
Source: cdc.gov
The CDC issued a press release urging clinicians and public health officials to improve diagnosis and timely reporting of travel associated Legionnaires disease in the United States.

Source: mdconsult.com
According to the article, "The Centers for Disease Control and Prevention (CDC) is urging clinicians and state health departments to take an active role in reporting cases of Legionnaires' disease, especially those cases that are associated with travel."

Source: cdc.gov
12/2007 MMWR Surveillance for Travel-Associated Legionnaires Disease --- United States, 2005--2006
According to this CDC report, travel associated Legionnaires disease continues to be under-diagnosed, under-reported, and under-investigated in the United States.

Source: eurosurveillance.org
Surveillance Report: Eurosurveillance 12-2007. The European Working Group for Legionella Infections (EWGLI) has been collecting data and developing guidelines to help reduce Legionella infections since 1987.

Source: eurosurveillance.org
Summary of Legionella infections in Europe 2005-2006.
In Europe, 35 countries participate in the European Surveillance Scheme for Travel Associated Legionnaires disease.
This report also includes non-travel associated cases. 11,980 cases were reported during 2005-2006.

Source: thoracic.org
American Thoracic Society: Clinical case study of a patient with interstitial lung disease.

Source: who.int
2007: The World Health Organization 252 page guideline detailing Legionella and the Prevention of Legionellosis (Legionnaires disease.) This document includes the latest information, research, and prevention recommendations by respected experts in the Legionella field around th …

Source: topix.net
Most people in the US are not aware people can contract Legionnaires disease from poorly maintained hot tubs. Education is one of the key components to prevention.

Source: hse.gov.uk
UK HSA Information Sheet about the risks of Legionnaires disease from hot tubs and spas
You are probably already aware that people can catch Legionnaires' disease from exposure to contaminated water droplets.

Source: rentingparadise.com
California health officials issue a new guideline and health warning about unsafe hot tubs offered at hundreds of vacation rentals in California. No one knows if or when the local counties will force owners to remove the unsafe hot tubs from their properties.

Source: bchealthguide.org
British Columbia Ministry of Health hot tub safety tips and maintenance recommendations.

Source: apsp.org
This is an article from the Association of Pool and Spa Professionals website. Experts discuss the recreational water illnesses associated with hot tubs and spas, as well as prevention strategies.

Source: who.int
Unfortunately, most USA state's public pool and spa codes do not include many of the the important recommendations outlined in this
WHO document to help prevent recreational water illnesses.

Source: cdc.gov
The CDC's Healthy Swimming director, Dr. Michael Beach discusses the serious problem of recreational water illnesses in our country. He emphasizes public education is a key component to prevention.

Source: webmd.com
Unfortunately, not much has changed since these poor results were announced three years ago.
A pool study had similar poor results.

Source: Canada.com
Public pools and hot tubs can be extremely unsafe when they are not properly maintained. Many people have become seriously ill and some have died from Legionnaires disease from poorly maintained hot tubs.