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1 July 2002 EWGLI introduced a new set of procedures for responding
to cases of travel associated legionnaires’ disease
in all the participant countries. On 2 June 2003 an amended
and updated edition of the guidelines was approved and endorsed
as an official document by the EU Committee for the Epidemiological
Surveillance and Control of Communicable Diseases in the Community,
instituted by Decision No 2119/98/EC of the European Parliament
and the Council.
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A
new document dated January 2005 has now been posted on the
website. It contains revisions to Part 2, the most important
of which is the addition of an extra paragraph (no.24) which
outlines procedures for dealing with requests for information
from legal representatives and others involved in litigation
or compensation claims. A revision of the technical parts
of the guidelines is underway and it is hoped this will be
completed during 2008. |
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| The
guidelines outline a standard approach to control and prevention
of travel associated Legionnaires' Disease across all European
countries. Parts 1-2 explain how the reporting and response
procedures for clusters of cases should now operate within
Europe. Parts 3-4 of the guidelines are very technical and
are written for engineers and people involved with maintenance
of water systems in hotels and other buildings.
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The
guidelines can be viewed/ downloaded below, either as a complete
document, or by the relevant section of interest. |
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There
is advice for members of the public on the interpretation
of Part 2 (Definitions and Procedures for Reporting and Responding
to Cases of Travel Associated Legionnaires' Disease) in one
of our factsheets.
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The
European Guidelines for Control and Prevention of Travel Associated
Legionnaires' Disease (full January 2005
version) 
(290KB)
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| Title
and Contents
(70KB) |
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| Executive
Summary
(15KB) |
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| Part
1
(30KB) |
Legionnaires'
Disease and Travel
Background, natural history, methods of transmission, potential
sources, risk factors for infection, travel association, surveillance,
EWGLINET objectives, scheme results 1987-2004, other EWGLI
activities.
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| Part
2
(26KB) |
Definitions
and Procedures for Reporting and Responding to Cases of Travel
Associated Legionnaires' Disease
Responsibility of government nominated collaborators, definitions
for reporting, reporting procedures, cluster procedures, risk
assessment of cluster sites, publication of accommodation
sites by EWGLINET, the role of tour operators, information
requests.
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| References
for Parts 1 and 2
(12KB) |
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| Figure
1
(16KB) |
Flowchart
for follow-up of single cases and clusters
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| Appendix
1
(14KB) |
Microbiological
case definitions
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| Appendix
2
(24KB) |
Minimising
the risk at accommodation sites
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| Appendix
3
(9KB) |
Investigation
reporting form A
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| Appendix
4
(11KB) |
Investigation
reporting form B
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| Part
3
(32KB) |
Procedures
for the Risk Assessment, Environmental Investigation and Control
and Prevention of Legionella in Water Systems
Identification and assessment of risk, carrying out a risk
assesment, managing risk, competence, implementation of control
schemes, preventing and controllg the risk from exposure to
legionella bacteria, monitoring and routine inspection, external
audit, record keeping, responsibilities of manufacturers,
suppliers and installers.
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| Part
4
(19KB) |
Methods
for the Investigation and Control of an Outbreak of Legionnaires'
Disease in an Hotel or other Accommodation Site
Sampling, sample transport, emergency action, long term remedial
measures
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| Part
5
(20KB) |
Glossary
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| Supplement
1A
(75KB) |
Technical
Guidelines for the Control and Prevention of Legionella in
Water Systems
Includes detailed information on type of risk system and their
design and contruction, operation, maintenance, treatment,
cleaning and disinfection, biocides and the protection of
associated personnel.
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| Supplement
1B
(26KB) |
Treatment
methods
For cooling systems, hot and cold water systems and spa pools.
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| Supplement
1C
(15KB) |
Reference
for the National Guidelines for Control and Prevention of
Legionnaires' Disease
National guidelines of the collaborating countries.
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| References
for Parts 3 - 5 and Supplement 1A
(9KB) |
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