Health Advisory #137
During the months of May and June 2017, West Virginia experienced more cases than expected of Legionnaire’s Disease (Legionella pneumonia).
Clinical features of Legionnaire’s Disease generally include radiographic evidence of pneumonia with cough, fever, myalgia, and chest pain; hospitalization is common. Additional information on Legionnaire’s Disease can be found at https://www.cdc.gov/legionella/clinicians.html.
Urinary antigen assay and culture of respiratory secretions on selective media are the preferred diagnostic tests for Legionnaire’s Disease. Respiratory secretions (sputum or bronchoalveolar lavage) should be collected before starting antimicrobial therapy from all suspected cases. More information on testing for Legionnaire’s Disease can be found at https://www.cdc.gov/legionella/clinicians/diagnostic-testing.html.
The West Virginia Legislative Rule for Reportable Diseases, Events and Conditions (64CSR7) mandates cases of Legionella pneumonia be reported to the local health department within one week. During this time of heightened surveillance, physicians are requested to immediately investigate and report all suspected cases and clusters of Legionella pneumonia to their local health department. Contact information for local health departments in West Virginia can be found at www.dhhr.wv.gov/localhealth/pages/map.aspx.
Local health department staff should investigate all possible cases of Legionnaire’s Disease thoroughly. Collected information should include date of onset, method of diagnosis, potential occupational or healthcare exposure, and travel history during the 2–14 days prior to symptom onset.
For more information, please visit www.dide.wv.gov or call the Division of Infectious Disease Epidemiology (DIDE) at 1 (800) 423-1271, extension 1; (304) 558-5358, extension 1; or the answering service at (304) 925-9946.
Wheeling-Ohio County Health Department
1500 Chapline Street, Room 106
Wheeling, WV 26003
Howard Gamble, MPH
Becky Beckett, RN
Lock Johnson, RS
William Mercer, M.D.
Threat Preparedness Director
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