Evidence map›Paper›PMID 31799878›Full record

ArticleEnvironmental health perspectives2019

Multiple Sources of the Outbreak of Legionnaires' Disease in Genesee County, Michigan, in 2014 and 2015.

Anya F Smith, Anke Huss, Samuel Dorevitch, Leo Heijnen, Vera H Arntzen, Megan Davies, Mirna Robert-Du Ry van Beest Holle, Yuki Fujita, Antonie M Verschoor, Bernard Raterman and 3 more

Abstract read
In one paragraph

Article in Environmental health perspectives, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Article
  2. Article
  3. Journal of bacteriology · 2024
    Review
  4. Article
  5. An outbreak of Legionnaires' disease linked to a municipal and industrial wastewater treatment plant, The Netherlands, September-October 2022.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2024
    Article
  6. Heterotrophic Plate Count Can Predict the Presence ofPathogens (Basel, Switzerland) · 2023
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Microorganisms · 2021
    Review
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Anya F SmithKWR Water Research Institute, Nieuwegein, Netherlands.
Anke HussInstitute for Risk Assessment Sciences, Utrecht University, Utrecht, Netherlands.
Samuel DorevitchSchool of Public Health, University of Illinois at Chicago, Chicago, Illinois, USA.
Leo HeijnenKWR Water Research Institute, Nieuwegein, Netherlands.
Vera H ArntzenKWR Water Research Institute, Nieuwegein, Netherlands.
Megan DaviesDavies Public Health Consulting, LLC, Raleigh, North Carolina, USA.
Mirna Robert-Du Ry van Beest HolleMirna Robert Epidemiology, Gorinchem, Netherlands.
Yuki FujitaKWR Water Research Institute, Nieuwegein, Netherlands.
Antonie M VerschoorKWR Water Research Institute, Nieuwegein, Netherlands.
Bernard RatermanKWR Water Research Institute, Nieuwegein, Netherlands.
Frank OesterholtKWR Water Research Institute, Nieuwegein, Netherlands.
Dick HeederikInstitute for Risk Assessment Sciences, Utrecht University, Utrecht, Netherlands.
Gertjan MedemaKWR Water Research Institute, Nieuwegein, Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA community-wide outbreak of Legionnaires' disease (LD) occurred in Genesee County, Michigan, in 2014 and 2015. Previous reports about the outbreak are conflicting and have associated the outbreak with a change of water source in the city of Flint and, alternatively, to a Flint hospital.

objectiveThe objective of this investigation was to independently identify relevant sources of

methodsAn independent, retrospective investigation of the outbreak was conducted, making use of public health, health care, and environmental data and whole-genome multilocus sequence typing (wgMLST) of clinical and environmental isolates.

resultsStrong evidence was found for a hospital-associated outbreak in both 2014 and 2015: DISCUSSION: This is the first LD outbreak in the United States with evidence for three sources (in 2014):

Indexed as

Disease OutbreaksHumansLegionella pneumophilaLegionnaires' DiseaseMedicareMichiganRetrospective StudiesUnited States

Identifiers

PMID31799878
PMCPMC6957290

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.