hrvatski

Legionarska bolest - epidemiologija, javnozdravstveni značaj, mjere prevencije i suzbijanja u Primorsko-Goranskoj županij

Because of the severity of the clinical picture and the possible death outcomes of patients, and due to the negative reputation of the newly affected facilities, legionary disease has important public health impact. Due to the necessity for the implementation of permanent anti-epidemic measures, which often require modifications of the constructions, there are also significant economic consequences. In Croatia, as well as in the Primorsko-Goranska County, places with the highest incidence are hotels and tourist facilities with seasonal type of work. Disease most frequently spreads from hot water systems and the transmission factor of highest risk is inadequate water and hydrant system junction. In recent years, some cases of disease appear related to the nautical tourism. Media exposed was the case of the epidemic in the newly built sports arena during the World Handball Championship. Epidemiological Department of the Croatian Institute for Public Health annually publishes guidelines for the minimum preventive measures in hotels, camps, marinas and similar tourist facilities, public buildings and public facilities, ships and yachts. Epidemiological Department of the Institute for Public Health of Primorsko-Goranska County, in the period of the last ten years is regularly following the sanitary inspection decisions, and is caring out the professional supervisions within the facility during the implementation of some measures of prevention (pasteurization). Anti-epidemic measures are implemented to prevent the spread of infection (so-called emergency anti-epidemic measures) and for the suppression of recurrences (the so-called permanent anti-epidemic measures). Authorized contractors for the implementation of measures of super chlorination are specialized companies with respect to the equipment and staff education, due to challenging nature of the interventions.

Legionarska bolest; epidemiologija

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