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. 2017 Jun 9;66(22):584–589. doi: 10.15585/mmwr.mm6622e1

TABLE 1. Confirmed health care–associated Legionnaires’ disease,* by setting and likelihood that exposure to Legionella was from a health care facility water system — 21 U.S. public health jurisdictions, 2015.

Type of facility No. cases (%)
Definite§ Possible Total
Hospital
15 (18)
227 (49)
242 (44)
Long-term–care
68 (80)
61 (13)
129 (23)
Clinic
0 (0)
123 (26)
123 (22)
Multiple**
2 (2)
44 (9)
46 (8)
Other††
0 (0)
13 (3)
13 (2)
Total 85 (100) 468 (100) 553 (100)

* Health care–associated Legionnaires’ disease includes both definite and possible cases in persons who visited, worked, or stayed in a health care setting for any amount of time in the 10 days preceding symptom onset.

Twenty-one jurisdictions that reported ≥ 90% of confirmed National Notifiable Diseases Surveillance System legionellosis cases to the Supplemental Legionnaires’ Disease Surveillance System in 2015: Alabama, Colorado, Connecticut, Georgia, Hawaii, Iowa, Kentucky, Maine, Michigan, Minnesota, Missouri, New Hampshire, New Mexico, New York, New York City, North Dakota, Ohio, Rhode Island, South Carolina, Texas, and Virginia.

§ Definite case of health care–associated Legionnaires’ disease was defined as laboratory-confirmed legionellosis in a patient with continuous exposure to a hospital or long-term–care facility for the entire 10 days preceding symptom onset.

Possible case of health care–associated Legionnaires’ disease was defined as laboratory-confirmed legionellosis in a patient with any exposure to a health care facility for a portion of the 10 days preceding symptom onset.

** Multiple indicates two or more of the listed setting categories.

†† Other setting includes locations such as outpatient laboratories.