Two community clusters of legionnaires’ disease directly linked to a biologic wastewater treatment plant, the Netherlands

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Abstract

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.

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Loenenbach, A. D., Beulens, C., Euser, S. M., van Leuken, J. P. G., Bom, B., van der Hoek, W., … Brandsema, P. S. (2018). Two community clusters of legionnaires’ disease directly linked to a biologic wastewater treatment plant, the Netherlands. Emerging Infectious Diseases, 24(10), 1914–1918. https://doi.org/10.3201/eid2410.180906

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