1976 Philadelphia Legionnaires' disease outbreak killed 16 persons out of 78 infected was later determined to be Legionnaires' disease. A September 1974 convention of the Independent Order of Odd Fellows was also held at the Bellevue-Stratford Hotel. Out of approximately 1,500 members who attended, 20 developed pneumonia and two died. A later article in "The Lancet" reported: "Illness [high fever and pneumonia] was significantly associated with attendance at one convention activity held on Monday morning, September 16, 1974, in the grand ballroom of the hotel." 1976 Philadelphia Legionnaires' disease outbreak The 1976 Legionnaires disease outbreak, occurring in the late summer in Philadelphia, Pennsylvania, was the
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