Legionnaires' disease Although the risk of Legionnaires' disease being spread by large-scale water systems cannot be eliminated, it can be greatly reduced by writing and enforcing a highly detailed, systematic water safety plan appropriate for the specific facility involved (office building, hospital, hotel, spa, cruise ship, etc.) Some of the elements that such a plan may include are: An effective water safety plan also covers such matters as training, record-keeping, communication among staff, contingency plans, and management responsibilities. The format and content of the plan may be prescribed by public health laws or regulations. Effective antibiotics include most macrolides, tetracyclines, ketolides, and
Lumpy skin disease high temperature and high humidity It is usually more prevalent during the wet summer and autumn months, especially in low-lying areas or near bodies of water, however, outbreaks can also occur during the dry season. Blood-feeding insects such as mosquitos and flies act as mechanical vectors to spread the disease. A single species vector has not been identified. Instead, the virus has been isolated from "Stomoxys", "Biomyia fasciata", "Tabanidae", "Glossina", and "Culicoides" species. The particular role of each of these insects in the transmission of LSD continues to be evaluated. Outbreaks of lumpy skin disease tend to be sporadic since