World-wide medical news for clinical use. Contributions edited by Dr.A.Franklin MBBS(Lond)Dip.Phys.Med (UK) DPH & DIH(Tor.)LMC(C) FLEx(USA) Fellow Med.Soc.London
15 September 2013
SCOTLAND: LEGIONELLA LONGBEACHAE from compost
]
Date: Fri 13 Sep 2013
Source: This Is Jersey/Jersey Evening Post [edited]
A health board is investigating 4 cases of the infection [due to]
_Legionella longbeachae_ linked to gardening compost. 2 patients are
being treated in intensive care while 2 more have been discharged from
hospital, NHS Lothian said. The 4 people affected are keen gardeners
between the ages of 62 and 84.
Dr Richard Othieno, NHS Lothian consultant in public health and chair
of the incident management team, said: "This type of _Legionella_ is
quite rare in that unlike other strains it has never been identified
in man-made water systems, like cooling towers. We are working with
experts to trace the source of the infection and samples of the
compost have been sent for testing. We know that all of the 4 cases
are keen gardeners and had purchased different products containing
compost prior to acquiring the infection. Gardening is a healthy hobby
but there are risks and it is important that people take some simple
precautions when working in their garden or with gardening products. I
would like to add further reassurance that the risk to the wider
public is low."
The symptoms of _Legionella longbeachae_ [infection] include
headaches, diarrhoea, or a dry cough followed by pneumonia. Most
people recover after treatment with antibiotics but those with
underlying medical problems are more vulnerable, the health board
said. It is not known exactly how the infection is passed from compost
to people but health experts assume it is through breathing in very
small dust particles or drops of contaminated water. The infection is
not transmitted from person to person.
Anyone handling garden materials such as potting mix, mulches,
composts, or garden soils is advised to open bags carefully, wear
gloves and keep doors to greenhouses or sheds open when potting plants
or filling hanging baskets. Gardeners are also advised to wear a mask
if the air is dusty, particularly indoors, and to wash their hands
immediately after using compost and before smoking.
There is no link between the current cases and the outbreak of
[infection due to] _Legionella pneumophila_ in southwest Edinburgh in
2012, NHS Lothian said.
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