A Large Outbreak of Legionnaires’ Disease at a Flower Show, the Netherlands, 1999
Jeroen W. Den Boer*† , Ed P.F. Yzerman‡, Joop Schellekens*, Kamilla D. Lettinga§, Hendriek C. Boshuizen*, Jim E. Van Steenbergen¶, Arnold Bosman*, Susan Van den Hof*, Hans A. Van Vliet*, Marcel F. Peeters#, Ruud J. Van Ketel§, Peter Speelman§, Jacob L. Kool*, and Marina A.E. Conyn Van Spaendonck*
Author affiliations: *National Institute of Public Health and the Environment, Bilthoven, the Netherlands; †Municipal Health Service Zuid-Kennemerland, Haarlem, the Netherlands; ‡Regional Laboratory of Public Health Haarlem, Haarlem, the Netherlands; §Academic Medical Center, Amsterdam, the Netherlands; ¶National Outbreak Structure for Infectious Diseases, Den Haag, the Netherlands; #Regional Laboratory of Public Health Tilburg, Tilburg, the Netherlands
Figure 4. . Exhibition hall, West Frisian Flower Show, Bovenkarspel, the Netherlands, 1999. a. Circles indicate locations in water-supply system where water samples were taken. PE = polyethylene. b. Assessment of risk for Legionella pneumophila infection, by distance from water-using devices. c. Water samples taken and culture status, by distance from water-using devices.
The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.