ASTURIAS

OVIEDO

SPAIN


May 5th 2001

Health alarm in the capital of the principality

Asturias registered three cases of legionella this year

The episodes, no of them of mortal character, were located in Gijón, Oviedo and Avilés

Asturias registered three cases of legionella in which it goes of year. According to data of the Main directorate of Public Health, the episodes, no of them of mortal character, were located in Oviedo, Gijón and Avilés.

Legionella shot the health alarm in Catalonia and Valencia, where the past year massive outbreaks were registered that got to affect more than two hundreds of people.

In Asturias, one thought that the disease had a little presence. Nevertheless, a carried out study by Public Health allowed to locate inadvertent cases that at first were past to the sanitary services of the region.

The last data shuffled by the Council of Health indicate that during the past year the resident people in Asturias were a total of twenty who were themselves affected by legionella. The number multiplies almost by three the eight cases that at first had been detected throughout the last year. The explanation of this sub declaration of cases is in the detection technique that use the hospitals, that in many cases do not get to confirm the presence of the original germ of the disease.

One is a problem of diagnostic technique. To date, the hospitals mainly use the detection by means of antigen in orina. Nevertheless, in some cases this method is little, since it does not detect the bacterium cause of legionella and prevents his later culture.

Indeed, the culture of the carried out bacterium by the Basque Service of Health will now allow to confirm if the woman affected by legionellosis contracted the disease in Oviedo.

To isolate the germ cause of legionella and to cultivate constitute it the only effective measurement to locate a possible epidemic outbreak of the disease. It is indeed for that reason that the chief of a main directorate of Public Health requests a effort to the hospitals of the region so that before the suspicion of a case of legionellosis they try to come this way.  


LEGIONELLA the passed away woman became infected in Oviedo

24th May 2001

The woman vizcaína that passed away April by legionellosis the past infected in a hotel of Oviedo, according to the results of the analyses made by the National Center of Microbiology

The study has confirmed that the two bacteria found in the cooling tower of the ovetense premises agree with the isolated one in the victim.

Health investigates if a woman died by legionella contracted it in Oviedo

4th May 2001

The presence of the bacterium in the hotel is confirmed where it lodged

The health authorities of the region try to determine if the death by legionella of a woman of 68 years, from Biscay, keeps some type of relation with its brief stay in Oviedo. The woman was in the capital of the Principality 30th of March, participant in a wedding and the past passed away day 26th of April, already of return in Biscay, after a fort legionellosis process that apparently could have contracted in Oviedo.

The woman travelled until Asturias in company of her husband and she stayed herself in a well-known hotel of the ovetense city. Indeed, the investigations made by the Main directorate of Public Health and the Regional Agency of Environmental Health confirmed the presence of two types of bacterium of legionella in the cooling towers of the hotel.

Now, the health authorities of the region are trying to determine if the present bacteria in the cooling towers of the ovetense hotel bear relation to the causal agent from the legionellosis that caused the death to him to this woman.

It sickened the 9th of April

The chief of a main directorate of Public Health, Ramon Quirós and the person in charge of the Agency of Environmental Health, Juan Llaneza, confirmed yesterday to this newspaper that the woman began to once have the first symptoms from return to Biscay. The 9 of April, nine days after having been in Oviedo, the woman became ill, although she did not admit the hospital until day 17. The death the past happened Thursday to him, 26th of April, after entering in the UVI and requiring of respiratory attendance.

The Principality considers feasible that the woman has contracted the disease in Oviedo, since legionella requires of a period of incubation of ten days. However, also they are being investigated other possible itineraries that the woman made previously to her stay in the capital of the Principality.

The Council of Health, through the System of Monitoring Epidemiologist, received the sanitary alert day 20th of April, when the woman already took entered in the hospital three days. That same day, personnel of Public Health moved until the hotel where the woman had stayed itself to take samples and to investigate this case.

Analysis of the room

Quirós explained that analyses took shelter of the room where had spent the night, as well as of other hostels stays. In these premises germs were not detected some. Also, it was come to analyse the cooling towers, where according to the director of Public Health confirmed got itself to detect the presence of two types of bacterium cause of legionella. One treats, according to Quirós, of two elevadamente pathogenic types of bacterium the human being.

After the past knowing day the 27th of April results positive of the cultures, process that was carried out in the Laboratory of Public Health, the council personal in the hotel-restaurant to come itself to the closing of the cooling towers was paralysed. For it, the Council of Health had to elevate an order in which adduced reasons for public health to come to its immediate closing. The refrigeration system was disinfected.

Possible outbreak

The mentioned cooling towers give the outside of the building, although Llaneza and Quirós indicated that " in the same period of time other cases of legionella were not registered ". However, Public Health maintains the monitoring in the zone with the purpose of detecting the existence of a possible outbreak.

On the other hand, the Council of Health indicated that any other case of legionella was not detected that could bear relation to this event. In fact, it was investigated to each one of the assistants to the wedding, without the presence of this bacterium was confirmed.

20 cases during 2000

Legionella, a bacterial disease of environmental origin, shot the health alarm in Catalonia and Valencia, where the past year massive outbreaks were registered that got to affect more than two hundreds of people. In Asturias, one thought that the disease had a testimonial presence merely. Nevertheless, an investigation made by the Main directorate of Public Health allowed to locate inadvertent cases that at first were past before the sanitary services and that, therefore, had not arrived to be notified from official form. The past year a total of 20 cases was registered, of which two were mortal.


THE COUNCIL CONSIDERS THAT THE DATA OF THE MICROBIOLOGY CENTER AIM AT THE COOLING TOWERS OF A HOTEL LIKE ORIGIN OF THE INFECTION

Health thinks that the Bilbaoan died by " Legionella " could contract it in Oviedo

Oviedo, P. A.

The Council of Health of the Principality considers very probable that the hotel restaurant the Grotto, of Oviedo, a woman of Bilbao is the place in which contracted the bacterium " Legionella " that the past passed away 26th of April because of this disease.

This valuation of the Asturian sanitary authorities takes place after the reception of the analyses conducted by the National Center of Microbiology of the Institute of Health Carlos III, that two bacteria found in the cooling towers of the ovetense establishment with the isolated one in the woman died in Biscay at the age of 68 years compared. Yet, the people in charge of the Council notice that, in this type of situations, " the absolute security she does not exist ".

The official notice of the Council of Health indicates that the results of the identification study and characterization " allow to consider that the cooling towers of the hotel could be the origin of the infection of the passed away woman ". This one had been stayed in the mentioned hotel, where also it had participated in the subsequent banquet to a celebrated wedding the 30th of March.

The note of Health remembers that the cooling towers of the restaurant " were paralysed by resolution of the Council of Health and Sanitary Services the past day 27th of April ", date in which the laboratory of Public Health communicated the isolation of " Legionella " in the samples taken the 20th of April.

The towers were disassembled and oldest, replaced. All of them were put under the processes of cleaning and disinfection recommended by the experts. At the moment, it continues the official notice of the Council of Health, " the towers are in regime of normal operation ".

 

 

 


 

 

 

 

 

 

 

 


23/05/2001

The analyses confirm that the woman vizcaína passed away of legionella became infected in a hotel of Oviedo

The woman vizcaína that the past passed away month of April by legionellosis infected in a hotel of Oviedo, according to the results of the analyses made by the Center National of Microbiology of the Institute of Health Carlos III from Madrid when comparing the two bacteria found in the cooling tower of the ovetense establishment with the isolated one in the woman died in Biscay, that had 68 years of age.

According to the Council into Health of the Principality informs, the results of the identification study and isolated characterization of two of legionella of serogrupo 1 " allows to consider that the cooling towers of the hotel could be the origin of the infection of the passed away woman ".

The patient sickened days after attending a banquet of wedding in a hotel of the Asturian capital celebrated the 30th of March and passed away day 26th of April. The services of monitoring of the Basque Country communicated this fact to the Council of Asturian Health before the suspicion that the woman could have infected in Asturias. Health confirmed day 27th of April the isolation of the bacterium in the samples that had been taken one week before in the system from refrigeration of the hotel.

The mentioned towers then were disassembled and put under processes of cleaning and disinfection. At the moment they are in operation.

Before these facts, the Council of Health of the Principality remembers the proprietors of this type of facilities that must be cleaned and be disinfected periodically to avoid the proliferation and propagation of the bacterium to the atmosphere who can produce epidemic outbreaks.


Health alarm in the capital of the principality


Public health discards an epidemic outbreakin Oviedo when not finding new cases of legionella

The death of a woman of the Santurce is the only related episode to date

The Main directorate of Public Health discarded yesterday the presence of an epidemic outbreakof legionella in Oviedo when both not being new cases in relation to infectious centers located in the cooling towers of the Hotel the Grotto, situated in the capital of the Principality. At the moment, the death of a woman of the Santurce, of 68 years, is the only episode that could be related to these centers of legionella. So and as this newspaper, the woman informed yesterday, who had the past attended 30 of March a wedding celebrated in the ovetense hotel, passed away of legionellosis the 21st  April.

The Asturian health authorities continue studying the possible relation between the centers of legionella detected in the Hotel the Grotto, of Oviedo, and the death of a neighbour of the Santurce, I. C. G., of 68 years. The woman, according to emphasized yesterday the Basque Service of Health, the past passed away day 21 of April and not the 26 as initially she had indicated myself.

The death took place in the Hospital of Crossings, of Barakaldo, after a virulent process of legionellosis that the woman could have contracted in Oviedo, after a brief stay in the hotel in whose cooling towers two types of bacterium causes of legionella were detected.

The neighboring mentioned one of the Santurce stayed in the Grotto the 30 of March and attended a wedding celebrated in the own hotel complex. According to data of the Basque Service of Health, the woman left Oviedo the 31st of March. The 9th of April became ill, entering in the UCI of the Hospital of Crossings the 17th of April. Four days later, and after failing all the pharmacological processing's applied by the doctors of the hospitable center, the woman passed away.

While they continue the analyses to confirm or to misestimate the relation between the centers of legionella and the death of this woman, the chief of a main directorate of Public Health, Ramon Quirós indicated that, at the moment, the presence of a possible epidemic outbreakright in the center of Oviedo discards, to not to be detected no new case.

Quirós also informed into which it has been come to study the familiar surroundings of the passed away woman (specially its husband, with whom was in Oviedo), without were other episodes of legionellosis. Bacterial processes were not located either that could bear relation to legionella between the people who the past day 30 of March participated in the wedding which also she attended the neighbor of the Santurce.

In order to speak of outbreakof legionella the existence is needed two cases related to the same source. Although still a prudencial time is due to hope, since the process of incubation of the disease lasts ten days, Public Health thinks that " the conditions for a outbreakdo not occur ".

Quirós indicated that at the end of the process it will know if the passed away woman infected itself in Oviedo, since a sample of the bacterium will be sent that caused the death to him to a reference laboratory where it will be compared with the found one in the ovetense hotel. However, this end will not be able to be known until within ten days.

On the other hand, Quirós showed that until the moment all the tests made in the dependencies with which she was in contact the affected woman of legionellosis have thrown negative results.

The bacteria located in the system of refrigeration of the hotel, are of type 1 and 2. The circumstance that occurs first of the types he is highly pathogenic for the human health.