Legionnaires' disease on symptom onset dates from past outbreaks. In this way, the eventual likely size of an outbreak can be predicted, enabling efficient and effective use of public health resources in managing an outbreak. The first recognized cases of Legionnaires' disease occurred in 1976 in Philadelphia; among more than 2000 attendees of an American Legion convention held at the Bellevue-Stratford Hotel, 182 attendees contracted the disease and 29 of them died. In April 1985, 175 people in Stafford, England, were admitted to the District or Kingsmead Stafford Hospitals with chest infection or pneumonia. A total of 28 people died. Medical diagnosis
Epidemiology of pneumonia case fatality rate in the UK is around 5–10%. In the United States, community-acquired pneumonia affects 5.6 million people per year, and ranks 6th among leading causes of death. In 2009, there were approximately 1.86 million emergency department encounters for pneumonia in the United States. In 2011, pneumonia was the second-most common reason for hospitalization in the U.S., with approximately 1.1 million stays—a rate of 36 stays per 10,000 population. Pneumonia was one of the top ten most expensive conditions seen during inpatient hospitalizations in the U.S. in 2011, with an aggregate cost of nearly $10.6 billion for 1.1 million