warning 9 countries ICD-10 A481

Legionnaires disease

Legionnaires disease clinical and global spread profile: 9 countries, 10 WHO outbreak events since 1998.

Legionnaires disease · ICD-10 A481 · ICD-11 1C19 · 10 WHO events across 9 countries (1998–2023).

Top affected countries

Country Region Events % of global
France EUR 2 20%
Norway EUR 1 10%
Poland EUR 1 10%
Argentina AMR 1 10%
Spain EUR 1 10%
Australia WPR 1 10%
Portugal EUR 1 10%
Belgium EUR 1 10%
Netherlands EUR 1 10%

Distribution by WHO region

Region Events Share
EUR 8 80%
AMR 1 10%
WPR 1 10%

Annual outbreak timeline

Year Events Countries
2023 1 1
2022 1 1
2014 1 1
2003 1 1
2001 2 2
2000 1 1
1999 2 2
1998 1 1

Peak year: 2001 (2 events).

Decade summary

Decade Events
1990s 3
2000s 4
2010s 1
2020s 2

WHO case definition

Legionnaires’ disease, the pneumonic form, has an incubation period of 2 to 10 days (but up to 16 days has been recorded in some outbreaks). Initially, symptoms are fever, loss of appetite, headache, malaise and lethargy. Some patients may also have muscle pain, diarrhoea and confusion. There is also usually an initial mild cough, but as many as 50% of patients can present phlegm. Blood-streaked phlegm or hemoptysis occurs in about one-third of the patients. The severity of disease ranges from a mild cough to a rapidly fatal pneumonia. Death occurs through progressive pneumonia with respiratory failure and/or shock and multi-organ failure.

Countries Affected

9

Outbreak Events

10

Year Range

1998–2023

coronavirus

ICD-10 A481

Legionnaires disease

Visualization

Global Prevalence Snapshot

Based on WHO Disease Outbreak News events (1998–2023).

10 Outbreak events · Sporadic / Low

Risk Level

Endemic / High Risk
Emerging / Moderate
Sporadic / Low Risk