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Legionella E-news -- 9 January 2003

**IN THIS ISSUE**
1. Couple Survives LD Because of Auto Accident and Smart Nurse
2. Procedure for Cleaning Hot Water Tanks
3. New One-Day Course on Plumbing Systems and Cooling Towers
4. Link to Article on Sampling
 

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1. COUPLE SURVIVES LD BECAUSE OF AUTO ACCIDENT AND SMART NURSE
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Posted at http://www.juneauempire.com/stories/122302/loc_miracle.shtml is an interesting story about an Alaskan couple that likely would have died of Legionnaires' disease had they not landed in the hospital following an auto accident. It illustrates just how quickly and ruthlessly Legionnaires' attacks...one day they felt fine and hours later were near death. Three cheers to the nurse who saved their lives by insisting on laboratory tests even against the physician's judgment.
 

================================================================== 2. PROCEDURE FOR CLEANING HOT WATER TANKS
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Several Legionella guidelines suggest routine cleaning of hot water storage tanks. It is best to hire a professional to clean a hot water tank, but it's hard to find companies that do it. Try the Yellow Pages under "chlorination" or "water treatment."
 

The following procedure, excerpted from Management Plan for Legionella and Other Waterborne Pathogens (http://hcinfo.com/managementplan.htm), is based on recommendations made by a professional tank cleaning company (this procedure is not appropriate for all tanks):  

a.    Drain the tank.     

b.    Add 2 gallons (7.57 liters) of sodium hypochlorite (12% liquid chlorine solution that is available from pool supply stores) for every 1000 gallons (3,785 liters) of tank capacity in order to reach 200 ppm chlorine in the tank when it is filled. Leave the tank filled with the  200 ppm chlorine solution for at least 3 hours.     

c.    Drain the tank again and clean it thoroughly. Flush out sediment. If feasible, spray with high-pressure steam or water to remove scale and to more thoroughly remove particles (be sure that the tank lining can tolerate high pressure spray).      

d.    After the tank is thoroughly cleaned, add 1 gallon (3.79 liters) of sodium hypochlorite (liquid chlorine) for every 1000 gallons (3,785 liters) of tank capacity in order to reach 100 ppm chlorine in the tank when it is filled. Leave the tank filled with the 100 ppm chlorine solution for 24 hours. If the tank cannot be taken offline for 24 hours, then use 2 gallons of chlorine for every 1,000 of water to achieve a concentration of 200 ppm, and leave the tank filled with the chlorinated water for four hours. 200 ppm for four hours is not as effective as 100 ppm for 24 hours, particularly for Legionella disinfection, so leave the solution in the tank for the full 24 hours if possible. In fact, it's best to leave the solution in the tank for 48 hours; however, if the tank is made of iron, do not leave the solution for longer than 24 hours to avoid rusting.     

e.    Flush the tank until all excess chlorine is removed.  

It has been reported that maintenance workers in Japan contracted Legionella infections after cleaning the interior of a hot water tank. Japanese guidelines therefore recommend against physical cleaning of tanks with high-pressure water or by other means prior to chemical disinfection, which is why the above procedure calls for chlorination before as well as after the physical cleaning. The use of high efficiency respirators may add protection. 

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3. NEW ONE-DAY COURSE ON PLUMBING SYSTEMS AND COOLING TOWERS
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"Minimizing the Risk of Legionella in Plumbing Systems and Cooling Towers" is an intensive one-day seminar for facility managers, engineers, plumbing code officials, plumbing inspectors, maintenance personnel, and technicians. It can be given as an open seminar or used for private training of industrial, health care, institutional, or corporate engineering/maintenance personnel.
 

Go to http://www.hcinfo.com/legionella1daycourse.htm for more information. A comparison of our one-day and two-day courses is posted at http://www.hcinfo.com/legionellaseminar.htm. 

If you have access to a meeting facility and would like to host a course, or if you would like private training for your organization, contact Matt Freije at 760-494-3063 or mf@hcinfo.com.  

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4. LINK TO ARTICLE ON SAMPLING
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The last issue of Legionella E-news included a broken link to Matt Freije's article "Testing the Waters: Facts to Consider When Deciding Whether to Sample for Legionella," which appeared in the October 2002 issue of Health Facilities Management. The URL was actually correct, but only one line of it was live, so simply clicking on it did not work. The software used to send this newsletter will not allow the entire link to be live, so be sure to paste all of it--not just the first line--into your browser. I apologize for the inconvenience. Here it is: http://www.hospitalconnect.com/hfmmagazine/jsp/articledisplay.jsp?dcrpa th=AHA/NewsStory_Article/data/0210HFM_Codes&domain=HFMMAGAZINE.

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******************************************************************* (c) Copyright 2003, HC Information Resources Inc. You have permission to send this newsletter to others, post it on your web site, or include it in listserv posts, under the strict condition that you include the following notice to properly credit the source: "Excerpted from Legionella E-news, a free e-newsletter available at http://hcinfo.com." 

THANK YOU! 

Matt Freije, Editor
HC Information Resources Inc.

Tel: 760-494-3063
Fax: 619-839-3166
hcinfo@hcinfo.com

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