2014 Portugal legionellosis outbreak

Disease outbreak in Portugal LocalDistritoLisboa.svg Location of the affected district in Portugal Legionellosis Legionella Lisbon district, mostly in the municipality of Vila Franca de XiraLusa Legionella: Surto causou 12 mortos e 375 doentes, oito ainda hospitalizados https://www.publico.pt/2014/12/15/sociedade/noticia/legionella-surto-causou-12-mortos-e-375-doentes-oito-ainda-hospitalizados-1679535 2021-03-11 PÚBLICO pt 7–21 November 2014 375 12 The 2014 Portugal legionellosis outbreak was an outbreak of legionellosis in multiple cities of the Lisbon district in Portugal, caused by the release of Legionella bacteria from the cooling towers of a fertilizer plant in Forte da Casa, Vila Franca de Xira.Kendall-Ball Greg Past outbreaks of Legionnaires' disease sourced to hospitals, whirlpools, factories en-US Washington Post https://www.washingtonpost.com/news/morning-mix/wp/2015/08/07/past-outbreaks-of-legionnaires-disease-sourced-to-hospitals-whirlpools-factories/ 2021-03-14 0190-8286 It began on 7 November 2014 and affected mostly people in Póvoa de Santa Iria, Forte da Casa and Vialonga, in the municipality of Vila Franca de Xira. Paulo Macedo, the Portuguese Health Minister, declared the outbreak extinct on 21 November.November 21, 2014 Extinto o surto de legionella https://rr.sapo.pt/informacao_detalhe.aspx?fid=25&did=169622 November 23, 2014 rr.sapo.pt pt November 29, 2014 https://web.archive.org/web/20141129082347/http://rr.sapo.pt/informacao_detalhe.aspx?fid=25&did=169622 dead The outbreak resulted in 375 cases and 12 casualties. Timeline Date Cases Fatalities Source 2014-11-07 33 0 Público 2014-11-08 90 1 Diário de Notícias, Directorate-General of Health (DGS)http://www.dgs.pt/a-direccao-geral-da-saude/comunicados-e-despachos-do-director-geral/surto-de-infecao-por-legionella-pdf.aspx Surto de infeção por Legionella 15 November 2014 8 November 2014 Portuguese Direcção-Geral da Saúde 2014-11-09 180 4 Diário de Notícias, DGShttp://www.dgs.pt/a-direccao-geral-da-saude/comunicados-e-despachos-do-director-geral/surto-de-infecao-por-legionella-pdf2.aspx Surto de infeção por Legionella 15 November 2014 9 November 2014 Portuguese Direcção-Geral da Saúde 2014-11-10 233 5 DGShttp://www.dgs.pt/a-direccao-geral-da-saude/comunicados-e-despachos-do-director-geral/surto-de-infecao-por-legionella-pdf3.aspx Surto de infeção por Legionella 15 November 2014 10 November 2014 Portuguese Direcção-Geral da Saúde 2014-11-11 278 5 DGShttp://www.dgs.pt/a-direccao-geral-da-saude/comunicados-e-despachos-do-director-geral/surto-de-infecao-por-legionella-pdf4.aspx Surto de infeção por Legionella — Atualização da situação às 15 horas de 11/11/2014 15 November 2014 11 November 2014 Portuguese Direcção-Geral da Saúde 2014-11-12 302 7 Público, DGShttp://www.dgs.pt/a-direccao-geral-da-saude/comunicados-e-despachos-do-director-geral/surto-de-infecao-por-legionella-pdf3.aspx Surto de infeção por Legionella — Actualização da situação às 15 horas de 12/11/2014 12 November 2014 13 November 2014 Direcção-Geral da Saúde Portuguese 2014-11-13 311 7 DGShttp://www.dgs.pt/a-direccao-geral-da-saude/comunicados-e-despachos-do-director-geral/surto-de-infecao-por-legionella-pdf6.aspx Surto de infeção por Legionella — Atualização da situação às 17 horas de 13/11/2014 15 November 2014 13 November 2014 Portuguese Direcção-Geral da Saúde 2014-11-14 316 7 DGShttp://www.dgs.pt/a-direccao-geral-da-saude/comunicados-e-despachos-do-director-geral/surto-de-infecao-por-legionella-pdf5.aspx Surto de infeção por Legionella — Atualização da situação às 15 horas de 14/11/2014 15 November 2014 14 November 2014 Portuguese Direcção-Geral da Saúde2014-11-173318DGS2014-11-2133610DGS On 7 November 2014, authorities were alerted about an unusually large number of patients infected with Legionella: in 24 hours, the Vila Franca de Xira hospital received 27 patients with this infection and there were six more cases in other hospitals in Lisbon. The patients were from Forte da Casa, Póvoa de Santa Iria, Vialonga, in Vila Franca de Xira, and also from Bucelas, Loures and Samora Correia, Benavente. The municipality of Vila Franca de Xira promptly asserted that tests carried out by the municipal water and sanitation authority (SMAS) did not find any evidence of Legionella in the tap water.http://www.publico.pt/local/noticia/pelo-menos-13-pessoas-no-hospital-de-vila-franca-de-xira-por-suspeitas-de-legionella-1675557 Surto de legionella em Vila Franca de Xira deixa 33 pessoas internadas 15 November 2014 8 November 2014 Portuguese Público By midday on 8 November, there were already 59 known cases.http://www.publico.pt/portugal/noticia/sobem-para-56-os-casos-de-legionella-na-regiao-de-lisboa-1675589 Sobem para 59 os casos de "legionella" na região de Lisboa 15 November 2014 8 November 2014 Portuguese Público At the end of the same day, there were 90 known cases of Legionella infections, including 1 fatality. Authorities stated that the first fatality was a 59-year-old male that was a heavy smoker and died 3 hours after arriving at the hospital.Médicos de Saúde Pública avisam para risco de mais casos. Origem pode ser espaço público https://www.dn.pt/inicio/portugal/interior.aspx?content_id=4228109&page=-1 dead https://web.archive.org/web/20141109132612/http://www.dn.pt/inicio/portugal/interior.aspx?content_id=4228109&page=-1 9 November 2014 12 November 2014 Diário de Notícias Portuguesehttps://www.dn.pt/inicio/portugal/interior.aspx?content_id=4227851 São já 90 os infetados com 'legionella'. Francisco George admite que possam surgir mais casos 12 November 2014 Diário de Notícias Portuguese https://web.archive.org/web/20141113132610/http://www.dn.pt/inicio/portugal/interior.aspx?content_id=4227851 13 November 2014 dead On 9 November, the number of cases was updated to 120.https://www.dn.pt/inicio/portugal/interior.aspx?content_id=4228411 Número de infetados com 'legionella' estará perto dos 120 12 November 2014 Diário de Notícias Portuguese https://web.archive.org/web/20141109132059/http://www.dn.pt/inicio/portugal/interior.aspx?content_id=4228411 9 November 2014 dead Two more people, a 66-year-old male and an 81-year-old female, both with preexisting conditions, died in the hospital, raising the number of fatalities to 3.https://www.dn.pt/inicio/portugal/interior.aspx?content_id=4228509 Direção-Geral de Saúde confirma quatro óbitos e 180 casos de pessoas infetadas com 'legionella' 12 November 2014 Diário de Notícias Portuguese https://web.archive.org/web/20141109153859/http://www.dn.pt/inicio/portugal/interior.aspx?content_id=4228509 9 November 2014 dead 6 more people were in critical condition. In the afternoon, the number of cases was reported to be 180 and 4 fatalities. 24 people are in the intensive care unit. On 11 November, the World Health Organization declared the Legionella outbreak in Portugal a major public health emergency.Lusa Agência OMS considera surto de legionella em Portugal como "grande emergência de saúde pública" https://observador.pt/2014/11/11/oms-considera-surto-de-legionella-em-portugal-como-grande-emergencia-de-saude-publica/ 2021-03-14 Observador pt-PT On 12 November, there were 302 known cases and 7 fatalities related to this outbreak, with 49 people in intensive care units and two more deaths under investigation.http://www.publico.pt/sociedade/noticia/morreram-mais-dois-doentes-com-legionella-1675987 Número de doentes com Legionella ultrapassa os 300 12 November 2014 12 November 2014 Público Portuguese Cases in Luanda, Angola and Lima, Peru were suspected to be connected to the outbreak.45 novos casos num dia, são agora 278 os casos de Legionella http://observador.pt/2014/11/11/legionella-chega-a-vila-real-figueira-da-foz-mas-tambem-a-luanda-e-lima/ 12 November 2014 Observador Portuguese On 13 November, there were 311 cases and 7 fatalities. The two cases that had been observed abroad were found to be unrelated to this outbreak. On 17 November, there were 331 cases and 8 fatalities.http://observador.pt/2014/11/17/ja-tiveram-alta-87-doentes-infetados-com-legionella/ Já tiveram alta 87 doentes infetados com Legionella November 17, 2014 observador.pt pt November 23, 2014 On 21 November, there were 336 cases and 10 fatalities. The outbreak was declared to be over. Sources A total of 20 locations were examined on 8 November. Another 5 locations, 4 factories and 1 hotel, were examined on 9 November.Autoridades continuam no terreno a tentar descobrir foco da infeção de 'legionella' https://www.dn.pt/inicio/portugal/interior.aspx?content_id=4228459&page=-1 dead https://web.archive.org/web/20141109134901/http://www.dn.pt/inicio/portugal/interior.aspx?content_id=4228459&page=-1 9 November 2014 12 November 2014 Diário de Notícias Portuguese On 11 November, Solvay confirmed that the first results from their factory in Póvoa de Santa Iria came positive for Legionella, but the results of more comprehensive tests, done at Ricardo Jorge National Health Institute (INSA) were not available yet. These tests included samples from other factories in the region, such as Adubos de Portugal (ADP) and Central de Cervejas.11 November 2014 Fábrica de químicos de Vila Franca de Xira com vestígios de Legionella http://www.publico.pt/sociedade/noticia/fabrica-de-vila-franca-com-vestigios-de-legionella-1675835 12 November 2014 Público Portuguese Later on the same day, it was also reported that the ADP factory would be further investigated. It was expected that the new investigation would shed some light on whether there was criminal activity behind the outbreak.11 November 2014 Fábrica da Adubos de Portugal vai ser investigada por ser provável foco de Legionella http://www.publico.pt/sociedade/noticia/fabrica-da-adubos-de-portugal-sera-foco-de-legionella-e-empresa-vai-ser-investigada-1675869 12 November 2014 Público Portuguese On 21 November, it was confirmed that the ADP factory was the source of the outbreak.November 21, 2014 Dez mortos, 336 doentes – Torres de refrigeração da ADP na origem do surto de legionela https://www.dn.pt/inicio/portugal/interior.aspx?content_id=4253424 dead https://web.archive.org/web/20141129070832/http://www.dn.pt/inicio/portugal/interior.aspx?content_id=4253424 November 29, 2014 November 23, 2014 dn.pt pt Prevention measures Authorities recommended people to avoid taking showers and using high-pressure water sources as well as avoiding air-conditioning devices and places where airborne water particles are present. Blood donations in some parts of the affected district were halted.https://www.dn.pt/inicio/portugal/interior.aspx?content_id=4228386 Suspensa Colheita de Sangue na Póvoa de Santa Iria como precaução devido à 'legionella' 12 November 2014 Diário de Notícias Portuguese https://web.archive.org/web/20141109132044/http://www.dn.pt/inicio/portugal/interior.aspx?content_id=4228386 9 November 2014 dead References 30em Category:2014 in Portugal Category:2014 disease outbreaks Category:Legionellosis Category:Disease outbreaks in Portugal Category:November 2014 in Europe Category:2014 disasters in Portugal