{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T23:33:13Z","timestamp":1781134393103,"version":"3.54.1"},"reference-count":28,"publisher":"Cambridge University Press (CUP)","issue":"11","license":[{"start":{"date-parts":[[2012,1,4]],"date-time":"2012-01-04T00:00:00Z","timestamp":1325635200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Epidemiol. Infect."],"published-print":{"date-parts":[[2012,11]]},"abstract":"<jats:title>SUMMARY<\/jats:title><jats:p>Travel is a risk factor for Legionnaires' disease. In 2008, two cases were reported in condominium guests where we investigated a 2001 outbreak. We reinvestigated to identify additional cases and determine whether ongoing transmission resulted from persistent colonization of potable water. Exposures were assessed by matched case-control analyses (2001) and case-series interviews (2008). We sampled potable water and other water sources. Isolates were compared using sequence-based typing. From 2001 to 2008, 35 cases were identified. Confirmed cases reported after the cluster in 2001\u20132002 were initially considered sporadic, but retrospective case-finding identified five additional cases. Cases were more likely than controls to stay in tower 2 of the condominium [matched odds ratio (mOR) 6\u00b71, 95% confidence interval (CI) 1\u00b76\u201322\u00b79]; transmission was associated with showering duration (mOR 23\u00b70, 95% CI 1\u00b74\u2013384). We characterized a clinical isolate as sequence type 35 (ST35) and detected ST35 in samples of tower 2's potable water in 2001, 2002, and 2008. This prolonged outbreak illustrates the importance of striving for permanent <jats:italic>Legionella<\/jats:italic> eradication from potable water.<\/jats:p>","DOI":"10.1017\/s0950268811002779","type":"journal-article","created":{"date-parts":[[2012,1,4]],"date-time":"2012-01-04T11:28:07Z","timestamp":1325676487000},"page":"1993-2002","source":"Crossref","is-referenced-by-count":23,"title":["Eight years of Legionnaires' disease transmission in travellers to a condominium complex in Las Vegas, Nevada"],"prefix":"10.1017","volume":"140","author":[{"given":"B. J.","family":"SILK","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. R.","family":"MOORE","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"BERGTHOLDT","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. 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P.","family":"MIDDAUGH","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B. S.","family":"FIELDS","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L. A.","family":"HICKS","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2012,1,4]]},"reference":[{"key":"S0950268811002779_ref014","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1994.00420210049006"},{"key":"S0950268811002779_ref005","first-page":"146","article-title":"Legionellosis associated with ships: 1977 to 1997","volume":"1","author":"Rowbotham","year":"1998","journal-title":"Communicable Disease and Public Health"},{"key":"S0950268811002779_ref016","unstructured":"16. Centers for Disease Control and Prevention. Procedures for the recovery of Legionella from the environment. Atlanta, GA, USA: Department of Health and Human Services, 1994, pp. 1\u201313."},{"key":"S0950268811002779_ref007","doi-asserted-by":"publisher","DOI":"10.2307\/30142380"},{"key":"S0950268811002779_ref008","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/29.6.1092"},{"key":"S0950268811002779_ref017","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.43.5.2047-2052.2005"},{"key":"S0950268811002779_ref020","doi-asserted-by":"publisher","DOI":"10.1086\/428844"},{"key":"S0950268811002779_ref010","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-107-4-596_1"},{"key":"S0950268811002779_ref018","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.00261-07"},{"key":"S0950268811002779_ref023","doi-asserted-by":"publisher","DOI":"10.1128\/AEM.71.10.5805-5813.2005"},{"key":"S0950268811002779_ref006","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(96)91137-X"},{"key":"S0950268811002779_ref013","first-page":"20","article-title":"Case definitions for infectious conditions under public health surveillance","volume":"46","year":"1997","journal-title":"Morbidity and Mortality Weekly Report (Recommendations and Reports)"},{"key":"S0950268811002779_ref009","doi-asserted-by":"publisher","DOI":"10.1016\/S0033-3506(02)00011-2"},{"key":"S0950268811002779_ref002","first-page":"1261","article-title":"Surveillance for travel-associated Legionnaires disease \u2013 United States, 2005\u20132006","volume":"66","year":"2007","journal-title":"Morbidity and Mortality Weekly Report"},{"key":"S0950268811002779_ref015","volume-title":"Logistic Regression: A Self-Learning Text","author":"Kleinbaum","year":"2002"},{"key":"S0950268811002779_ref004","doi-asserted-by":"publisher","DOI":"10.1086\/338060"},{"key":"S0950268811002779_ref003","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM197712012972201"},{"key":"S0950268811002779_ref019","unstructured":"19. National Primary Drinking Water Regulations (NPDWR). 40 CFR 141 (http:\/\/edocket.access.gpo.gov\/cfr_2002\/julqtr\/pdf\/40cfr141.65.pdf). Accessed 22 July 2010."},{"key":"S0950268811002779_ref011","doi-asserted-by":"publisher","DOI":"10.3201\/eid0801.010176"},{"key":"S0950268811002779_ref027","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/20.5.1286"},{"key":"S0950268811002779_ref001","doi-asserted-by":"publisher","DOI":"10.1086\/342903"},{"key":"S0950268811002779_ref012","unstructured":"12. Council of State and Territorial Epidemiologists. Strengthening surveillance for travel-associated legionellosis and revised case definitions for legionellosis (position statement 05-ID-01) (http:\/\/www.cste.org\/PS\/2005pdf\/final2005\/05-ID-01final.pdf). Accessed 22 July 2010."},{"key":"S0950268811002779_ref021","doi-asserted-by":"publisher","DOI":"10.2307\/30142014"},{"key":"S0950268811002779_ref026","doi-asserted-by":"publisher","DOI":"10.1086\/511159"},{"key":"S0950268811002779_ref022","doi-asserted-by":"publisher","DOI":"10.1128\/AEM.02191-06"},{"key":"S0950268811002779_ref028","volume-title":"Legionella: State of the Art 30 Years after its Recognition","author":"Harrison","year":"2005"},{"key":"S0950268811002779_ref025","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.02410-08"},{"key":"S0950268811002779_ref024","doi-asserted-by":"publisher","DOI":"10.1016\/j.watres.2011.05.030"}],"container-title":["Epidemiology and Infection"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0950268811002779","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,24]],"date-time":"2019-04-24T18:08:11Z","timestamp":1556129291000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0950268811002779\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,1,4]]},"references-count":28,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2012,11]]}},"alternative-id":["S0950268811002779"],"URL":"https:\/\/doi.org\/10.1017\/s0950268811002779","relation":{},"ISSN":["0950-2688","1469-4409"],"issn-type":[{"value":"0950-2688","type":"print"},{"value":"1469-4409","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,1,4]]}}}