European Stars And Stripes (Newspaper) - June 15, 1985, Darmstadt, Hesse                                June 1985 the stars and stripes Page 17 modern living doctors still Puzzle Over legionnaires disease by Paul Raeburn associated press almost 10 years after the discovery of legionnaires1 researchers still Dis agree Over How it is and some doctors believe Many cases Are going it May be a major cause of undiagnosed pneumonia in the United and that tragic be cause its preventable and can be says Vic Tor an infectious disease specialist at the veterans administration medical Center in despite the relative ease with which legionnaires disease can be officials in have just reported the 37th death in an outbreak of legionnaires disease there that began in april and was identified As legionnaires disease on May in authorities Are investigating a suspected outbreak that resulted in the death of a 76yearold minister and illness in 29 others following a hotel ban legionnaires disease was recognized in when 34 people died and 221 others became ill during an outbreak at an american legion convention in Phila the symptoms of the disease usually begin two or three Days after exposure and include muscle aches and chills and sometimes Abdo Minal pain the illness is somewhat difficult to in part because its victims do not initially cough up fluid from their lungs that can be said Seth Berkley of the Federal governments Center for disease control in it makes it hard to do the easiest which is to look at this and see what organisms Are in he another alternative searching in the blood for anti bodies to the bacteria that cause the disease is not too effective because it takes two or three weeks after infection for antibodies to and because antibodies can be present when there is no Berkley it is becoming apparent that the illness is a leading cause of pneumonia in you we feel bad because these people come to us for other illnesses and its something they would not have gotten if they haunt come to the he eradication of the bacterium that causes the disease legion Ella Neu Sophila is because it is so the researchers its just about everywhere you look for said if the organism is so Why Doest legionnaires disease strike everyone it is not a very virulent said it really Doest Hurt you unless you have a tremendous dose of the organism or if you have something wrong with a Hospital has All kinds of people with something wrong with in the initial outbreak in Philadelphia and in subsequent Many of the victims were older people who had smoked for a Long you people who smoke tend to come Down with respiratory he diagnosing the illness is important because a common is effective against while Many More potent antibiotics Are you the Center for disease control estimates that people a year in the United states get legionnaires but you thinks the incidence could be he has also differed with the Center for disease control on the Likely source of the bacteria causing the the cd maintains that air conditioning systems Are frequently the spewing microscopic droplets of water Laden with bacteria into the you contends that drinking water supplies Are the Likely source of he has found that briefly heating water to 160 de Grees can destroy the he has advised that Hospital hot water systems should regularly be checked for the presence of the bacteria and should be raised to that temperature if bacteria Are the current approach is to put out a fire when you see it shows were not learning our people Are dying from a disease that i claim is heading off serious depression by Malcolm Ritter associated press serious depression costs american society billion and More than lives a but some of the suffering could be reduced if vulnerable people would get help be fore the disorder sets divorced and separated the recently bereaved and children of the mentally ill Are among High risk intervention might head off or weaken later de according to researchers at the annual meeting of the american psychiatric association in currently a person must be suffering from de pression before the mental health Field will deign to said Richardo associate psychology professional at the University of California at san fran prevention efforts would be aimed not at the Normal spells of feeling Blue that everyone expert but at a much More serious condition of de it involves loss of pleasure and interest in and usually includes additional symptoms such As loss of guilt and Suici dal perhaps 3 million to 4 million adults suffer from such depression at any one said Alan assistant professor of psychiatry at the Emory univer sity school of Medicine in that represents 2 percent to 3 percent of the adult he depression probably accounts for More than suicides a he youre looking at an illness that probably kills As Many people As drunk Drivers the annual Cost to society includes billion for care of the plus about billion in lost said Richard Frank of the Johns Hopkins school of Public health and Hygiene in the smaller figure is about 11 percent of total costs of care for mental he depression responds to drug treatment and to no drug Stoudemire but Only 15 percent to 25 percent of its victims Are being treated for most victims go to a family physician with complaints like sleep disturbances or just feeling he and doctors who dont recognize the underlying problem end up simply treating the so far theres no proof that depression can be pre but the whole Field is just coming its said Morton chief of the Center for prevention research at the National Institute of mental health in were not going to prevent All because the disorder is caused by Many he weve just got to target our interventions toward the most promising he a first step is to find just who is at High risk for the he studies have shown unusually High rates in the chronically physically peo ple newly diagnosed with High blood pressure and close relatives of people with schizophrenia and he people who lost parents at an Early those under extreme stress and those who have lost a Job or spouse Are also at higher according to a paper coauthored by one intervention approach is being tested by since behavioural techniques have been effective in outpatient treatment of he they May work in Munoz is testing the usefulness of teaching medical who Are at higher risk for the symptoms of the disorder and techniques to modify their thoughts and actions to gain control Over their its too soon in the study to say if such knowl Edge can help them avoid he one goal for interventions might be to Lessen the Impact of recurring stresses that could Lead to de Silverman that would follow from the kindling theory of which holds that Early minor stresses can work like kindling in a gradually building up to major episodes of Stoudemire said depression victims could be helped More quickly if physicians and who Are in Good positions to see Early Are taught to recognize the Erm Bombeck Ever since the fashion Industry Peregu i dont know what to Wear it was easy when formal meant White gloves to the Corsage to the naval and Hemline to the Dressy meant Hose and sunday and casual translated to anything you could breathe Wash stains put and wrinkled around your stomach if you sat in it too that was before  came i Haven been dressed properly one night i showed up at a dinner where i was the i had on a full length Chiffon gown and Moth sleeves that looked like i was looking Lor a flame to dance everyone in the audience looked like they had just come from a Bowling another i wore a polyester Slack suit with the elastic Waistband and plastic Bracelet that glowed in the dark and every other guest had just come from the dynasty in the last 10 i have not been to one event where someone did not come up and you didst have time to go Home and change before you came in sick and tired of being the Only machine washable at a  someone has to set the standards lets talk either were going to bed in them or we but swooping around in them table hopping at a 1 jeans Are i dont care if they do fit and Cost and you Wear them with five Inch heels and a sequined Over Blouse and have a White wine spot on the leg and a designer there still hats Are for a Bette Midler that cutoff shorts at a Church service Are definitely a i know some people feel they can get away with them if they Are accessorized by carrying a Frisbee one their car keys in the and a confident smile that Christ wore but its never Wear anything so Bare or transparent in the daytime you cant pin a name tag on obscene shirts if you must Wear them should never be worn during afternoon or prime Only during the late hours when children Are in i some will accuse me of stifling imagination and suppressing fashion but some of us just Arent ready for i realized that the other night when i went to an affair billed Only As Black tie re i was the Only woman there wearing c lot Syndicate