The overall aim of the ECDC Train-the-trainer (ToT) workshop was providing practical training and support to national experts from Western Balkans in raising awareness for the prevention of Legionella and risks for Legionnaires’ disease, among accommodation sites in their respective countries.
This document explains the operating procedures of the European Legionnaires’ Disease Surveillance Network, coordinated by ECDC. It specifically relates to reporting cases of travel-associated Legionnaires’ disease arising from stays in hotel or other commercial holiday accommodation. The aim is to quickly identify and control outbreaks of the disease and minimise the risk to holidaymakers. This edition supersedes the January 2012 edition.
Since 23 August 2017 Madagascar has been experiencing an outbreak of plague, and as of 3 October 2017, 194 cases and 30 deaths (case fatality rate 15.5%) have been reported.
A case of bubonic plague can be suspected on aircraft or ships when a passenger or a crew member leaving an affected area has a fever associated with swollen lymph nodes.