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Health officials investigating Legionnaires’ disease cluster in Grand Rapids

Under a moderately high magnification, this colorized scanning electron microscopic image depicts a large grouping of Gram-negative Legionella pneumophila bacteria. These bacteria cause Legionnaires' disease and Pontiac Fever, collectively known as Legionellosis.
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Centers for Disease Control and Prevention
Under a moderately high magnification, this colorized scanning electron microscopic image depicts a large grouping of Gram-negative Legionella pneumophila bacteria. These bacteria cause Legionnaires' disease and Pontiac Fever, collectively known as Legionellosis.

Legionnaires’ disease is a bacterial pneumonia that people can get after breathing in aerosolized water containing Legionella bacteria.

GRAND RAPIDS — The Minnesota Department of HealtH is investigating a cluster of five confirmed cases of Legionnaires’ disease among people who live or spent time in Grand Rapids during the two weeks before their illness began.

The environmental source of the illnesses has not yet been determined.

The five cases, all adults, became ill between the end of April and mid-July. All were hospitalized. To date, no deaths have occurred associated with this cluster.

Legionnaires’ disease is a bacterial pneumonia that people can get after breathing in aerosolized water containing Legionella bacteria. People cannot get Legionnaires’ disease by drinking water that has Legionella. It is not spread from person to person.

The health department is working to identify possible sources of the bacteria and make recommendations for preventing any additional illnesses. Investigations into Legionnaires’ disease clusters can be complex, the health department reported in a news release.

Past outbreaks have been linked to various environmental water sources such as cooling towers, building plumbing systems, hot tubs and decorative fountains. The key to preventing Legionnaires’ disease is to reduce the risk of Legionella growth and spread in these water systems.

Legionnaires’ disease can be severe, so prompt diagnosis and appropriate antibiotic treatment is important, according to the health department. Common symptoms include fever, chills, cough, shortness of breath, headaches, muscle aches and fatigue. Other symptoms may include weakness, loss of appetite, confusion, diarrhea and nausea.

Most people exposed to Legionella bacteria do not develop Legionnaires’ disease. People at increased risk of infection and severe illness include those 50 years old or older and current or former smokers. Other risk factors include chronic health conditions such as lung, kidney or liver disease; diabetes; cancer; and conditions and medications that affect the immune system.

“People who have symptoms or are concerned about their health should contact their health care provider,” stated Jessica Hancock-Allen, director of the health department’s Infectious Disease Epidemiology, Prevention and Control Division.

The state asked health care providers to watch for any additional patients with symptoms that might indicate Legionnaires’ disease, but is not recommending testing for people who may have been exposed but do not have symptoms.

In 2022, 109 cases of Legionnaires’ disease were reported in Minnesota. Most cases are sporadic and not associated with any cluster or outbreak.

More information can be found on the health department’s website at Legionellosis (Legionella).