1976 Philadelphia Legionnaires' disease outbreak 1976 Philadelphia Legionnaires' disease outbreak The 1976 Legionnaires disease outbreak, occurring in the late summer in Philadelphia, Pennsylvania, was the first occasion in which a cluster of a particular type of pneumonia cases were determined to be caused by the "Legionella pneumophila" bacteria. Previous outbreaks were retroactively diagnosed as being most probably caused by Legionella bacteria. On July 21, 1976, the American Legion opened its annual three-day convention at the Bellevue-Stratford Hotel in Philadelphia, Pennsylvania. More than 2,000 Legionnaires, mostly men, attended the convention. The date and city were chosen to coincide with America’s celebration of the 200th anniversary of
Hospital-acquired pneumonia white cell count (leukocytosis), the prognosis seems to be influenced by the underlying associated diseases (comorbidities) and functional capacities (for example, the ADL score). Many patients have a decreased health condition after the episode. Several studies found that healthcare-associated pneumonia is the second most common type of pneumonia, occurring less commonly than community-acquired pneumonia but more frequently than hospital-acquired pneumonia and ventilator-associated pneumonia. In a recent observational study, the rates for CAP, HCAP and HAP were 60%, 25% and 15% respectively. Patients with HCAP are older and more commonly have simultaneous health problems (such as previous stroke, heart failure and