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Some of these countries have legislation and guidance.There is awide
variation in cases per million population from 22.1 cases per million in
Denmark, down to no cases per million in Romania and Bulgaria. It is
known that there is certainly legislation and guidance in theNetherlands,
FranceandSpainaswellas in theUK. However, theNetherlands isshowing
a level of cases almost fivefold higher than theUK. Looking at the above
figures the followingquestions couldbe asked:-
•Why is therenoLegionnaires’Disease inRomania andBulgaria
• Is it because theydonotmonitor for it areare they extremelygoodat
controlling it
•Why is theNetherlands almost five times higher than theUK
•IstheUKbetterarecontrollingandreducingrisk,oraretheNetherlands
better at identifying and recording cases of Legionnaires’Disease
•Why, with legislation and guidance in the Netherlands, France and
Spain, are thenumber significantlyhigher that theUKwhich alsohas
