1887

Chapter 69 : Legionellosis Outbreak at a Commercial Fair in Kapellen, Belgium, 1999: a Case-Control Study

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

Legionellosis Outbreak at a Commercial Fair in Kapellen, Belgium, 1999: a Case-Control Study, Page 1 of 2

| /docserver/preview/fulltext/10.1128/9781555817985/9781555812300_Chap69-1.gif /docserver/preview/fulltext/10.1128/9781555817985/9781555812300_Chap69-2.gif

Abstract:

A Legionnaires' disease outbreak was detected among visitors (50,000) and workers (830) of a commercial fair being held in Kapellen from 29 October to 7 November, 1999. An environmental investigation and a cohort study among stand workers were initially carried out to trace the source of the outbreak. A case-control study was launched in February 2000 to identify the source of the outbreak. All cases (n = 93) were persons attending the fair who developed symptoms of Legionnaires' disease within 2 weeks after their fair visit. Due to time (3 months after the outbreak) and logistical constraints, controls were selected from an available register from a nearby hospital. This register collected information about medical complaints of fair visitors who consulted the hospital, mostly to get reassured about their health status. Data were analyzed with the SPSS 9.0 statistical package. The analysis was repeated on confirmed cases to address the issue of potential misclassification of presumptive and possible cases. Additionally, the analysis was repeated on cases and controls who visited the fair once during the first long weekend (4 days) of the fair to account for a different risk of getting the disease related to the day of the fair visit. A total of 45 (48%) cases were confirmed, whereas 48 cases (52%) were presumptive or possible. The response rate for cases was 74.2% (69 of 93), and for controls was 46.3% (162 of 350). In outbreaks, timely epidemiological investigations are crucial, particularly to guide environmental investigations.

Citation: Pascual M, Ronveaux O, Van Loock F, De Schrijver K. 2002. Legionellosis Outbreak at a Commercial Fair in Kapellen, Belgium, 1999: a Case-Control Study, p 342-345. In Marre R, Abu Kwaik Y, Bartlett C, Cianciotto N, Fields B, Frosch M, Hacker J, Lück P (ed), . ASM Press, Washington, DC. doi: 10.1128/9781555817985.ch69

Key Concept Ranking

Legionella pneumophila
0.75
Infectious Diseases
0.49442858
0.75
Highlighted Text: Show | Hide
Loading full text...

Full text loading...

Figures

Image of FIGURE 1
FIGURE 1

Incidence of Legionnaires' disease by date of attendance to the Kapellen fair, Belgium, 1999. The figure includes only patients visiting the fair once ( = 48).

Citation: Pascual M, Ronveaux O, Van Loock F, De Schrijver K. 2002. Legionellosis Outbreak at a Commercial Fair in Kapellen, Belgium, 1999: a Case-Control Study, p 342-345. In Marre R, Abu Kwaik Y, Bartlett C, Cianciotto N, Fields B, Frosch M, Hacker J, Lück P (ed), . ASM Press, Washington, DC. doi: 10.1128/9781555817985.ch69
Permissions and Reprints Request Permissions
Download as Powerpoint

References

/content/book/10.1128/9781555817985.chap69
1. Centers for Disease Control and Prevention. 1997.Case definitions for infectious conditions under public health surveillance. Morb. Mortal. Wkly. Rep. 10:1020.
2. De Schrijver, K.,, E. Bouwel,, L. Mortelmans,, P. Rossom,, T. Beukelaer,, C. Vael,, K. Dirven,, H. Goossens,, M. Ieven,, M. Fajo,, and O. Ronveaux,. 2000. Infections à Legionella: episode epidemique à une foire á Kapellen, p. 1925. In F. van Loock (ed.), Diagnostic et Surveillance des Maladies Infectieuses, 16ème Séminaire Institut Scientifique de la Santé Publique en Collaboration avec la Sociéte Beige de Biologie Clinique. Institut Scientific de la Santé Publique, Brussels, Belgium.
3. Mahoney, F.,, C. Hoge,, T. Farley,, J. Barbaree,, R. Breiman,, R. Benson,, and L. MacFarland. 1992. Community wide outbreak of Legionnaires' disease associated with a grocery. J. Infect. Dis. 165:736739.
4. Van Steenbergen J.,, F. Slijkertnan,, and P. Speelman. 1999. The first 48 hours of investigation and intervention of an outbreak of legionellosis in the Netherlands. Eurosurveillance 4: 112115.

Tables

Generic image for table
TABLE 1

Univariate and multivariate logistic regression analysis and proportion of cases exposed for the Legionnaires' disease outbreak in Kapellen, Belgium, 1999

Citation: Pascual M, Ronveaux O, Van Loock F, De Schrijver K. 2002. Legionellosis Outbreak at a Commercial Fair in Kapellen, Belgium, 1999: a Case-Control Study, p 342-345. In Marre R, Abu Kwaik Y, Bartlett C, Cianciotto N, Fields B, Frosch M, Hacker J, Lück P (ed), . ASM Press, Washington, DC. doi: 10.1128/9781555817985.ch69

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