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Emerg Infect Dis. 2018 Oct;24(10):1914-1918. doi: 10.3201/eid2410.180906.

Two Community Clusters of Legionnaires' Disease Directly Linked to a Biologic Wastewater Treatment Plant, the Netherlands.


A biologic wastewater treatment plant was identified as a common source for 2 consecutive Legionnaires' disease clusters in the Netherlands in 2016 and 2017. Sequence typing and transmission modeling indicated direct and long-distance transmission of Legionella, indicating this source type should also be investigated in sporadic Legionnaires' disease cases.


Legionella pneumophila; Legionnaires’ disease; Netherlands; bacteria; disease outbreaks; environmental exposure; waterborne diseases

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