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Home Eurosurveillance Weekly Release  2003: Volume 7/ Issue 46 Article 3
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Eurosurveillance, Volume 7, Issue 46, 13 November 2003

Citation style for this article: Hunt D, Kirrage D. Outbreak of legionnaires’ disease in the west of England. Euro Surveill. 2003;7(46):pii=2325. Available online:

Outbreak of legionnaires’ disease in the west of England

David Hunt, Health Protection Agency West Midlands, and David Kirrage (, Hereford and Worcestershire Health Protection Unit, Health Protection Agency, England

There are 12 confirmed cases legionnaires’ disease in eight men and four women aged from 36 to 76 years (median age 55 years), associated with an outbreak in Hereford, in the west of England, close to the Welsh border (1). Dates of onset of illness range from 8 October to 9 November. One 76 year old man has died. Cooling towers and other aerosol generating equipment are being sampled and treated.

An outbreak investigation is underway.

Any cases of legionnaires’ disease with onset since 1 October 2003, in patients who visited Hereford in the 14 days before onset, should be reported to David Kirrage, at +44 (0)1432 344344, and to the Health Protection Agency Communicable Disease Surveillance Centre.

Figure. Epidemic curve showing date of onset (n=11)*
*dates of onset available for 11 cases.


  1. Health Protection Agency. Outbreak of legionnaires’ disease in Hereford. Commun Dis Rep CDR Wkly 2003; 13 (46): news. (

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