title: An outbreak of Legionnaires' disease associated with a display spa pool in retail premises, Stoke-on-Trent, United Kingdom, July 2012.
abstract: Twenty-one confirmed cases of Legionnaires’ disease (Legionella pneumophila serogroup 1) were identified in the Stoke-on-Trent area of England with onsets since 2 July 2012. Sequence-based typing results are available for nine cases; all are a unique type (ST1268). Initial interviews highlighted a number of possible environmental sources. Inspection of premises of interest revealed an operating spa pool on display, from which the outbreak strain was identified. All cases had visited the retail premise with this spa pool.
authors.affiliation: Health Protection Agency, West Midlands North, Stafford, United Kingdom. nic.coetzee@hpa.org.uk
authors.forename: N
authors.initials: N
authors.lastname: Coetzee
authors.forename: H
authors.initials: H
authors.lastname: Duggal
authors.forename: J
authors.initials: J
authors.lastname: Hawker
authors.forename: S
authors.initials: S
authors.lastname: Ibbotson
authors.forename: T G
authors.initials: TG
authors.lastname: Harrison
authors.forename: N
authors.initials: N
authors.lastname: Phin
authors.forename: V
authors.initials: V
authors.lastname: Laza-Stanca
authors.forename: R
authors.initials: R
authors.lastname: Johnston
authors.forename: Z
authors.initials: Z
authors.lastname: Iqbal
authors.forename: Y
authors.initials: Y
authors.lastname: Rehman
authors.forename: E
authors.initials: E
authors.lastname: Knapper
authors.forename: S
authors.initials: S
authors.lastname: Robinson
authors.forename: N
authors.initials: N
authors.lastname: Aigbogun
mesh_terms: D000368:Aged; D004196:Disease Outbreaks; D005260:Female; D005838:Genotype; D006801:Humans; D016952:Legionella pneumophila / Q000235:genetics / Q000302:isolation & purification*; D007877:Legionnaires' Disease / Q000175:diagnosis* / Q000453:epidemiology* / Q000382:microbiology / Q000517:prevention & control; D008297:Male; D008875:Middle Aged; D016133:Polymerase Chain Reaction; D012307:Risk Factors; D017422:Sequence Analysis, DNA; D011795:Surveys and Questionnaires; D013551:Swimming Pools; D006113:United Kingdom / Q000453:epidemiology; D014871:Water Microbiology