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
Disease in colonial America and is extremely contagious, for it is spread by physical contact and affects children and adults alike. Smallpox was contagious, disfiguring, and often deadly. The epidemics of the disease were recurrent, devastating, and frequent. A particularly virulent sequence of smallpox outbreaks took place in Boston, Massachusetts. From 1636 to 1698, Boston endured six epidemics. In 1721, the most severe epidemic occurred. The entire population fled the city, bringing the virus to the rest of the Thirteen Colonies. Colonists tried to prevent the spread of smallpox by isolation and inoculation. Inoculation caused a mild form of the disease; it was new