Two Community Clusters of Legionnaires’ Disease Directly Linked to a Biologic Wastewater Treatment Plant, the Netherlands
Anna D. Loenenbach
, Christian Beulens, Sjoerd M. Euser, Jeroen P.G. van Leuken, Ben Bom, Wim van der Hoek, Ana Maria de Roda Husman, Wilhelmina L.M. Ruijs, Alvin A. Bartels, Ariene Rietveld, Jeroen W. den Boer, and Petra S. Brandsema
Author affiliations: European Centre for Disease Prevention and Control, Stockholm, Sweden (A.D. Loenenbach); National Institute for Public Health and the Environment, Bilthoven, the Netherlands (A.D. Loenenbach, J.P.G. van Leuken, B. Bom, W. van der Hoek, A.M. de Roda Husman, W.L.M. Ruijs, A.A. Bartels, P.S. Brandsema); Municipal Health Service Hart voor Brabant, ’s-Hertogenbosch, Tilburg, the Netherlands (C. Beulens, A. Rietveld); Regional Public Health Laboratory Kennemerland, Haarlem, the Netherlands (S.M. Euser, J.W. den Boer); Utrecht University, Utrecht, the Netherlands (A.M. de Roda Husman)
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Figure 1
Figure 1. Legionnaires’ disease cases, by sequence type and week of disease onset, Boxtel, the Netherlands, October 2016–December 2017. BWTP, biologic wastewater treatment plant; ST, sequence type.
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