The Bellevue-Stratford Hotel in July 1976, when it hosted a statewide convention of the American Legion. Soon after, a pneumonia-like disease killed 29 people and sickened 182 more who had been in the hotel. The vast majority were members of the convention. The negative publicity associated with what became known as "Legionnaires' Disease" caused occupancy at the Bellevue-Stratford to plummet to 4 percent and the hotel finally closed on November 18, 1976. In 1977, Dr. Joseph McDade discovered a new bacterium, which was identified as the causative organism. It thrives in hot, damp places like the water of the cooling towers for 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