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Opinion Paper explores triggers for Legionella Disease outbreaks in Malta, highlighting data gaps.
Our study was planned and launched with keen motivation to identify the triggers that could launch a Legionella Disease outbreak in Malta, enjoying a boon with tourism. Our research has generated early surprises, and we share them with this Opinion Paper. Our work was stymied by missing data in the Maltese Annual Notifiable Infectious Disease Reports (2010-2024), a vital database, essential for surveillance and preparedness. We share our early analysis of Le- gionella cases and deaths in the Maltese Annual Reports for 2010-2024. Our surprise finding is a latent spike in Le- gionella cases for 2023-2024 and gaps in deaths for the same years. Using data from the Maltese Annual Reports, we can project that the likelihood of someone dying after contracting Legionnaire's Disease in Malta falls in the range of 3.9% to 12.4%.
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Jr Lee P. Gary (2026) studied this question.
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