1976 Philadelphia Legionnaires' disease outbreak failed. The disease was finally produced in guinea pigs. The CDC announced the discovery at a press conference on January 18, 1977. The bacterium was later named "Legionella pneumophila". "Legionella pneumophila" is the most common cause, but sometimes other species of Legionella bacteria also cause Legionnaires' disease. The terms "Philadelphia fever" and "Legion fever" appear to have been used at the time of the outbreak and for shortly thereafter, although at least one 2008 source which covers disease in a historical narrative sense also included "Legion Fever" as alternate name. Both the World Health Organization in 2018 and the United
Hospital-acquired pneumonia requires admission to an acute care facility, this also predisposes to hazards of hospitalization such as delirium, urinary incontinence, depression, falls, restraint use, functional decline, adverse drug effects and hospital infections. Therefore, mild pneumonia might be better dealt with inside the long term care facility. In patients with a limited life expectancy (for example, those with advanced dementia), end-of-life pneumonia also requires recognition and appropriate, palliative care. Healthcare-associated pneumonia seems to have fatality rates similar to hospital-acquired pneumonia, worse than community-acquired pneumonia but less severe than pneumonia in ventilated patients. Besides clinical markers like tachypnea (fast breathing) or a high