An outbreak of Legionnaires’ disease associated with a display spa pool in retail premises, Stoke-on-Trent, United Kingdom, July 2012

N Coetzee; H Duggal; J Hawker; S Ibbotson; T G Harrison; N Phin; V Laza-Stanca; R Johnston; Z Iqbal; Y Rehman; E Knapper; S Robinson; N Aigbogun

doi:10.2807/ese.17.37.20271-en

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An outbreak of Legionnaires’ disease associated with a display spa pool in retail premises, Stoke-on-Trent, United Kingdom, July 2012
N Coetzee¹ , H Duggal¹ , J Hawker² , S Ibbotson² , T G Harrison³ , N Phin⁴ , V Laza-Stanca⁵ , R Johnston⁶ , Z Iqbal⁷ , Y Rehman² , E Knapper¹ , S Robinson¹ , N Aigbogun¹
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Affiliations: ¹ Health Protection Agency, West Midlands North, Stafford, United Kingdom ² Health Protection Agency West Midlands, Birmingham, United Kingdom ³ Health Protection Agency, Microbiology Services, Reference Microbiology Services, Colindale, United Kingdom ⁴ Health Protection Agency Health Protection Services, Colindale, United Kingdom ⁵ University Hospital of North Staffordshire NHS Trust, Stoke-on-Trent, United Kingdom ⁶ Health Protection Agency, Microbiology Services, Food, Water and Environmental Microbiology Laboratory (Birmingham), Sutton Coldfield, United Kingdom ⁷ National Health Service Stoke-on-Trent, Stoke-on-Trent, United Kingdom

Correspondence:
N Coetzee
nic.coetzee hpa.org.uk
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Citation style for this article: Coetzee N, Duggal H, Hawker J, Ibbotson S, Harrison T G, Phin N, Laza-Stanca V, Johnston R, Iqbal Z, Rehman Y, Knapper E, Robinson S, Aigbogun N. An outbreak of Legionnaires’ disease associated with a display spa pool in retail premises, Stoke-on-Trent, United Kingdom, July 2012 . Euro Surveill. 2012;17(37):pii=20271. https://doi.org/10.2807/ese.17.37.20271-en Received: 04 Sept 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. .