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LEGIONELLA
is a ubiquitous organism found in virtually all surface water sources.
The organism is classified in a number of sero groups.
Some of the sero groups are much more virulent than others.
When a heavily contaminated water source is atomized and then
deeply inhaled, it can cause a severe form of pneumonia.
People with impaired lung function or impaired immune function
are much more susceptible than others.
In any event, approximately 18,000 people are reported to
contract this form of Pneumonia each year in the United States.
Based on published reports, up to 30% of those who contract the
disease succumb to it.
The CDC combines Influenza and Pneumonia as a single
cause of death. The reason
for this is that you do not have to get the Flu to get Pneumonia but it
is the Pneumonia that will ultimately kill you.
Influenza/pneumonia is currently the 8th
leading cause of the death in the United States.
The Spanish Flu of 1918 wiped out roughly 5% of the entire
population of the planet.
To put this stuff in perspective, the odds of survival
after contracting Legionella are statistically lower than those who
contracted the Spanish Flu.
The only thing worse in recorded history along these lines would be the
Bird Flu which currently has a mortality rate of around 50% or more.
The bad news is that Legionella
is a pretty mean bug but the good news is it is fairly easily
controlled.
There are a number of guidelines that have been
published on the prevention and control of Legionella.
Some of these are as follows:
-
OSHA
-
ASHRAE
-
Cooling Tower Institute
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To
condense the Guidelines into a nut shell,
you need a good biocide program or high temperature to keep the
Legionella organism in check.
Eliminating the organism altogether may be desirable but not
always possible or even feasible.
You do however need a plan.
Putting your head in the sand and ignoring the threat is not a
good idea. This is how you
get in trouble.
In order to stay out of trouble, we recommend that
you implement a four point formalized program as follows:
Legionella Risk Assessment Program:
All organizations should implement a Risk
Assessment Program. This
means you should complete an audit of all systems where Legionella has a
chance of infecting a system and identifying the risk of someone
contracting Legionella through exposure to that system.
Legionella Guideline Compliance Review:
After completion of the Legionella Risk Assessment
Audit, you should review all procedures related to those systems to see
if they are in compliance with the generally accepted Guidelines for the
prevention or minimization of Legionella.
Legionella Auditing Program:
After you have reviewed the risks and guideline
compliance, it is time to look and see just how well this stuff is
working. The systems should
be sampled and tested for both count and sero group.
This needs to be done periodically and the testing should be
conducted by a laboratory well versed in this type of analysis.
Field testing for Legionella is not a very good idea unless it is
backed up by Lab analysis.
Legionella Reaction Protocol:
Before you test a system for Legionella you should
have a Reaction Protocol prepared.
A Reaction Protocol means
“what are we going to do when
we find it?”
The following is a partial list of common types of
waters that can become infected with Legionella:
- Cooling Towers
- Decorative Fountains
- Spray Misters
- Humidification Systems
- Domestic Hot Water
- Domestic Cold Water
- Swimming Pools
- Spas
Please contact us to help prepare your program
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