Legionnaires Disease Associated With a Whirlpool Spa Display--Virginia, September-October 1996

doi:10.1001/jama.1997.03540330029014

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Vol. 277 No. 9, March 5, 1997

JAMA
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Legionnaires Disease Associated With a Whirlpool Spa Display—Virginia, September-October 1996

JAMA. 1997;277(9):705-706.

References
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1. Marston BJ, Lipman HB, Breiman RF. Surveillance for Legionnaires' disease: risk factors for morbidity and mortality. Arch Intern Med 1994;154:2417-22.
2. Dondero TJ Jr, Rendtorff RC, Mallison GF, et al. An outbreak of Legionnaires' disease associated with a contaminated air-conditioning cooling tower. N Engl J Med 1980;302:365-70.
3. Breiman RF, Cozen W, Fields BS, et al. Role of air sampling in the investigation of an outbreak of Legionnaires' disease associated with exposure to aerosols from an evaporative condenser. J Infect Dis 1990;161:1257-61.
4. Breiman RF, Fields BS, Spika JS, Sanden GN, volmer L, Meier A. Association of shower use with Legionnaires' disease: possible role of amoebae. JAMA 1990;263:2924-6.
5. Fenstersheib MD, Miller M, Diggins C, et al. Outbreak of Pontiac fever due to Legionella anisa. Lancet 1990;336:35-7.
6. Mahoney FJ, Hoge CW, Farley TA, et al. Community wide outbreak of Legionnaires' disease associated with a grocery store mist machine. J Infect Dis 1992;165:736-9.
7. Mastro TD, Fields BS, Breiman RF, Campbell J, Plikaytis BD, Spika JS. Nosocomial Legionnaires' disease and use of medication nebulizers. J Infect Dis 1991;163:667-71.
8. Jernigan DB, Hofmann J, Cetron MS, et al. Outbreak of Legionnaires' disease among cruise ship passengers exposed to a contaminated whirlpool spa. Lancet 1996;347:494-9.
9. National Center for Environmental Health/ National Center for Infectious Diseases. Final recommendations to minimize transmission of Legionnaires' disease from whirlpool spas on cruise ships. Atlanta, Georgia: US Department of Health and Human Services, Public Health Service, CDC, 1996.

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