The Surabaya City Government is aware of the infectious disease Legionellosis, although no cases have yet been found. However, the Surabaya Health Office issued a circular no. 443.33/31474/436.7.2/2022 following up on the SE Director General of Disease Prevention and Control of the Ministry of Health regarding Legionellosis.
“We are issuing circulars to health facilities, to hospitals to clinics in the context of early vigilance. So until now there is no such thing in Surabaya,” said Head of the Surabaya Health Service, Nanik Sukristina, Tuesday (27/9/2022).
Nanik said Legionellosis disease is like the common cold, coughing up phlegm to shortness of breath or attacking the lungs. The most susceptible age for this disease is 50 years and over.
“From around 75-80 percent, it attacks people over 50 years old. Especially people who have comorbidities. So we have to be careful who are elderly plus those who are marcobites,” he explained.
The characteristics, signs and symptoms of Legionellosis. Where this disease can affect all ages, especially in high-risk groups such as the elderly, having co-morbidities, receiving immunosuppressive treatment and other risk factors.
The incubation period of the disease is between 2-10 days, an average of 5-6 days. Transmission of Legionellosis bacteria to humans can be through aerosols in the air or by drinking water containing Legionella bacteria, through aspiration of contaminated water, through direct inoculation through respiratory therapy equipment and compressing wounds with contaminated water.
Then, Legionella bacteria can live in sea water, fresh water, rivers, mud, lakes, hot springs, clean standing water, cooling system tower water in high-rise buildings. Then hotels, spas, hot springs, water storage systems, hot water in homes, artificial fountains that are not well maintained, deposits, mucus, algae, mold, rust, scale, dust, dirt or foreign matter.
These bacteria can live at temperatures between 5.7-63 degrees Celsius and thrive at temperatures between 30-45 degrees Celsius and are able to live at a pH of 2.7-8.3 and die at body temperatures above 60 degrees Celsius.
Symptoms include cough with phlegm, fever, myalgia (muscle pain), diarrhea, dyspnea (shortness of breath), loss of appetite, weakness and headache. To detect cases of Legionellosis disease in the region, it can be done through the implementation of surveillance for pneumonia, influenza like illness (ILI) or severe acute respiratory infection (SARI) by utilizing the application of the early alert and response system (SKDR).
“In screening, there is an early alert system. In each hospital there is a procedure. As far as I know there is no PCR test. But to determine the diagnosis, later there will be a special doctor who states, there must be a lab test,” he said.
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