For months, many businesses, buildings, and facilities have remained closed during the COVID-19 outbreak. The temporary shutdowns have likely resulted in a reduction of normal water use in the buildings, which can create dangerous conditions for returning occupants, as States are reopening their local economies. One microbial hazard businesses should consider when planning their reopening is Legionella. Legionella bacteria causes Legionnaires’ disease, a serious type of pneumonia. It is found naturally in freshwater environments, but can grow and multiply in common, human-made water systems like hot tubs, spas, showerheads, decorative fountains and water features, large plumbing systems, and cooling towers…
New York City Council enacted a law in 2015 after a deadly outbreak of Legionnaires’ disease in the Bronx. The law requires that every cooling tower in New York City be identified, registered and inspected on a regular basis. The city has admitted recently that it is not sure it has found all cooling towers, three years after the legislation was passed (the city health department uses experts on the street and satellite imagery to find cooling towers). This failure to even identify all cooling towers takes on added significance after one remembers that there have been two recent outbreaks…
This office has had numerous inquiries regarding persons contracting Legionnaires’ disease. Often times the person does not know where they acquired the disease. Unfortunately, many times the person acquired the disease from a cooling tower. The cooling tower need not be in the vicinity of the person who acquired the disease, or even have been identified by health authorities. Consequently, the person may not know that a cooling tower has caused him or her to get sick. These cases are considered sporadic in nature. On the other hand, when a cooling tower has been identified as the source, as in…
As promised, this blog will cover US legislative attempts to control the bacteria legionella that causes Legionnaires’ disease. While many states have requirements as to the amount of residual chlorine that must be present in spas, no state has legislation to curtail legionella in cooling towers than New York. Unfortunately, the New York legislation does not cover the potable water system (showers, faucets, holding tanks, etc.) in a building, or any water feature such as a lobby fountain. This is completely different from the approach taken in the UK as explained in an earlier blog, which is national in nature…
As mentioned in a previous blog, the United Kingdom takes a very different approach to controlling Legionnaires’ disease. Unlike the United States, the UK has a national law, the Health and Safety Act of 1974 as amended, whereby owners of premises can be criminally prosecuted if in violation of the Act. The Act requires a regular risk assessment to identify any areas in a building such as a hotel that has or could develop the legionella bacteria. Outbreaks of Legionnaires’ disease result in a full investigation as well as a possible criminal prosecution. Greater detail will be provided about the…
In a previous post, we discussed an introduction to water system maintenance. More detailed resources, however, can clearly be of great assistance in situations like this. As such, the CDC actually provides a great page to review other significant guidelines and standards that may be applicable. Resources on the page include everything from ASHRAE to the Cooling Tower Institute however what’s also of interest is that the page provides links to more healthcare-specific guidelines including those from the Centers for Medicare and Medicaid Services as well as, of course, the CDC’s own guidelines on both matters. Here are some of…
Over the course of the past few weeks, we have covered cooling towers and how they can serve as potential breeding grounds for Legionella bacteria. This appears to be the case in Long Island as a school district there announced that Legionella bacteria was found in the cooling towers at three of their schools. According to the Sachem Central School District at Holbrook’s superintendent, James Nolan, the bacteria was detected in the cooling towers at Seneca, Sequoya and East schools after conducting scheduled testing in order to be in compliance with New York state regulations. Once discovered, the cooling towers…
About 2 months ago, this page discussed some methods for reducing the risk of Legionnaires’ disease. That post, while informative, often felt a little wonky and clearly focused heavily upon the monitoring of the water system. While clearly designing an effective water system plan with monitoring is vital, this post intends to examine some more practical prevention methods for Legionella bacteria and the contraction of Legionnaires’ disease that can be incorporated in a water system plan. A good place to start is with the actual temperature of the water. To prevent the development of Legionella bacteria, it is suggested that water…
Numerous topics surrounding Legionella bacteria and Legionnaires’ disease have come up on this site. As an effort to take a step back and examine some of the basics, this post seeks to examine various forms of control and prevention for Legionella bacteria. One effective chemical treatment is chlorine. This is particularly effective for systems with basic marginal issues however for systems with more significant problems, a ‘shock’ chlorination, i.e. when chlorine levels are raised to more than 2 ppm over 24 hours and then brought back down to 0.5 ppm can sometimes prove effective. Hyperchlorination is a somewhat similar process however it…
NSF International, a global public health organization that develops standards and tests and certifies products for the water, food, consumer goods and health sciences industries will be hosting the first ever Legionella Conference alongside the National Science Foundation. The conference, specifically entitled the Legionella Conference 2018 – Managing Legionella and Other Pathogens in Building Water Systems, will be occurring from May 9-11, 2018, in Baltimore, Maryland and represents the first time experts with various backgrounds including from academia, medicine, industry, public health and government will come together in order to discuss Legionella along with other related pathogens which can be found in water distribution systems. Specifically, the conference…