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Legionella now in the Algarve

legionellaThe Algarve has its first case of Legionella but the patient is out of intensive care and is receiving further specialist treatment, according a spokesman at Hospitals of the Algarve (CHA).

The patient is directly linked to the outbreak in Vila Franca de Xira, greater Lisbon and was in Intensive Care in Faro hospital.

"This patient is clinically stable," according to the hospital spokesman, who added that there was another case tested for Legionella in Portimão, worryingly this was a case which precedes the outbreak in Vila Franca de Xira.

Legionella, which causes serious and potentially deadly pneumonia, was detected last Friday at Vila Franca de Xira and so far over 300 cases of infection have been registered in the country but concentrated in the Lisbon area down wind of an industrial zone, with five confirmed deaths and a further four deaths potentially caused to the infection and still being tested.

The source is almost certainly the exhaust chimney of a fertiliser factory in an area that pays little heed to local concerns of foul air, chemical discharge and a lack of government inspections at factories due to a bizarre law change that swapped a regime of regular inspections for internal and exhaust air quality for a system of spot checks, open to abuse and back-handers.

According to today’s Resident, Algarve hospital’s ever-cheerful chief Dr Pedro Nunes claims that a Legionella outbreak normally should be killing more people, around 10-20% of cases, so “the Portuguese Health Service has done very well indeed.”

The environmental agencies have not done so well and threats of ‘prosecution of factory owners’ does little to calm the spread of near panic among locals nor does it help the families of the deceased.

It is interesting to compare the Lisbon response to that of sleepy Almodovar:

http://www.algarvedailynews.com/news/3614-legionella-found-in-almodovar-water-supply

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Comments  

-1 #3 Ed 2014-11-14 09:29
Quoting Javier R Vera:
The systematic destruction of the NHS has acted as a facilitator....


For the background to this event, see:

http://www.algarvedailynews.com/news/2931-barlavento-hospital-punch-up-over-dead-80-year-old
0 #2 Javier R Vera 2014-11-14 04:13
The systematic destruction of the NHS has acted as a facilitator. As an additional ironic data, I have dealt with two scenarios quite similar to this one and my skills are above average on the topic. Anyhow, one week before I started working as a Critical Care Consultant and an 85 years old lady died, the figure being so bizarre that two nurses abandoned their posts and began threatening me in my office, for what a delay on attendance started to grow, and as we had no Duty Officer, I was the most qualified member of the team, nevertheless the threats of one of the nurses, requested the presence of PSP, this being the only method to get them back to work so I could do mine, Pedro Nunes decided to keep me out of the Emergencies (and the Critical Care post I mentioned before) until an investigation, that showed a "by the book performance" on both clinical and leadership areas on an non-official comment from the person who did a rooot-cause analysis of the audit of the fatal event. I´ll be comfortably sitting on my Health Centre office attending minor conditions, while inexperienced professionals trying to give to their 100% on an area whose maxium is a 45%....
+2 #1 Bazil 2014-11-13 14:38
Many of us will have noted the comment - bravo the 'semi-independent' SIC TV for asking the question to a specialist Portuguese laboratory - that ze povinho would want answered.

This specialist health analysis laboratory identifies around 1500 cases of legionella a year - around 4 day. The boss then said something really interesting 'We are not obliged to tell the authorities. Only our clients.'

Once again raising the distinct possibility that this outbreak is only newsworthy because an area of Lisbon got badly hit.

Indeed a map seen briefly on TV showed the plume of identified cases spreading from this chemical manufacturing industrial plant.

As asked elsewhere - is the existence of a windsock at the fertiliser plant proof that 'venting into an off-shore wind' is accepted practice ?

But - as confirmed by local residents - that there are occasional blowbacks on-shore that the authorities hush up -- or, as it now seems, may not even be aware of ?

As the laboratory is not 'obliged' to inform the authorities and is this therefore why these manufacturers locate in Portugal ? To minimise scrutiny ?

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