Epidemic of Legionella Pneumophila Pneumonia South of Brescia (Italy)

Sergio Perini

doi:doi:10.11648/j.ijidt.20210602.13

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Epidemic of Legionella Pneumophila Pneumonia South of Brescia (Italy)

Sergio Perini

Published in International Journal of Infectious Diseases and Therapy (Volume 6, Issue 2)

Received: 8 April 2021 Accepted: 5 May 2021 Published: 14 May 2021

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Abstract

In September 2018, a serious epidemic of Legionella Pneumophila serotypes 1-2-14, diagnosed by the Istituto Superiore Sanità (ISS), occurred in the low plain south of Brescia. This resulted in a considerable number of hospitalizations in the hospitals of the ATS of Brescia and Valpadana (Mantua) with high mortality rate. It was an anomalous situation both for the spread and for the Legionella serotypes which alarmed the Istituto Superiore Sanità and the local health structures. This epidemic is an expressions of the malaise of the geographical area in question caused by the impact of various environmental degradations. Some environmental criticalities: 1-the low water flow of the Chiese river in the summer of 2018 due to the exploitation of water by intensive agriculture and the presence of 22 hydroelectric power plants along its course. 2-the presence of numerous industrial cooling towers with a lack of mapping of the same towers by the political bodies (Region and Municipalities). 3-the abnormal disposal of sludge on the countryside surrounding the agricultural area adjacent to the river bed of the Chiese river as a consequence of the enormous production of livestock waste by pig, cattle and chicken farms in the same area. 4-In the lower Brescia plain there are numerous disposal companies that receive sewage sludge from 15 regions of Italy and also from abroad. 5-different and numerous types of landfills in the municipalities of Montichiari, Rezzato, Ghedi, Calcinato and Bedizzole filled with 12 million cubic meters of toxic-harmful waste. 6- the Lombardy region allows an excessive number of CERs (Catalog European Waste). It concludes by emphasizing how everyone, citizens and institutions, have a great responsibility in the management of the territory and a change of direction is hoped for an economy that has reached limits that it can no longer tolerate. This calls the various responsibilities of Politics, Public Health, the industrial and agricultural world in the management of a territory that continues to send signs of suffering and which is reflected on the health of men, animals and the plant world.

Published in	International Journal of Infectious Diseases and Therapy (Volume 6, Issue 2)
DOI	10.11648/j.ijidt.20210602.13
Page(s)	61-64
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Legionella Pneumophila, Pneumonia Epidemic, Brescia (Italy)

References

[1]	Newsletter of the Higher Institute of Health. Vol 30-number 9 September 2017 Legionnaires' disease in Italy in 2016-pag 3-8.
[2]	New guidelines for the prevention and control of legionellosis (www.iss.it\binary\iss4\C_17_pubblicazioni_362.pdf).
[3]	Correa AM, Ferreira JS, Borges V et al. Probable personto -person transmission of Legionnaires' disease. N. Eng J. Med 2016; 37 (5): 497-8.
[4]	Epidemic pneumonia event - epidemiological report. ATS of Brescia. UO Epidemiology Update 26 September 2018.
[5]	Laboratory Brescia Legionella Pneumophila: what role in pneumonia epidemics? Proceedings of the Conference of 10/12/2018.
[6]	Epidemic pneumonia event. Epidemiological report. ATS of Brescia. UO Epidemiology, UO Environmental Medicine. UO Infectious diseases Update 6 March 2019.
[7]	Perini S.: Legionella pneumonia epidimic south of Brescia. Il Cesalpino-september 2019,number 48.
[8]	Perini S.: Le mie domande s questa epidemia di polmonite-Giornale di Brescia del 5/10/2018.
[9]	Reboni C. Allarme fanghi, scatta il piano di emergenza. Bresciaoggi 9//2018.
[10]	ISDE: Medici di famiglia e inquinamento ambientale. Passoni Editore 2020.
[11]	Affronte M. (Grees/EFA) Interrogazione con richiesta scritta alla Commissione Parlamento Europeo. Bruxelles. Oggetto: Epidemia legionella bassa pianura bresciana.
[12]	Perini S. Il parere di Sergio Perini sull’ambiente. Corriere dei Carpini aprile 2019 Numero 26.
[13]	AIB (Associazione Industriali Bresciana) Linee guida per la prevenzione della legionella nelle torri di raffredamento-10/12/2018.
[14]	Perini S. Riflessioni di un medico della bassa bresciana. Ordine dei Medici Brescia 8/10/218.
[15]	Perini S. Lettere al Direttore. Aracne Editore 2020-Roma-pagg 50/64 e 206/210.
[16]	Consorzio di bonifica Chiese. Delibera del Consiglio di Amministrazione del consorzio n. 8/18 del 16/8/2018.
[17]	Istituto Superiore di Sanità Rapporto ISTISAN 14/21 Linee guida per la valutazione del rischio nella filiera delle acque destinata al consumo umano secondo il modello dei Water Safety Plan.

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APA Style

Sergio Perini. (2021). Epidemic of Legionella Pneumophila Pneumonia South of Brescia (Italy). International Journal of Infectious Diseases and Therapy, 6(2), 61-64. https://doi.org/10.11648/j.ijidt.20210602.13

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ACS Style

Sergio Perini. Epidemic of Legionella Pneumophila Pneumonia South of Brescia (Italy). Int. J. Infect. Dis. Ther. 2021, 6(2), 61-64. doi: 10.11648/j.ijidt.20210602.13

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AMA Style

Sergio Perini. Epidemic of Legionella Pneumophila Pneumonia South of Brescia (Italy). Int J Infect Dis Ther. 2021;6(2):61-64. doi: 10.11648/j.ijidt.20210602.13

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@article{10.11648/j.ijidt.20210602.13,
  author = {Sergio Perini},
  title = {Epidemic of Legionella Pneumophila Pneumonia South of Brescia (Italy)},
  journal = {International Journal of Infectious Diseases and Therapy},
  volume = {6},
  number = {2},
  pages = {61-64},
  doi = {10.11648/j.ijidt.20210602.13},
  url = {https://doi.org/10.11648/j.ijidt.20210602.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijidt.20210602.13},
  abstract = {In September 2018, a serious epidemic of Legionella Pneumophila serotypes 1-2-14, diagnosed by the Istituto Superiore Sanità (ISS), occurred in the low plain south of Brescia. This resulted in a considerable number of hospitalizations in the hospitals of the ATS of Brescia and Valpadana (Mantua) with high mortality rate. It was an anomalous situation both for the spread and for the Legionella serotypes which alarmed the Istituto Superiore Sanità and the local health structures. This epidemic is an expressions of the malaise of the geographical area in question caused by the impact of various environmental degradations. Some environmental criticalities: 1-the low water flow of the Chiese river in the summer of 2018 due to the exploitation of water by intensive agriculture and the presence of 22 hydroelectric power plants along its course. 2-the presence of numerous industrial cooling towers with a lack of mapping of the same towers by the political bodies (Region and Municipalities). 3-the abnormal disposal of sludge on the countryside surrounding the agricultural area adjacent to the river bed of the Chiese river as a consequence of the enormous production of livestock waste by pig, cattle and chicken farms in the same area. 4-In the lower Brescia plain there are numerous disposal companies that receive sewage sludge from 15 regions of Italy and also from abroad. 5-different and numerous types of landfills in the municipalities of Montichiari, Rezzato, Ghedi, Calcinato and Bedizzole filled with 12 million cubic meters of toxic-harmful waste. 6- the Lombardy region allows an excessive number of CERs (Catalog European Waste). It concludes by emphasizing how everyone, citizens and institutions, have a great responsibility in the management of the territory and a change of direction is hoped for an economy that has reached limits that it can no longer tolerate. This calls the various responsibilities of Politics, Public Health, the industrial and agricultural world in the management of a territory that continues to send signs of suffering and which is reflected on the health of men, animals and the plant world.},
 year = {2021}
}

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TY  - JOUR
T1  - Epidemic of Legionella Pneumophila Pneumonia South of Brescia (Italy)
AU  - Sergio Perini
Y1  - 2021/05/14
PY  - 2021
N1  - https://doi.org/10.11648/j.ijidt.20210602.13
DO  - 10.11648/j.ijidt.20210602.13
T2  - International Journal of Infectious Diseases and Therapy
JF  - International Journal of Infectious Diseases and Therapy
JO  - International Journal of Infectious Diseases and Therapy
SP  - 61
EP  - 64
PB  - Science Publishing Group
SN  - 2578-966X
UR  - https://doi.org/10.11648/j.ijidt.20210602.13
AB  - In September 2018, a serious epidemic of Legionella Pneumophila serotypes 1-2-14, diagnosed by the Istituto Superiore Sanità (ISS), occurred in the low plain south of Brescia. This resulted in a considerable number of hospitalizations in the hospitals of the ATS of Brescia and Valpadana (Mantua) with high mortality rate. It was an anomalous situation both for the spread and for the Legionella serotypes which alarmed the Istituto Superiore Sanità and the local health structures. This epidemic is an expressions of the malaise of the geographical area in question caused by the impact of various environmental degradations. Some environmental criticalities: 1-the low water flow of the Chiese river in the summer of 2018 due to the exploitation of water by intensive agriculture and the presence of 22 hydroelectric power plants along its course. 2-the presence of numerous industrial cooling towers with a lack of mapping of the same towers by the political bodies (Region and Municipalities). 3-the abnormal disposal of sludge on the countryside surrounding the agricultural area adjacent to the river bed of the Chiese river as a consequence of the enormous production of livestock waste by pig, cattle and chicken farms in the same area. 4-In the lower Brescia plain there are numerous disposal companies that receive sewage sludge from 15 regions of Italy and also from abroad. 5-different and numerous types of landfills in the municipalities of Montichiari, Rezzato, Ghedi, Calcinato and Bedizzole filled with 12 million cubic meters of toxic-harmful waste. 6- the Lombardy region allows an excessive number of CERs (Catalog European Waste). It concludes by emphasizing how everyone, citizens and institutions, have a great responsibility in the management of the territory and a change of direction is hoped for an economy that has reached limits that it can no longer tolerate. This calls the various responsibilities of Politics, Public Health, the industrial and agricultural world in the management of a territory that continues to send signs of suffering and which is reflected on the health of men, animals and the plant world.
VL  - 6
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Author Information

Sergio Perini

ATS Health Protection Agengy of Brescia, Basic Medicin Sevice, ISDE (International Society of Doctors for the Environment), Brescia, Italy

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APA Style

Sergio Perini. (2021). Epidemic of Legionella Pneumophila Pneumonia South of Brescia (Italy). International Journal of Infectious Diseases and Therapy, 6(2), 61-64. https://doi.org/10.11648/j.ijidt.20210602.13

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ACS Style

Sergio Perini. Epidemic of Legionella Pneumophila Pneumonia South of Brescia (Italy). Int. J. Infect. Dis. Ther. 2021, 6(2), 61-64. doi: 10.11648/j.ijidt.20210602.13

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AMA Style

Sergio Perini. Epidemic of Legionella Pneumophila Pneumonia South of Brescia (Italy). Int J Infect Dis Ther. 2021;6(2):61-64. doi: 10.11648/j.ijidt.20210602.13

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@article{10.11648/j.ijidt.20210602.13,
  author = {Sergio Perini},
  title = {Epidemic of Legionella Pneumophila Pneumonia South of Brescia (Italy)},
  journal = {International Journal of Infectious Diseases and Therapy},
  volume = {6},
  number = {2},
  pages = {61-64},
  doi = {10.11648/j.ijidt.20210602.13},
  url = {https://doi.org/10.11648/j.ijidt.20210602.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijidt.20210602.13},
  abstract = {In September 2018, a serious epidemic of Legionella Pneumophila serotypes 1-2-14, diagnosed by the Istituto Superiore Sanità (ISS), occurred in the low plain south of Brescia. This resulted in a considerable number of hospitalizations in the hospitals of the ATS of Brescia and Valpadana (Mantua) with high mortality rate. It was an anomalous situation both for the spread and for the Legionella serotypes which alarmed the Istituto Superiore Sanità and the local health structures. This epidemic is an expressions of the malaise of the geographical area in question caused by the impact of various environmental degradations. Some environmental criticalities: 1-the low water flow of the Chiese river in the summer of 2018 due to the exploitation of water by intensive agriculture and the presence of 22 hydroelectric power plants along its course. 2-the presence of numerous industrial cooling towers with a lack of mapping of the same towers by the political bodies (Region and Municipalities). 3-the abnormal disposal of sludge on the countryside surrounding the agricultural area adjacent to the river bed of the Chiese river as a consequence of the enormous production of livestock waste by pig, cattle and chicken farms in the same area. 4-In the lower Brescia plain there are numerous disposal companies that receive sewage sludge from 15 regions of Italy and also from abroad. 5-different and numerous types of landfills in the municipalities of Montichiari, Rezzato, Ghedi, Calcinato and Bedizzole filled with 12 million cubic meters of toxic-harmful waste. 6- the Lombardy region allows an excessive number of CERs (Catalog European Waste). It concludes by emphasizing how everyone, citizens and institutions, have a great responsibility in the management of the territory and a change of direction is hoped for an economy that has reached limits that it can no longer tolerate. This calls the various responsibilities of Politics, Public Health, the industrial and agricultural world in the management of a territory that continues to send signs of suffering and which is reflected on the health of men, animals and the plant world.},
 year = {2021}
}

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TY  - JOUR
T1  - Epidemic of Legionella Pneumophila Pneumonia South of Brescia (Italy)
AU  - Sergio Perini
Y1  - 2021/05/14
PY  - 2021
N1  - https://doi.org/10.11648/j.ijidt.20210602.13
DO  - 10.11648/j.ijidt.20210602.13
T2  - International Journal of Infectious Diseases and Therapy
JF  - International Journal of Infectious Diseases and Therapy
JO  - International Journal of Infectious Diseases and Therapy
SP  - 61
EP  - 64
PB  - Science Publishing Group
SN  - 2578-966X
UR  - https://doi.org/10.11648/j.ijidt.20210602.13
AB  - In September 2018, a serious epidemic of Legionella Pneumophila serotypes 1-2-14, diagnosed by the Istituto Superiore Sanità (ISS), occurred in the low plain south of Brescia. This resulted in a considerable number of hospitalizations in the hospitals of the ATS of Brescia and Valpadana (Mantua) with high mortality rate. It was an anomalous situation both for the spread and for the Legionella serotypes which alarmed the Istituto Superiore Sanità and the local health structures. This epidemic is an expressions of the malaise of the geographical area in question caused by the impact of various environmental degradations. Some environmental criticalities: 1-the low water flow of the Chiese river in the summer of 2018 due to the exploitation of water by intensive agriculture and the presence of 22 hydroelectric power plants along its course. 2-the presence of numerous industrial cooling towers with a lack of mapping of the same towers by the political bodies (Region and Municipalities). 3-the abnormal disposal of sludge on the countryside surrounding the agricultural area adjacent to the river bed of the Chiese river as a consequence of the enormous production of livestock waste by pig, cattle and chicken farms in the same area. 4-In the lower Brescia plain there are numerous disposal companies that receive sewage sludge from 15 regions of Italy and also from abroad. 5-different and numerous types of landfills in the municipalities of Montichiari, Rezzato, Ghedi, Calcinato and Bedizzole filled with 12 million cubic meters of toxic-harmful waste. 6- the Lombardy region allows an excessive number of CERs (Catalog European Waste). It concludes by emphasizing how everyone, citizens and institutions, have a great responsibility in the management of the territory and a change of direction is hoped for an economy that has reached limits that it can no longer tolerate. This calls the various responsibilities of Politics, Public Health, the industrial and agricultural world in the management of a territory that continues to send signs of suffering and which is reflected on the health of men, animals and the plant world.
VL  - 6
IS  - 2
ER  -

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