Legionella
The Hospital Juan Ramon Jimenez
Huelva
Spain
August 2001


SAS assures that the analytical ones do not confirm the death by legionella of a man
The delegate of Health of the Meeting in Huelva, Jose Ramon Pozuelo, assured today that " deceased in the hospital cannot be confirmed the past to the 100 percent " who legionella is the cause of the death of onubense J.C.G.C., Juan Ramon Jiménez January, since the laboratory has not been able to put in a home the bacterium of this disease in the saliva tests extragoings to the man and that they are determining for his confirmation. Pozuelo added that the only " indirect " test is the detection of antigens in the deceased who, together with the sintomatología that presented/displayed the man when it entered in the hospitable center -- febrile panel and general malaise, deriving in one pneumonía -- aim at a " diagnosis of suspicion " that it suffered legionella.

The person in charge of SAS in the province remarcó about which, in any case, one is " an isolated and precise " infection and not of an infectious center, like which he registered Spanish Levante year the past, and that could it have acquired " in any place " given its profession of truck driver in a company related to the cooled production. Pozuelo, after sending a message of " tranquillity " to the onubense population, indicated that, following the established protocol for this type of cases, the habitual surroundings of the deceased are being analyzed to discard risks.

DATED 3rd MARCH 2001



Saturday, 11 of August of 2001

HEALTH

Detected two cases of ' legionellá in a hospital of Huelva

The direction of the center has opened an investigation to verify the state of the conductions of water and air Efe | Huelva The Council of Health of the Meeting of Andalusia has detected two cases of legionella in the Hospital Juan Ramon Jiménez de Huelva that affect two women, " middle-aged and the other greater one ", according to has confirmed the accidental delegate of Health, Mountain Antonio. The two affected women were entered in the Unit of Oncología of the hospitable center, where they stay in a state that, according to Serrano, " is not worrisome ".

The direction of the Hospital has opened an investigation to verify the state of the conductions of water and air of the center, although any similar measured protocol of isolation nor of the zone has at the moment not been carried out where the cases were detected. Mountain Antonio has added who the state of health of the women " is only more serious in the minor of them, but by his own disease ".

The delegate of Health has congratulado itself in addition of which the Government has started the denominated Decree 28/7 " that explains clearly what we must do in this type of cases ".



12th August 2001

They detect two suspicious cases of legionella in the Hospital Juan Ramon Jiménez de Huelva

 HUELVA

The Council of Health of the Meeting of Andalusia has detected two cases of legionella in the Hospital Juan Ramon Jiménez de Huelva that affect two women, " middle-aged and the other greater one ", according to the accidental delegate of Health, Mountain Antonio.
The two affected women were entered in the Unit of Oncología of the hospitable center, where they stay in a state that, according to Serrano.
The direction of the Hospital has opened an investigation to verify the state of the conductions of water and air of the center, although any similar measured protocol of isolation nor of the zone has at the moment not been carried out where the cases were detected.
A woman shows the x-ray of a case of legionella

Nevertheless, sources of the hospital Infant Elena indicated that from the Juan Ramon Jiménez it has been asked for that reserve beds before the possibility that took place more some case, end than they have denied in this last hospitable center.
Mountain Antonio said that the state of health of the women " is only more serious in the minor of them, but by its own disease ". The delegate of Health congratuló of which the Government has started the denominated Decree 28/7 " that explains clearly what we must do in this type of cases ".
The holders of the facilities will have to make the programs of periodic maintenance of the facilities and to control the quality of the water in the hospitable center.



12th August 2001

The family of the patient infected by legionela studies legal actions against the center

The family of the young person of 31 years, T.S, affected of legionella next to another patient of the Hospital Juan Ramon Jiménez de Huelva, today announced that she studies to undertake legal actions against the mentioned center, to whom accuse " to hide information to us ".

The husband of the patient, Vicente of the Rose, assured today that the family of the patient has confirmed her ailment " by the press ", since " they said to us that she underwent a virus that was identified but that us they did not explain it because we would not understand it ".

Unlike which the provincial delegate of Health said today, Mountain Antonio, who assured that the leukemia that the young person suffers not not had agravated by the virus, his husband maintained that " every day is worse ", and blamed of it to legionella, that she detected herself to him at noon of the last Friday.

The Rose he assured that the state of its woman was better in the last days and that even stops had predicted to be put under a transplant of marrow in September, and also denied that the case of its wife is controlled in front of the declarations of Serrano. In addition, hospital blamed people in charge to onubense to handle conditioned air, in whose conduits it inhabits the bacterium that propagates legionella, " without no precaution ", and added that in the room where was entered its woman " it made a cold intense ".

Vicente of the Rose said that the family follows the delay of which the director of the hospital, Mariano Aguayo, to confir me the diagnosis to them of his wife, and assured to include/understand the attitude of the doctors who take care of the patient " because if they have not said to us nothing is that they have orders of superior that to fulfill ".


The Meeting studies ten possible water samples like centers of legionela in the Hospital of Huelva.

Workers contracted by the Meeting of Andalusia the past work from Friday in the study of the system of refrigeration of the hospital Juan Ramon Jiménez de Huelva, where that  same day two cases of legionella were detected, and have gathered until the moment " ten water samples " to be analyzed. In press conference the accidental delegate of Health of the Meeting, Mountain Antonio, indicated that three rooms of the fourth plant of the hospital, that the two patients of 31 and 63 years respectively affected by legionella occupied, and the two bordering ones are had isolated, although the zone of the UCI of the center stays operative in which one of them was entered. The patients have been transferred to another zone of the hospital nonspecified, when having the center beds in reserve to use in case of necessity, reason why it has not been necessary to take measures like the opening from a new wing. Mountain Antonio assured that " it is not possible to be spoken of bud nor of possibility of epidemic, but of two perfectly located cases " and she maintained that is probable even that the bacterium " is located perfectly and even since is not in the samples that are being analyzed ".

The delegate explained that the technicians are studying " concrete zones of the conditioned air apparatus of the hospital ", points about which the specialists " think that she can be the bacterium, since she is not located in random zones ". Between those zones they would be " places like turns of the conduits of the air " and in which the bacterium could be located that infects the disease, " that is contracted when aspiring drops of water, mainly very small, that goes to the last pulmonary alveolos and produces the symptoms to the patients ".

At the same time, the council of Health is putting under analysis of orina " to all the patients who can have symptoms that make think that they are prone to contract the disease ", and the samples have been sent to the laboratory located in capital Huelva, that, according to Serrano, is advanced of Andalusia for this type of works. The results of the analyzed water samples will have the Service Andalusian of Health (SAS) in a term nonsuperior to ten days, whereas the orina analyses are analyzed in few hours, according to the delegate.

It explained that the water studies have gone in addition to a the conditioned air, to the hot water systems and fries, or systems of respiratory therapy, " and in general to all the apparatuses that can produce aerosols ". Serrano desveló the identities of the affected patients and that was entered the unit of oncología of this hospitable center " to preserve their privacy ", although did not say that " all it makes think that they have contracted the disease in the own hospital ", reason why made a call to the tranquillity of the neighbors of the city.



13 August 2001
 

The delegate of the Meeting, Antonio, said that there is no epidemic risk.
 
 

A center of legionela in the Hospital looks for Juan Ramon Jiménez de Huelva

HUELVA.

The Hospital Juan Ramon Jiménez de Huelva works the past from Friday in the study of the system of refrigeration of the center to detect the center of the bacterium of legionela that has affected two patients entered in oncología.

Eight samples have already taken shelter of water for their analysis.

The relatives of one of the two patients study to undertake legal actions against the center. The Meeting of Andalusia informed yesterday into which the Hospital Juan Ramon Jiménez de Huelva, where the past Friday individual cases of legionela in two women of 63 and 31 years were diagnosed, is making a " active search " of new affected by this bacterium to confirm that it is " an isolated outbreak ".

The delegate of Health of the Meeting, Mountain Antonio, explained that already ten samples have been taken from water to be analysed.
These water studies have gone in addition to a the conditioned air, to the systems of respiratory therapy and, of general form, to all the aerosols. Also there are isolated the contiguous room that the two patients shared in the fourth plant of the hospitable center, as well as the two dependencies. However, the zone of the UCI stays operative in which one of them was entered. Meanwhile, both patients have been transferred to another zone of the hospital.

The delegate explained in addition who the technicians are studying concrete zones of the conditioned air apparatus of the hospital, being the points about which they think that he can be the bacterium, since he has not been located in random zones as they can be the turns of the conduits of the conditioned air. At the same time, the Council of Health is putting under analysis of orina to all the patients who " can present/display symptoms that make think that they are prone to contract the disease ". The samples have been sent to a laboratory of capital Huelva that, according to the Meeting, is advanced of the Community for this type of works.

The Service Andalusian of Health will have the results of the analyzed water samples in an approximated term of ten days, whereas it is hoped to obtain the result of the water analyses in the next hours. Finally, Serrano declared that " all it makes think that the two patients, who joined the Department of Oncología of the hospital, have contracted legionela in the own center ". Despite it assured that " it is not possible to be spoken of outbreak nor of possibility of epidemic, but of two cases perfectly located, even, it is probable that the bacterium is located and until no longer it is in the samples that are being analyzed ".

The family of one of the two affected, who is  31 years old, announced yesterday that he is studying the possibility of undertaking legal actions against the Hospital Juan Ramon Jiménez de Huelva, to which accuse to hide information to them. The husband of the patient, assured already that the T.S. family has confirmed her ailment by the Press, " that said to us that it underwent a disease that was identified, but that us did not explain it because we would not understand it ". He added that the leukemia that her wife suffers has agravated by legionela and accused the people in charge of the hospital to handle the conditioned air " without no precaution ", since in the room of his woman.



One of the two women affected by the bacterium of legionella in Huelva dies

(SEVILLA/PAMPLONA)

Teresa San Pedro, one of the two affected by an infection of legionella detected the past Friday in the UCI of the Hospital Juan Ramon Jiménez de Huelva, passed away Tuesday at night after its ailment worsened inaterm of 48 hours.
Although the direction of the hospitable center emitted an official note shortly after which certificara the death in which it was indicated that the patient had undergone " a deterioration of the functions hepática, renal, respiratory and cardiovascular' ' that nothing they had to do with the bacterium; the family of Teresa San Pedro considers that its state got worse " because of legionellá '.
Vicente of the Rose, husband of this young person - of 31 years and mother of two children -, maintained that the infection contracted in the onubense hospitable center and which diagnosed 10 to him of August the past " is behind the death no matter how much they say now to us that it has itself due to his own enfermedad' '.

The health authorities had recognized previously that the two affected by legionella underwent serious a chronic problem that made them have very low the defenses and that were frequent that such patients were infected given their inmunodesprotección. However, already they had noticed that while the greater one of them - of 63 years it responded " tratamientó perfectly ' to surpass the infection of the bacteria

On the other hand, the facultative ones of the Virgin hospital of the Way of Pamplona have detected three new cases of legionella, with which already they are the 14 patients affected in this center, two of which they have passed away.
Health sources explained that the new cases correspond to two people who been had hospitalized in the center and third she is a patient who presented/displayed discharge fever and that was committed to make diverse tests to him. All the affected ones evolve favorably to the processing, including the person who remains boarding school in the unit of intensive cares.


14th August 2001

Martinez criticizes to the Meeting not to notify that they underwent legionella to the relatives of both ill of Huelva
 

The president of the Popular Party in Andalusia, Teófila Martinez, today criticized to the Meeting of Andalusia by to him not to have notified nor to both ill families of nor to the City council of Huelva which the patient pathology that underwent both era legionella. In declarations to the previous journalists to the act in which Memorial Manuel Irigoyen' received to the participant equipment in IV the Trophy Box San Fernando de Youthful Fútbol ', Martinez said that, although she only is two cases and they do not consider a center, already have been other populations where as a result of a reduced number they are increasing the patients by legionella. In this sense, he considered that one would be due to have communicated which was the ailment of these patients " so that complementary measures could be taken ", because " it never knows if are going away to produce more cases ", although the people in charge of Health " do not create " that they are going to take place. Martinez compared this lack of information with the robbery of documents related to the judicial causes instructed against the mayor of Marbella, Jesus Gil, in the courts of the mentioned locality, because, explained, " apparently before becoming public, already knew the disappearance documents ", which was not notified by the Meeting the Judicial Power although it has the competitions to do it.



13th August 2001

Huelva studies water samples in search of ' legionellá

 HUELVA

Workers contracted by the Meeting of Andalusia work from Friday in the study of the system of refrigeration of the hospital Juan Ramon Jiménez de Huelva, where that same day two cases of ' legionellá were detected, and have gathered to the moment " ten samples of water " to be analyzed.
The accidental delegate of Health of the Meeting, Mountain Antonio, indicated that three rooms of the fourth plant of the hospital, that the two patients of 31 and 63 years respectively affected by ' legionellá occupied, and the two bordering ones are had isolated, although the zone of the UCI of the center stays operative in which one of them was entered.
Serrano assured that " it is not possible to be spoken of outbreak nor of possibility of epidemic, but of two located cases " and it maintained that is probable even that the bacterium " is located ".


14 August 2001

The Meeting discards a center of legionella in the hospital Juan Ramon Jiménez

The Council of Health of the Meeting of Andalusia discarded yesterday the existence of a center of legionella in the onubense hospital Juan Ramon Jiménez, although two patients have been infected by the virus. However, all the suspicious patients " to be infected " are being studied, according to explained the provincial delegate of Health, Jose Ramon Pozuelo, because the period of incubation of the bacterium is of two to ten days.
The hospitable center stays the past from Friday in health alert. Until the moment the ventilation towers have been cleaned and it has changed to the faucets and the showers of the zones next to the Unit of Oncología, where the two affected patients were entered. In addition, three rooms of the fourth plant of the hospital, the one that the two patients infected by legionella occupied and the two bordering rooms are had isolated.
Also, the Council of Health has taken diverse samples from water to be studied and is putting under analysis of orina to all the patients who can have symptoms that make think that they are prone to contract the disease.
In spite of all these measures, the provincial delegate of the council of Health insisted on which the cases of legionella " are perfectly located " and denied the existence of a center in the hospitable center. Pozuelo explained that the two affected women " undergo serious a chronic problem that makes them have losses its defenses " and said that " he is not infrequent that occur cases in a hospital in inmunodesprotegidos patients ".


14 August 2001

The information given on both cases of legionella was not " necessary "

HUELVA.

The director-manager of the Hospital Juan Ramon Jiménez de Huelva, Manuel Alén, declared yesterday that the sanitary center " assumes " that the information on cases of legionella detected the last week " has both not occurred in the most precise and adapted terms ", in relation to the denunciation of lack of information showed by one of the affected families.

In press conference, in which he was accompanied by the delegate of Health of the Meeting in Huelva, Jose Ramon Pozuelo, Alén commented that the families of the two ill women have had " the precise and daily " information that their doctors " have believed opportune to facilitate " and indicated that in the relation doctor-patient the information occurs with the security of a diagnosis and, in this case, " nobody can confirm the existence of a bacterium that does not have itself isolated ".

OPPORTUNE PROCESSING Alén indicated that " the excellent " aspect in the clinical performance is " that the opportune processing was implanted " and assured in addition to have certainty that has been a " pursuit and a permanent contact " on the part of the doctors with the families of the affected ones. It added that the alert system that has been followed after having knowledge of these cases " goes in favour of the security of the affected ones and of the rest of the patients of the center ".

The fact that the two affected of legionella are admitted that same hospital from beginnings of the summer " makes think " that they have contracted the bacterium in the center, indicated Alén, although until within about ten days the location of the center will not be able to be confirmed.
One of the affected ones is in serious state and the other evolves favourably.
 
 
 

Complaints of the husband
Meanwhile, one of the affected patients, of 63 years, " has responded perfectly to the processing ", however T.s., of 31 years and patient of leukemia, " is enough badly, but by his own ailment ", it detailed the delegate of Health.
Nevertheless, the husband of the patient, Vicente of the Rose, blamed to legionella of the state of his woman who " every day is worse " and accused the people in charge of the hospital to handle the conditioned air " without no precaution ". Of the Rose he studies to undertake legal actions against the Hospital Juan Ramon Jiménez " to hide information to us " since " they said to us that he underwent a virus that was identified but that us they did not explain it because we would not understand it ".



13th August 2001

Andalusia.

The Hospital Juan Ramon Jiménez de Huelva maintains the active search of new cases of legionella

HUELVA

The delegate in functions of the Council of Health of the Meeting in Huelva, Mountain Antonio, said today in press conference that the onubense hospital Juan Ramon Jiménez is making a " active search " of new cases of legionella to confirm that both appeared until the moment they are " an isolated outbreak ".

The two patients of confirmed legionelosis share room in the plant of Oncología of the hospitable center, reason why there are isolated as much its room as the two contiguous ones. Also, Serrano added that " a relimpieza of all the water systems has taken place with special interest ".

The delegate in functions informed that ten environmental samples in the critical points have been taken from the Hospital, although " until within ten or twelve days conclusive results will not be had ", recognized. Nevertheless, Serrano indicated that the performances are being carried out " as if all the hospital was contaminated " and the Real Decree of the Ministry of Health of July is being applied past 28. Finally, Mountain Antonio showed that " all the made analyses to patients with compatible sintomatología to legionella have been negative until now ", reason why in opinion of the delegate " there is no epidemic risk ", concluded



13th August 2001

The Medical Union of Andalusia recrimima to the SAS the lack of information on the cases of legionella

The Medical Union of Andalusia recriminated to the SAS its " resistance to provide information to the patients and the relatives " on the cases of legionella registered in the Hospital Juan Ramon Jiménez de Huelva, according to indicated in declarations its president, Angel Pizarro.

In opinion of the representative of the union, the Meeting " fears the bad press which they have cases like these and before the fear of which they could accuse it of incompetencia, it did not inform sufficiently into them ". For Pizarro, one of the main failures of SAS is its tendency not to provide the information " which ends up being translated in judicial claims ".

MAINTENANCE DEFICIENCIES In addition to the disinformation, Pizarró also criticized the " deficiencies " of the maintenance service of the hospitals as far as the prevention of cases like these.

" legionella is an opportunistic germ that always is there and that fácilemente finds its site in the conditioned air conduits or the pipes, reason why is necessary to be continuously alert ", indicated. In this sense, the representative of the union assured that the maintenance services " do not work all the good that would have " and demanded therefore the constitution of a permanent preventive medicine equipment and that it avoids as far as possible that these cases take place. According to Pizarro, the overhauls in this respect usually are made with annual regularity or " when it happens some problem like now " and the desirable thing would be that they took place of permanent form, " that will be finished making an overhaul and another one began ".


14/08/2001

CC.OO. assure that the workers of the onubense hospital knew the cases legionella by the press
The Federation of Health of CC.OO.-

A today assured to have certainty that the own workers of the Hospital Juan Ramon Jiménez " found out existence of the cases of legionella through the press " and that were not informed formally by the management of the center until yesterday in the morning. Asi, the person in charge of Health Laboral and Envorinment of the union, Gloría Ramirez, indicated that to first hour in the morning of it took place yesterday an intermediate meeting with the Heads on watch and controls and that later the direction of the center met with the union delegates. In which one talks about the users, Ramirez indicated that " it seems to be ", by the denunciations presented/displayed by the relatives, who had occurred the same situation. Therefore, in opinion of the union representative, with this attitude, the Hospital has obtained that workers, patients and relatives feel " deceived and indignant " and have contributed to increase the alarm social that is generated in these cases.

LACK OF TRASPARENCIA For CC.OO.. " it does not have sense that SAS assures that it hoped to give the information until having the certainty of I infect, because if the prudence is comprehensible, it is it never the lack of trasparencia, since it was enough to have informed into the possibility of existence of I with no need infect to express the total certainty ", affirmed the representative. Also, Ramirez indicated before that in the meeting maintained yesterday between the direction and the unions, the director of the Hospital, Manuel Alén, she informed in broad strokes on the performances made by the maintenance service, and after the appearance of the cases of legionella. In particular, one inquired into the accomplishment of a control of maintenance of the refrigeration system and carried out water July the 17th and in which he did not find indication some of presence of the bacterium.
Also, one communicated to them that, after the knowledge of both possible contagios, samples in the critical points had been taken from the facilities and that was going away to come to the accomplishment from a microbiological study and epidemiologist to discard the existence of a outbreak. In this respect, the Federation of Health of CC.OO.-

A demanded " rigor " in the application of the measures contemplated in Real Decree 909/2001 for the prevention and control of the legionelosis and demanded to the manager of the Hospital Juan Ramon Jiménez " whom public does an official notice directed to users and workers in whom the performances are reflected that are being carried out ".
The UGT On the other hand, the provincial secretary in Huelva of the Federation of Health of UGT-A, Francisco Rodriguez, indicated that " although a greater information ", is " until certain understandable point " that could have been offered the information at a first moment were restricted, with the purpose of not creating " unnecessary alarm " in the population. With respect to the application of the prevention measures, the UGT representative assured that these had been carried out, but insisted even so on protesting that " the controls intensify " to avoid in the measurement of the possible one that these " disagreeable " facts take place.
Also, the UGT praised that as much the Delegate of Health in Huelva as the director of the Hospital had interrupted their days of rest to take care of this problem. In opinion of Rodriguez, " he is not usual " to find this attitude of preoccupation in a public position.
 
 



15/08/2001

The Hospital Juan Ramon Jiménez de Huelva maintains the active search of new cases of legionella

The delegate in functions of the Council of Health of the Meeting in Huelva, Mountain Antonio, said today in press conference that the onubense hospital Juan Ramon Jiménez is making one   " active search " of new cases of legionella to confirm that both appeared until the moment they are " an isolated outbreak ".

The two confirmed patients of legionella share room in the plant of Oncología of the hospitable center, reason why there are isolated as much its room as the two contiguous ones. Also, Serrano added that " a relimpieza of all the water systems has taken place with special interest ". The delegate in functions informed that ten environmental samples in the critical points have been taken from the Hospital, although " until within ten or twelve days conclusive results will not be had ", recognized. Nevertheless, Serrano indicated that the performances are being carried out " as if all the hospital was contaminated " and the Real Decree of the Ministry of Health of July is being applied past 28. Finally, Mountain Antonio showed that " all the made analyses to patients with compatible sintomatología to legionella have been negative until now ", reason why in opinion of the delegate " there is no epidemic risk ", concluded.



17th August 2001

Andalusia. - PP criticizes the frivolity of the PSOE with respect to the cases of legionella and says that it responds with information

HUELVA.

The parliamentarian Andalusian by the PP of Huelva, Matías Conde, he today criticized the " frivolity " with which the onubense PSOE, by mouth of his spokesman, Mario Jimenez, are boarded both cases of legionella
detected in the Hospital Juan Ramon Jiménez the last week, and he indicated that to the request for information " it is necessary to respond with data and not with personal insults ".

In declarations to Europe Press, Count wanted to make clear that, he is " indeed the lack of information the one that originates alarm uncertainty " and the PP " wants to know what is what it has happened and as they are the causes ", data that, in his opinion, would also have to be reason " for preoccupation " for the PSOE, " unless it knows them and try to hide them ".

The popular leader criticized that the PSOE has had like answer " a personal attack " and assured that the PP is going to follow asking for the mentioned information so that the citizens know and he showed that, at no moment, he has criticized the professionals of the hospital since they were the political people in charge of the Juan Ramon Jiménez and of the Service Andalusian of Health (SAS) " those that shut up and have maintained a silence interested ".


PSOE demands to PP that rectifies " to lie and to alarm " on the cases of legionella in Huelva

The spokesman of the Provincial Executive of the PSOE, Mario Jiménez, today blamed the parliamentarian Andalusian by the PP of Huelva, Matías Conde, " to generate alarna and to lie "
in relation to the cases of legionella detected the last week in the Hospital Juan Ramon Jiménez, and he insisted to the popular leader to that " he rectifies of immediate form or goes away to its house ".

In press conference, Jiménez Count declared that - that he appeared in press conference the day after which passed away one of the affected ones and ill of leukemia " it has lain when it says that the sanitary administration did not inform properly ", assuring, in this sense, that to half an hour of which they both detected the cases " the system of sanitary alert was started ".

In opinion of the socialist leader, he is " intolerable " who Count tries " to remove yield from a case so displeased and looks for in the carrion and the misfortune his political space ", especially when one is " a so delicate " subject as it is the human health. After indicating that 24 hours after detecting the bacterium the Delegation of Health gave " precise " information on the subject, Jiménez attributed the manifestations of the popular parliamentarian to the pretension to discredit the public system of health - besides to generate a social alarm between the users because the PP " is in favor of a private sanitary system ".
 


18th August 2001

One dies in Huelva one affected by legionella

Teresa San Pedro, one of the two affected by an infection of legionella detected the past Friday in the UCI of the Hospital Juan Ramon Jiménez de Huelva, passed away Tuesday at night after its ailment worsened in a term of 48 hours.


 

The delegate of the Council of Health of the Meeting of Andalucia, Jose Ramon Pozuelo, next to the managing director of the Hospital Juan Ramon Jiménez de Huelva, Manuel Alen 

Sevilla/Pamplona
Although the direction of the hospitable center of Huelva emitted an official note shortly after which certificara the death in which it was indicated that the patient had undergone " a deterioration of the functions hepática, renal, respiratory and cardiovascular " that nothing they had to do with the bacterium, the family of Teresa San Pedro considers that its state got worse " because of legionella ". Vicente of the Rose, husband of this young person - of 31 years and mother of two children -, maintained that the infection contracted in the onubense hospitable center and which diagnosed 10 to him of August the past " is behind the death no matter how much they say now to us that it has itself due to his own disease ".

The health authorities had affirmed previously that the two affected by legionella underwent serious a chronic problem that made them have very low the defences and that were frequent that such patients were infected, given their inmunodesprotección. However, already they had noticed that while the greater one of them - of 63 years it responded " to the processing perfectly " to surpass the infection of the bacterium, Teresa San Pedro, to whom a leukaemia in 1999 was detected to him, did not respond to drugs well. The husband of the deceased had denounced, before the death, that her woman was " every worse day " and announced a complaint against the direction of the center to have hidden information to him. " they said to Us that he underwent a virus that they were identifying but that us they did not explain it because we would not understand it ", he assured.
This denunciation also was going to be endorsed of joint form by the relatives of the affected other, Ana Vázquez, although they assured that they prefer to hope to know more details. According to its son, " we will hope to that the things calm. It has spoken with us the director of the Juan Ramon Jiménez and the medical head to offer the details and to tell us everything to us what she is being made so that my mother recovers and to detect the origin of legionella ".
From the past Friday, the hospitable center has stayed in health alert. A team of technicians has been in charge to clean the ventilización towers and it has changed to the faucets and toilets of the zones next to the zone of Oncología of the Unit of Intensive Cares, in where the two patients were entered. In addition they were left the rooms that had been occupied in the fourth plant by the affected ones and the immediately bordering ones isolated. Personnel of the Council of Health of the Meeting of Andalusia took, in addition, diverse water samples to make the pertinent studies and samples took shelter of orina between all the patients who presented/displayed suspicious symptoms to be caused by legionella, since the period of incubation of the bacterium is of two to ten days.

Three more in Pamplona

On the other hand, the facultative ones of the Virgin hospital of the Way of Pamplona have detected three new cases of infected by legionella, with which already they are the 14 patients affected in this center, two of which they have passed away. Sanitary sources explained that the new cases correspond to two people who been had hospitalized in the center and third she is a patient who presented/displayed discharge fever and that was committed to make diverse tests to him. All the affected ones respond to the processing favourably, including the person who remains boarding school in the unit of intensive cares. This outbreak of legionella was the past detected day 2 in the hot water conduction of the center.


 21 August 2001

The Meeting says that the patient of the Juan Ramon passed away Jiménez today was cured of legionella
The delegate in functions of the Council of Health of the Meeting in Huelva, Jose Sanchez, indicated today, after the death of Ana Vázquez

Second  patient of the Hospital Juan Ramon Jiménez affected by legionella- which the results of the last análitica that practiced to him to the woman confirmed the " total disappearance " of pneumonía by legionella and that, therefore, the woman had responded to the antibiotic processing. In declarations to Europe Press, Sanchez added that the woman has passed away as a result of one neoplasia pelvic of ginécológico origin, disease by which admitted onubense hospital the past 14th of July and by which remained in the Unit of Cuidados Intensivos (UCI) dice its " serious " state.
The Service Andalusian of Health (SAS) detected the 10 of last August two cases of legionella in the Hopital Juan Ramon Jiménez in two patients, now passed away and Teresa S., a woman of 32 years of age that underwent a leukemia and that passed away to consecuenca of this oncológica disease the 14 of August. The delegate of Health in functions remarcó that, since the bacterium of legionella in these two patients detected itself, not returned to produce no case and indicated that, with all probability, at the end of this week the results will be known the taken tests in the hospitable center to try to determine as it was the origin of I infect. In this sense, he indicated that the Laboratory Andalusian of Public Health has initiated the analyses once trancurrido the period of 10 days that, approximately, settles down for the incuvación of the bacterium and indicated that, since the cases were detected, they have become to make takings of samples in the health facilities in other two occasions with the purpose of guaranteeing that the aoptadas measures have been the suitable ones.



 


 
21st August 2001

Two died more in Navarre and Huelva by outbreaks of legionela 

SPAIN

Two dei by legionella as a result of individual outbreaks in Pamplona and Huelva elevated to seven the recent dead balance in Spain as a result of this bacteriological disease. 

A woman of 82 years who suffered a severe pathology and symptoms related to legionela died in the Virgin Hospital of the Way of Pamplona, elevating to five the number of deaths in this medical center, where there is other 19 affected by the bacterium, the Council Health of Navarre informed. 
Another woman, of 63 years, affected by legionela in the Hospital Juan Ramon Jiménez de Huelva passed away as a result of the gynecological cancer that suffered, according to the medical center. 
The outbreak of this disease in the hospital pamplonés declared day 6 the past and the Navarrese Council not yet has detected the center of the outbreak, in spite of it to have located in the hot water pipes of the center. Navarrese official sources said that some pipes are being reviewed that did not change in a reform made a year ago in the hot water conductions. 
According to CCOO, the technicians of the Council they shuffle several hypotheses on the cause of the outbreak without confirming no of them. " It is a paradox, but a year after reinforcing the prevention measures on legionela it is when it has appeared the outbreak, most important registered in the center ", it indicated Alicia Cordova, person in charge of labor health of the union, that discarded that the preventive measures against the bacterium had been failed to fulfill. 

In Spain they have detected several outbreaks of legionela this year, being the worse one of all the registered one in Murcia in July, with hundreds of affected and at least three deaths. 
Legionela is a bacteriological disease that is in the steam of the water and presents/displays symptoms similar to those of pneumonía. One transmits generally through the conduits of water and conditioned air. 

ANOTHER DEATH IN HUELVA 

The second patient affected by legionela in the Hospital Juan Ramon Jiménez, Huelva, passed away Tuesday as a result of the gynecological cancer that suffered and that was diagnosed to him in December of 2000, according to the medico part of the center. 

The deceased entered a 14 of July in the onubense hospital when presenting/displaying intestinal panel of subocclusion, reason why she received a chemotherapy processing to which she did not respond. The delegation of Health of Huelva informed into which both cases of legionela detected day 10 the past were isolated and, to the delay of the results of the culture of the bacterium, discarded that they contracted it in the hospitable center. 

The first deceased was a woman of 31 years, leukemia patient, that died the last week. 

Monday occurred to know in Catalonia the death a British tourist 63 years affected by legionela. The man, aquejado of isquémica cardiopathy and respiratory insufficiency, was diagnosed of legionela to both days of his enter the Sant Hospital Joan in Reus, Tarragona, where Friday he passed away. 

According to the department into Health of Tarragona informed, is an isolated case about legionela and the death of the patient had, mainly, to its complicated clinical panel. 

23 August 2001

Discovered the center of legionella of Huelva

The meeting of Andalusia confirmed yesterday that the analyses conducted to 10 samples have determined that the infectious outbreak of the Hospital Juan Ramon Jiménez was in one of the showers of the rooms.

The results indicate that the two women who passed away patient with were prolonged hospitalizations that had very low defence
 
 



23 August 2001

HUELVA
Legionella was in a shower of the hospital
The analyses conducted in laboratory by the council of Health in Huelva to ten samples have determined that the infectious center of legionella of the hospital Juan Ramon Jiménez was in one of the showers of the rooms. Of the ten samples taken the 10th from August, the three obtained in the circuit of refrigeration are negative, whereas of the seven collections in the showers of several rooms of the hospitalization unit in which were the patients, five are negative, one presents/displays nonconclusive bacterial growth and another one gives positive.
 

Two new patients in Jaén
On the other hand, two men of 72 and 80 years, both neighbors of Linares (Jaén), are entered from the day before yesterday with very serious prognosis in the UCI of the hospital San Agustín, of Linares, like consequence, according to the last medical report, of one " pneumonía extra hospitable with suspicion of legionella ", that he confirmed himself to last hour of afternoon of yesterday.


9 September 2001

New case of ' legionellá in Huelva

HUELVA.

A patient of the Hospital Juan Ramon Jiménez de Huelva, whose data have not been facilitated, gave positive in the analyses to detect an infection of legionella, according to sources of the council of Health.

The patient is a person who admitted the hospital with a neumónico panel and was put under a orina analysis that was positive to legionella, although the Meeting remembered that " still it has not activated alarms some since we are in the initial phase of the investigation ".

The test of antigenuria in orina is made to all the patients with symptoms that can make think that its pathology bears relation to legionella.

The entrance of this patient took place at night on the nine of Friday in the unit of urgencies of the center, and the first analyses alerted on the infection by legionella.

At the moment one is entered in the same center " and their vital constants are good ", according to the same sources that they indicated that the affected person was entered in the center and received the medical discharge 48 hours before his reingreso.


9th September 2001

Legionella. - Friday in the hospital evolves favourably the entered woman Juan Ramon Jiménez

It is not known at the moment if the disease bears relation to two detected previous cases in the month of August

HUELVA

The woman who the past entered Friday in the hospital Juan Ramon Jiménez de Huelva and to which legionella was diagnosed evolves favourably, although it continues in the Unit of Intensive Cares (UCI) into this hospitable center, according to it informed today to Europe Press the delegate of Health of the Meeting in Huelva, Jose Ramon Pozuelo.

The patient entered in the service of Urgencies of the hospital to 21,30 hours of the last Friday, since it presented/displayed a panel of neumonías febrile, reason why was transferred to the UCI, where it was made to him a test of precocious detection of legionella, that it gave positive.

As of that moment, according to Pozuelo, " it has been started a meticulous investigation " of the surroundings of the patient, as well as of hospital, since the woman, of about 70 years, was entered in hospital " days before Friday ", according to Pozuelo, by problems
cardiorespiratory.

Nevertheless, the delegate of Health in Huelva emphasized that woman " became ill of legionella when she was already outside hospital ", although " not yet we know if it has relation " with the others two cases of legionella detected in the same hospital the past month
of August.

Finally, Pozuelo remembered that the investigation with respect to both previous cases continue still " taking new samples of periodic form of the surroundings of the hospital and the patients, like one is taking control of the new case ".



 PAMPLONA August 2001......................LINARES August 2001
 

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.....................................Denis  ........Email...legion@q-net.net.au

Copyright (c) 2001

All photographs Copyright (c) by others

 



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