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Chapter 32 : Risk Differences of Legionnaires’ Disease Associated with Travel in Spain, 1999 to 2004

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Risk Differences of Legionnaires’ Disease Associated with Travel in Spain, 1999 to 2004, Page 1 of 2

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Abstract:

Travel-associated Legionnaires’ disease (LD) has caused concern since the early 1980s. As a result, the European Group on Legionella Infections (EWGLINET) was set up in 1986 in order to identify travel associated cases and clusters of the disease. This chapter measures and compares the risks associated with travel to different destinations in Spain for travelers from several European countries as well as for Spanish nationals. A total of 6,411 cases of LD of any origin (community, nosocomial, and travel associated) were reported trough the Spanish reporting system from 1999 to 2004. Major variations exist from year to year in the figures for visitors from individual countries. The authors have estimated the incidence rate of travel-associated Legionnaires’ disease by identifying the denominators as the number of days stayed at accommodation sites. They have used them as an approximation of risk exposure. This is a new approach, as normally calculations correspond to cases per number of tourists. The decrease of global incidence rates for foreigners and Spaniards from 2003 on, coinciding with the entrance of the regulating law for the control of legionellosis, permits us to be optimistic in terms of our capacity to prevent this disease in the future.

Citation: Casas R, Cano R, Martín C, Mateo S. 2006. Risk Differences of Legionnaires’ Disease Associated with Travel in Spain, 1999 to 2004, p 121-123. 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.ch32

Key Concept Ranking

Legionella
1.0
Lead
0.75
Infection
0.6166667
1.0
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Figures

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FIGURE 1

Incidence of legionellosis in travelers in Spain, 1999 to 2004.

Citation: Casas R, Cano R, Martín C, Mateo S. 2006. Risk Differences of Legionnaires’ Disease Associated with Travel in Spain, 1999 to 2004, p 121-123. 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.ch32
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References

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1. Cano R.,, N. Prieto,, C. Martín,, C. Pelaz, and, S. Mateo. 2004. Legionnaires’ disease clusters associated with travel to Spain during the period January 2001 to July 2003. Euro. Surveill. 9:1415.
2. European Working Group for Legionella Infections. 2002. European Guidelines for Control and Prevention of Travel Associated Legionnaires’ Diseases. P1520. Public Health Laboratory Service, London, United Kingdom, and http://www.ewgli.org.
3. Prieto N.,, R. Cano,, C. Martín, and, S. Mateo. 2002. Legionelosis relacionada con viajes a España. Procedimientos y resultados de la red de vigilancia de infecciones por Legionella (EWG-LINET). Bol. Epidemiol. 10:209212.
4. Real Decreto 385/2003. 2003. Criterios Higiénico-Sanitarios para la Prevención y Control de la Legionelosis. Ministry of Health and Consumers Affaires, Spain.

Tables

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TABLE 1

Incidence of legionellosis (cases/1,000,000 person days) in Spain, 1999 to 2004

Citation: Casas R, Cano R, Martín C, Mateo S. 2006. Risk Differences of Legionnaires’ Disease Associated with Travel in Spain, 1999 to 2004, p 121-123. 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.ch32

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