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Outbreaks Open Access
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Abstract

In early June 2018, an increase in non-travel-related cases of non- Legionnaires’ disease (LD) was observed in Sweden and a national outbreak investigation was started. Outbreak cases were defined as notified confirmed or probable cases of non- LD, with symptom onset after 1 April 2018. From April to August 2018, 41 cases were reported, 30 of whom were identified as We conducted a case–control study with 27 cases and 182 matched controls. Results from the case–control study indicated that gardening and handling commercial bagged soil, especially dusty dry soil, were associated with disease. was isolated in soils from cases’ homes or gardens, but joint analysis of soil and human specimens did not identify any genetic clonality. Substantial polyclonality was noted between and within soil samples, which made finding a genetic match between soil and human specimens unlikely. Therefore, whole genome sequencing may be of limited use to confirm a specific soil as a vehicle of transmission for Handling soil for residential gardening was associated with disease and the isolation of in different soils provided further evidence for non infection from soil.

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/content/10.2807/1560-7917.ES.2021.26.7.1900702
2021-02-18
2024-10-15
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2021.26.7.1900702
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References

  1. World Health Organization (WHO). Legionella and the prevention of legionellosis. Geneva: WHO; 2007. Available from: https://www.who.int/water_sanitation_health/publications/legionella/en/
  2. Phin N, Parry-Ford F, Harrison T, Stagg HR, Zhang N, Kumar K, et al. Epidemiology and clinical management of Legionnaires’ disease. Lancet Infect Dis. 2014;14(10):1011-21.  https://doi.org/10.1016/S1473-3099(14)70713-3  PMID: 24970283 
  3. Hicks L. Legionellosis. In: Heymann DL, editor. Control of Communicable Diseases Manual. 20th ed. Washington: American Public Health Association; 2015.
  4. Beauté J, The European Legionnaires’ Disease Surveillance Network. Legionnaires’ disease in Europe, 2011 to 2015. Euro Surveill. 2017;22(27):30566.  https://doi.org/10.2807/1560-7917.ES.2017.22.27.30566  PMID: 28703097 
  5. Kenagy E, Priest PC, Cameron CM, Smith D, Scott P, Cho V, et al. Risk factors for Legionella longbeachae Legionnaires’ disease, New Zealand. Emerg Infect Dis. 2017;23(7):1148-54.  https://doi.org/10.3201/eid2307.161429  PMID: 28628460 
  6. Currie SL, Beattie TK. Compost and Legionella longbeachae: an emerging infection? Perspect Public Health. 2015;135(6):309-15.  https://doi.org/10.1177/1757913915611162  PMID: 26543151 
  7. NNDSS Annual Report Working Group. Australia’s notifiable disease status, 2014: Annual report of the National Notifiable Diseases Surveillance System. Commun Dis Intell Q Rep. 2016;40(1):E48-145. PMID: 27080029 
  8. Priest PC, Slow S, Chambers ST, Cameron CM, Balm MN, Beale MW, et al. The burden of Legionnaires’ disease in New Zealand (LegiNZ): a national surveillance study. Lancet Infect Dis. 2019;19(7):770-7.  https://doi.org/10.1016/S1473-3099(19)30113-6  PMID: 31196812 
  9. Pierre DM, Baron J, Yu VL, Stout JE. Diagnostic testing for Legionnaires’ disease. Ann Clin Microbiol Antimicrob. 2017;16(1):59.  https://doi.org/10.1186/s12941-017-0229-6  PMID: 28851372 
  10. Murdoch DR. Diagnosis of Legionella infection. Clin Infect Dis. 2003;36(1):64-9.  https://doi.org/10.1086/345529  PMID: 12491204 
  11. Murdoch DR, Podmore RG, Anderson TP, Barratt K, Maze MJ, French KE, et al. Impact of routine systematic polymerase chain reaction testing on case finding for Legionnaires’ disease: a pre-post comparison study. Clin Infect Dis. 2013;57(9):1275-81.  https://doi.org/10.1093/cid/cit504  PMID: 23899682 
  12. O’Connor BA, Carman J, Eckert K, Tucker G, Givney R, Cameron S. Does using potting mix make you sick? Results from a Legionella longbeachae case-control study in South Australia. Epidemiol Infect. 2007;135(1):34-9.  https://doi.org/10.1017/S095026880600656X  PMID: 16780608 
  13. Hughes MS, Steele TW. Occurrence and distribution of Legionella species in composted plant materials. Appl Environ Microbiol. 1994;60(6):2003-5.  https://doi.org/10.1128/AEM.60.6.2003-2005.1994  PMID: 11001749 
  14. Centers for Disease Control and Prevention (CDC). Legionnaires’ Disease associated with potting soil--California, Oregon, and Washington, May-June 2000. MMWR Morb Mortal Wkly Rep. 2000;49(34):777-8. PMID: 10987244 
  15. den Boer JW, Yzerman EPF, Jansen R, Bruin JP, Verhoef LPB, Neve G, et al. Legionnaires’ disease and gardening. Clin Microbiol Infect. 2007;13(1):88-91.  https://doi.org/10.1111/j.1469-0691.2006.01562.x  PMID: 17184293 
  16. Koide M, Arakaki N, Saito A. Distribution of Legionella longbeachae and other legionellae in Japanese potting soils. J Infect Chemother. 2001;7(4):224-7.  https://doi.org/10.1007/s101560170017  PMID: 11810588 
  17. Lindsay DSJ, Brown AW, Brown DJ, Pravinkumar SJ, Anderson E, Edwards GFS. Legionella longbeachae serogroup 1 infections linked to potting compost. J Med Microbiol. 2012;61(Pt 2):218-22.  https://doi.org/10.1099/jmm.0.035857-0  PMID: 21940651 
  18. Eitrem R, Forsgren A, Nilsson C. Pneumonia and acute pancreatitis most probably caused by a Legionella longbeachae infection. Scand J Infect Dis. 1987;19(3):381-2.  https://doi.org/10.3109/00365548709018486  PMID: 3616499 
  19. Smittskyddsinstitutet. Epidemiologisk årsrapport 2011. [Annual epidemiological report 2011]. Solna; Folkhälsomyndigheten; 2012. Swedish. Available from: https://www.folkhalsomyndigheten.se/publicerat-material/publikationsarkiv/e/epidemiologisk-arsrapport-2011/
  20. Folkhälsomyndigheten. Falldefinitioner vid anmälan enligt smittskyddslagen. [Case definitions for notification according to the infection protection act]. Solna: Folkhälsomyndigheten; 2018. Swedish. Available from: https://www.folkhalsomyndigheten.se/publicerat-material/publikationsarkiv/f/falldefinitioner-vid-anmalan-enligt-smittskyddslagen/
  21. Statistics Sweden (SCB). Statistikdatabasen. Folkmängden den 1 november efter region, ålder och kön [Statistical database. Population on 1 November by region, age and sex]. Solna: SCB. [Accessed: 3 Sep 2018]. Swedish. Available from: https://www.statistikdatabasen.scb.se/pxweb/sv/ssd/START__BE__BE0101__BE0101A/FolkmangdNov/
  22. European Commission. Commission Implementing Decision (EU) 2018/945 of 22 June 2018 on the communicable diseases and related special health issues to be covered by epidemiological surveillance as well as relevant case definitions. 2018;(2119):1-74. Available from: https://eur-lex.europa.eu/legal-content/EN/TXT/PDF/?uri=CELEX:32018D0945&from=en
  23. Bacigalupe R, Lindsay D, Edwards G, Fitzgerald JR. Population genomics of Legionella longbeachae and hidden complexities of infection source attribution. Emerg Infect Dis. 2017;23(5):750-7.  https://doi.org/10.3201/eid2305.161165  PMID: 28418314 
  24. Swedish Meteorological and Hydrological Institute (SMHI). Maj 2018 - Sommarväder med rekordvärme. [May 2018 – summer weather with record temperatures]. Norrköping: SMHI; 2018. Swedish. Available from: https://www.smhi.se/klimat/klimatet-da-och-nu/manadens-vader-och-vatten-sverige/manadens-vader-i-sverige/maj-2018-sommarvader-med-rekordvarme-1.134781
  25. Fast Track Diagnostics (FTD). Manual FTD respiratory pathogens 33. In: Fast Track Diagnostics Luxembourg S.à.r.l., editor. Esch-sur-Alzette: FTD; 2019. Available from: www.fast-trackdiagnostics.com
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