Legionnaires’ outbreak officially ‘over’

The Edinburgh Legionnaires’ disease outbreak is officially ‘over’. The outbreak, which struck in May and has so far taken the lives of three people, was declared over following a review meeting of the Incident Management Team (IMT) on Tuesday.

To date, there are a total of 101 confirmed and suspected cases. All of these cases have links to the south west of Edinburgh and fit the timescales of exposure and the incubation period for developing Legionella-related illness.

Detailed investigations into the source of the outbreak continue with further testing and analysis of the environmental samples taken from potential sources being carried out.

Lothian and Borders Police and the Health and Safety Executive are jointly investigating the circumstances of the deaths under the direction of the Crown Office and Procurator Fiscal Service (COPFS) Health and Safety Division, and research is also underway to better understand the full extent of the outbreak.

Dr Alison McCallum, Director of Public Health and Health Policy, NHS Lothian said: “As we have seen over the last week, we can expect further cases who have been ill for some time to continue to come forward and our increased surveillance will continue.

“However, all the evidence is suggesting that the action taken when the outbreak was first identified was effective and all cases fall within the expected incubation period, so the decision has been made to declare the outbreak over.

“Laboratory work is ongoing to try and identify the source conclusively but, as we have said from the start, it may not be possible to do so.

“There is also more work to be done to gain a better understanding of the scale of the outbreak and how to manage outbreaks in the future. We hope that people who are approached to participate in these studies will come forward and help us with this significant piece of research.”

A full report into the outbreak detailing the epidemiological, environmental, meteorological and microbiological investigations and recommendations for the prevention and control of future outbreaks will now be produced.

Welcoming the announcement, Health Secretary Nicola Sturgeon said: “It is good news that the outbreak has been declared over, and as we have already seen, the number of new cases has been dropping off over recent weeks.

“We have worked closely with NHS Lothian to ensure the outbreak was well managed, and I would like to pay tribute to NHS staff who have coped extremely well with this situation.

“However, we have to remember that there are some patients who remain extremely ill, and NHS staff are maintaining high quality care for those patients.

“The Health and Safety Executive and Edinburgh City Council are continuing their investigations into the source of the outbreak.”

Legionnaires' outbreak officially 'over'

The Edinburgh Legionnaires’ disease outbreak is officially ‘over’. The outbreak, which struck in May and has so far taken the lives of three people, was declared over following a review meeting of the Incident Management Team (IMT) on Tuesday.

To date, there are a total of 101 confirmed and suspected cases. All of these cases have links to the south west of Edinburgh and fit the timescales of exposure and the incubation period for developing Legionella-related illness.

Detailed investigations into the source of the outbreak continue with further testing and analysis of the environmental samples taken from potential sources being carried out.

Lothian and Borders Police and the Health and Safety Executive are jointly investigating the circumstances of the deaths under the direction of the Crown Office and Procurator Fiscal Service (COPFS) Health and Safety Division, and research is also underway to better understand the full extent of the outbreak.

Dr Alison McCallum, Director of Public Health and Health Policy, NHS Lothian said: “As we have seen over the last week, we can expect further cases who have been ill for some time to continue to come forward and our increased surveillance will continue.

“However, all the evidence is suggesting that the action taken when the outbreak was first identified was effective and all cases fall within the expected incubation period, so the decision has been made to declare the outbreak over.

“Laboratory work is ongoing to try and identify the source conclusively but, as we have said from the start, it may not be possible to do so.

“There is also more work to be done to gain a better understanding of the scale of the outbreak and how to manage outbreaks in the future. We hope that people who are approached to participate in these studies will come forward and help us with this significant piece of research.”

A full report into the outbreak detailing the epidemiological, environmental, meteorological and microbiological investigations and recommendations for the prevention and control of future outbreaks will now be produced.

Welcoming the announcement, Health Secretary Nicola Sturgeon said: “It is good news that the outbreak has been declared over, and as we have already seen, the number of new cases has been dropping off over recent weeks.

“We have worked closely with NHS Lothian to ensure the outbreak was well managed, and I would like to pay tribute to NHS staff who have coped extremely well with this situation.

“However, we have to remember that there are some patients who remain extremely ill, and NHS staff are maintaining high quality care for those patients.

“The Health and Safety Executive and Edinburgh City Council are continuing their investigations into the source of the outbreak.”

Legionnaire’s outbreak – a third man dies

The latest reports on the Edinburgh Legionnaires’outbreak show that a man suspected of having the disease has died. The individual, a man in his 60s from south west Edinburgh, had been unwell for a period of time, and is considered to be part of the original outbreak.

The total number of confirmed cases remains at 50 and the number of suspected cases is now 49. The total number of overall cases is 99.

At noon yesterday, of those cases being treated in hospital, there are three patients in intensive care and six on general wards. A total of 20 cases are being treated in the community, 57 have been discharged from hospital and now three people in total have sadly died.

Ten cases are being treated outwith the NHS Lothian area. The ages of the confirmed cases ranges between 32 and 85, with more males than females affected.

Investigations into the source and cause of the outbreak continue.  Lothian and Borders Police and the Health and Safety Executive are jointly investigating the circumstances of the deaths under the direction of the Crown Office and Procurator Fiscal Service (COPFS) Health and Safety Division.

Health Secretary Nicola Sturgeon said: “My sincere condolences go to the family and friends of the patient who has passed away and my thoughts are with them at this very difficult time. Despite this sad and tragic news, is important to stress that strong evidence still suggests that all cases are associated with the suspected period of exposure and that the outbreak has peaked. I repeat the message that anyone in the affected areas suffering from symptoms since the outbreak began should contact their GP or the NHS 24. NHS Lothian are maintaining high quality care for patients who remain unwell and work to identify and deal with the source of the outbreak continues.”

Dr Christine Evans, Consultant in Public Health Medicine said: “I would like to express my sincere condolences to the family of the patient who has died. We continue to see a small number of cases or suspected cases coming forward. I would like to reassure the public that this is in line with expectations. All of these patients have been ill for some time and have links to the south west of Edinburgh.”

For anyone who is concerned about the outbreak, there is information on NHS Lothian’s website or you can contact NHS 24 dedicated legionnaires’ helpline on 0800 0858 531.

Legionnaire's outbreak – a third man dies

The latest reports on the Edinburgh Legionnaires’outbreak show that a man suspected of having the disease has died. The individual, a man in his 60s from south west Edinburgh, had been unwell for a period of time, and is considered to be part of the original outbreak.

The total number of confirmed cases remains at 50 and the number of suspected cases is now 49. The total number of overall cases is 99.

At noon yesterday, of those cases being treated in hospital, there are three patients in intensive care and six on general wards. A total of 20 cases are being treated in the community, 57 have been discharged from hospital and now three people in total have sadly died.

Ten cases are being treated outwith the NHS Lothian area. The ages of the confirmed cases ranges between 32 and 85, with more males than females affected.

Investigations into the source and cause of the outbreak continue.  Lothian and Borders Police and the Health and Safety Executive are jointly investigating the circumstances of the deaths under the direction of the Crown Office and Procurator Fiscal Service (COPFS) Health and Safety Division.

Health Secretary Nicola Sturgeon said: “My sincere condolences go to the family and friends of the patient who has passed away and my thoughts are with them at this very difficult time. Despite this sad and tragic news, is important to stress that strong evidence still suggests that all cases are associated with the suspected period of exposure and that the outbreak has peaked. I repeat the message that anyone in the affected areas suffering from symptoms since the outbreak began should contact their GP or the NHS 24. NHS Lothian are maintaining high quality care for patients who remain unwell and work to identify and deal with the source of the outbreak continues.”

Dr Christine Evans, Consultant in Public Health Medicine said: “I would like to express my sincere condolences to the family of the patient who has died. We continue to see a small number of cases or suspected cases coming forward. I would like to reassure the public that this is in line with expectations. All of these patients have been ill for some time and have links to the south west of Edinburgh.”

For anyone who is concerned about the outbreak, there is information on NHS Lothian’s website or you can contact NHS 24 dedicated legionnaires’ helpline on 0800 0858 531.

Legionnaire’s outbreak update

The latest reports on the Edinburgh Legionnaires’ outbreak show that there are no further confirmed or suspected cases of the disease. The total number of confirmed cases remains at 44 and the total number of suspected cases remains at 47, a total of 91 cases overall.

At noon yesterday, of those cases being treated in hospital, six are in intensive care – a reduction from seven yesterday – and 18 are on general wards.

A total of 19 cases are being treated in the community, 39 have been discharged from hospital – an increase from 38 on Monday – and two people have sadly died.

Seven cases are being treated outwith the NHS Lothian area. The ages of the confirmed cases ranges between 33 and 85, with more males than females affected.

The Health and Safety Executive and Edinburgh City Council are continuing their investigations into the possible source of the outbreak, with cooling towers in the Gorgie and Dalry areas coming in for particular attention.

Health Secretary Nicola Sturgeon said: “I am pleased to see a reduction in the number of  people in intensive care. I would like to thank the hardworking staff at NHS Lothian who are continuing to provide the very best treatment to the remaining six individuals who are critically ill. For anyone who is concerned about the outbreak, there is information on NHS Lothian’s website NHS 24 dedicated legionnaires’ helpline can be reached on 0800 0858 531.”

Dr Duncan McCormick, Consultant in Public Health, NHS Lothian, said: “We are encouraged to see that the numbers of patients with Legionnaire’s disease in Lothian remains unchanged. This is in line with our prediction that the numbers would reach a peak at the weekend and then begin to gradually decline. We will continue to monitor all of the services in NHS Lothian which are working extremely hard as part of this outbreak, but overall the numbers of people seeking treatment or with concerns continue to fall.”

Legionnaire's outbreak update

The latest reports on the Edinburgh Legionnaires’ outbreak show that there are no further confirmed or suspected cases of the disease. The total number of confirmed cases remains at 44 and the total number of suspected cases remains at 47, a total of 91 cases overall.

At noon yesterday, of those cases being treated in hospital, six are in intensive care – a reduction from seven yesterday – and 18 are on general wards.

A total of 19 cases are being treated in the community, 39 have been discharged from hospital – an increase from 38 on Monday – and two people have sadly died.

Seven cases are being treated outwith the NHS Lothian area. The ages of the confirmed cases ranges between 33 and 85, with more males than females affected.

The Health and Safety Executive and Edinburgh City Council are continuing their investigations into the possible source of the outbreak, with cooling towers in the Gorgie and Dalry areas coming in for particular attention.

Health Secretary Nicola Sturgeon said: “I am pleased to see a reduction in the number of  people in intensive care. I would like to thank the hardworking staff at NHS Lothian who are continuing to provide the very best treatment to the remaining six individuals who are critically ill. For anyone who is concerned about the outbreak, there is information on NHS Lothian’s website NHS 24 dedicated legionnaires’ helpline can be reached on 0800 0858 531.”

Dr Duncan McCormick, Consultant in Public Health, NHS Lothian, said: “We are encouraged to see that the numbers of patients with Legionnaire’s disease in Lothian remains unchanged. This is in line with our prediction that the numbers would reach a peak at the weekend and then begin to gradually decline. We will continue to monitor all of the services in NHS Lothian which are working extremely hard as part of this outbreak, but overall the numbers of people seeking treatment or with concerns continue to fall.”

Legionnaires’: the worst may be over

Health experts are hopeful that we now may be in the latter stages of the Legionnaires’ outbreak. As of the latest update at 4pm yesterday the number of cases stands at 82, with indications that the number of cases presenting is slowing down.

The latest reports from the Scottish Government Resilience Room (SGoRR) on the Edinburgh Legionnaires’ disease outbreak show that there are now 37 confirmed cases and 45 suspected cases: an increase of one in the total number of confirmed cases and an increase of one suspected case.
As at noon yesterday, of those cases being treated in hospital, 15 are in intensive care and 26 are on general wards. A total of 16 cases are being treated in the community, 19 have been discharged from hospital and one person has died.
Five cases are being treated outwith the NHS Lothian area. One patient is being treated in the north of England, two in NHS Tayside, one in NHS Lanarkshire and one patient from NHS Highland is now being treated in Glasgow. At this stage all these cases are considered to be linked to the south west Edinburgh outbreak.
The ages of the confirmed cases ranges between 33 and 76, with more males than females affected.
NHS 24 has received 630 calls to the dedicated helpline for Legionnaires’ disease, and the Health and Safety Executive and City of Edinburgh  Council are continuing investigations into the possible source of the outbreak.
Health Secretary Nicola Sturgeon said: “These latest figures are reassuring and in line with expectations, and although it is too early to be definite they do suggest we are now in the later stages of this outbreak. All those involved are responding extremely well: NHS Lothian services are coping with the demands on them and the City of Edinburgh Council and the Health and Safety Executive continue to make significant progress in their investigation to identify the source of this outbreak.”
Dr Duncan McCormick, Chair of the IMT and Consultant in Public Health Medicine at NHS Lothian, said: “We are pleased with the slow down in the number of cases presenting and we hope this will continue over the coming days. The risk to the general public is low but anyone with concerns should contact their GP or NHS 24’s dedicated hotline on 0800 0858 531.”

Legionnaires': the worst may be over

Health experts are hopeful that we now may be in the latter stages of the Legionnaires’ outbreak. As of the latest update at 4pm yesterday the number of cases stands at 82, with indications that the number of cases presenting is slowing down.

The latest reports from the Scottish Government Resilience Room (SGoRR) on the Edinburgh Legionnaires’ disease outbreak show that there are now 37 confirmed cases and 45 suspected cases: an increase of one in the total number of confirmed cases and an increase of one suspected case.
As at noon yesterday, of those cases being treated in hospital, 15 are in intensive care and 26 are on general wards. A total of 16 cases are being treated in the community, 19 have been discharged from hospital and one person has died.
Five cases are being treated outwith the NHS Lothian area. One patient is being treated in the north of England, two in NHS Tayside, one in NHS Lanarkshire and one patient from NHS Highland is now being treated in Glasgow. At this stage all these cases are considered to be linked to the south west Edinburgh outbreak.
The ages of the confirmed cases ranges between 33 and 76, with more males than females affected.
NHS 24 has received 630 calls to the dedicated helpline for Legionnaires’ disease, and the Health and Safety Executive and City of Edinburgh  Council are continuing investigations into the possible source of the outbreak.
Health Secretary Nicola Sturgeon said: “These latest figures are reassuring and in line with expectations, and although it is too early to be definite they do suggest we are now in the later stages of this outbreak. All those involved are responding extremely well: NHS Lothian services are coping with the demands on them and the City of Edinburgh Council and the Health and Safety Executive continue to make significant progress in their investigation to identify the source of this outbreak.”
Dr Duncan McCormick, Chair of the IMT and Consultant in Public Health Medicine at NHS Lothian, said: “We are pleased with the slow down in the number of cases presenting and we hope this will continue over the coming days. The risk to the general public is low but anyone with concerns should contact their GP or NHS 24’s dedicated hotline on 0800 0858 531.”

Legionnaires’ Disease latest

NHS L0thian is now investigating 17 confirmed cases and 15 suspected cases of Legionnaires’ disease. One patient, a man in his 50s with under lying health conditions, has died while being treated at the Royal Infirmary of Edinburgh.

Thirteen men and two women aged between 33 and 74 are in a critical condition with the disease and are being treated in intensive care in hospitals in Lothian. One man has recovered and has been discharged.

Although unconfirmed, 15 other cases – ten men and five women – are also being investigated. All of these patients are being treated in hospitals in Lothian. The majority of the confirmed cases are linked geographically to the Dalry, Gorgie and Saughton areas. Investigations into the other cases and possible links with the area are ongoing.

The source of the outbreak continues to be investigated by officials from the City of Edinburgh Council’s Environmental Health Service and Scientific Service and the Health and Safety Executive.

Industrial cooling towers have been identified as a potential source of the infection and the cooling systems at four facilities in the area have been subject to an additional chemical treatment. Further inspections of these facilities will be carried out by the Environmental Health Service and the Health and Safety Executive over the coming days to ensure control measures continue to be effective.

Samples have been taken from these four facilities, but legionella is a difficult bacteria to culture and it may take up to ten days before results of the samples are available. Other possible sources are not being ruled out.

Dr Duncan McCormick, Consultant in Public Health Medicine and Chair of the Incident Management Team, said: “I would like to express my sincere condolences to the family of the patient that died. Investigations into the possible source of this outbreak are on-going. Meanwhile, medical staff have been actively identifying possible cases to allow us to ascertain the full extent of this outbreak.”

He continued: “I would like to reassure the public that household water supplies are safe and that Legionnaire’s disease cannot be contracted by drinking water. Older people, particularly men, heavy smokers and those with other health conditions are at greater risk of contracting the disease. I would urge anyone who develops symptoms of Legionnaires’ disease to contact NHS 24 or their GP.”

The first case was identified on Thursday 28 May. The symptoms of Legionnaires’ disease can begin anytime from between 2-14 days after exposure to the bacteria.

Legionella bacteria sometimes find their way into artificial water supply systems, such as air conditioning systems, hot water services, and cooling towers. Given the right conditions, legionella bacteria can contaminate these water systems.

Legionnaires’ disease is contracted by breathing in small droplets of contaminated water. However, the condition is not contagious and cannot be spread directly from person to person. It cannot be contracted through drinking water.

Symptoms usually begin with an initial phase lasting 1-2 days, in which you experience mild headaches and muscle pain. This is followed by the onset of more severe symptoms including high fever – usually a temperature of 40C (104F) or above – , more severe muscle pain and chills.

Once the bacteria begin to infect your lungs, you may also experience a persistent cough (usually dry at first but as the infection develops you may start coughing up mucus or possibly blood), shortness of breath and chest pains.

About 30% of people with Legionnaires’ disease will also experience gastrointestinal symptoms including nausea, vomiting, diarrhoea, and loss of appetite. About half of those with Legionnaires’ disease will also experience changes to their mental state, such as confusion.

Legionnaires' Disease latest

NHS L0thian is now investigating 17 confirmed cases and 15 suspected cases of Legionnaires’ disease. One patient, a man in his 50s with under lying health conditions, has died while being treated at the Royal Infirmary of Edinburgh.

Thirteen men and two women aged between 33 and 74 are in a critical condition with the disease and are being treated in intensive care in hospitals in Lothian. One man has recovered and has been discharged.

Although unconfirmed, 15 other cases – ten men and five women – are also being investigated. All of these patients are being treated in hospitals in Lothian. The majority of the confirmed cases are linked geographically to the Dalry, Gorgie and Saughton areas. Investigations into the other cases and possible links with the area are ongoing.

The source of the outbreak continues to be investigated by officials from the City of Edinburgh Council’s Environmental Health Service and Scientific Service and the Health and Safety Executive.

Industrial cooling towers have been identified as a potential source of the infection and the cooling systems at four facilities in the area have been subject to an additional chemical treatment. Further inspections of these facilities will be carried out by the Environmental Health Service and the Health and Safety Executive over the coming days to ensure control measures continue to be effective.

Samples have been taken from these four facilities, but legionella is a difficult bacteria to culture and it may take up to ten days before results of the samples are available. Other possible sources are not being ruled out.

Dr Duncan McCormick, Consultant in Public Health Medicine and Chair of the Incident Management Team, said: “I would like to express my sincere condolences to the family of the patient that died. Investigations into the possible source of this outbreak are on-going. Meanwhile, medical staff have been actively identifying possible cases to allow us to ascertain the full extent of this outbreak.”

He continued: “I would like to reassure the public that household water supplies are safe and that Legionnaire’s disease cannot be contracted by drinking water. Older people, particularly men, heavy smokers and those with other health conditions are at greater risk of contracting the disease. I would urge anyone who develops symptoms of Legionnaires’ disease to contact NHS 24 or their GP.”

The first case was identified on Thursday 28 May. The symptoms of Legionnaires’ disease can begin anytime from between 2-14 days after exposure to the bacteria.

Legionella bacteria sometimes find their way into artificial water supply systems, such as air conditioning systems, hot water services, and cooling towers. Given the right conditions, legionella bacteria can contaminate these water systems.

Legionnaires’ disease is contracted by breathing in small droplets of contaminated water. However, the condition is not contagious and cannot be spread directly from person to person. It cannot be contracted through drinking water.

Symptoms usually begin with an initial phase lasting 1-2 days, in which you experience mild headaches and muscle pain. This is followed by the onset of more severe symptoms including high fever – usually a temperature of 40C (104F) or above – , more severe muscle pain and chills.

Once the bacteria begin to infect your lungs, you may also experience a persistent cough (usually dry at first but as the infection develops you may start coughing up mucus or possibly blood), shortness of breath and chest pains.

About 30% of people with Legionnaires’ disease will also experience gastrointestinal symptoms including nausea, vomiting, diarrhoea, and loss of appetite. About half of those with Legionnaires’ disease will also experience changes to their mental state, such as confusion.