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The Health Ministry of the Balearic Islands report
(in Spanish), that the number of legionella cases associated with Palmanova has risen to 18 as of 18 October. Fifteen cases are from countries outside Spain. A 70 year old male with severe underlying conditions has also died.
Local public health have sampled a number of potential sources including a number of hotels.
All travellers are potentially at risk of infection, the risk is increased in travellers with underlying medical conditions. Travelers staying in poorly maintained hotel/apartment accommodation may be at higher risk. Flushing through showers in hotels or institutions with hot water when they have not been used recently may help.
Travellers to outbreak areas should be advised to seek prompt medical advice if they develop an influenza-like illness with fever, cough or shortness of breath during their stay or up to two weeks after return home.
