The number of affected by the outbreak of infection by Legionella detected in the Clinical Hospital of Zaragoza, and that was made public Friday the past, already promotes 10 people, after in the afternoon-night three cases were diagnosed yesterday more, informed health sources today.
Until they were yesterday the seven people entered hospitals of the Community as a result of the outbreak of _ Legionella _, although it has been detected that also they are related to the outbreak a neighboring man of 77 years of Ejea of the Horsemen (Zaragoza), that has been entered in the UCI of the Clinical one and which it was entered in the sanitary center in the first fortnight of June, and a young woman who has happened "of plant to the UCI of the center", in addition to another man. This patient, who was entered in the Clinical one of Zaragoza the past 18 of May, undergoes inmunodepresión problems and the worsening of its state of health has forced his happens to the UCI. The other patient to whom its relation with the outbreak has been determined is a patient of 80 years who at the moment is entered "plant" in the Hospital Miguel Servet de Zaragoza and who suffers of legionellosis to have happened through the Clinical one during the possible period in which the outbreak was developed, indicated the same sources.
This way altogether they are the ten affected people, of whom six are entered in UCIs. Thus, in the Clinical one of Zaragoza seven are entered affected, of which five -4 men and one woman remain in the UCI, while other two women remain in plant. In the Hospital Miguel Servet the new case detected yesterday is entered in plant and San Jorge de Huesca a man of 75 years in "stationary" state but in the UCI, whereas the Hospital Ernest Lluch de Calatayud remains in plant a man of 87 years "who evolves favorably". All the cases are related to the Clinical Hospital University Lozano Blesa, some patient were entered and others are workers of the center or took care of ill people.
Public health has detected the bacterium in two cooling towers of the Clinical one and investigates twelve towers nearer the Hospital, as well as possible cases of legionellosis that could be related to the outbreak. In this sense, from the Department of Health of the Government of Aragón it has been explained to EFE that study up to seven attentions by legionellosis registered in Miguel Servet de Zaragoza the last week, although two of them correspond already with given patients of discharge, although one of the affected ones is entered in the UCI of the center. T
he fact that the affected ones are almost all people who enter and leave the Hospital makes suspect that they have been infected in the zones of step, in the outside of the building, near where the towers are located, or when opening the windows.
Zaragoza/Jaén
18-06-2004
The Department of Health and Consumption of the Aragonese Government investigates a communitarian bud of legionelosis in Zaragoza, to the salary confirmed seven cases that present/display bows of coincidence in the space and the time during the period of incubation of the disease.
According to an official notice of the Aragonese Executive, the Main directorate of Public Health of the Department of Health and Consumption investigate the circumstances that surround to the bud of legionelosis detected in Zaragoza. At the moment, it adds the note, the bud can have affected seven people who in last weeks had some type of relation with the University Clinical Hospital of the Aragonese capital.
The chief of a main directorate of Public Health, Luis Go'mez Lopez, and the manager of the Sector Zaragoza 2, Sebastián Celaya, will inform late this in detail on this bud, its origin and the characteristics of the disease, to the time that will as much explain the measures of beginning prevention as of investigation. On the other hand, technicians of the Provincial Delegation of Health of the Meeting in Jaén have detected the bacterium of legionella in one of the cooling towers of the plant Smurfit wastebasket, located in the jiennense municipality of Mengíbar, that has been forced to paralyze the activity of the mentioned tower. According to sources next to the company have informed, the discovery has taken place during a routine inspection of the technicians of Health, who immediately notified to the direction of the company/signature the necessity to restrain the activity of the tower and coming to their exhaustive cleaning.
After the detection of the bacterium, the Provincial Delegation of Health applied the habitual preventive measures of protocol, although it needed that any problem between the workers of the factory has not been registered.
Seven
people affected by Legionella in Zaragoza
Seven
people has been affected by a outbreak from legionella detected in the
Three
of them are in the Unit of Intensive Cares. Most serious he is a man of 78
years.
The
period of incubation of the disease is of ten days, reason why it does not
discard that new cases in the next days arise.
The
health authorities remember that legionella transmits through aerosols and
cooling towers of water, never by the consumption of a contaminated drink
or by the contact with a patient.
Update
The number ascends to 10 of affected by the outbreak of legionella
detected in Zaragoza
20 June 2004
The number of affected by the
ourbreak of legionella detected in
the Clinical Hospital of Zaragoza, and that was made public Friday the
past, already promotes 10 people, after three cases were diagnosed more,
according to have informed
health sources.
Until
Saturday they were the seven people entered hospitals of the Community as
a result of the outbreak of
legionella, although it has been detected that also they are related to
the outbreak a neighboring man of
77 years of Ejea of the Horsemen (Zaragoza), that
has been entered in the UCI of the
hospital and which it was entered in the
health center in the first
fortnight of June, and a young woman who has happened "of
hospital to the UCI of the center",
in addition to another man.
This
patient, who was entered in the hospital
of
The other
patient to whom its relation with the
outbreak has been determined is a patient of 80 years who at the
moment is entered in the Hospital
Miguel Servet de Zaragoza and who undergoes legionella by to have happened
through the Clinical one during the possible period in which the
outbreak was developed.
This way
altogether there are ten affected
people, of whom six are entered in UCIs.
Thus, in the hospital
of
Clinical Hospital of Zaragoza
Update 21st June 2004
Zaragoza
Public health,
that does not discard the appearance of more cases, said to its chief of a
main directorate, Luis Go'mez, will extend if necessary the study outside
epidemiologist and studies to cause that legionella, disease already of
obligatory declaration, is also of urgent declaration in AragOn.
The presence of
the bacterium has been detected in two cooling towers of the
27 INVESTIGATED
Of the 27
investigated in Aragan
to have the bacterium or to suspect that it could it have had during June
(from April there has been no case in Zaragoza), in ten its relation with
the outbreak detected in the Clinical Hospital has been confirmed and in
five it has not been confirmed that has legionella.
Of the ten
patients whose relation with the outbreak of the Clinical one has been
confirmed, seven are entered in this center, of which five (four men and
one woman) are in the Unit of Cuidados Intensivos (UCI)"stationary, within
the gravity", and other two women "evolve well" in plant, according to
sources of the Department of Health.
In addition,
another greater man remains stable in the UCI in San Jorge de Huesca,
another man also of age is in plant and evolves or in the Ernest Lluch de
Calatayud and one third person is entered plant in Miguel Servet de
Zaragoza, where she evolves or, they added the same sources.
A DECEASED BY
TERMINAL DISEASE
Of the other
twelve investigated patients, eight are entered, two in the Hospital Royo
Villanova de Zaragoza, to the delay of the medical discharge; _ five in
the Hospital Miguel Servet, one in the UCI and four in plant, that evolve
well, and other in the geriatrical Saint Jorge of Zaragoza, of the one
that "have relation with the Clinical and suspect that have legionella",
according to the same source.
Other three people
have been registered and this morning has inquired into a deceased, the
past day 10 in the Clinical one, of a terminal disease and in whose
analytical was the presence of the bacterium, "although it has not been
possible to outside determine that the cause of the death and its possible
relation with the confirmed outbreak".
This outbreak has called the attention, said the chief of a main
directorate, because most of the cases it has occurred in patients and
their companions and because they bear relation to the hospital, journeys
by its neighborhoods or lives in the environs.
Many thanks to Jose for the information and photos
17 November 2004
The cause is the faulty state of the refrigeration towers with algae, inlays and big holes.
The quality of the water was also very faulty with great quantity of having been accustomed to and inadequate pH. An automatic weigh feeder didn't work. The fans allowed the exit of contaminated drops of water.
I attach pictures in those that one observes the not well state of the separators of drops with green stains of algae, inlays of salts and even holes.
The refrogeracion towers were located very next to the windows of the patients. Nobody orders the closing of the windows. Very next to the refrigeration towers there was aspraciones of polluted air that he/she entered to the hospital through the climatizadores.
The health administration of the Government from Aragon has not sanctioned to the responsible for the Aragonese Service of Health Antonio Brun neither to the Direction of the hospital.
Update 23 June 2004
TWO
NEW CASES
The people affected by legionella in Zaragoza
rise to 28
ZARAGOZA.
Public health of the Government of Aragón has detected two new cases of legionella in Zaragoza, reason why the number of affected month in the last promotes 28 patients, of whom 16 are related to the "communitarian outbreak" appeared in the Clinical Hospital University Lozano Blesa.
Sanitary sources have informed into that of the 16 patients related to the outbreak of the Clinical one, 14 are hospitalised in different centers from the community, one person has died.
Both new cases are two patients who were hospitalized in the Clinical College prior to the declaration of the outbreak.
One is a man of 56 years which day 9 entered of June as a result of a inmunodepresor process, that is in plant and whose clinical evolution is positive, and of a woman of 62 years who entered the 13 of June, by similar circumstances to of the previous patient, and that due to its good evolution already has been registered.
The active search of possible patients of legionella that day 15 started up the past, when detecting itself the bacterium in two cooling towers of the Clinical one, has taken to the confirmation of these two new cases in patients who remained entered in the University Clinical Hospital prior to the declaration of the outbreak.
The technicians of Public Health of the Aragonese Government have informed into the confirmation of three cases related to the outbreak, that were in study and which they add themselves to the eleven confirmed until Tuesday.
These three are two women of 73 years and a man of 83 who was entered with symptoms of legionelosis and that reside in the proximities of the hospitable center or frequent their environs.
Therefore, until the moment, the number of affected in relation to this outbreak and that remains hospitalized is of 14, of which six remain entered in units of intensive cares (five in Clinical, of which two are with serious prognosis, and the one in San Jorge de Huesca).
The seven remaining cases that they bear relation to the outbreak from the Clinical Hospital find entered in plant with a "favorable evolution" distributed in different centers from the community.
The investigation opened by the Main directorate of Public Health as a result of the outbreak includes/understands a survey epidemiologist on other cases of legionelosis diagnosed in the last month in Zaragoza, 16 until the moment, of which 12 are confirmed and four are suspicious. Of these, six are being taken care of in hospitals of the Aragonese System of HEALTH , after this Wednesday has been discharged from the hospital one of the patients who remained entered in the Hospital Royo Villanova and whose relation with the outbreak of the Clinical one is discarded.
UPDATE
25 June 2004
18 ASSIGNED TO THE
OUTBREAK
Three cases elevate more to 34 the affected
ones by legionela in Zaragoza
ZARAGOZA.
Public health has notified three cases more of legionella in the province of Zaragoza, with which they ascend to 34 affected in the last the month, of which 18 are assigned to the outbreak of the University Clinical Hospital and in other eight it still works to determine the possible relation.
The morning of Thursday, the chief of a main directorate of Public Health of the Aragonese Government, Luis Go'mez, informed into who were 31 cases of legionella, into that 17 were associate to the outbreak of the Clinical one.
In the evening, the number of affected was increased in three more, according to the Main directorate of Public Health, that has notified a new case of legionella directly related to the outbreak associated to the contamination of two cooling towers of the University Clinical Hospital at the beginning of this month.
One is a man of 83 years who remains entered from those dates in the mentioned sanitary center, informed health sources.
With this last update of affected data the number of until now by the legionellosis outbreak rises to 18, of which one passed away Tuesday the past, another one was registered yesterday and 16 follow hospitalized, of which six remain in units of intensive cares, two of them in serious state.
On the other hand the number of patients of legionella in the province of Zaragoza related at the moment to this outbreak is not of 16.
The two last notifications correspond to a man of 63 years entered in plant in the Hospital Miguel Servet, of Zaragoza, to which legionellosis has been diagnosed and whose relation with the outbreak is in phase of study, since it was taking care of to a person entered in the Clinical one during the dates in which foreseeably the contamination took place.
The other communicated case this same afternoon corresponds to the one of a man whose entailment with the outbreak has discarded totally because it resides in a population of the province and it has not had any recent stay in Zaragoza.
Update
ZARAGOZA
25 June 2004.
The University Clinical Hospital has notified to the Main directorate of Public Health the death during the night of a patient of legionellosis related to the associated outbreak of the detected contamination the last week in the cooling towers of the health center.
One is a man of 83 years who had admitted previously to the hospital, informs the Aragonese Government. Until the moment, the number of cases with the outbreak of legionella is 18, of which two have passed away, other two already have been registered and 14 follow hospitalized. Of these patients, four are in the UCI -- two in serious state
The investigation opened by the Services of Monitoring Epidemiologist of the Main directorate of Public Health as a result of the outbreak related to the Clinical Hospital also includes/understands the study of other 16 cases notified during the last month in Zaragoza and its province, in principle related to the outbreak although in eight of them has not extended the survey epidemiologist. Of these people, 13 are hospitalized in different health centers and three have been registered.
PP requests to summon the Permanent Delegation of the Congress so that Salgado informs on the outbreak of legionella in Zaragoza
MADRID, 7 July 2004
The Popular Group in the Congress has asked for the call of the Permanent Delegation of the House of Representatives so that it decides the appearance, in this month of July, of the minister of Health, Elena Salgado, in relation to the outbreak of legionellosis registered in the Clinical Hospital of Zaragoza, that has cost the life to six patients. In particular, the Popular Group protests that Salgado goes to the Commission of Health and Consumption to inform into this outbreak, as well as of the measures that go to adopt to palliate and to prevent their consequences.
In this sense, the attached spokeswoman of the Popular Group in the Commission of Health, Mercedes Roldós, criticized the lack of "sensitivity" demonstrated by Salgado when not being transferred to Zaragoza "to verify" in situ "" how the outbreak is being legionella that has cost the life to six people. Roldós recuerdó, in declarations to Europe Press, that a delegation of the PP went to Zaragoza day 1 the past to be interested in the state of the hospitalized patients and in the protocol of performances to follow. Roldós criticizes that Salgado has not appeared in the Congress to inform on this case, an appearance that the Popular Parliamentary Group solicitd one week ago with urgent character. In the same line, it remembered that the PP has presented/displayed 20 questions to the Ministry of Health in relation to this outbreak.
Among them, the popular attached spokeswoman mentioned relative to the location and the protocols of maintenance of the cooling towers of the Clinical Hospital of Zaragoza, corresponding to the hospitalization area, where the center was detected. These towers, according to explained Roldós, started up in May, after being shutdowns during the winter, in a control of day 7 of June was detected that they were contaminated and, after a corresponding disinfection of the same ones, in a later made analysis two weeks later, "returned to be contaminated". Also, it criticized that from the Council of Health of the Government of Aragón one has occurred by controlled the outbreak of legionella when Monday a new death was registered. In this sense, Roldós it denounced that Salgado is not had displaced to Zaragoza to know the procedure that is being followed in the so most important subject ", with six passed away people" and, while, it is dedicated to present/display a guide on the good clinical practice or a campaign on salmonella, "whose normative measures already have been developed for a long time".
