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CDC Legionella toolkit

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DEVELOPING A LEGIONELLA WATER MANAGEMENT PROGRAM 27 Appendix A LEGIONNAIRES' DISEASE Legionnaires' (LEE-juh-nares) disease is a very serious type of pneumonia (lung infection) caused by bacteria called Legionella. If you develop pneumonia symptoms and may have been exposed to Legionella, see a doctor right away. Be sure to mention if you have used a hot tub, spent any nights away from home, or stayed in a hospital in the last two weeks. Legionnaires' Disease Can Cause Pneumonia Symptoms Signs and symptoms of Legionnaires' disease can include: ► ► Muscle aches ► High fever ► ► Headache Cough Shortness of breath Doctors use chest x-rays or physical exams to check for pneumonia. Your doctor may also order tests on a sample of urine and sputum (phlegm) to see if your lung infection is caused by Legionella. Legionnaires' Disease Is Serious, but Can Be Treated with Antibiotics Legionnaires' disease is treated with antibiotics (drugs that kill bacteria in the body). Most people who get sick need care in a hospital but make a full recovery. However, about 1 out of 10 people who get Legionnaires' disease will die from the infection. Certain People Are at Increased Risk for Legionnaires' Disease Most healthy people do not get Legionnaires' disease after being exposed to Legionella. Being 50 years or older or having certain risk factors can increase your chances of getting sick. These risk factors include: ► ► ► ► Being a current or former smoker Having chronic lung disease, such as emphysema or chronic obstructive pulmonary disease (COPD) Having a weakened immune system from diseases like cancer, diabetes, or kidney failure Taking medication that weakens your immune system Legionella Are Usually Spread through Water Droplets in the Air In nature, Legionella live in fresh water and rarely cause illness. In man-made settings, Legionella can grow if water is not properly maintained. These man- made water sources become a health problem when small droplets of water that contain the bacteria get into the air and people breathe them in. In rare cases, someone breathes in Legionella while they are drinking water and it "goes down the wrong pipe" into the lungs. In general, Legionnaires' disease is not spread from one person to another. However, this may be possible in rare cases. Legionnaires' disease, a type of severe pneumonia, is caused by breathing in small droplets of water that contain Legionella. Commons Sources of Infection Outbreaks of Legionnaires' disease are often associated with large or complex water systems, like those found in hospitals, hotels, and cruise ships. The most likely sources of infection include: Water used for showering (potable water) Cooling towers (parts of large air conditioning systems) Decorative fountains Hot tubs cdc.gov/legionella CS260481 03/07/2016

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