Travel-associated Legionnaires disease in residents from England and Wales travelling to Corfu, Greece, August to October 2011

Euro Surveill. 2012 Aug 9;17(32):20240. doi: 10.2807/ese.17.32.20240-en.

Abstract

Fourteen cases of Legionnaires’ disease were confirmed in residents from England and Wales with history of travel to Corfu, Greece, in the 14 days before symptom onset. These cases were reported to the Health Protection Agency national surveillance scheme for Legionnaires’ disease in residents of England and Wales between August and October 2011. In addition, one case in a Greek national and a case of non-pneumonic legionellosis in a resident from Scotland were also reported. Few cases shared the same accommodation site in Corfu during their incubation period. Epidemiological investigations and microbiological analysis of clinical and environmental samples excluded a single source but rather implicated several accommodation sites as sources of sporadic infection. Control measures have since been implemented at these accommodation sites and no further cases have been reported. This incident highlights the value of epidemiological typing and the importance of effective international response to control and prevent legionella infection.

MeSH terms

  • Adult
  • Aged
  • Bacterial Typing Techniques
  • Community-Acquired Infections / epidemiology
  • Community-Acquired Infections / microbiology
  • Community-Acquired Infections / prevention & control
  • Disease Notification
  • Disease Outbreaks / statistics & numerical data*
  • Female
  • Greece / epidemiology
  • Humans
  • Incidence
  • Legionella pneumophila / genetics
  • Legionella pneumophila / isolation & purification*
  • Legionnaires' Disease / diagnosis*
  • Legionnaires' Disease / epidemiology*
  • Legionnaires' Disease / microbiology
  • Legionnaires' Disease / prevention & control
  • Male
  • Middle Aged
  • Population Surveillance
  • Sequence Analysis, DNA
  • Travel* / statistics & numerical data
  • United Kingdom / epidemiology
  • Water Microbiology