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Our analysis reveals the existence of previously undetected endemic clones of L pneumophila
that existed for many years in hospital, community, and travel-associated environments.
In light of these findings, we propose that cluster and outbreak definitions should
be reconsidered, and propose WGS-based surveillance as a critical public health tool
for real-time identification and mitigation of clinically important endemic clones. ....

United Kingdom , United Kingdom Scientific Advisory Group On Emergencies , Scientific Advisory Group , Virus Threat Advisory Group , Sciences Research Council United Kingdom , Research Council Precision Medicine Doctoral Training Programme , Scottish National Incident Management , Public Health Scotland , Health Protection Scotland , Scientific Steering Committee , Scientist Office , Head Of Health Protection Infection Services , European Centre For Disease Prevention , Research Council United Kingdom , Jm National Health Service , Multi Locus Sequence Typing , Biological Sciences Research Council , Wellcome Trust , Medical Research Council , Health Protection , Infection Services , Clinical Director , European Horizon , European Centre , Disease Prevention , United Kingdom New ,