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1

Saks, Mark. "Legionnairesʼ Disease Not Just For Legionnaires Anymore." Emergency Medicine News 28, no. 1 (January 2006): 6–8. http://dx.doi.org/10.1097/00132981-200601000-00016.

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2

Gould, Dinah. "Legionnaires’ disease." Nursing Standard 17, no. 45 (July 23, 2003): 41–44. http://dx.doi.org/10.7748/ns2003.07.17.45.41.c3423.

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3

Gould, Dinah. "Legionnaires’ disease." Nursing Standard 17, no. 45 (July 23, 2003): 41–44. http://dx.doi.org/10.7748/ns.17.45.41.s55.

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4

Prozorovsky, S. V., V. I. Pokrovsky, and I. S. Tartakovsky. "Legionnaires' disease." Kazan medical journal 66, no. 6 (December 15, 1985): 464. http://dx.doi.org/10.17816/kazmj62258.

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5

Davis, Gerald S., and Washington C. Winn. "Legionnaires' Disease:." Clinics in Chest Medicine 8, no. 3 (September 1987): 419–39. http://dx.doi.org/10.1016/s0272-5231(21)01038-8.

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6

Sandeep, K. R., and B. S. Sandhya Rani. "Legionnaires ’Disease." International Journal of Nursing Education and Research 6, no. 4 (2018): 439. http://dx.doi.org/10.5958/2454-2660.2018.00106.0.

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7

Fallon, R. J. "Legionnaires' Disease." Scottish Medical Journal 39, no. 5 (October 1994): 135–37. http://dx.doi.org/10.1177/003693309403900502.

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8

BUSSEN, SELENA V. "Legionnaires' Disease." Radiology 194, no. 2 (February 1995): 406. http://dx.doi.org/10.1148/radiology.194.2.406.

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9

PORTER, RICHARD T. "Legionnaires' Disease." Radiology 195, no. 3 (June 1995): 638. http://dx.doi.org/10.1148/radiology.195.3.638.

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10

Brundrett, Geoffrey. "Legionnaires’ disease." Journal of the Royal Society for the Promotion of Health 122, no. 3 (September 2002): 146–47. http://dx.doi.org/10.1177/146642400212200308.

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11

Edelstein, P. H. "Legionnaires' Disease." Clinical Infectious Diseases 16, no. 6 (June 1, 1993): 741–49. http://dx.doi.org/10.1093/clind/16.6.741.

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12

R., Sandeep K., and Sandhya Rani B. S. "Legionnaires Disease." Journal of Health and Allied Sciences NU 08, no. 02 (June 2018): 049–52. http://dx.doi.org/10.1055/s-0040-1708753.

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AbstractLegionnaires' disease is a form of atypical pneumonia caused by any type of Legionella bacteria. The bacterium is found naturally in fresh water.[4] It can contaminate hot water tanks, hot tubs, and cooling towers of large air conditioners.[4] It is usually spread by breathing in mist that contains the bacteria.[4] It can also occur when contaminated water is aspirated.[4] It typically does not spread directly between people and most people who are exposed do not become infected.[4] Risk factors for infection include older age, history of smoking, chronic lung disease, and poor immune function.[5] There is still a low level of clinical awareness regarding Legionnaires' disease 25 years after it was first detected.
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13

Bailey, M. "Legionnaires’ Disease." Property Management 7, no. 1 (January 1989): 19–24. http://dx.doi.org/10.1108/eum0000000003314.

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14

Brundrett, G. W. "Legionnaires’ disease." Batiment International, Building Research and Practice 17, no. 2 (March 1989): 96–107. http://dx.doi.org/10.1080/01823328908726949.

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15

Berry, John. "Legionnaires' disease." Facilities 3, no. 7 (July 1985): 13–14. http://dx.doi.org/10.1108/eb006338.

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16

Fallon, R. J. "LEGIONNAIRES' DISEASE." Lancet 332, no. 8603 (July 1988): 167. http://dx.doi.org/10.1016/s0140-6736(88)90722-2.

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17

Larkin, Marilynn. "Legionnaires' disease." Lancet Infectious Diseases 5, no. 4 (April 2005): 206. http://dx.doi.org/10.1016/s1473-3099(05)70048-7.

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18

Phillips, Steven J., Robert H. Zeff, and Dan Gervich. "Legionnaires' Disease." Annals of Thoracic Surgery 44, no. 5 (November 1987): 564. http://dx.doi.org/10.1016/s0003-4975(10)62132-7.

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19

Yu, Victor L. "Legionnaires' Disease." Annals of Thoracic Surgery 44, no. 5 (November 1987): 564. http://dx.doi.org/10.1016/s0003-4975(10)62133-9.

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20

Cunha, Burke A., Almudena Burillo, and Emilio Bouza. "Legionnaires' disease." Lancet 387, no. 10016 (January 2016): 376–85. http://dx.doi.org/10.1016/s0140-6736(15)60078-2.

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21

Evenson, Laurie Jane. "Legionnaires’ disease." Primary Care Update for OB/GYNS 5, no. 6 (November 1998): 286–89. http://dx.doi.org/10.1016/s1068-607x(98)00165-6.

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22

Sabrià, Miguel, and Magda Campins. "Legionnaires’ Disease." American Journal of Respiratory Medicine 2, no. 3 (June 2003): 235–43. http://dx.doi.org/10.1007/bf03256652.

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23

Yu, Victor L. "Legionnaires' Disease." Chest 145, no. 2 (February 2014): 202–5. http://dx.doi.org/10.1378/chest.13-2170.

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24

Grahovac, Katrina C. "Legionnaires’ Disease." AAOHN Journal 34, no. 3 (March 1986): 122–24. http://dx.doi.org/10.1177/216507998603400305.

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25

Roig, Jorge, Christian Domingo, and Jose Morera. "Legionnaires’ Disease." Chest 105, no. 6 (June 1994): 1817–25. http://dx.doi.org/10.1378/chest.105.6.1817.

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26

Buchholz, U., P. Stöcker, and B. Brodhun. "Legionnaires Disease—Reordered." Infection Control & Hospital Epidemiology 31, no. 1 (January 2010): 104–5. http://dx.doi.org/10.1086/648664.

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27

Murdoch, D. R. "Treating legionnaires’ disease." Internal Medicine Journal 33, no. 11 (October 31, 2003): 479–81. http://dx.doi.org/10.1046/j.1445-5994.2003.00444.x.

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28

Garbe, Paul L. "Nosocomial Legionnaires' Disease." JAMA 254, no. 4 (July 26, 1985): 521. http://dx.doi.org/10.1001/jama.1985.03360040075028.

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29

Tran, Olivia C., David E. Lucero, Sharon Balter, Robert Fitzhenry, Mary Huynh, Jay K. Varma, and Neil M. Vora. "Sensitivity and Positive Predictive Value of Death Certificate Data Among Deaths Caused by Legionnaires’ Disease in New York City, 2008-2013." Public Health Reports 133, no. 5 (July 13, 2018): 578–83. http://dx.doi.org/10.1177/0033354918782494.

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Objectives: Death certificates are an important source of information for understanding life expectancy and mortality trends; however, misclassification and incompleteness are common. Although deaths caused by Legionnaires’ disease might be identified through routine surveillance, it is unclear whether Legionnaires’ disease is accurately recorded on death certificates. We evaluated the sensitivity and positive predictive value of death certificates for identifying deaths from confirmed or suspected Legionnaires’ disease among adults in New York City. Methods: We deterministically matched death certificate data from January 1, 2008, through December 31, 2013, on New York City residents aged ≥18 years to surveillance data on confirmed and suspected cases of Legionnaires’ disease from January 1, 2008, through October 31, 2013. We estimated sensitivity and positive predictive value by using surveillance data as the reference standard. Results: Of 294 755 deaths, 27 (<0.01%) had an underlying cause of death of Legionnaires’ disease and 33 (0.01%) had any mention of Legionnaires’ disease on the death certificate. Of 1211 confirmed or suspected cases of Legionnaires’ disease, 267 (22.0%) matched to a record in the death certificate data set. The sensitivity of death certificates that listed Legionnaires’ disease as the underlying cause of death was 17.3% and of death certificates with any mention of Legionnaires’ disease was 20.9%. The positive predictive value of death certificates that listed Legionnaires’ disease as the underlying cause of death was 70.4% and of death certificates with any mention of Legionnaires’ disease was 69.7%. Conclusions: Death certificates had limited ability to identify confirmed or suspected deaths with Legionnaires’ disease. Provider trainings on the diagnosis of Legionnaires’ disease, particularly hospital settings, and proper completion of death certificates might improve the sensitivity of death certificates for people who die of Legionnaires’ disease.
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30

Giorgi Rossi, P., M. Sangalli, A. Faustini, F. Forastiere, and C. A. Perucci. "Infectious diseases in Rome during the Millennium Year." Eurosurveillance 8, no. 9 (September 1, 2003): 181–85. http://dx.doi.org/10.2807/esm.08.09.00425-en.

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During 2000, the millennium year, 26 million people visited Rome. An improved surveillance system for infectious diseases, especially for foodborne disease outbreaks (FBDO), meningitis, and legionnaires' disease was introduced in 1997. This rapid alert network links public health services with the principal sources of diagnosis and laboratory based surveillance. For travel related legionnaires' disease, international surveillance was implemented. Specific control measures for FBDOs were adopted. No increase in the overall incidence of these diseases was observed, and no atypical pathogens in FBDOs or meningitis were isolated in 2000 relating to 1998-99. Cases of legionnaires' disease and FBDOs involving foreign tourists increased (10/4 and 7/2 observed/expected respectively). Three out of six FBDOs involving pilgrims occurred in religious guesthouses. While an increase in cases of legionnaires' disease and FBDOs among foreign tourists was observed by the surveillance system, the millennium year did not influence the epidemiology of infectious diseases in the residential population of Lazio.
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31

Akbas, Efsun, and Victor L. Yu. "Legionnaires' disease and pneumonia." Postgraduate Medicine 109, no. 5 (May 2001): 135–47. http://dx.doi.org/10.3810/pgm.2001.05.933.

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32

Roig, Jorge, Anna Carreres, and Christian Domingo. "Treatment of Legionnaires?? Disease." Drugs 46, no. 1 (July 1993): 63–79. http://dx.doi.org/10.2165/00003495-199346010-00005.

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33

Amsden, Guy W. "Treatment of Legionnaires??? Disease." Drugs 65, no. 5 (2005): 605–14. http://dx.doi.org/10.2165/00003495-200565050-00003.

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34

Johnson, James R. "Therapy for Legionnaires Disease." Annals of Internal Medicine 130, no. 10 (May 18, 1999): 864. http://dx.doi.org/10.7326/0003-4819-130-10-199905180-00013.

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35

Edelstein, Paul H. "Therapy for Legionnaires Disease." Annals of Internal Medicine 130, no. 10 (May 18, 1999): 864. http://dx.doi.org/10.7326/0003-4819-130-10-199905180-00014.

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36

Winn, W. C. "Legionnaires disease: historical perspective." Clinical Microbiology Reviews 1, no. 1 (January 1988): 60–81. http://dx.doi.org/10.1128/cmr.1.1.60.

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In the summer of 1976, a mysterious epidemic of fatal respiratory disease in Philadelphia launched an intensive investigation that resulted in the definition of a new family of pathogenic bacteria, the Legionellaceae. In retrospect, members of the family had been isolated from clinical specimens as early as 1943. Unsolved epidemics of acute respiratory disease dating to the 1950s were subsequently attributed to the newly described pathogens. In the intervening years, the Legionellaceae have been firmly established as important causes of sporadic and epidemic respiratory disease. The sources of the infecting bacteria are environmental, and geographic variation in the frequency of infection has been documented. Airborne dissemination of bacteria from cooling towers and evaporative condensers has been responsible for some epidemics, but potable water systems are perhaps more important sources. The mode of transmission from drinking water is unclear. The Legionellaceae are gram-negative, facultative, intracellular pathogens. The resident alveolar macrophage, usually an effective antibacterial defense, is the primary site of growth. Cell-mediated immunity appears to be the most important immunological defense; the role of humoral immunity is less clear. Erythromycin remains the antibiotic of choice for therapy of infected patients, but identification and eradication of environmental sources are also essential for the control of infection.
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37

Winn, W. C. "Legionnaires disease: historical perspective." Clinical Microbiology Reviews 1, no. 1 (1988): 60–81. http://dx.doi.org/10.1128/cmr.1.1.60-81.1988.

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38

Goldberg, Stanley. "Smithsonian suffers Legionnaires' disease." Bulletin of the Atomic Scientists 51, no. 3 (May 1995): 28–33. http://dx.doi.org/10.1080/00963402.1995.11658069.

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39

Maclaine‐cross, I. L., and M. Behnia. "Eradication of Legionnaires' disease." Medical Journal of Australia 157, no. 2 (July 1992): 144. http://dx.doi.org/10.5694/j.1326-5377.1992.tb137068.x.

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40

Fumarola, Donato, and Lorenzina Longo-Papadia. "LEGIONNAIRES' DISEASE AND CHILDREN." Pediatric Infectious Disease Journal 6, no. 1 (January 1987): 85. http://dx.doi.org/10.1097/00006454-198701000-00032.

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41

Gantz, Nelson M., and Anthony L. Esposito. "LEGIONNAIRES' DISEASE AND CHILDREN." Pediatric Infectious Disease Journal 6, no. 1 (January 1987): 85. http://dx.doi.org/10.1097/00006454-198701000-00033.

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42

den Boer, J. W., E. P. F. Yzerman, R. Jansen, J. P. Bruin, L. P. B. Verhoef, G. Neve, and K. Van der Zwaluw. "Legionnaires’ disease and gardening." Clinical Microbiology and Infection 13, no. 1 (January 2007): 88–91. http://dx.doi.org/10.1111/j.1469-0691.2006.01562.x.

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43

Campèse, C., G. Descours, A. Lepoutre, L. Beraud, C. Maine, D. Che, and S. Jarraud. "Legionnaires’ disease in France." Médecine et Maladies Infectieuses 45, no. 3 (March 2015): 65–71. http://dx.doi.org/10.1016/j.medmal.2015.01.015.

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44

Hurst, Julie, and James Clayton. "LEGIONNAIRES' DISEASE IN STAFFORD." Lancet 327, no. 8478 (February 1986): 444. http://dx.doi.org/10.1016/s0140-6736(86)92400-1.

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45

Daggett, PeterR, AndrewJ Fairfax, JohnL Francis, and JohnA Gibson. "LEGIONNAIRES' DISEASE IN STAFFORDSHIRE." Lancet 325, no. 8444 (June 1985): 1515. http://dx.doi.org/10.1016/s0140-6736(85)92301-3.

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46

STANILAND, J. "LEGIONNAIRES' DISEASE IN STAFFORDSHIRE." Lancet 325, no. 8441 (June 1985): 1329. http://dx.doi.org/10.1016/s0140-6736(85)92815-6.

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47

Shelton, Brian G., William Kerbel, Linden Witherell, and J. Donald Millar. "Review of Legionnaires' Disease." AIHAJ - American Industrial Hygiene Association 61, no. 5 (September 2000): 738–42. http://dx.doi.org/10.1080/15298660008984585.

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48

Kool, Jacob L., Joseph C. Carpenter, and Barry S. Fields. "Monochloramine and Legionnaires' disease." Journal - American Water Works Association 92, no. 9 (September 2000): 88–96. http://dx.doi.org/10.1002/j.1551-8833.2000.tb09007.x.

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49

Marston, Barbara J. "Surveillance for Legionnaires' Disease." Archives of Internal Medicine 154, no. 21 (November 14, 1994): 2417. http://dx.doi.org/10.1001/archinte.1994.00420210049006.

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50

Straus, W. L. "Risk factors for domestic acquisition of legionnaires disease. Ohio legionnaires Disease Group." Archives of Internal Medicine 156, no. 15 (August 12, 1996): 1685–92. http://dx.doi.org/10.1001/archinte.156.15.1685.

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