1976 swine flu outbreak strain. On July 23, the President sends a letter urging Congress to take action on indemnification. In early August an outbreak of illness in Philadelphia is thought to be related to swine flu. It is found to be an atypical pneumonia thereafter called Legionnaires' disease. On August 6, President Ford holds a press conference urging Congress to take action on the indemnification legislation. Four days later, both Houses of Congress pass the legislation. Merrill becomes the first company to submit samples to the FDA's Bureau of Biologics for safety testing, which approves it on September 2. Merck makes the first
Hospital-acquired pneumonia sputum samples and intensive care patients, in whom these bacteria were commonly found. In one observational study, empirical antibiotic treatment that was not according to international treatment guidelines was an independent predictor of worse outcome among HCAP patients. Guidelines from Canada suggest that HCAP can be treated like community-acquired pneumonia with antibiotics targeting Streptococcus pneumoniae, based on studies using blood cultures in different settings which have not found high rates of MRSA or Pseudomonas. Besides prompt antibiotic treatment, supportive measure for organ failure (such as cardiac decompensation) are also important. Another consideration goes to hospital referral; although more severe pneumonia