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All cases have required treatment in hospital. All had symptoms commencing in February and March The department is continuing to investigate notified cases of Legionella infection to identify the possible source of their illness. Identified cooling towers in Brunswick have already been sampled and disinfected and further investigations will continue. There have been no positive results for Legionella bacteria in the tested towers to date. It is important that all suspected cases of Legionella infection are immediately notified to the department to ensure that appropriate control measures are in place.

People aged over 50 years, smokers, heavy drinkers, people with diabetes or chronic lung disease and those with an impaired immune system are most at risk. However, we have seen cases in individuals less than 50 years of age. While those involved in this outbreak have spent significant time in the Brunswick area, it is important that clinicians continue to consider testing for Legionella pneumophila in any patient with a compatible illness. Rapid confirmation of the diagnosis of Legionella pneumophila serogroup 1, which makes up the majority of Victorian cases, can be obtained by urinary antigen testing.

Sputum for culture should be sought in all cases if possible. A four-fold rise in titre between acute and convalescent sera is also diagnostic, however, this may take two to four weeks to develop. Early diagnosis and treatment with appropriate antibiotics is important in reducing the severity of illness and the risk of severe complications.

Referral to hospital is often required for confirmed cases. Empirical treatment of moderate or severe community-acquired pneumonia as per the current edition of the Therapeutic Guidelines is recommended to cover Legionella bacteria. For more information please contact the Communicable Disease Prevention and Control section at the Department of Health and Human Services on 24 hours. Learn more about the Chief Health Officer. Follow the Chief Health Officer on Twitter. Please enable JavaScript in order to get the best experience when using this site.

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