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Users of the whirlpool spa on the deck were fewer than 10 a day.
The attack rate was 71 % (27\38) and 24 cases (83 %) used the whirlpool.
She had used neither pool nor spa except for the women's indoor spa and possibly also the whirlpool spa on the ship.
As media attention was focused on the whirlpool, it is possible that some of the non-responders did not visit the whirlpool area.
Disentangling the activities among the epidemiological cases who visited the whirlpool area showed that 23 of 24 cases had used both whirlpool and shower.
After adjusting for confounding factors, only the use of the whirlpool proved to be a risk factor.
Students and staff were battered from all sides, sometimes on top of the wave and sometimes struggling in eddies and whirlpools.
Visiting the whirlpool area, taking a shower or using the whirlpool or the sauna were the activities most associated with a high risk for infection.
The transitional cohort of older people has been caught up in and marginalised by the whirlpool of political, economic, social and migrationrelated changes since 1990.
I expected to open the cover and be drawn into a whirlpool of complicated statistical equations and methodologies.
With our clinically based case definition we found only two cases who had not visited the whirlpool area.
The core of the structural and syntactic matrix is hollow, like the center of a whirlpool.
But epidemiological investigation strongly suggests that the whirlpool was the source of the outbreak.
He had used the men's indoor spa bath twice a day for 3 days, but neither a whirlpool spa nor a warm pool during the cruise.
Nonetheless, our investigation shows that the conditions for an outbreak of serious legionellosis were present which underlines the importance of strict maintenance routines and regular controls of whirlpools.
