During 1999, several cases of Legionnaire’s disease were identified in healthcare settings in Maryland. The occurrence of these cases raised questions about the need for further public health guidelines to reduce the risk of legionella infections associated with water systems. In October, 1999, Georges Benjamin, MD, Secretary, Maryland
Department of Health and Mental Hygiene (DHMH), formed a Scientific Working Group to review scientific and technical data and gather information from experts on the current status of prevention and management of water system-related legionella bacteria. Membership was drawn from faculty and staff at the University of Maryland School of Medicine, the Johns Hopkins University School of Medicine and School of Public Health, community healthcare organizations, and state and county departments of health (Appendix A). The Scientific Working Group was headed by Dr. J. Glenn Morris, Jr., Professor and Chairman, Department of Epidemiology and Preventive Medicine, University of Maryland School of Medicine.
INTRODUVTION
DARA SUMMARY
- Background
- Number and distribution of Legionnaire’s disease cases
- Clinical Diagnosis
- Ecology/Environmental Sampling
- Guidelines for prevention of nosocomial legionella infection
RECOMMENDATIONS OF THE SCIENTIFIC WORKING GROUP
- Recommendations
- Remediation efforts include
REFERENCES