Legionnaires' disease cases spike 143% in Michigan
Source: Detroit Free Press, August 5, 2017
Posted on: http://www.advisen.com
Health officials across the state are trying to determine what’s causing a 143% increase in cases of Legionnaires’ disease, a respiratory infection that can be deadly, especially for people with weak immune systems.
“In the warm months, there is an increase in Legionnaires’,” said Jennifer Eisner of the Michigan Department of Community Health. “At this point, no common source has been identified.”
In June and July, 73 cases were confirmed. In the past three years, the average number of cases during those months was 30.
Eisner said state health officials are working with counties to try to address the problem.
The disease is caused by the Legionella bacteria that is typically transmitted in water vapor. Symptoms include fever, cough and pneumonia. Eisner said the state also has seen cases of Pontiac fever, a similar, though milder, infection that doesn’t include pneumonia and resolves on its own.
Legionella bacteria are found naturally in freshwater lakes and streams, but can also be found in man-made water systems.
Legionnaires’ became an issue in the Flint water crisis. State health officials confirmed 91 cases, including 12 deaths, from the disease in Genesee County in a 17-month period in 2014-15. The cases spiked after the city switched its water source from the Detroit water system to the Flint River in April 2014.
Janet Stout, an associate professor at the University of Pittsburgh Swanson School of Engineering who has 30 years of experience studying the disease, concluded the problems with Flint’s water were related to the increase in Legionnaires’ cases — although she can’t prove it.
“It is like an emperor’s new clothes situation,” Stout told the Free Press last year. “Somebody has to say it.”
She said it’s a “reasonable conclusion,” given the link between poor water quality and Legionnaires’ disease in scientific studies done elsewhere.
Cooling towers, hot tubs and decorative fountains can allow bacteria growth and transmission if they are not cleaned and maintained properly, Eisner said.
Transmission to humans occurs when mist or vapor containing the bacteria is inhaled. Legionellosis does not spread from one person to another.
State health officials say risk factors for exposure to Legionella bacteria include:
* Recent travel with an overnight stay outside of the home.
* Recent stay in a health care facility.
* Exposure to hot tubs.
* Exposure to settings where the plumbing has had recent repairs or maintenance work.
Most healthy individuals do not become infected after exposure to Legionella. Seniors, current and former smokers, people with lung diseases and people with compromised immune systems face the greatest risks.
More information is available on the website of the Centers for Disease Control and Prevention.