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Legionnaires' Disease / Legionellosis

DISEASE NAME:

Legionnaires' Disease / Legionellosis

CATEGORY:

Respiratory

Legionnaires' Disease / Legionellosis

Legionnaires’ disease is an uncommon, severe type of pneumonia caused by Legionella bacteria, often requiring intensive care treatment in hospital. Legionellosis can be fatal and death can occur in approximately 10-15% of otherwise healthy people.

A mild form of Legionnaires' disease, known as Pontiac fever, may produce signs and symptoms including a fever, chills, headache and muscle aches. Pontiac fever doesn't infect your lungs, and symptoms usually clear within two to five days.

Legionella bacteria are found in many types of water systems. The bacteria multiply in warm, and stagnant water, such as can be found in air conditioning cooling towers, certain plumbing systems especially showers, spa pools, decorative fountains, sprinklers and nebulisers. The infection is spread through the air from the water source. People become infected when they breathe in aerosols (tiny droplets of water) which have been contaminated with Legionella bacteria. There is no evidence of spread from person-to-person. A type of Legionella bacteria has also been found in potting compost, particularly in warm countries, and gardeners can be infected by breathing in the bacteria through water droplets, dust or from hands contaminated with compost. Legionellosis is very uncommon, with low numbers of infections notified every year in Ireland. Legionellosis is a notifiable disease in Ireland.

Last updated: 21 March 2024

Aug 2024

19

Legionnaires' disease outbreak in Italy (Milan area)

Checklists

Legionnaires' disease - Checklist for gardeners

File Size: (30kb)
Publication Date: 9 July 2018

Legionnaires’ Disease - Checklist for leisure centres

File Size: (702kB)
Publication Date: May 2017

Legionnaires' Disease - Checklist for hotels and other accommodation sites

File Size: (99kB)
Publication Date: 6 July 2016
ECDC - Leaflet for managers of tourist accommodation on how to reduce the risk of Legionnaires' disease

Legionnaires' Disease - Checklist for hostels providing accommodation for people who are homeless

File Size: (84kB)
Publication Date: 17 June 2016

Guidance

Guidelines for the Prevention and Control of Infection from Water Systems in Healthcare Facilities

File Size: (1.4MB)
Publication Date: 2015

Standard Operating Procedures

HSE Standard Operating Procedures for responding to an outbreak of nosocomial Legionnaires’ Disease

File Size: (68 kB)
Publication Date: November 2012

Standard Operating Procedures for Public Health Response to Community Outbreak or Travel Associated Cluster of Legionnaires’ Disease

File Size: (59kB)
Publication Date: August 2011

Checklists

Legionnaires’ Disease - Checklist for leisure centres

File Size: (702kB)
Publication Date: May 2017

Legionnaires' disease - Checklist for gardeners

File Size: (30kb)
Publication Date: 9 July 2018

Legionnaires' Disease - Checklist for hotels and other accommodation sites

File Size: (99kB)
Publication Date: 6 July 2016
ECDC - Leaflet for managers of tourist accommodation on how to reduce the risk of Legionnaires' disease

Legionnaires' Disease - Checklist for hostels providing accommodation for people who are homeless

File Size: (84kB)
Publication Date: 17 June 2016

International Guidance

European Legionnaires' Disease Surveillance Network (ELDSNet)-Operating Procedures 

European technical guidelines for the prevention, control and investigation of infections caused by Legionella species (June 2017)

Legionnaires' disease: The control of legionella bacteria in water systems Approved Code of Practice and guidance (HSE UK, 2013) 

Control of legionella and other infectious agents in spa-pool systems (HSE, UK - January 2017)

Last reviewed: 20 July 2023