1. Session 1: Welcome to the programme
Facilitator notes:
Legionnaires’ disease: Risk assessment, outbreak investigation and control
Session 1: Welcome to the programme
ECDC, 2011

2. Overall objectives of the programme: Epidemiological investigation
To know the epidemiology of LD
To know the value, steps and methods of epidemiological LD outbreak investigation
To understand the LD surveillance system at European level (including case definition, what to report, when and to whom)
To understand principles involved in preparing a questionnaire for an epidemiological LD outbreak investigation
To understand/interpret results of epidemiological LD outbreak investigation

3. Overall objectives of the programme: Microbiological investigation
To know clinical laboratory methods available to confirm diagnosis of LD, the time they take and their limitations
To know the role and value of clinical laboratory methods in LD outbreak investigation
To understand the importance of rapid communication of laboratory results
To understand/interpret clinical laboratory results in LD outbreak investigation

4. Overall objectives of the programme: Environmental investigation
To know common settings and sources of LD outbreaks, especially how manmade environments favour growth of Legionella
To understand principles of risk assessment in an LD outbreak investigation
To know common measures to control LD outbreaks
To carry out risk assessment as part of LD outbreak investigation
To understand/interpret environmental laboratory results in LD outbreak investigation

5. Teaching and learning methods
The programme uses a range of approaches, including interactive lectures, group seminar discussions and scenario based learning sessions
These methods are participatory and appropriate for professionals who bring a wealth of experience to the programme.
A participatory approach enables individuals to draw on their own experience and learn in an active way. It enables a more equal relationship between participants and facilitators

6. Ground rules for participatory learning
Treat everyone with respect at all times, regardless of gender, age or cultural differences
Ensure and respect confidentiality so that facilitators and participants are able to discuss issues without fear of repercussions
Agree to respect and observe time-keeping and to begin and end the sessions on time
Ensure everyone has the opportunity to be heard
Be willing to accept and give constructive feedback
Draw on the expertise of other participants in difficult situations
Adherence to the above rules will ensure an effective and enjoyable learning experience.

7. Introducing each other using the shield technique
ME AND MY JOB
WHY I AM HERE
MORE ABOUT ME
WHAT I HAVE TO OFFER

8. Day 1 Session 1: Introduction to the programme
Session 2: Clinical and epidemiological aspects of LD
Session 3: Ecology of Legionella and the ecological basis for control
Session 4: Water systems and Legionella control measures
Session 5: Laboratory investigations: diagnostics and typing

9. Day 2 Session 6: Principles of outbreak investigation
Session 7: Major settings in relation to LD outbreaks
Session 8: Risk assessment
Session 9: Risk assessment workshop

10. Day 3 Session 10: Site visits Session 11: Feedback
Session 12: Communication and media
Session 13: Start of the Outbreak Investigation Workshop

11. Day 4
Sessions 13-15: Continuation of the Outbreak Investigation Workshop
Session 16: Consolidation and evaluation/action plans

12. Facilitator notes:
Acknowledgements The creation of this training material was commissioned in 2010 by ECDC to Health Protection Agency (UK) and the University of Chester (UK) with the direct involvement of Louise Brown, Janice Gidman, Emma Gilgunn-Jones, Ian Hall (on behalf of the ECDC Legionnaires Disease Outbreak Toolbox Development Group), Tim Harrison, Rob Johnston, Carol Joseph, Sandra Lai, John Lee, Falguni Naik, Nick Phin, Michelle Rivett, and Susanne Surman-Lee. The revision and update of this training material was commissioned in 2017 by ECDC to Transmissible (NL) with the direct involvement of Arnold Bosman and Kassiani Mellou.