Legionella
E-news -- 28 May 2003
**IN
THIS ISSUE**
1. EPA Guide Outlines Legionella Preventive Measures
2. HSE Releases New Legionnaires' Guidance
3. Seven New Audio And Web Seminars
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1. EPA GUIDE OUTLINES LEGIONELLA PREVENTIVE MEASURES
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US EPA regulations for Legionella pertain primarily to water suppliers
rather than to building operators. However, in EPA's "Guidance
Manual for the Compliance with the Filtration and Disinfection
Requirements for Public Water Systems Using Surface Water Sources, March
1991," recommendations are provided for large institutions for the
detection and control of legionellae. Here's an excerpt from Appendix B,
"Institutional Control of Legionella":
"As
discussed in this document, treatment requirements for disinfection of a
municipal water supply are thought to provide at least a 3 log reduction
of Legionella bacteria (see Section 3.2.2). However, some
recontamination may occur in the distribution system due to cross
connections and during installation and repair of water mains. It has
been hypothesized that the low concentrations of Legionella entering
buildings due to these sources may colonize and regrow in hot water
systems (USEPA, 1985). Although all of the criteria required for
colonization are not known, large institutions, such as hospitals,
hotels, and public buildings with recirculating hot water systems seem
to be the most susceptible. The control of Legionella in health care
institutions, such as hospitals, is particularly important due to the
increased susceptibility of many of the patients. The colonization and
growth of Legionella in drinking water primarily occurs within the
consumer's plumbing systems after the water leaves the distribution
system. Therefore, the control of these organisms must be the consumer's
responsibility. This appendix is intended to provide guidance to these
institutions for the detection and control of the Legionella bacteria.
"It
is suggested that hospitals, and other institutions with potential for
the growth of Legionella, conduct routine monitoring of their hot water
systems at least quarterly. The analytical procedures for the detection
of these organisms can be found in Section 912.I 'legionellosis' of the
16th edition of Standard Methods. Samples should be taken at, or closely
following, the hot water storage reservoir and from a number of
showerheads. It is recommended that showers with the least frequent
usage be included in the sampling program. Follow-up testing is
suggested for all positive indications prior to the initiation of any
remedial measures. If the presence of Legionella is confirmed, then
remedial measures should be taken. Although the regrowth of Legionella
is commonly associated with hot water systems, hot and cold water
interconnections may provide a pathway for cross contamination. For this
reason, systems detecting Legionella in hot water systems should also
monitor their cold water systems."
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2. HSE RELEASES NEW LEGIONNAIRES' GUIDANCE
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The Health and Safety Executive (HSE) has released new Legionnaires'
guidance in a free leaflet, "Essential Information for Providers of
Residential Accommodation." The leaflet emphasizes that, having
removed the 300-litre limit for hot and cold water systems, the Approved
Code of Practice now affects local authorities, universities, housing
associations, charities, hostels, landlords, managing agents, hoteliers,
and caravan and campsite owners.
HSE
has also released a revised video, "An Introduction to the Control
of Legionella Bacteria in Water Systems." The video, accompanied by
a series of checklists, tells how to manage and control Legionella in
cooling towers and domestic water systems. It covers risk assessments,
treatment, control, monitoring, cleaning, and disinfection. For more
information, go to http://www.hse.gov.uk/press/2003/e03080.htm.
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3. SEVEN NEW AUDIO AND WEB SEMINARS
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These are live, interactive audio or web seminars that people worldwide
can participate in from their homes or offices. Each course runs 60 to
90 minutes and costs US$159. "Waterborne Pathogens: Illness,
Prevalence, and Risk Reduction Strategies," will be taught by Kelly
Reynolds, PhD. Janet Stout, PhD, will teach "Legionnaires' Disease:
Update on Diagnosis, Treatment, Microbiology, Environmental Monitoring,
and Disinfection." The titles of the other five courses, taught by
Matt Freije, are "Legionnaires' Disease: Guidelines, Litigation,
and Risk Management," "Minimizing Conditions for Legionella
and Other Bacteria in Domestic Water Systems," "Reducing the
Risk of Legionella in Cooling Towers," "How to Sample Water
Systems for Legionella," and "Disinfecting Potable Water
Systems." Courses are scheduled for June and September. Be sure to
register at least four days in advance to ensure timely receipt of the
course manuals. For dates and times and other details, go to http://hcinfo.com.
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Copyright 2003, HC Information Resources Inc. You have permission to
send this newsletter to others, post it on your web site, or include it
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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
http://hcinfo.com
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