Outbreaks of legionella infection in Spain, 2000
Seven outbreaks of legionnaires’ disease have been
notified to Spain’s national centre for epidemiology in 2000. In four of them patients acquired infection
in the community and in three the infection was hospital acquired.
The European Working Group for Legionella Infections (EWGLI) has
also reported four clusters of legionellosis in tourists who visited Spain in 2000;
15 cases were identified. This report describes three
large community acquired outbreaks.
From 16th September to 8th October 2000, 70 cases of legionellosis (43 men and 27 women; aged 20 to 95 years) were reported by the local health authorities of Alcoi, in the Valencia region. Two patients died.
Cases were diagnosed on the basis of urinary antigen tests for Legionella pneumophila and in three cases L. pneumophila serogroups (sg) 1 Pontiac Knoxville was isolated. Preliminary enquiries revealed an association with visiting and living in a certain area of the city. Exposure to this same area focused the investigation on the possibility of aerosol transmission from contaminated cooling towers.
Clinical isolates and water samples from cooling towers from the area were sent to the national reference laboratory. All the cooling towers in the suspected area were disinfected. Intensified surveillance is continuing.
Valencia Of parallel and independent form to the epidemic of
legionella that undergoes the alicantina locality of Alcoy from September of
1999 Cocentaina - to five kilometers of the previous one also he suffered
the effects of the bacterium, according
to recognize sources of the Council of Health. A total of 26 people was
diagnosed with pneumonía by legionella in July. Five were treated in their
houses and 21 admitted the Virgin
hospital of the Irises, of Alcoy.
The Generalitat did not make then public the totality of these cases and the patients are not gathered in the official list of 144 affected by the epidemic of Alcoy.
Of these last ones, seven passed away after to
be diagnosed of pneumonía caused by legionella. The outbreak began the 12 of
July with the first case and it occurred by closed the 29th of July.
Health indicated yesterday that the existence of this outbreak to the City
council of Cocentaina like a communicated as much the advice of local
health and that contacts between the Consistorio and the industrialists were
made to review the state of the cooling towers and its cleaning, since
it
determined that the origin of I
infect was environmental.
A new case of pneumonía by legionella in Alcoy was diagnosed yesterday.
23rd. December 2000

The last one was detected in September and affected 20 people.
The study made by the Generalitat, the City council and Institute of Investigation Carlos III concluded that the origin of the microorganism was in the cooling towers of companies and industries. In order to solve the problem, several cooling towers were cleaned in which they gave to positives the analyses of the samples of the bacteria. Everything indicates that a little fulfillment of the adopted protocol exists to prevent these cases and meager level with disinfection established by the health authorities. According to the experts, the orography of Alcoy causes that commerce and companies have their cooling towers to the same height that many houses and passers-by.
The logout
of refrigeration causes that the micro drops disperse in aerosol form and that,
in the case of not coming from sources correctly disinfected, transmit the
bacteria by respiratory tract.
In the prevention norms that settled down in Alcoy
from the first outbreak of
The Valencian Generalitat
lacks norm to prevent
legionella.
The Community of Madrid however was itself forced to dictate a
regulation in this sense when in 1998 a outbreak in the network was held
distribution of the water.
Hospitalized in Alcoy a new one affected by legionella
The Hospital of Alcoy returned to diagnose a case of pneumonia caused by legionella |
A man of 77 years of age entered yesterday in the morning in the center and the Generalitat affirms that it could be an isolated case
The number of affected by the successive outbreaks of the ailment rises already to 146 people
A man of 77 years of age was admitted in the morning the Virgin Hospital of the Irises of Alcoy affected by one yesterday pneumonia caused by legionella. With this patient, already they are the 146 people affected by this ailment in the city from September of the last year.
According to the Conselleria informs into the Spokesman of the Government, the patient in the morning admitted the hospital, affected by one pneumonia. When doing to it the tests, gave him positive of legionella in the orina analysis. Sources of the Valencian Generalitat indicate that the patient remains entered to the delay of which the survey is made to him epidemiologist. These same sources indicate that some could be caso isolated without relation with the epidemic outbreak of Alcoy .
The number of people affected by the three epidemics of legionella that has undergone Alcoy from September of 1999 ascends already to 146. The number of cases of the third outbreak from the 1st of December. From that date, new 171positivos did not take place to the 22 of that same month.
That day pneumonia by legionella to a patient was diagnosed, although its enter the hospital was not necessary, receiving processing in its own house. In that occasion, the health authorities did not doubt in speaking of an isolated case, without relation with the outbreak. Thirteen days later a new case takes place.
It is possible to indicate that the healthauthorities have indicated in reiterated occasions the endemic character of legionella in this zone, that produces an average of about eight annual cases.
On this last question Working Commissions it has predicted to make a study in the next days. The representatives of the union want to know with exactitude the number of patients who come producing every year to determine if he is really an isolated case, as they seem to point the health people in charge. In any case, the union delegates have chosen to maintain an attitude of cautela until trustworthy data are obtained and have announced that CC.OO. will be present in the summoned civic forum for next day 18 by PSOE and EU of Alcoy.
Finally, it is necessary to indicate that from the Conselleria of Health one has affirmed in the last weeks that the third outbreak of legionella practically was closed.
19th November 2000
Alcoy by the lack of information and the prolongation of the outbreak of legionellá The disease, detected for 14 months, has been already affecting 123 neighbors of the alicantina population
A total of 123 affected in 14 months. Two people have died .
Colapsado hospital. Closed cooling towers. Citizen restlessness and enterprise preoccupation.
The x-ray of the outbreak of legionella detected in Alcoy (Alicante) the 20th of September of 1999 is completed today with the social diagnosis of the epidemic: a generalized sensation of alarm by lack of information and a frustrating absence of foundation between the patients to be able to exert the right to the complaint before an incapable health administration, until now, to abort the incessant dripping of cases. The uncertainty glides on the alicantina Alcoy , whose citizens wonder themselves how it is possible that 14 months after detecting the first outbreak of legionella continue diagnosing new cases - last the past Wednesday -, and why in Vigo 30 affected, four deceaseds the outbreak and in Barcelona 42 was controlled quickly affected, after a new case confirmed yesterday diaphanous information is offered and a decree is prepared quickly to harden the norm on the refrigeration facilities. The answers to those questions have been, so far, in the cold air of Alcoy, as also it persists suspended in the atmosphere the germ inhaled already by hundreds of inhabitants. The Valencian Government has reacted late. Now, after 14 months, it has transacting by way of urgency a norm to be able to act on the origin of the infection: the cooling towers of the industries.
The City council has tripled the
number of inspectors to comb the city - they have already made 262
visits the hunting and captures of the bacterium. The president of the
Generalitat, Eduardo Zaplana, requests " tranquillity " to the population and
emphasizes the work of Health. " it is not possible to be done nothing else ",
because " there is no more manoeuvre margin ", he maintains. The past June,
almost a year after declaring the first outbreak, the City council of Alcoy and
the Council of Environment subscribed a protocol - of not forced fulfillment for
the control of the microorganism. But the preventive measures that that document
contains, cradles in a study of the University of Alcala de unique Henares and
in referring the legislative one on the matter, the one of Madrid, have not been
effective.
The president of the Textile Association Alcoyana, does not hide that its association does not know the protocol officially. Something fails. The retired mailman admitted the Virgin Hospital of the Irises of Alcoy - its service of microbiology is saturated from the past of September. After one week in plant it knew that the hospital was full of patients with legionella , some in the corridors. " there is no information. And if it is known something is not said.
They try to hide it to avoid claims and that people request indemnifications. The mayor of Alcoy, denies opacity in the process. We informed once a week he states because we do not want to alarm to the population with daily press conferences. It is not necessary.
The citizens already are alarmed, probably by a information deficiency that feeds the popular rumorología and is broth of culture of the psychosis that begins to appear in the city. Six of the 19 cooling towers of the city registered by the City council continue working, after their chlorination and disinfection. But the experts fear that the germ can be present in some system of refrigeration non declared and that from propagates there by aerosols (microscopic particle suspensions of a liquid or a solid in the air). And also they suspect that the bacterium could not be in the cooling towers, but in the private wells other peoples to the public network that provide the systems to cool the machinery of the industries
| Social alarm in Alcoy after detecting legionella in the
potable water network
26th November 2000 The city
council recognizes eight positive samples in takings made in the municipal
conduction No longer they are only the cooling towers. During the last days,
different analyses have detected legionella in eight points of the potable
water network and in two of the ten deposits that provide it. However, in
no of the cases it is confirmed that serotypes of found bacterium is the
same one that has caused 125 patients during last the fourteen months in
the alicantino municipality. Once confirmed which legionella not only exists in the cooling towers - circumstance that fell by its own weight, according to agrees expert nationals -, the incognito it is now in knowing if the type of bacterium found recently in showers and water tanks is the same one that the detected one in the 125 alcoyanos affected for fourteen months. Yesterday, the newspaper the Country informed into the existence of two information made by the Conselleria of Environment, according to which he had appeared legionella in two deposits that provide the potable water to Alcoy. According to this information, the analyses were made by Laboratory Labaqua de Alicante. First day 17 was sent to Environment the past. The second the past arrived Tuesday at the department that directs conseller Fernando Modrego. The people in charge of Health were informed into both studies. However, the mayor of Alcoy assured yesterday that the past did not have knowledge of these analyses until Wednesday at night. That same day, the chief of a main directorate of Public Health, Francisco Bueno, met with the Council of Health of Alcoy and it did not inform on the existence of these information. He was when he affirmed that it was " improbable " that they appeared new cases of legionella. Few hours later a patient with legionellosis entered. After knowing the content the information of Labaqua, the first edile decided to close one of the deposits, whose provision to the population is little. The other was drained and cleaned with the protocol facilitated by the health authorities. After this operation, it was filled and it continues again providing water, although chlorine has been applied to him to a processing against the bacterium, adding, although without reaching the hyperchlorination. In the case of being adopted this measurement, the city council would prohibit the water consumption at least 24 hours. Although the existence of legionella in these two deposits is confirmed, still are pending the information on serotipo of the bacterium, according to explained the first edile. " It could happen that legionella found does not have anything to do with the affected ones ", added. In any case, the mayor insisted on which " the water can be drunk with total tranquillity ". Nevertheless, the neighbors were afraid the worse thing yesterday and decided to supply themselves excessively of mineral water, which left some of the main supermarkets without water, as they were the cases of several centers of Mercadona. Eroski did not get to remain without bottles, although also it registered a spectacular increase of sales of this product. On the other hand, the mayor confirmed that inspection made them has allowed to obtain eight positive samples, of the 25 made takings. The exhaustive analysis of the culture of the bacterium - what it has still not been made in the case of the water tanks has desvelado that legionella found is not of the same type that the one that has affected to more of a hundred of alcoyanos. While, the mayor confirmed yesterday that other three people are entered with pneumonía in the Virgin Hospital of the Irises, although are pending to verify if they suffer legionellosis. |
1st December 2000
Health finds in a well of Alcoi the main center of legionella
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Conseller of Health, Castilian Serafín, has confirmed east Friday that inspectors of conselleria has found in a water well deprived of the city of Alcoi the bacterium of legionella agrees that it has affected 139 people.
Castilian it has denied that the potable water network is infected by the bacterium and has sent a message of tranquility to the population.
According to conseller the refrigeration towers have been infected by the private wells that supply them.
In addition a cartography company has detected 70 new towers of refrigeration without registering.
Conseller of Health, Castilian Serafín, assured that it trusts that the outbreak of legionella of the city of Alcoy " will be able to be abashed shortly and completely ", since the administration works in the guessed right line.
Castilian, that made these manifestations a press conference in the occasion of the World-wide Day of AIDS, it considered the result of the culture in a private well very positive " that supplied a cooling tower of Alcoy, where was a bacterium of the same type that the one that has caused the outbreak and that has been closed by the City council of the population.
legionella is not in the municipal water network of Alcoy, reiterated conseller, that indicated that the result of this last culture comes to confirm that it is in the cooling towers and particular wells of supplying of those towers where serogroup 1 of legionella it agrees with the one of the infected patients.
The holder of consellería of Health added that the municipal technicians and of Consellerías of Health and Environment comb and inspect daily activates and all the city of Alcoy, since does not exist a census of cooling towers.
The works are very being guessed right, as it demonstrates with the location, yesterday, of the deprived well , it said conseller, that insisted on which it is working in the guessed right line and the confidence that as rapidly as possible this outbreak can be taken a short cut of definitive way ", that affects 139 people.
Castilian he informed that during the day of new cases of legionella in Alcoy were not diagnosed yesterday and with respect to possible deaths consequences of this outbreak reiterated that the information made by the facultative ones of the Virgin Hospital of the Irises of Alcoy " are very clear and say that they have not died by infection of legionella ".
With respect to the complaint that she has predicted to present/display the family of the woman of 71 years passed away Wednesday after to have suffered legionella against the mayor of Alcoy, Miguel Peralta, and the director of the Virgin hospital of the Irises, Joan Lloret, conseller of Health considered that she thinks that " any citizen, in the exercise of his legitimate rights, can exert the actions that consider pertinent and before that there is nothing no to say.
all the preventive measures are being followed and the plan of performance according to the recommendation of the protocols and the experts.
Castilian it explained that the judicial channel will also help to clarify the facts, something that the Government and Consellería of Health will be enchanted of which it becomes.
The Conselleria of Health
confirmed yesterday that two of the three affected by pneumonía by
legionella that was admitted the hospital of Xàtiva they presumably
contracted the disease in the own health center. One of them has passed
away.
Valencia
The undersecretary of the Valencian Agency of Health, Martian the Gómez, confirmed yesterday that two of the three affected by pneumonía by legionella who were admitted the hospital Lluís Alcanyís de Xàtiva they contracted " presumable ' the disease in the own health center. One of the affected ones, that a cancer suffered of lung, passed away 26 of January the past.
The undersecretary of Health made these declarations after the meeting of the commission of experts of legionella that, during near four hours, was celebrated yesterday in the Conselleria de Sanidad.
The bacterium of legionella detected itself in the shower of one of the rooms of the sixth plant of the hospital of Xàtiva, after which, according to Gómez, " the habitual measures were taken, as hyperchlorination and increase of the temperature of the water, as well as the change of those elements of plumbing susceptible to be able to be quartered legionellá '.
According to the undersecretary of Health, " one of the patients affected by legionellá ' was registered the past 17th of January and its evolution is favorable, and the second, that suffered a cancer of lung, passed away the 26 of January '.
Martian Gómez insisted on which " there is no epidemic outbreak of pneumonía by legionella in the Valencian Community, since we are within the normal percentage of enfermedad' '.
In addition, also he confirmed that one third person was admitted that hospital in November of the last year by legionella, although said that " that case is isolated and it does not have anything to do with both appeared will ahorá '.
While, the president of the Meeting of Personnel of the Hospital Lluís Alcanys de Xàtiva, , affirmed that " alarmed ' generated after detecting the bacterium of legionella " is infundada since, in principle, we are within the parameters of normal.
On the other hand, the room of the sixth Internal Medicine plant
of the hospital, where the last week a center of legionella was detected,
has not been sealed at any moment because, according to the direction of
the center, when taking themselves the suitable safety measures have not
been considered necessary. For this reason, the patients continue using
those facilities.
Sources of the Lluís Alcanyís indicated that in the
hospital a totally normal life is being made " and malaise between the
workers does not exist, since the information channels have been followed
pertinent so that the personnel was informed.
On the other hand, the PROVINCES could verify in the
morning yesterday that most of the patients of the plant sixth of the
hospital they did not know until that moment that had registered a center
of legionella in a room of the same one. Nevertheless, they were calm when
knowing that the necessary precautions are being taken, although had
wanted that they informed to them better.
14th December 200
Technicians of the Alcoy assure that there is no legionella in the potable water supplies
Technicians of the potable water network of Alcoy have assured that has been legionella neither in the deposits nor in the network of water supply of the city, where have become numerous analyses and cultures that they have given negative, and where an additional cloración has been applied to assure the disinfection.
People in charge of the management of the network of the water in Alcoy closed the appearances that during four days have taken place in the commission of Valencian Cortes which it investigates the outbreak of legionella in Alcoy, that tomorrow will name the communication in charge to process the conclusions that must appear the 27th of December.
The director of the Company Municipal de Aguas, Miguel Serra, indicated that the 21st of October of 1999 received a fax of the City council that alerted of a possible outbreak of legionella and of which could have problems in the water network, reason why from the following day and to December a total of five samples was taken, whose result gave negative.
It added that in both I appear successive they became cultures - in the middle of June and at the beginning of October in zones where Environment had detected positive samples in the artichokes of the showers, and even always gave negatives, whereas finally an additional chlorination was made, although the water continues being potable and consumable.
Serra indicated that the 30th of November of the last year a pursuit commission was constituted that was coordinated, according to established the City council, of the councilwoman of Health and in which was not in favor present the Water councilman, to that the own Serra communicated the results later and consulted the measures.
Fertile valleys indicated that at this moment 20 daily samples are taken that are analyzed in two laboratories, although as of this week, through order of the City council, the samples will happen to be weekly and later biweekly, then, since has not been legionella, it does not have sense to follow with this regularity.
It indicated that from the past 25 November, taking care of the recommendations of consellerias communicated by the City council, it has been increased to the chlorination of the water to 1´5 parts by million, although more ahead they will become to the normal limits, that 0´4 and 0´7 are located between parts by million to assure the disinfection.
Fertile valleys indicated that Alcoy supplies by three wells and a spring, and the water is distributed through ten deposits - that in some cases have compartments and a network of 120 kilometers, whose state of conservation is good and whose analysis fulfills the legislation widely existing.
| 4th January 2001 |
A new
person of Alcoi enters with pneumonía by
legionella
![]() Virgin hospital of the Irises |
A neighbour of Alcoy of 77 years remains entered in the Virgin hospital of the Irises of this locality with pneumonía by legionella, according to said sources of the Valencian Generalitat. The same sources indicated that, according to the medical report of the health center, the patient admitted the mentioned hospital yesterday and this morning has given positive in the orina antigen.
The patient, who is pending of which the survey is made to him epidemiologist, could represent a " isolated case without relation some with the outbreak epidemiologist " of Alcoy, explained the mentioned sources.
According to the official estimations, a total of 144 people has been affected by legionella in the last fourteen months in the city of Alcoy, and a death has taken place, the one of a man of 77 years who died the night of the 30th of November of one " pneumonía by legionella " in the UCI of the alcoyano Hospital.
Health gives by
finalized the outbreak of pneumonía by legionella in Alcoy after making 122
analyses
The Conselleria of Health
gave yesterday by finalized the outbreak of pneumonía by legionella in Alcoy and
Cocentaina after the commission of experts created had analyzed 122 analyses in
waters of Alcoy.
The Commission of Experts created by the Conselleria of Health for the study of the outbreak of pneumonía by legionella in Alcoy considered finalized the outbreak yesterday.
From the 2nd of December of 2000 to today, in that an entrance has taken place, three income of pneumonía by legionella, a 6,6 percent of the total of income by pneumonía have been entered in the Virgin hospital of the Irises of Alcoy registered, which has been interpreted by the members of the commission of experts like a casuistry of the disease that there is to consider below the index of prevalence of the same one, considering the global calculation of income by pneumonía in this period.
After taking place, in the last month, 122 analyses of water control in Alcoy, pneumophila was solely confirmed yesterday a positive result of the bacterium legionella serogrupo 1 in the water network, with a concentration of 12 colonies by liter. According to the commission of experts, this concentration does not suppose any risk to contract the infection. For the scientists, the concentration necessary to be able to be considered as risk to contract the infection through the water network is established in 10.000 colonies by liter of water.
The commission of experts therefore, considers that, taking care of the index of prevalence of the disease in the city of Alcoy from the past 2nd of December, the exceptional taking of samples or analysis of water control carried out during the last month and the results obtained from such, objectively and from the scientific point of view, the cases of pneumonía by legionella in Alcoy are below the index of normal prevalence of the disease, reason why we were in a situation of absolute normality and tranquilidad, is given off in the report.
Health confirms new cases of legionella, that the affected ones can elevate already to 123
16/11/00
Conseller of Health, Castilian Serafín, assured yesterday that they have appeared three new cases of legionella in Alcoy, with which rises to 120 the number of people affected by this disease in this city since the outbreak in September arose from 1999. On the other hand, union sources indicated to Efe that are the six new cases, they based in 123 the number of affected by this disease, and indicated that the person entered the Unit of Intensive Cares of the Virgin Hospital of the Irises of Alcoy is " very serious ".
In the corridors of Cortes, conseller indicated that, according to the analyses made until the moment, the origin of the outbreak is in the cooling towers, which took to dictate to the last week a resolution in which its closing was ordered, as well as the one of the particular water wells which they supply the towers. In fact, the three towers have been closed that take their waters from these wells.
" it was decided on that measurement to avoid that they could have new cases and of eradicating the outbreak ", explained conseller, that added that these measures " it seems that they are beginning to arise effect, because the dripping of cases that has taken place ten in the last days has stopped ".
Conseller emphasized that the decree processed by the Generalitat in this sense, that it covers a prescribed lagoon and it is a measurement of prevention of future, along with the intensification of inspection and monitoring equipment, " is a assembly of measures to be able as rapidly as possible to eradicate the one that is dripping of cases ".
The holder of Health affirmed that " we are giving a transparent and fast information, and when we know clearly diagnosis that the patient is infected by legionella we quickly communicated it to the opinion publishes ".
On the other hand, sources of union UGT-PV indicated that the Conselleria de Sanidad " takes more of a year without acting, has left the center of Public Health of side and the analytical ones are not made in the laboratory of Alcoy although he is oldest of Spain ".
" the things have not been made well and the proof of it is that I appeared is lasting long time ", they indicated the same sources, that they explained that the 6 new cases are of " previous sintomatología ", which means that already they showed the symptoms but has not been until now when has been diagnosed that must legionella. The union sources explained that the towers of Alcoy " filter means million cubic meter of water, and if they are infected by the bacterium of legionella they act like an amplifier ".
June 2001
Alcoy, again in alert, after registering five cases of " legionella " the Council of Health of the Valencian Majority has confirmed that five people have been themselves affected by pneumonía by legionella from the past day 26th of May. To the 7th June 2001, the last case is a woman of 68 years, who remains entered in the Local Hospital of Alcoy.
Other three people are in observation in this same hospitable center and its evolution is favourable.
The Association of Affected by Legionella de Alcoy has summoned the people who in some occasion suffered legionella to a meeting for the next days in the NorthSocial Center of the city with the intention of which each one contributes data relative to its cases.
The information will be sent to a Barcelonian legal cabinet, to
study if it can give foot of possible demands upon presentment.
The advisor of Health, Castilian Serafín, has announced that a
commission of scientists and health specialized in the matter of legionella will
move in the next hours into the alcoyana capital.
The advisor has solicited to carry far the precautions and assured that consellerias of Environment and Health will install in different points from the city around a hundred of devices and systems of detection of bacteria in the air with the intention of verifying if legionella is in the atmosphere.
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The PSOE describes as " intolerable " the new cases of legionella
The spokeswoman of Health of the PSPV-PSOE in Valencian Cortes, Maria Jose Mendoza, noticed east Tuesday that " he would be intolerable " that the appearance of new cases of legionella in Alcoy " returned to save to it him of the hands to the Conselleria " and denounced that this one takes a delay of three months in presenting/displaying the report on the outbreak registered between September and December.
Mendoza showed her preoccupation because the three new cases of legionella appeared days in Alcoy in the last suppose " a new epidemic situation that could have relation with the outbreak of end of the last year, on that is no official information of the conclusions of the report epidemiologist ".
The lack of this report causes that " we do not have any certainty of which the source or sources of infection of the outbreak of end of 2000 has been identified and that we do not know if that epidemic outbreak were closed or not in false ".
The Conselleria had the obligation to emit a report definitive epidemiologist to the three months of to have finished the cases - it added. the report, that was due to have presented in March, not yet it has been made public.
The socialist group of Valencian Cortes asked for in March the report epidemiologist and he was answered to us that he would occur us when they spent the three months that the norm marks. To date of today, we nor the Council of Health of Alcoy nor the municipal groups of the City council of Alcoy have anything neither ".
The deputy protested that conseller of Health, Castilian Serafín, he appears in Valencian Cortes for " informing into the present situation, of his relation or with the previous situation and of the definitive conclusions of the report epidemiologist of I do not complete outbreak ".
Mendoza hopes that in this occasion the Conselleria resorts to experts in the study and control of epidemic situations, that of immediate way opinion to the National Center of Epidemiology asks for .
That we do not become to find with the grotesque situation of December, when a commission of experts was created in that it did not have no expert in epidemic outbreaks nor in epidemic outbreaks of legionella - it added -. the performance of the Conselleria of Health was irresponsible and demonstrated a technical and organizational incapacity.
With respect to the appearance of three new cases of legionella in the last days in Alcoy, Mendoza recognized that the Conselleria " has informed into fast way, but to demonstrate that there is a change of attitude on the part of the authorities of public health they would have to inform into how the last outbreak and of the measures of control and prevention was closed that are applied in Alcoy from end of year ".
The deputy affirmed that for " being able to trust the authorities of public health we must again have suitable and truthful information at the opportune moment and see that in this case she is really working technically well and with rigor, that the Conselleria assumes the direction of all the process ".
The PSPV " offers their collaboration for also demands all the information on this case and the previous ones, and that the Conselleria recovers its authority before a problem of public health ", Mendoza finalized.
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Another case of legionella brings the total to five
In addition to this person, Another three are in
observation
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The Conselleria of Healthhas confirmed a this late new case of legionella in Alcoy, reason why they are already five the number of people affected by this disease from the past day 26 of May, informed sanitary sources. The new patient, who remains entered in the Local Hospital of Alcoy, is a woman of 68 years, added the mentioned sources.
In addition to this person, other three are in observation in this same hospital center and its evolution is favorable, although one of them registers a febrile panel.
Also, the Conselleria of Health informed that the practiced analyses of orina to other two patients who entered by pneumonía give to negative results as far as presence of antigen of legionella.
On the other hand, the Association of Affected by Legionella de Alcoy has summoned the people who in some occasion suffered legionella to a meeting for the next days in the North Social Center of the city with the intention of which each one contributes data relative to each one of its cases.
Sources of this group affirmed that the idea of this meeting is to successfully obtain " all the possible information " that, once sent to a Barcelonian legal cabinet, " it can give foot of possible demands upon presentment ".
Conseller of Health, Castilian Serafín, announced east Tuesday in press conference celebrated in Alcoy that a commission of scientists and toilets specialized in the matter of legionella will move in the next hours until the alcoyana capital with the intention of undertaking an investigation on the causes and the origin of these four cases.
Conseller solicited to carry far the precautions and assured that the Consellerias de Environment and Health will install in different points from the city around a hundred of devices and systems of detection of bacteria in the air with the intention of verifying if legionella is in the atmosphere.
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Legionella of Alcoy comes from the water of industry according to the Government
The cooling towers can be the causes Legionella |
The relation of the
outbreaks of legionella in Alcoy (Alicante) with the periods of cease of the
industrial activity gives consistency to the one existence or more sources
of transmission related to industrial activities, that possibly use water coming
from the same origin according to the Ministry of Presidency.
That cease of activity makes
specific the Ministry of presidency in the vacations of summer and the bridges
of 9th and 12th of October.
In an answer to a written question of the socialist deputy Right González Serna, the ministry of Presidency indicates that the regularity observed in the patterns of diffusion and temporary presentation of the different outbreaks from this epidemic suggests stays the same cause in all along epidemic.
In addition, he is indicated that one discards that the industries where they can be the centers use water of the public network and that can be in favour contaminated " of other next cooling towers ".
The answer, that has been date of day 3 of this month, also indicates that " until the moment it is not had more information, since on the matter the corresponding services of the Council of Health of Valencia is in total study of the new situation ".
Also reference to that is made the last information available are consequence of a visit made by technicians of the Institute of Health Carlos III (11 and 12 of June of 2001).
It was the past day 3rd of July when a man of 84 years affected of pneumonía by legionella admitted the Virgin Hospital of the Irises of Alcoy and that he became the sixth case detected during this year.
The epidemic outbreaks of legionella of Alcoy and the region of the Alcoia Comtat affected during years 1999 to 2000 a total of 144 people and in only one of the cases relation could be established cause-effect between the death of the patient and the infection by legionella.
The Secretary General of the PSPV-PSOE, Joan Ignasi Pla, affirmed east Monday that conseller of Health, Castilian Serafín, " more than to resign he will have to be stopped ", due to the " insecurity " in which the citizens live on Alcoy by the arisen outbreaks of legionella in this municipality.
Pla, that met in Cortes with the socialist group, indicated in press conference that the cases of legionella in the alicantina locality of Alcoy appear " to day of today in scientific books as a unusual event by the duration of the outbreaks reiterated in a same place ".
It indicated with irony that " the effectiveness of the Government has demonstrated ", since, if so and as the president of the Generalitat, Eduardo Zaplana said, " it were doing all good, we do not understand how to day of today he continues without giving to a study epidemiologist of the third outbreak, that happened half year ago and that affected 180 neighbors ".
" If everything were made well and are so effective, we do not understand how to day of today people in Alcoy live with a certain insecurity, because the origin of the previous outbreak has not been made specific and because new cases ", said Pla, that she indicated that " are occurring to demand the resignation of conseller it seems obvious to us ", although would have to be dismissed.
The Secretary General of the PSPV indicated that they try " to be a serious party, rigorous and we would like that the Government also was it ", and added that " we are not alarmist, although he accused to us of that when we said indeed that it was not possible to be given by closed a situation until there was not the clear certainty " of it.
The socialist leader remembered that also " he accused to them of alarmists " when they said that conselleria of Health " would have to establish clear mechanisms of direction of the crisis and to assume the direction from the technical and political point of view ", and when they said that he was " necessary and urgent to create that commission of experts whom it analyzed and it informed into all the possible variables of legionella ".
The origin of the third outbreak of legionella in Alcoi was environmental
ALICANTE 4 July 2001
The report
processed epidemiologist to determine the origin of third outbreak of legionella
in Alcoi (Alicante), that occurred by controlled in December of the last year,
it reveals that one is outbreak of environmental character in which they were
more of tie infectious center in all the cases with apparatuses or facilities of
generators of aerosols.
Also, the
possibility that the bacterium discards completely it was in the provision of
the potable water network, according to informed yesterday the director of
Public Salúd, Manuel Escolano, after the meeting of the Council of Health of the
Area.
Escolano indicated that it was a very
complex outbreak as far as his processing and eradication since two
subtypes have been detected different from serotype of legionella.
However, it emphasized that after the closing of a
cooling tower the cases of patients diminished of considerable form, until
11.1 percents of daily average ", whereas the outbreak occurred totally by
controlled when the rest of towers was closed.
On the other hand, it indicated that the new case
diagnosed yesterday, a man of 84 years with a schematic cardiopathy that,
according to said he evolves favorably, enters within the forecasts. Thus,
he explained that after the new cincos cases detected two weeks ago
10th July 2001
Legionella follows activates in Alcoy after
two years and 150 victims
An association of damaged will present a demand so
that responsibilities are debugged Feared legionella seems to feel comfortable in Alcoy.
They have spent almost two years since the first cases were detected and still
the origin of an epidemic is not known that has already affected 150 people.
A referring one at the time of speaking of legionella
is, at this point, Alcoy. This alicantina city suffers from September of 1999 an
epidemic that, until the moment, has affected to 150 people in four I appear
declared throughout almost two years.
The incessant registry of new patients has caused the affected creation of
an association of that will present/display a demand so that responsibilities
are debugged.
In the last, most virulent, they appeared 97 cases. And, although the Conselleria of Health recognizes a death by legionella solely, other six people have died after suffering the disease.
The appearance of continued episodes of legionellosis has precipitated the affected constitution of an association of, that shuffles the possibility of presenting/displaying a demand so that responsibilities are debugged.
The president of the group, Jose Miguel Pons, knows very well what is legionella, since after contracting the disease in October of the last year, he remained entered 20 days in the Virgin Hospital of the Irises, and later it spent a month in his convalescent house. Now, already replaced, he assures that " the certain thing is that the fact that it continues being a dripping of cases of sporadic form and follows without knowing the origin the disease creates a considerable disquiet to me ".
Pons was the unique one of its family who contracted the disease, and also was the unique one of all the district of Batoi, where it resides. " This causes that you disturb, you do not know where you could contract the bacterium and you do not know either how to act of preventive form ", it is lamented.
On the association of affected people, his president explains that, " until the moment, we are twenty-eight people, but is fundamental that people become jumbled ". Besides to vindicate that responsibilities are debugged, they denounce the lack of information.
Pons emphasizes that " we have asked for the city council that occurs information us of the origin of the disease but any case has not done us. We are people who we have suffered it and not even an answer occurs us to the questions that we were formulated ".
While it follows the dripping: a man of 84 years remains entered in the hospital affected by legionella, being this one the last registered victim, concretely Tuesday of the last week.
At the present time, when not yet it has occurred by closed the quarter and last outbreak, means hundred of technicians work race against the clock in the different tests made so much in the air as in different apparatuses that generate aerosols.
Until the moment, it has only been possible to confirm that the water of the public network is apt for the consumption.
The information epidemiologists, made on the three first outbreaks, have ratified that were environmental and that were tie to the apparatuses that generate aerosols, as they are the refrigeration systems. Also, of the third outbreak it has been possible to demonstrate that there was more of an infection center, since two different bacteria detected themselves.
The chief of a main directorate of Public Health of the Valencian Generalitat, Manuel Escolano, has informed into which they have reviewed themselves up to 5,500 facilities and new suspicious apparatuses have been located. This sweeping that the technicians are making in Alcoy is, in opinion of the chief of a main directorate, the greatest one than it has been carried out in all Spain.