was identified by astute and vigilant
epidemiologists after men who had attended a convention of the American Legion in
Philadelphia in 1976 succumbed to a lethal variety of pneumonia that resisted conventional
antibiotics [21]. Retrospectively, earlier
outbreaks in other places were identified. Legionnaires' disease is caused by Legionella
pneumophilia, an elusive microbe that lurks in warm, moist environments, such as
poorly maintained air conditioners and Turkish baths. The detective work that clarified
the Philadelphia outbreak is a fascinating story.Legionnaires' disease illustrates how
the combination of what may have previously been an innocuous microbe and some of the
inventions and technologies intended to add to the comfort of modern life can produce a
dangerous brew. Comfort can have a high price.
Legionnaires' disease can kill. Lyme disease mostly just cripples. This disease carries
the name of the town in Connecticut where it was identified in the 1970s [22]. Lyme disease is due to a spirochete, Borrelia
burgdorferi. This is transmitted by ticks whose natural host is deer and other
ungulates. B. burgdorferi may have been around for millennia. But something has
changed recently to make this a human problem. Perhaps it is predator-prey relationships
between deer and wolves: as predators decline, their prey proliferate. Perhaps it is
encroachment of human settlements into the deers' habitat. Perhaps both or other processes
are occurring.