Table 1. Number and rate of Legionnaires’ disease cases per 100 000 population by country and year, EU/EEA, 2011–2015 Country 2011 2012 2013 2014 2015.

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Table 1. Number and rate of Legionnaires’ disease cases per 100 000 population by country and year, EU/EEA, 2011–2015 Country 2011 2012 2013 2014 2015 Cases Rate National data Report type ASR* Confirmed cases Austria 101 1.2 104 100 133 1.6 Y C 160 1.9 1.7 152 Belgium 79 0.7 84 0.8 155 1.4 200 1.8 196 172 Bulgaria 0.0 1 Croatia . 48 1.1 1.0 Cyprus 0.1 7 6 2 0.2 Czech Republic 57 0.5 56 67 0.6 110 120 Denmark 123 2.2 127 2.3 113 2.0 158 2.8 185 3.3 3.1 144 Estonia 3 10 8 0.4 Finland 9 15 0.3 17 16 France 1170 1298 1262 1348 1389 2.1 1350 Germany 635 628 810 832 865 0.9 664 Greece 18 29 38 27 Hungary 37 33 32 58 44 Iceland 4 Ireland 14 11 Italy 1021 1346 1363 1510 2.5 1556 2.6 1535 Latvia 49 2.4 34 22 Lithuania 5 Luxembourg 1.3 Malta Netherlands 311 304 308 348 419 393 Norway 25 40 51 60 Poland 12 23 Portugal 89 140 94 588 5.6 145 Romania Slovakia Slovenia 81 3.9 77 3.7 59 2.9 106 5.1 4.8 105 Spain 706 1.5 972 815 925 1024 1018 Sweden 102 122 136 142 United Kingdom 251 401 331 370 412 405 EU/EEA 4921 5848 5832 6951 7034 6573 ASR: age-standardised rate, C: case-based reporting Suggested citation: European Centre for Disease Prevention and Control. Annual epidemiological report 2017. Legionnaires’ Disease. Stockholm: ECDC; 2016. © European Centre for Disease Prevention and Control, 2016. Reproduction is authorised, provided the source is acknowledged

Figure 1. Rate of confirmed Legionnaires’ disease cases per 100 000 population by country, EU/EEA, 2015 Source: Country reports from Austria, Belgium, Bulgaria, Cyprus, the Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Malta, the Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, the United Kingdom. Suggested citation: European Centre for Disease Prevention and Control. Annual epidemiological report 2017. Legionnaires' disease. Stockholm: ECDC; 2016. © European Centre for Disease Prevention and Control, 2016. Reproduction is authorised, provided the source is acknowledged

Figure 2. Number of Legionnaires’ disease cases by month, EU/EEA, 2011−2014 Source: Country reports from Austria, Belgium, Bulgaria, Cyprus, the Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Malta, the Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, the United Kingdom. Suggested citation: European Centre for Disease Prevention and Control. Annual epidemiological report 2017. Legionnaires' disease. Stockholm: ECDC; 2016. © European Centre for Disease Prevention and Control, 2016. Reproduction is authorised, provided the source is acknowledged

Figure 3. Number of Legionnaires’ disease cases by month and 12-month moving average, EU/EEA, 2011−2015 Source: Country reports from Austria, Belgium, Bulgaria, Cyprus, the Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Malta, the Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, the United Kingdom. Suggested citation: European Centre for Disease Prevention and Control. Annual epidemiological report 2017. Legionnaires' disease. Stockholm: ECDC; 2016. © European Centre for Disease Prevention and Control, 2016. Reproduction is authorised, provided the source is acknowledged

Figure 4. Rate of Legionnaires’ disease cases per 100 000 population, by age and gender, EU/EEA, 2015 Source: Country reports from Austria, Belgium, Bulgaria, Croatia, Cyprus, the Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, the Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, the United Kingdom. Suggested citation: European Centre for Disease Prevention and Control. Annual epidemiological report 2017. Legionnaires' disease. Stockholm: ECDC; 2016. © European Centre for Disease Prevention and Control, 2016. Reproduction is authorised, provided the source is acknowledged

Table. Legionnaires’ disease, surveillance systems overview, 2015 Surveillance Data reported by Case definition used characteristics Country Data source L P H O Austria AT-Epidemiegesetz Cp Co C Y EU-2008 Belgium BE-FLA_FRA_LABNET_REFLAB A . Not specified/unknown Bulgaria BG-NATIONAL_SURVEILLANCE EU-2012 Croatia HR-CNIPH Cyprus CY-NOTIFIED_DISEASES N Czech Republic CZ-EPIDAT Denmark DK-MIS Other Estonia EE-NAKIS Finland FI-NIDR France FR-MANDATORY_INFECTIOUS_DISEASES Germany DE-SURVNET@RKI-7.1 Greece EL-NOTIFIABLE_DISEASES Hungary HU-EFRIR Iceland IS-SUBJECT_TO_REGISTRATION Ireland IE-CIDR Italy IT-LEGIONELLOSIS Latvia LV-BSN Lithuania LT-COMMUNICABLE_DISEASES Luxembourg LU-SYSTEM1 EU-2002 Malta MT-DISEASE_SURVEILLANCE Netherlands NL-OSIRIS Norway NO-MSIS_A Poland PL-NATIONAL_SURVEILLANCE Portugal PT-LEGIONELLOSIS Romania RO-RNSSy Slovakia SK-EPIS Slovenia SI-SURVIVAL Spain ES-STATUTORY_DISEASES Sweden SE-SMINET United Kingdom UK-LEGIONELLOSIS Surveillance characteristics: compulsory (Cp), voluntary (V), other (O), active (A), passive (P), case-based (C), aggregated (A) Data reported by: laboratories (L), physicians (P), hospitals (H), other (O) Suggested citation: European Centre for Disease Prevention and Control. Annual epidemiological report 2017. Legionnaires’ Disease. Stockholm: ECDC; 2016. © European Centre for Disease Prevention and Control, 2016. Reproduction is authorised, provided the source is acknowledged