1887

Chapter 27 : 25 Years of Surveillance for Legionnaires’ Disease in England and Wales: Why No Improvement?

MyBook is a cheap paperback edition of the original book and will be sold at uniform, low price.

Ebook: Choose a downloadable PDF or ePub file. Chapter is a downloadable PDF file. File must be downloaded within 48 hours of purchase

Buy this Chapter
Digital (?) $15.00

Preview this chapter:
Zoom in
Zoomout

25 Years of Surveillance for Legionnaires’ Disease in England and Wales: Why No Improvement?, Page 1 of 2

| /docserver/preview/fulltext/10.1128/9781555815660/9781555813901_Chap27-1.gif /docserver/preview/fulltext/10.1128/9781555815660/9781555813901_Chap27-2.gif

Abstract:

The European Surveillance Scheme for Travel Associated Legionnaires’ Disease (EWGLINET) has helped strengthen European national surveillance systems and improve case detection and reporting in travel-associated cases. The guidance and legislation introduced in England and Wales over the past 25 years aims to ensure that all relevant systems are properly installed and maintained and that investigation of these systems (e.g., wet cooling towers) in an outbreak situation is as efficient as possible. These measures are aimed at reducing the absolute number of cases of Legionnaires’ disease. England and Wales’ annual case reports severely underrepresent the true annual incidence of Legionnaires’ disease. The urinary antigen test was introduced in England and Wales in the 1990s and is now the primary diagnostic method for 80% of English and Welsh cases of Legionnaires’ disease. The test is quick and easy to perform and might therefore be enabling countries to detect milder cases of the disease that would otherwise have gone undiagnosed. However, in England and Wales the number of cases has remained relatively constant despite the increasing use of the test. The simple trend of an increasing number of cases of Legionnaires’ disease in England and Wales over the past 25 years masks a more complicated picture. Reporting systems that suffer from underdiagnosis and underreporting are likely to register an increase in case reports (as ascertainment improves) before any actual decrease from improved control and prevention in case numbers is detected.

Citation: D. Ricketts K, A. Joseph C, G. Harrison T, Lee J, Naik F. 2006. 25 Years of Surveillance for Legionnaires’ Disease in England and Wales: Why No Improvement?, p 105-107. In Cianciotto N, Kwaik Y, Edelstein P, Fields B, Geary D, Harrison T, Joseph C, Ratcliff R, Stout J, Swanson M (ed), . ASM Press, Washington, DC. doi: 10.1128/9781555815660.ch27

Key Concept Ranking

Atypical Pneumonia
0.75
0.75
Highlighted Text: Show | Hide
Loading full text...

Full text loading...

Figures

Image of FIGURE 1
FIGURE 1

Legionnaires’ disease cases in England and Wales over 25 years, by category of case.

Citation: D. Ricketts K, A. Joseph C, G. Harrison T, Lee J, Naik F. 2006. 25 Years of Surveillance for Legionnaires’ Disease in England and Wales: Why No Improvement?, p 105-107. In Cianciotto N, Kwaik Y, Edelstein P, Fields B, Geary D, Harrison T, Joseph C, Ratcliff R, Stout J, Swanson M (ed), . ASM Press, Washington, DC. doi: 10.1128/9781555815660.ch27
Permissions and Reprints Request Permissions
Download as Powerpoint
Image of FIGURE 2
FIGURE 2

English and Welsh outbreak-associated cases and outbreaks involving two or more English or Welsh cases.

Citation: D. Ricketts K, A. Joseph C, G. Harrison T, Lee J, Naik F. 2006. 25 Years of Surveillance for Legionnaires’ Disease in England and Wales: Why No Improvement?, p 105-107. In Cianciotto N, Kwaik Y, Edelstein P, Fields B, Geary D, Harrison T, Joseph C, Ratcliff R, Stout J, Swanson M (ed), . ASM Press, Washington, DC. doi: 10.1128/9781555815660.ch27
Permissions and Reprints Request Permissions
Download as Powerpoint

References

/content/book/10.1128/9781555815660.ch27
1. Anonymous. 1987. Community-acquired pneumonia in adults in British hospitals in 1982-1983: a survey of aetiology, mortality, prognostic factors and outcome. The British Thoracic Society and the Public Health Laboratory Service. Q. J. Med. 62:195220.
2. Lim, W. S.,, J. T. Macfarlane,, T. C. Boswell,, T. G. Harrison,, D. Rose,, M. Leinonen, and, P. Saikku. 2001. Study of community acquired pneumonia aetiology (SCAPA) in adults admitted to hospital: implications for management guidelines. Thorax 56:296301.
3. Joseph, C. A. 2004. Legionnaires’ disease in Europe 2000-2002. Epidemiol. Infect. 132:417424.

This is a required field
Please enter a valid email address
Please check the format of the address you have entered.
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error