Barrow-in-Furness Legionnaires' Disease Outbreak (Last Updated 6th September 2002) - PLEASE NOTE THAT THIS SECTION IS NOT CURRENTLY BEING UPDATED. WHEN THE OUTBREAK REPORT IS PUBLISHED WE WILL POST DETAILS ON THIS PAGE - This section contains information, primarily for health professionals, about the management of the Barrow-in-Furness Legionnaires' Disease Outbreak. You will need Acrobat Reader to access many of these files. Click Here to download if necessary. Latest Outbreak Curves Questionnaires and Consent Forms Legionnaires' Disease Information (including GP updates) Case Definition

Latest Outbreak Curves (back to top)

Questionnaires & Consent Forms (back to top)

• Covering Letter for Consent Form (pdf)
• Consent Form (pdf)
• Standard CDSC North West Questionnaire (pdf)
• Additional Page for this outbreak (pdf)

Legionnaires' Information (back to top)

• Update Letter sent to Primary Care staff (pdf)
• Progress Letter for Health Care Staff (sent on 8th August) (pdf)
• Update for Primary Care Staff (sent on 6th August) (pdf) - includes details about investigation, diagnosis, and treatment of cases of Legionnaires' Disease that may be associated with this outbreak. Please mark all specimens with Outbreak Number 254006 in addition to all the usual clinical details.
• Legionnaires' Disease Factsheet
• PHLS information

Case Definition (back to top)

Confirmed Case: A clinical diagnosis of pneumonia in someone who has been in Barrow-in-Furness between 1st and 31st July 2002 with laboratory evidence of one or more of the following: isolation (culture) of legionella species from clinical specimens seroconversion (a four-fold or greater rise in titre) determined using a validated indirect immunofluorescent antibody test (IFAT) incorprating a monovalent L pneumophila serogroups I antigen the presence of L pneumophila urinary antigen determined using validated reagents/kits Presumptive Case: A clinical diagnosis of pneumonia in someone who has been in Barrow-in-Furness between 1st and 31st July 2002 with laboratory evidence of one or more of the following: a single titre of 128 using IFAT as above (or a single titre of 64 in an outbreak) a positive direct fluorescence (DFA) on a clinical specimen using validated monoclonal antibodies (also referred to as a positive result by Direct Immunofluorescence [DIF]).