facility (including temporary or No respite care) Unknown Yes Shops and shopping No complexes Unknown (cooling water systems) Yes Clubs, cinemas, hospitals (as a No visitor), hotels, conference facilities Unknown (cooling water systems) Yes Pools/aquatic centres, spas No (including home spas), water parks Unknown Yes Water fountains or sprinklers No (including overhead misting sprinkler systems) Unknown Yes Car/truck wash No Unknown Yes Dental treatment No Unknown Yes Humidifier, nebulisers or other No respiratory devices Unknown Yes Other – consider CBD, No industrial/building sites, sporting venues , aquariums, Unknown water misters TRAVEL DETAILS: (include any travel within exposure period) Travel history If Yes to any travel, please provide details below Dates travelled Country/State Places visited (e.g. hotels stayed) visited Domestic Yes (within ) No Unknown Overseas Yes No Unknown EXPOSURES FOR L. longbeachae GARDENING EXPOSURES: (include all exposures within the exposure period)
facility (including temporary or respite care) No Unknown Shops and shopping complexes (cooling water systems) Yes No Unknown Clubs, cinemas, hospitals (as a visitor), hotels, conference facilities (cooling water systems) Yes No Unknown Pools/aquatic centres, spas (including home spas), water parks Yes No Unknown Water fountains or sprinklers (including overhead misting sprinkler systems) Yes No Unknown Car/truck wash Yes No Unknown Dental treatment Yes No Unknown Humidifier, nebulisers or other respiratory devices Yes No Unknown Other – consider CBD, industrial/building sites, sporting venues , aquariums, water misters Yes No Unknown TRAVEL DETAILS: (include any travel within exposure period) Travel history If Yes to any travel, please provide details below Dates travelled Country/State visited Places visited (e.g. hotels stayed) Domestic (within ) Yes No Unknown Overseas Yes No Unknown EXPOSURES FOR L. longbeachae GARDENING EXPOSURES: (include all exposures within the exposure period)
wLegionellosis-investigation-form.docx