TY - JOUR AU - Loenenbach, Anna AU - Beulens, Christian AU - Euser, Sjoerd AU - van Leuken, Jeroen P.G. AU - Bom, Ben AU - van der Hoek, Wim AU - Husman, Ana Maria de Roda AU - Ruijs, Wilhelmina L.M. AU - Bartels, Alvin AU - Rietveld, Ariene AU - den Boer, Jeroen AU - Brandsema, Petra T1 - Two Community Clusters of Legionnaires’ Disease Directly Linked to a Biologic Wastewater Treatment Plant, the Netherlands T2 - Emerging Infectious Disease journal PY - 2018 VL - 24 IS - 10 SP - 1914 SN - 1080-6059 AB - A biologic wastewater treatment plant was identified as a common source for 2 consecutive Legionnaires’ disease clusters in the Netherlands in 2016 and 2017. Sequence typing and transmission modeling indicated direct and long-distance transmission of Legionella, indicating this source type should also be investigated in sporadic Legionnaires’ disease cases. KW - Legionnaires’ disease KW - Legionella pneumophila KW - waterborne diseases KW - environmental exposure KW - disease outbreaks KW - Netherlands KW - bacteria DO - 10.3201/eid2410.180906 UR - https://wwwnc.cdc.gov/eid/article/24/10/18-0906_article ER - End of Reference