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.”

Legionella latest

No new cases have been confirmed in the Edinburgh Legionnaires’ outbreak for the sixth day in a row. The total number of confirmed cases remains at 50, the number of suspected cases is 49 and the total number of overall cases remains at 99.

At noon yesterday, of those cases being treated in hospital, there were two patients in intensive care and seven on general wards. Twenty cases are being treated in the community, 59 have been discharged from hospital and three people 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: “I am pleased to see that no further cases have emerged for the sixth day in a row, and the evidence continues to suggest that the outbreak has peaked. 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.”

NHS Lothian

 

Childcare consultation launched in North Edinburgh

The best package of flexible childcare in the UK, designed to make it easier for parents to access work, education or training is the cornerstone of new legislation, Minister for Children and Young People Aileen Campbell said today. The Minister was speaking as she launched a consultation on the forthcoming Children and Young People Bill at North Edinburgh Childcare in Pilton this morning.

The proposed legislation will help parents structure their childcare to best suit their family’s needs as well as:

  • Increasing the amount of flexible, early learning and childcare to a minimum of 600 hours annually for three and four year olds and looked after two year olds
  • Embedding the Getting it right for every child (GIRFEC) approach in a single system of planning and delivery across children’s services
  • A requirement for public bodies to design, plan and deliver policies and services that focus on improving children and young people’s wellbeing
  • Improving Scotland’s care system to ensure it offers effective, efficient support for children and families, centred on short and long term needs

Ms Campbell said: “The Scottish Government’s vision for children and young people is clear: we want Scotland to be the best place in the world to grow up.

“As part of this new Bill, I want to put in place the best and most flexible package of family support in the UK to help Scotland’s parents, children and our wider economy.

“This legislation will boost our ongoing efforts to strengthen the rights of the child, making Scotland a nation where the rights of children and young people are not only recognised but rooted deeply in our society and across our public services.

”We have a huge opportunity to make the most important changes to public services in a generation and I encourage as many people as possible to take part in the consultation and the wider debate on the future of children’s rights and services in our country.”

The consultation on the Children and Young People Bill runs for 12 weeks with the deadline for submissions being September 25. It will provide an opportunity for stakeholders, professionals, parents and carers and children and young people to have their say on the future shape of children’s services and the Scottish Government’s approach to delivering change.

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.”