Healthy Indoors Magazine - USA Edition

HI May 2014

Healthy Indoors Magazine

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36 May 2014 ten, but most signs point to a bleak landscape unless a significant effort is made to change course. A few committees of dedicated profes- sionals in the healthcare, public health, engi- neering, and industrial hygiene sectors have been trying to develop guidelines that will help reduce LD cases. Unfortunately, these com- mittees of volunteers are not always working in concert and typically take much longer to reach consensus than one would hope. Progress will probably be slow and the task arduous as long as we rely upon the existing framework of public health surveillance and voluntary guidelines. In the next and final article of this series we will discuss the future of Legionnaires' disease, in- cluding its control and prevention. We will focus on proposed changes to the current paradigm, abandoning failed dogma, and changing the course of public health policy to prevent this most preventable of diseases. References 1 Baldwin, GC, Tashkin, DP, Buckley, DM, Pakr, AN, Dubinett, SM, and Roth, MD, Mari- juana and Cocaine Impair Alveolar Macrophage Function and Cytokine Production. AM J Resp Crit Care Med, Vol 156, pp 1606-1613. 1997 2 Nguyen, LT, Picard-Bernard, V, Perriot, J. Legionnaires Disease in Cannabis Smokers. CHEST 138(4):989-991. 2010 3 Nielsen K1, Bangsborg JM, Høiby N., Susceptibility of Legionella species to five antibiotics and development of resistance by exposure to erythromycin, ciprofloxacin, and rifampicin. Diagn Microbiol Infect Dis. 2000 Jan;36(1):43-8. ( pubmed/10744366) 4 Vincent, Grayson K. and Victoria A. Vel- koff, 2010, THE NEXT FOUR DECADES, The Older Population in the United States: 2010 to 2050, Current Population Reports, P25-1138, U.S. Census Bureau, Washington, DC. (https:// 5 Sydnor ER1, Bova G, Gimburg A, Cos- grove SE, Perl TM, Maragakis LL., Electronic- eye faucets: Legionella species contamination in healthcare settings. Infect Control Hosp Epidemiol. 2012 Mar;33(3):235-40

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