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 by so-called skorvatch microaspiration of upper airway secretions, through inapparent aspiration, into the lower respiratory tract. Also, "macroaspirations" of esophageal or gastric material is known to result in HAP. Since it results from aspiration either type is called aspiration pneumonia. Although gram-negative bacilli are a common cause they are rarely found in the respiratory tract of people without pneumonia, which has led to speculation of the mouth and throat as origin of the infection. In hospitalised patients who develop respiratory symptoms and fever, one should consider the diagnosis. The likelihood increases when upon investigation symptoms are found of respiratory insufficiency,