Association Between Sporadic Legionellosis and River Systems in Connecticut.

ABSTRACT: Background:There has been a dramatic increase in the incidence of sporadic legionnaires' disease in Connecticut since 1999, but the exact reasons for this are unknown. Therefore, there is a growing need to understand the drivers of legionnaires' disease in the community. In this study, we explored the relationship between the natural environment and the spatial and temporal distribution of legionellosis cases in Connecticut. Methods:We used spatial models and time series methods to evaluate factors associated with the increase and clustering of legionellosis in Connecticut. Stream flow, proximity to rivers, and residence in regional watersheds were explored as novel predictors of disease, while controlling for testing intensity and correlates of urbanization. Results:In Connecticut, legion

SUBMITTER: Cassell K 

PROVIDER: S-EPMC6279145 | biostudies-literature | 2018 Jan

REPOSITORIES: biostudies-literature