Factors That Affect Legionella Positivity in Healthcare Building Water Systems from a Large, National Environmental Surveillance Initiative

Author:

Gamage Shantini D.12ORCID,Jinadatha Chetan34,Coppin John D.5,Kralovic Stephen M.126,Bender Alan7,Ambrose Meredith1,Decker Brooke K.8,DeVries Aaron S.9,Goto Michihiko1011,Kowalskyj Oleh12,Maistros Angela L.13,Rizzo Vincent12,Simbartl Loretta A.1,Watson Richard J.14,Roselle Gary A.126

Affiliation:

1. National Infectious Diseases Service, Specialty Care Program Office, Veterans Health Administration, Department of Veterans Affairs (VA), Washington, D.C. 20571, United States

2. Division of Infectious Diseases, Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio 45267, United States

3. Department of Medicine, Central Texas Veterans Health Care System, Temple, Texas 76504, United States

4. College of Medicine, Texas A&M University, Bryan, Texas 77807, United States

5. Department of Research, Central Texas Veterans Health Care System, Temple, Texas 76504, United States

6. Cincinnati VA Medical Center, Cincinnati, Ohio 45220, United States

7. Booz Allen Hamilton, McLean, Virginia 22102, United States

8. Division of Infectious Diseases, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania 15240, United States

9. Minneapolis VA Healthcare System, Minneapolis, Minnesota 55417, United States

10. Iowa City VA Health Care System, Iowa City, Iowa 52246, United States

11. University of Iowa Carver College of Medicine, Iowa City, Iowa 52242, United States

12. Office of Healthcare Engineering, Healthcare Environment and Facilities Program, Veterans Health Administration, VA, Washington, D.C. 20571, United States

13. VA Capitol Health Care Network, Veterans Integrated Service Network (VISN) 5, Linthicum, Maryland 21090, United States

14. Occupational Health and Safety Program Office, Veterans Health Administration, VA, Washington, D.C. 20571, United States

Publisher

American Chemical Society (ACS)

Subject

Environmental Chemistry,General Chemistry

Reference47 articles.

1. World Health Organization. Legionella and the Prevention of Legionellosis; World Health Organization: Geneva, 2007.

2. Centers for Disease Control and Prevention (CDC). Legionnaire’s Disease Surveillance Summary Report, United States 2016–2017; p 50.

3. Surveillance for Waterborne Disease Outbreaks Associated with Drinking Water — United States, 2013–2014

4. Legionnaires’ disease in Europe, 2011 to 2015

5. Trends in the incidence and mortality of legionellosis in Japan: a nationwide observational study, 1999–2017

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