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The health service of Castilla-La Mancha have confirmed 141 cases of Legionnaires' disease, including 2 deaths, in Ciudad de Manzanares (central Spain) up to 22 December 2015. The majority of cases have not required hospitalisation. Environmental sampling has been carried out at places likely to harbour the bacteria, such as cooling towers and public fountains, but as yet no source has been confirmed.
The risk of Legionnaires' disease for travellers is considered to be low but is higher in those over 40 years-of-age, those immunosuppressed and smokers. Travellers to the area should however be aware that the outbreak is ongoing and should they develop an influenza-like illness with fever, cough or shortness of breath during their stay or up to two weeks after return home, they should seek medical advice promptly for investigation.
