Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-25T08:11:34.392Z Has data issue: false hasContentIssue false

Legionnaires' disease and the sick-building syndrome

Published online by Cambridge University Press:  15 May 2009

M. O'Mahony
Affiliation:
PHLS Communicable Surveillance Disease Centre, 61, Colindale Avenue, London NW9 5EQ
A. Lakhani
Affiliation:
PHLS Communicable Surveillance Disease Centre, 61, Colindale Avenue, London NW9 5EQ
A. Stephens
Affiliation:
PHLS Communicable Surveillance Disease Centre, 61, Colindale Avenue, London NW9 5EQ
J. G. Wallace
Affiliation:
PHLS Laboratory, Lincoln
E. R. Youngs
Affiliation:
PHLS Laboratory, Lincoln
D. Harper
Affiliation:
Winton Laboratory
Rights & Permissions [Opens in a new window]

Summary

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

In October 1985, six cases of legionnaires' disease were associated with a police headquarters building. Four were amongst staff who worked in or visited the communications wing of the headquarters and two cases occurred in the local community. A case-control study implicated the operations room of the communications wing as the main area associated with infection. This wing was air-conditioned and smoke tracer studies showed that drift from the exhaust as well as from the base of the cooling tower entered the main air-intake which serviced the air-conditioning system. Legionella pneumophila serogroup 1 subgroup pontiac was isolated from water and sludge in the cooling tower pond. Contaminated drift from the top of the cooling tower was probably responsible for the two community cases. An additional discovery was that symptoms suggestive of the sick-building syndrome were associated with working in this wing.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1989

References

REFERENCES

1.Finnegan, MJ, Pickering, CA, Burge, PS.The sick building syndrome. Br Med J 1984; 289: 1573–5.CrossRefGoogle ScholarPubMed
2.Harrison, TJ, Taylor, AG.diagnosis of Legionella pneumophila infection by means of formalised yolk sac antigen. J Clin Pathol 1982; 35: 211–14.CrossRefGoogle Scholar
3.Dennis, PJ, Taylor, JA, Barrow, GI.Phosphate-buffered, low sodium chloride blood agar medium for Legionella pneumophila. Lancet 1981; 2: 636.CrossRefGoogle ScholarPubMed
4.Edelstein, PH.Improved semi-selective medium for isolation of Legionella pneumophila from contaminated clinical and environmental specimens. J Clin Microbiol 1981; 14: 298303CrossRefGoogle Scholar
5.Waitkins, ID, Tobin, JO'H, Dennis, PJ et al. Legionella pneumophila serogroup I subgrouping by monoclonal antibodies: an epidemiological tool. J Hyg 1985; 95: 211–16CrossRefGoogle Scholar
6. Public Health Laboratory Service. Communicable Disease Report (Unpublished) 1985/1950.Google Scholar
7.Fischer-Hoch, SP, Bartlett, CLR, Tobin, JO'H et al. Investigation and control of an outbreak of Legionnaires' disease in a District General Hospital. Lancet 1981; 1: 932–5.CrossRefGoogle Scholar
8.Morton, S, Bartlett, CLR. Outbreak of Legionnaires' disease and hospital hot water systems in a power station. Br J Ind Med 1986; 43: 630–5.Google Scholar