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Legionellosis on the Rise: A Review of Guidelines for Prevention in the United States.
[legionellosis]
Reported
cases
of
legionellosis
more
than
tripled
between
2001
and
2012
in
the
United
States
.
The
disease
results
primarily
from
exposure
to
aerosolized
water
contaminated
with
Legionella
.
To
identify
and
describe
policies
and
guidelines
for
the
primary
prevention
of
legionellosis
in
the
US
.
An
Internet
search
for
Legionella
prevention
guidelines
in
the
United
States
at
the
federal
and
state
levels
was
conducted
from
March
to
June
2012
.
Local
government
agency
guidelines
and
guidelines
from
professional
organizations
that
were
identified
in
the
initial
search
were
also
included
.
Federal
,
state
,
and
local
governing
bodies
and
professional
organizations
.
Guidelines
and
regulations
for
the
primary
prevention
of
legionellosis
(
ie
,
Legionnaires
'
disease
and
Pontiac
fever
)
have
been
developed
by
various
public
health
and
other
government
agencies
at
the
federal
,
state
,
and
local
levels
as
well
as
by
professional
organizations
.
These
guidelines
are
similar
in
recommending
maintenance
of
building
water
systems
;
federal
and
other
guidelines
differ
in
the
population
/
institutions
targeted
,
the
extent
of
technical
detail
,
and
support
of
monitoring
water
systems
for
levels
of
Legionella
contamination
.
Legionellosis
deserves
a
higher
public
health
priority
for
research
and
policy
development
.
Guidance
across
public
health
agencies
for
the
primary
prevention
of
legionellosis
requires
strengthening
as
this
disease
escalates
in
importance
as
a
cause
of
severe
morbidity
and
mortality
.
We
recommend
a
formal
and
comprehensive
review
of
national
public
health
guidelines
for
prevention
of
legionellosis
.
This
is
an
open
-access
article
distributed
under
the
terms
of
the
Creative
Commons
Attribution-
NonCommercial-NoDerivitives
3
.
0
License
,
where
it
is
permissible
to
download
and
share
the
work
provided
it
is
properly
cited
.
The
work
can
not
be
changed
in
any
way
or
used
commercially
.
Diseases
Validation
Diseases presenting
"fever"
symptom
22q11.2 deletion syndrome
acute rheumatic fever
alexander disease
allergic bronchopulmonary aspergillosis
canavan disease
carcinoma of the gallbladder
child syndrome
congenital toxoplasmosis
cushing syndrome
cystinuria
dracunculiasis
erdheim-chester disease
esophageal adenocarcinoma
esophageal carcinoma
familial mediterranean fever
focal myositis
hodgkin lymphoma, classical
lamellar ichthyosis
legionellosis
locked-in syndrome
malignant atrophic papulosis
neonatal adrenoleukodystrophy
neuralgic amyotrophy
oculocutaneous albinism
papillon-lefèvre syndrome
pyomyositis
pyruvate dehydrogenase deficiency
scrub typhus
severe combined immunodeficiency
sneddon syndrome
systemic capillary leak syndrome
triple a syndrome
typhoid
waldenström macroglobulinemia
wolf-hirschhorn syndrome
This symptom has already been validated