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Cervera will not resign in spite of the demand of the groups, that they even accuse to try to hide legionella to him
* It recognizes only one delays in informing to the workers and it is asked " which has been the error " * the opposition accuses to him of " distortion" and demands its substitution to recover confidence in the system 

The advisor of Health of the Navarrese Government, Santiago Cervera, will not resign in spite of the unanimous demand of the rest of the groups of the Parliament, that accused of " distortion " and " great power to him " in their attitude in front of the outbreak of legionellosis in the Virgin Hospital of the Way, that has been settled with six deaths. Cervera solely admitted errors in the transmission of information, mainly by the delay in warning the workers of the center, but it assured, on the other hand, that " we have known to approach the crisis in time record ". Batasuna already has resented/displayed a motion to demand to Miguel Sanz the cease of Cervera. 
 

Awaited appearance of advisor of Health, Santiago Cervera, in Parliament confirmed that it does not have any intention to present/display his resignation after the happened infectious outbreak in the Virgin Hospital of the Way, that has caused nineteen patients, six of died them. 

The opposition unanimously demanded its resignation to the position, mainly by the delay in informing into the case. In fact, some spokesmen, among them Felix Puyo (Batasuna) and José Mari Aierdi (EA-PNV), interpreted that the advisor could try to hide this outbreak deliberately, and only presented it in view of the dimension that reached. 

In his chronological story of the facts, the holder of Health admitted the Parliament that took six days in communicating the existence of legionellosis to its president, Miguel Sanz, seven days to the public opinion, and ten to the workers of the Virgin Hospital of the Way. In order to justify it, he indicated, among other things, that Sanz was of vacations the previous week, that was not advisable to alarm to the citizenship without knowing with exactitude the origin of the infection, and that the same happened with the group. In this last scope, he alleged in addition difficulties to fix the meeting by the put in festival of the 15th of August. 

" the prevention was correct " 
 

The advisor solely rectified his performance before the professionals: " he had been very advisable as rapidly as possible to anticipate the information to the workers of all the estates of the hospital, since in other occasions we have demonstrated the fact that doing thus he allows it one better understanding of the situation and the determined measures. He has not acted themselves this way, and it is a circumstance that moan and by which I request excuses ", Cervera said. However, immediately afterwards it added that " there is no evidence " of which legionella " constitutes a specific labour risk ", and remark in addition that with silence " did not increase a single thousandth the probability to  I infect for anybody ". 

In his justifications on tardanza in informing, the maximum person in charge of Osasunbidea dropped that certain confusion by factors existed because " on the paper all the measures of prevention were correct " or that the 8th and the 9th of August, a day after extending the alarm, did not take place new cases. Nevertheless, altogether it assured that the detection of the center " was developed in a very brief time, in only six days ", long before which it has happened in Huelva or Murcia, according to it emphasized without mentioning that the per centage of loss of life also was much smaller there. 
 
 

Like colofón to its intervention, Cervera was asked: " they request the resignation to Me, but which has been the error ". In its opinion, " we have known to approach the crisis in time record, and that one was my first responsibility. From there, in the informative thing, which you they want ", it added. 

Its intervention was reprimanded by all the opposition, that asked for its resignation in block. For Elena Torres, spokesman of the PSN, " the Navarrese health security cannot be more time in his hands. You would have to go away to your house so that the confidence in her can be recovered ". 
 

From Batasuna, Felix Puyo extended the responsibility. " Since you are not able to resign, so that the Navarrese society recovers the credibility would have to make him resign ", emphasized. With this objective, this group presented/displayed yesterday a motion already so that the Parliament insists to the president, Miguel Sanz, to stop to its person in charge of Health. Puyo not only attributed to Cervera " oscurantismo ", " self-sufficiency " and " frivolity ", but " cynicism " to even include in its intervention a gratefulness to patients and relatives when so far already it has in his table a complaint. 
 
 

As much Puyo as Aierdi (EA-PNV) pointed the possibility that Cervera had wanted to hide the outbreak " Preferred not to inform in case had not died and it was possible to be hidden ", Aierdi asked before emphasizing that " it has been put in risk to a great part of the population ". 

Isabel Arboniés, of IUN, thought that " to say that nobody was in danger not to inform it is much to say " and assured that " the affluent information given nonalarm ". 

The opposition reproached in addition to Cervera the breach to the Law of Labor Risks, stressed by Miracles Blond, or the filtration of the file of the patients to make see that they had serious previous ailments already. 
 
 

One Week without information made public 

According to the chronology of the crisis offered by Santiago Cervera, the alarm already spread in the Department the 7th of August, but the information later transmitted one week, after taking place the two first deaths. These are the outstanding moments yesterday by the advisor: 

* 6th of August of 2001: 
The Virgin Hospital of the Way detects four cases of legionella in orina tests. All have in common been to have entered in the sixth plant, and one of them already has passed away. The epidemic outbreak communicates officially and another detected case is included in him the 2 of August, although according to Cervera their characteristics were confused and it had not given rise to alert. 

 

8th of August: 
The experts move to the center to take samples from water in pipes and towers. An urgency meeting decides to apply an intensive processing and to investigate the cause of the infectious outbreak. 

* 9th of August: 
Neither this day nor the previous one has appeared new cases, which takes to the experts to doubt the existence of the outbreak. 

* 10th of August : 
The second death takes place and two new cases of infection are also detected originating of the sixth plant. It is decided not to inform publicly into the happened thing because " the suitable conditions do not occur ". 

 

* 13th of August: 
They appear two new cases and it is suspected in addition to third. One of the cases comes from the second plant, which supposes the extension of the center. One occurs by located the contaminated place, in the circuit of the hot water, and it is decided to inform. Cervera warns Miguel Sanz, in its office after concluding the vacations. 

* 14th of August: 
The advisor informs publicly into the outbreak and emphasizes that " nobody will be able to say that they have passed away by legionellosis ". It is come to facilitate to the patients prepared water and the showers are prohibited. 

* 16th of August: 
A new case is diagnosed. 

* 17th of August : 
The first meeting with the union delegates of prevention of risks takes place. It appears a new case. The superchlorination begins to end the outbreak. 

* 18th of August: 
Diagnosticia a new one infected. 

* 19th of August: 
New case. 

* 20th of August: 
Two patients pass away and another case, the last one is detected. 

* 21st of August: 
Fifth death of infected patients. 

* 25th of August: 
Sixth death. 

* 26th of August: One occurs by finished the outbreak based on the well-known period end of incubation. 

* 7th of September: It follows hospitalized one of 19 affected. Six of them have died. 
 

 



15th August 2001

The department of Health of the Government of Navarre has detected in the last days eleven cases of infection by
legionella in the Virgin Hospital of the Way, in Pamplona, whose center of propagation probably is in the hot water conduction of the health center. 
According to the advisor into Health of the Leasehold Government, Santiago Cervera informed, in the course of outbreak two of the infected patients have passed away, although he clarified that " nobody will be able to say that 
has been because of legionella ", but due to the joint panel 
of severe pathologies that suffered. 

Cervera aimed that one of the deceaseds, 80 years, underwent renal insufficiency, cardiopathy and severe obesity, and the other a
hematológico cancer in acute phase. 

15th August 2001

Eleven affected by legionella in a hospital of Pamplona

The bacterium was detected in the conduits of the hot water

At least eleven people have become infected of legionella by a outbreak detected in the Virgin hospital of the Way of Pamplona, according to informed yesterday the advisor into Health of the leasehold Government, Santiago Cervera.

Two of the affected ones have passed away days in the last although " nobody will be able to say that it has been against the account of the bacterium ", clarified Cervera, in reference to the assembly of severe pathologies that suffered. 

For want of the definitive analyses, everything aims at that the center is located in the conductions of the hot water of the health center.

 

The death yesterday in the evening of Enrique Martinez Mara6nón, neighbor of Berriozar of 71 years, elevates to three the number of died with legionella in the course of the outbreak that has affected the Virgin Hospital of the Way of Pamplona. The deceased entered in the center six days ago aquejado of multiple pathologies. Health assured that the cause of the death could be pulmonary a cerebral hemorrhage or one embolia, whereas the family has doubts on the true cause. In addition, the laboratory tests yesterday confirmed a new case of legionella, reason why the affected ones add 16 already.
Another case of legionella in Pamplona elevates to seventeen the number detected 
new case of legionella in the Virgin hospital Apamplonés
of the Way was confirmed yesterday, with which already they are the seventeen affected ones by the bacterium. One is a patient who wasentered to suffer a neumónico panel. 
However, the chief of a main directorate of Health of the Government of Navarre, Juan Ramon Rábade. assured yesterday that " he must occur by concluded the outbreak of legionela and the presence of this bacterium in the facilities " of the hospital, after the superchlorination process of hot the water conduction carried out the night of Friday.

 

Detected twelve cases of legionella in a hospital of Pamplona

Diario de Burgos: Noticias de ActualidadThe first investigations aim at that the origin of the center is in the hot water conduction of the shealth center

Two of the infected patients have passed away, although it does not know if it were because of legionella or of the ailments by which they were entered.

119 August 2001
 DETECTED SALUD-LEGIONELLA A NEW CASE OF LEGIONELLA
IN HOSPITAL OF PAMPLONA
The Virgin Hospital of the Way of Pamplona today confirmed the existence of a new case of legionella, 
reason why they are already the 18 people who have 
been infected during their stay in this health center of the Navarrese Service of Salud, informed sources into the Leasehold Government. 
The new case corresponds to a patient who was 
admitted the Hospital until the past day 6 by a 
respiratory insufficiency that needed processing with corticoids and that reingresó today with pneumonía, 
reason why the analysis of detection of legionella 
practiced to him, that gave positive result. 


A total of 18 patients has been affected from legionella
in the Virgin Hospital of the Way from the past day 2,
three of which they have passed away in the course of 
the outbreak and one received this week the medical discharge, reason why is the fourteen people who 
continue hospitalized by this ailment.

The department of health of the Government 

of Navarre has applied in the health center measured to eradicate the bacterium of legionella, like the
superchloration of the hot water conduction made this weekend, although the appearance of new cases because does not discard the period of incubation of the disease
is  about ten days.
****
20th August 2001
Navarra.-Fallece another woman of 84 years because 
of the outbreak of legionella in the Virgin Hospital of the Way (Pamplona) 
 PAMPLONA, 
a woman of 84 years passed away on the 16:15 hours of 
this late in the Virgin Hospital of the Way because of the outbreak of legionella that was detected at the beginning 
of this month. With this new victim, the number of 
deceaseds rises already to four people. According to 
sources informed into the Government from Navarre 
to Europe Press, the deceased is one of the two people 
who were entered in critical state. This suffered a 
pathology from very severe base and boarding school 
in Virgin of the Way was from principles of the month of August. 
 Another new case of legionella in a patient who received the discharge Altogether they are already the 18 affected ones and more cases are expected 
PAMPLONA 

again yesterday, by fourth consecutive day, a person who received the discharge in the Virgin Hospital of the Way had to return to urgencies with neumonía by legionella. They are already the eighteen affected ones by the outbreak, in which three people have passed away. According to the last medical report, the other thirteen entered have improved, although two patients continue in critical state. The last case of legionella was discovered yesterday in an analysis of orina in urgencies. The hospital has established by norm to practice the test of antigenuria (to verify the presence of antigens in the orina) to all the people who arrive with some from the typical symptoms that the bacterium causes, as they are the high fever, cough and anomalies in the respiratory process. Six analyses were made yesterday and one gave positive: ppneumonía by legionella. According to the center informed, the new one affected was entered Virgin of the Way until 6 of August with respiratory insufficiency and other pathologies of base that demanded processing with corticoids. The hypothesis that shuffles the center is that the patient remained under defense during his stay in the hospital, when the pipes were contaminated by legionella. This Saturday the hospital disinfected with chlorine the hot water network. According to it assures the direction, no longer is left sign of the bacterium and, therefore, it would be impossible that somebody contracted legionella now. But what the center does not know it is how many patient they can more appear with the bacterium. They have been able to infect themselves before and not to fall ill up to ten days later. " Every day we requested more analysis. We are making tests almost to whatever it comes with a minimum cold after to be registered " , explained yesterday the director of the hospital, Scholastic Fernando. " It is necessary to make sure that they do not have legionella ". They improve the entered ones The last medical report of the hospital notified at least one positive. The fourteen entered with legionella improve of his neumonía. The only cases that the diagnosis indicates in critical state, with correct evolution, continue being those of two patients of outpost age (a woman of 84 years and a man of 83) who " suffer a pathology of complex base " . In addition, she continues entered in the UCI of the Hospital of Navarre a woman who infected itself when she took care of his sister. This one last one passed away, like other two patients during the outbreak of legionella.

20 August 2001

VIRGIN HOSPITAL 
Pamplona, 

A woman of 84 years infected of legionella died today
in the Virgin Hospital of the Way of Pamplona, reason 
why they are already the four patients who have
passed away in this health center in the course of the outbreak, informed to Efe the Government into Navarre. 
The passed away patient, who according to this source underwent a pathology of " severe " base, was entered 
in the Virgin Hospital of the Way in critical state, 
although stabilized, and at this moment the autopsy of 
the corpse is taking place to know the causes exact the death. 

The outbreak of legionella in the Virgin Hospital of the 
Way of Pamplona, where day 2 was detected the first
patient infected the past, has affected until now 19 p
eople, of whom four have passed away and one was registered.

 

The same day which the outbreak of legionella that affects the patients of the Virgin hospital of the Way of Pamplona received his fourth mortal victim, 

The Department of Health of the Generalitat confirmed yesterday that a British tourist of 63 years the past passed away Friday in the hospital of Sant Joan de Reus as a result of one pneumonía by legionella. 

The tourist, lodged in a hotel of Salou, had pathological antecedents of isquémica cardiopathy and chronic respiratory insufficiency by silicosis, a common affection between the miners.

The Main Plant Room At The Hospital
Tanks Being Cleaned
19th August
The Virgin Hospital of the Way of Pamplona 
confirmed yesterday the existence of a new case of legionella, reason why they are already the 18 people 
who have been infected during their stay in this health
center of the Navarrese Service of Salud-
OSASUNBIDEA, informed sources into the Leasehold Government. 


The new case corresponds to a patient who was 
admitted the Hospital until the past day 6 by a 
respiratory insufficiency that needed processing with corticoids and that reingresó yesterday with pneumonía, reason why the analysis of detection of legionella 
practiced to him, that gave positive result. 

A total of 18 patients has been affected from 
legionella in the Virgin Hospital of the Way from the
past day 2, three of which they have passed away in 
the course of the outbreak and one received this week 
the medical discharge, reason why is the fourteen 
people who continue hospitalized by this ailment.

 

15th August 2001

Two patients in the course of a outbreak of legionella detected in a hospital of Pamplona pass away.

Nine people remain entered in the center affected by the outbreak. 
Two patients entered in the Virgin Hospital of the Way of Pamplona, one of them to undergo a renal insufficiency and severe cardiopathy and the other, by a hematológico cancer in acute phase, have passed away in the course of a outbreak of legionella detected the week last in the health Navarrese department into Health, that aims at the conduits of the hot water like the possible source of the infection. 

" These two people not passed away because of legionella ", said advisor of branch, Santiago Cervera, who stressed the serious state which were both patients, one of them, of more than 80 years of age, when the outbreak of legionella in the hospital was detected. 

 

PAMPLONA HOSPITAL

OUTBREAK OF LEGIONELLA IN PAMPLONA
Health says that it took six days in informing into legionella because it did not know his origin

A new affected case elevates to 15 the number of, one of which already is of discharge 

The department of Health of the leasehold Government recognized yesterday that it took six days in informing into the existence of the outbreak into legionella in the Virgin Hospital of the Way since they had detected it. Health explained that it preferred to hope to that confirmed the origin of the bacterium (something that happened Monday the past) before informing to the public opinion and the patients, for " not triggering unnecessary a social alarm ". To last hour in the morning a new case was confirmed yesterday: the one of a patient of 68 years who was entered between the 2nd and the 9th of August by a cardiac insufficiency.

22 August 2001
Brake to legionella

A hospital of Pamplona has been scene of fifth
of the outbreaks of legionellosis registered
in less of a year in different points from Spain, with founded fears of which he is not the last one. This sequence is than worrisome more, from the memory of which happened the month last in 
Murcia reached characters of epidemic by its extension. 

The alarm by the happened thing in the Murcian capital served to accelerate the approval of a Real Decree of the Ministry of Health on preventive measures, whose processing was delayed seven months to need the agreement the central Administration with the independent ones which they have competitions in health. Although this norm as soon as it has turned a month of use, the public opinion has right to knowing if its application is being carried out with the diligence  that demands the case. 

If the action of legionella pneumophila is  implacable, less clear and effective it is not the  form to fight it in which they are broths of culture  of that bacterium: water networks, cooling towers, equipment of respiratory therapy and bathtubs of hidromasaje. Indeed, in the occasion of the July epidemic they were left in evidence the little  deprived measures of maintenance that have resemblances systems in buildings public or. 

The bureaucratic slowness of official organisms or the laziness of particular people in charge  explains, but never they justify, this succession  of improper outbreaks of legionella of our level 
of public health, and that seed the restlessness  before which it would have to be a prophylaxis  easily established  
 

 

22nd August
The death of a man of 82 years elevates to fivethe deaths in the outbreak of legionella
It was of the 19th of July to the 10th of August in the hospital and reingresó day 16, while two of the 10 cases in plant present/display " an uncertain evolution "

The death yesterday in the morning of Jose CarracedoNephew, 82 years, elevates to five the deaths during the outbreak of legionella of the Hospital of Virgin of the Way, that to date has affected 19 people who were entered between July and August. 

 The information was given yesterday by the advisor of Health, Santiago Cervera, that explained that this person entered the past in July center 19 and remained until the 10thof August. Jose Nephew reingresó day 16 " when certain suggestive symptoms of a pneumónico process were detected to him and that, later, through the test of antigenuria, confirmed the etiología of legionella in that process ", eclared Cervera, that stressed that this person underwent " a pathology of severe base ". 

PAMPLONA
The Virgin Hospital of the Way announced yesterday that no longer there is legionella in his hot water pipes, after disinfecting " successfully " the network during the dawn of Saturday. But it follows the dripping of affected by the bacterium. The last one arrived only yesterday at urgencies, with very high fever and the precedent of been to have entered in the center. It is the case number 17  and the third time that a person returns to the hospital with pneumonía. The direction of the center indicated yesterday that " it is not afraid for the life of any of the affected ones ". Ever since it was declared the outbreak already has died three people.

PAMPLONA, 22

IU of Navarre demanded the president of 
the leasehold Executive, Miguel
Sanz, that clarifies " the responsibility of not informing on the outbreak into legionellosis " 
in the Virgin Hospital of the Way. In this sense, mentioned political party it affirmed that it wants
to know " if the criterion followed he was the one
of the presidency of the government or if the
advisor of Health I act by free or against the instructions given by president of the 
Government ".


In opinion of IU, the lack of information " he 
could put under a patients, relatives and labour personnel to the risk of I infect, contravening the effective legislation ". IU demanded to know " 
the degree of those possible political 
responsibilities, administrative and others that 
they are possible to be derived by the caused damages ". In addition, IU warned that if the 
subject " is not clarified publicly ", it will demand appearance of Miguel Sanz in the Parliament.

5 September 2001
Presented/displayed the first criminal complaint by the death of a patient with legionella 
 

The relatives of Enrique Martinez Maranón, 71 years, Berriozar denounce 

The relatives of one of the six deceaseds during the outbreak of legionella of the Virgin Hospital of the Way have presented/displayed a criminal complaint, first until the moment, against the people in charge from which the outbreak arose, whose identity does not know. The widow and the five children of Enrique Martinez Mara6nón, neighbour of Berriozar, 71 years, trust that the instructional judge investigates the happened thing and determines " who is the direct person in charge ". The relatives complain who the Navarrese Service of Health has denied the clinical file to them of the patient, as well as the results of the autopsy.

A new one affected by the outbreak of legionella in Pamplona 
18.August 2001

A new patient has been affected by the outbreak from legionella in the Virgin Hospital of the Way of Pamplona. They are already the seventeen people affected by the bacterium, three of which they passed away. In the hospital a process of " hipercloración " of the hot water has been begun, to disinfect the pipes of the building.
The number of mortal victims has risen to three that has received legionella in Pamplona. A man of 71 years passed away Friday because of the outbreak that suffers the Virgin Hospital of the Way of Pamplona.

The Navarrese Parliament requests to be informed 
into the outbreak of legionella

Members of the Committee of Security of the 

workers and the director of the Virgin Hospital of the 
Way of Pamplona will attend a session of work of the Parliament of Navarre to inform on the development 
of the events from the detection of the outbreak into 
legionella, according to it approved Mesa and Junta 
de Portavoces of this Camera to proposal of Batzarre. 
First they will be able to give its version on the 
information received before and after the official 
declaration of the outbreak. The director will have to 
explain the performances carried out after his detection
and how and when he inquired to workers and patients. 

As one remembers, the unions of the workers of the mentioned hospital complained which they had not been informed by the medical people in charge of the outbreak into legionella, whereas these argue that they did it when it seemed to them suitable.

 

Workers protest at the hospital over lack of information being released regarding this outbreak of Legionella

Pamplona, 18 August 
The twelve people who continue entered 
because of the outbreak of legionella registered in the 
Virgin Hospital of the Way of Pamplona evolve
favourably of the infection, informed in press conference
the chief of a main directorate into Health into the Government into Navarre, Juan Ramon Rábad
Ever since the past day 2 the first case of legionella 
in the Virgin Hospital of the Way was detected, 
employee of the Navarrese Service of Salud-
Osasunbidea, has been the 16 people infected by the bacterium, whose center of propagation has been
detected in the hot water conductions of the health 
center.
*************************************8

15 August

They are already have 16 detected cases of 
legionella in Pamplona

Legionella has already affected patient 
diecisies of the Virgin Hospital of the Way of Pamplona. Two of the patients, who also presented/displayed serious pathologies, have 
passed away, although the Ministry of Health 
has indicated that it is not possible to be affirmed that the cause of the death has been legionella. 
With these deaths, they are the 14 patients 
who suffer this disease in Pamplona.

**********************************

15 August 2001

Two people pass away during a outbreak of 
legionella in a hospital of Pamplona 

The infection could have originated in the 
hot water conduits of the center

PAMPLONA
The department of Health of the Government  of Navarre has detected in the last days 11  cases of infection by legionella in the Virgin Hospital of the Way,
in Pamplona, whose 
center of propagation probably is in the hot
water conduction of the health center. According to the advisor of Health of the Leasehold Government, Santiago Cervera has informed in press conference, in the course of outbreak two of the infected patients have passed away, although he clarified that ¬nadie will be able to say that has been because of legionella ", but due to the joint panel of severe pathologies that suffered.

 

The Navarrese president justifies the delays in informing on the outbreak into legionella

  Pamplona 

The president of the Government of Navarre, Miguel Sanz, said yesterday that the problem of legionela is not solved ' criticizing the arisen thing to the margin from the will of the Gobiernó, in reference to the critics of the opposition to the performance of the department of regional Health. On the reproaches to have informed late into the outbreak, Sanz talked back that he himselfgave instructions ' into which the day inquired with governmental function that to me communicated to me where bacteriá had been detected. The people in charge of Health ' understood that until was not detected where it was the problem he was not advisable to inform to generate alarmá, added. 

The 13 patients of legionella - twelve are admitted the Virgin Hospital of the Way and one in the Hospital of Navarre evolves favorably, according to the information facilitated yesterday by both hospitable centers to the Government of Navarre. This evolution has been appreciated even in two patients of outpost age, a woman of 84 years and a man of 83, who suffer a pathology of complex base. Ever since the outbreak began, 17 people have been affected. Three passed away, one was registered the past day 14, and Saturday a new case in a patient of 44 years was registered. Of the ten practiced analyses that day, this was the unique one that gave positive. 

The period of incubation of the hard legionellosis between two and ten days, reason why until the next Thursday day 24 still they could appear new cases. Like measurement to prevent, and with the purpose of discarding the presence of legionella, the Virgin Hospital of the Way continues practicing these tests those patients who enter with certain symptoms (fever, cough, anomalies in the respiratory process, etc). On the other hand, once concluded the measures of shock against legionella, after the accomplishment, Saturday, of the superchlorination of the hot water facilities of the Hospital, occurs by eradicated the bacterium and the water without no restriction is already used. 

The most guessed right the president of the Government of Navarre, Miguel Sanz, it has not liked the critics on how his government to gedtionado this health crisis but, in his opinion, ' nobody knows what acertadó is the plus. ' What I yes know it is that one has put all the department of Health to work so that the problem does not return to ocurrir', it assured. 

Sanz made these declarations when going to the inauguration of the reformed library of the old Monastery of Fitero. ' a responsible government what must do when arises a problem is to take care of him and not to worry about him; he is what I believe that we are doing in these momentos', said. In their opinion, ' all the measures have been put and nobody is free when it has public responsibilities from which problems of this can arise naturalezá.

At least eleven people have become infected of legionella by a outbreak detected in the Virgin hospital of the Way of Pamplona, according to informed yesterday the advisor into Health of the leasehold Government, Santiago Cervera. Two of the affected ones have passed away days in the last, although " nobody will be able to say that it has been against the account of the bacterium ", clarified Cervera, in reference to the assembly of severe pathologies that suffered. For want of the definitive analyses, everything aims at that the center is located in the conductions of the hot water of the health center.
The own leasehold advisor of Health, Santiago Cervera (UPN), had to appear yesterday in urgent press conference to clarify this incidence and to call to the Navarrese population to the calm, after explaining that the precise health measures have been adopted and that the two passed away people went it in reason to the serious ailments that suffered before being also affected by legionella (in a case old with renal insufficiency and a cardiopathy, and in another one a man with hematológico cancer). As far as the other nine entered patients ­que also gave positive in the analyses that practiced to detect the presence to them of this bacteria­ evolve of satisfactory form, although one of them remains  in the UCI. 
23/08/2001
Pamplona also will review the facilities 

 

The City council of Pamplona will shortly begin to apply the new Real Decree on prevention of legionella. 

The director of the Area of Sanidad and Medio.ambiente of consistorio pamplonés, Maite Martinez, explained that they are going away to take the following measures: first a data base of all the buildings of the city with conditioned air towers will be processed, later it will communicate the proprietors who must contract a company so that he disinfects them and, finally, will verify that that cleaning is being made.

" We will make a sampling of some buildings to verify if those measures of disinfection are or nonsufficient to prevent legionella " , it emphasized Maite Martinez. That same plan of work will also be executed in the municipal buildings.

According to the new norm, the people in charge will be the holders of the facilities of which the measures demanded by the regulation are fulfilled, have or not contracted a maintenance service.

Inspection of the water

Until the moment, like there was no norm that demanded them, have not been carried out these measures. The councilman of Health and Environment of the City council of Pamplona, Juan Luis Sanchez de Muniáin, clarified that until now what is made habitually is a periodic inspection of the water of sources and municipal buildings to verify that is in perfect state. 

Thus, the quality of the water of the public sources, the municipal schools and the houses of baths is analyzed. " But that one is a measurement that does not have anything to do with legionella " , Maite insisted Martinez. 

14th August 2001
 New outbreak of legionella, this time in the Virgin hospital of the Way in Pamplona.
Until the moment there are fourteen cases detected between the patients entered the hospital. Two people have passed away when worsening by this cause the diseases that suffered. In another hospital, in Huelva, two cases have been detected. Teresa Sampedro has died.
 A woman, Teresa Sampedro, have passed away, after to have entered the Hospital Juan Ramon Jiménez de Huelva by a agravamiento of her situation. She was ill of leukemia.
There she contracted legionella. From the hospital they assure that its death not must to I infect by this bacterium, although if seconfirma that legionella made worse its state. In Pamplona, two people have passed away although the death dirtectamente to the infection by legionella. Otras 9 cannot be attributed recover already of pneumonía that causes this bacterium.
The outbreak was originated in the conduits of the hot water, in concrete in a closed branch where it could have developed the bacterium. The change of distribution of the water could allow its passage to the general conduction. The hospital will chlorinate the  water this weekend.
 
119/08/2001


They are already the 17 affected ones by legionella in the hospital of Pamplona

The Virgin Hospital of the Way of Pamplona confirmed yesterday the existence of a new case of legionella, reason why they are already the 17 patients who have been infected by the bacterium in this health center, according to informed the Government into Navarre. While the twelve entered people evolve favourably. 

 

The Virgin Hospital of the Way announced yesterday that no longer there is legionella in his hot water pipes, after disinfecting " successfully " the network during the dawn of Saturday. But it follows the dripping of affected by the bacterium.

The last one arrived only yesterday at urgencies, with very high fever and the precedent of been to have entered in the center. It is the case 17 number and the third time that a person returns to the hospital with pneumonía.
The direction of the center indicated yesterday that " it is not afraid for the life of any of the affected ones ". Ever since it was declared the outbreak already has died three people. 

19 August 2001

11th September 2001

The Navarrese Parliament requests to be informed into the outbreak of legionella 

PAMPLONA 
 

Members of the Committee of Security of the workers and the director of the Virgin Hospital of the Way of Pamplona will attend a session of work of the Parliament of Navarre to inform on the development of the events from the detection of the outbreak into legionella, according to it approved Mesa and Junta de Portavoces of this Camera to proposal of Batzarre. 
First they will be able to give its version on the information received before and after the official declaration of the outbreak. 
The director will have to explain the performances carried out after his detection and how and when he inquired to workers and patients. As one remembers, the unions of the workers of the mentioned hospital complained which they had not been informed by the medical people in charge of the outbreak into legionella, whereas these argue that they did it when it seemed to them suitable. 

 

Tuesday, 14 August 2001

Outbreak legionella in Navarre arose  from hot water

The outbreak of ' legionellá that has in the last affected to eleven people days in a hospital of Pamplona, and during which two patients have passed away, arose in the conduits of the hot water, according to the technicians of the Council of Health.


people in charge of Health of Navarre pointedTuesday that the two deaths in the Virgin Hospital of the Way of Pamplona could not be attributed directly to ' legionellá, since the deceaseds underwent other ailments that put in danger their life.
" Nobody will be able to affirm with rigor that these patients have died of ' legionellosis' ", the advisor of Health said today, Santiago Cervera, in press conference. 

" precise It it is to indicate that these two patients have died in the course of the outbreak and who, indeed, they showed analytical a positive one ", added.
The rest of patients, one of which remains in the UCI, evolves of favorable form, after being put under antibiotic processing. 

The outbreak detected the week last, after being discovered the presence of ' legionellá in the analyses that are made habitually to the patients with pneumonía

 

Legionella is a bacterium that attacks traitorously. There are 40 species being pneumophila most virulent and simultaneously most popular.
It is born
it grows and one reproduces in the water or humid atmospheres,but their effects can be catastrophic for a population if it managesto leave his habitat through systems of refrigeration or general water conductions. It is known from years 40, but it was not until 1976 when an infectious outbreak took place in Filadelfia that affected hundreds of people who celebrated a commemorative act of the American legion, of the name of the bacterium Pneumophila of Legionella there. 

 

18 September 2001

The PSN studies to request a commission on legionella 

INVESTIGATION will not look for political responsibilities, " that they are clear ", but the prevention The Secretary General of the PSN, Juan Jose Lizarbe, announced yesterday that its party studies the possibility of requesting that a commission is constituted in the Navarrese Parliament that the past investigates the causes and responsibilities of the outbreak of legionella detected in the Virgin Hospital of the Way during month of August and in that six people died. 
 
Lizarbe added that as alternative to this special device its party deck that is the own Commission of Health of the Legislative the one that it carries out this " specific " task and for it advanced that it would be necessary " an important number of appearances and sessions of work ". 
The objective of the PSN is to be able to determine the causes that originated the outbreak of legionella since after the parliamentary appearance of the advisor of Health " we followed yesterday without knowing why it took place ". " What we want it is that it does not return to happen the same ", said, and for that reason, " we want to clarify what happened, by the political responsibilities to level of Government not as much, that are clear and they will have them to assume, but to avoid that the same it can return to happen ". 
 

For the PSN " the political responsibility is already perfectly certain in the advisor, but we understand that there is to debug more responsibilities in the organizational chart of Health and, mainly, that we must be absolutely safe that it will not return to happen something similar ". " the security must be total ", indicated Lizarbe in a press conference in which it emphasized that, nevertheless, Santiago Cervera was not yesterday able to transmit it and in addition " insulted " to the parties. 

 
Two patients have passed away in the Virgin hospital of the Way of Pamplona in the course of a outbreak of legionella detected the last week and that he has affected other nine patients. The Navarrese advisor of Health, Santiago Cervera, aimed that the source of the infection could be in the conduits of the hot water.

Of the nine people entered in this center affected by the bacterium one he is in the unit of intensive cares. Another one of the affected ones is a nursemaid. All of them are receiving processing with antibiotics and evolve satisfactorily.

      The Navarrese advisor of Health wanted to make clear that the two people who died during this outbreak " did not pass away because of legionellá ' and insisted in which both patient they were serious. One of them underwent a renal insufficiency and severe cardiopathy and the other a hematológico cancer in acute phase.
The advisor indicated that this hospital of Pamplona is a center " modélicó ' as far as hygiene and control of facilities and insisted in which in spite of this outbreak " now it does not stop being less safe than it does tiempó ' abounding in which the bacterium has affected people already ill and ready to the infection.

      This next weekend the health center will come to the disinfection of its facilities with the superchlorination of the hot water conduits. The performance that will be carried out Friday, consists of elevating the chlorine concentrated one in the water of the pipes for later bled his.

      On the other hand, the families of the two women affected by legionella in the hospital Juan Ramon Jiménez de Huelva will present/display a complaint against the direction of the center of whom they accuse " to hide informatión' ', according to assured the affected husband of one yesterday.

CONTENTS OF THIS PAGE COPYRIGHT
ALL PHOTOGRAPHS COPYRIGHT BY OTHERS 2001
 

LINARES..2001.OUTBREAK

HUELVA.. 2001.OUTBREAK

Denis Green..email........... legion@q-net.net.au