Management of Legionella in Water Systems

Management of Legionella in Water Systems

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2020-02-20

Total Pages: 291

ISBN-13: 030949382X

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Legionnaires' disease, a pneumonia caused by the Legionella bacterium, is the leading cause of reported waterborne disease outbreaks in the United States. Legionella occur naturally in water from many different environmental sources, but grow rapidly in the warm, stagnant conditions that can be found in engineered water systems such as cooling towers, building plumbing, and hot tubs. Humans are primarily exposed to Legionella through inhalation of contaminated aerosols into the respiratory system. Legionnaires' disease can be fatal, with between 3 and 33 percent of Legionella infections leading to death, and studies show the incidence of Legionnaires' disease in the United States increased five-fold from 2000 to 2017. Management of Legionella in Water Systems reviews the state of science on Legionella contamination of water systems, specifically the ecology and diagnosis. This report explores the process of transmission via water systems, quantification, prevention and control, and policy and training issues that affect the incidence of Legionnaires' disease. It also analyzes existing knowledge gaps and recommends research priorities moving forward.


Legionnaires' Disease

Legionnaires' Disease

Author: Great Britain. Health and Safety Commission

Publisher: Health and Safety Executive (Hse)

Published: 2000

Total Pages: 62

ISBN-13: 9780717617722

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Legionnaires' Disease : The Control of Legionella Bacteria in Water Systems


Recognition, Evaluation and Control of Legionella in Building Water Systems

Recognition, Evaluation and Control of Legionella in Building Water Systems

Author: William Kerbel

Publisher:

Published: 2022

Total Pages: 0

ISBN-13: 9781523147540

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This document is intended to provide guidance on recognition, evaluation, and control of Legionella colonization and amplification in common building water systems, both with and without any associated disease (legionellosis). This document expands upon information previously presented in two AIHA publications: Field Guide for the Determination of Biological Contaminants in Environmental Samples, 2nd edition and this book.


Legionnaire's Disease

Legionnaire's Disease

Author: Great Britain, Health and Safety Executive Staff

Publisher:

Published: 2003-05-23

Total Pages: 0

ISBN-13: 9780717621989

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These checklists were developed to accompany a video on the subject of Legionnaire's disease (SB: 10700). They are designed to be used by the responsible person to audit arrangements in place in premises to control legionella in water systems. The checklists are intended to audit the risk assessment process and take the responsible person through the recommended measures in the Approved Code of Practice and guidance on the control of legionella bacteria in water systems, so they can audit the arrangements in place. They do not give guidance but are intended to supplement the guidance available. A copy of the checklists will accompany the video. They are also available in priced packs.


Puzzled by Legionella: a Guide to Understanding Detection, Prevention, and Water Management

Puzzled by Legionella: a Guide to Understanding Detection, Prevention, and Water Management

Author: Janet E. Stout

Publisher:

Published: 2021-08-06

Total Pages:

ISBN-13: 9781649706911

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GoalsLegionnaires' disease is a severe infection caused by Legionella bacteria that affects more than 10,000 people in the United States every year, with 10% of those people dying from the disease. The goal of this guide is to educate professionals involved with water safety and management programs, including infection preventionists, risk management professionals, public health professionals, safety officers, facility managers, engineering and maintenance staff, water treatment professionals, and consultants. Through the education and training provided in this guide, we hope to reduce the risk of Legionnaires' disease in facilities. The information in this guide will complement in-person training programs on Legionnaires' disease and water safety and management. By working together, we can end Legionnaires' disease!


Legionella and the Prevention of Legionellosis

Legionella and the Prevention of Legionellosis

Author: Jamie Bartram

Publisher: World Health Organization

Published: 2007

Total Pages: 277

ISBN-13: 9241562978

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Water is the major natural reservoir for legionellae, and the bacteria are found worldwide in many different natural and artificial aquatic environments, such as cooling towers, water systems in hotels homes, ships and factories, respiratory therapy equipment, fountains misting devices and spa pools. This book provides a comprehensive overview on the sources, ecology and laboratory diagnosis of legionella. Guidance is provided on risk assessment and risk management of susceptible environments. The necessary measures to prevent, or adequately control, the risk from exposure to legionella bacteria are identified for each identified environment. Outbreaks of legionellosis generally cause a high level of morbidity and mortality in the people affected and as such the suspicion of an outbreak warrants immediate action. The policies and practice for outbreak management and the institutional roles and responsibilities of an outbreak control team are reviewed. This book will be useful to all those concerned with legionella and health, including environmental and public health officers, health care workers, the travel industry, researchers and special interest groups.


Legionella Contamination in Water Environment

Legionella Contamination in Water Environment

Author: Silvia Bonetta

Publisher: MDPI

Published: 2021-09-01

Total Pages: 298

ISBN-13: 3036506942

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Legionella spp. are ubiquitous microorganisms that are widely distributed in aquatic environments. Water systems of large buildings, such as hospitals, hotels, and rental units are often contaminated by legionellae and various parameters such as physical, chemical, and microbial building water system characteristics can influence Legionella occurrence. A range of physical and chemical disinfection methods have been proposed to control Legionella contamination; however, to date, the most effective procedures have not been defined. There is a need to survey legionellae in water systems to prevent legionellosis. Although the assessment of L. pneumophila in water is typically performed by culture isolation on selective media, it has several limits. For this reason, alternative tools for rapid, sensitive, and specific detection of Legionella in water samples have been proposed. In order to increase knowledge on different aspects of Legionella contamination in the water environment, this book gathers research studies related to the occurrence of Legionella in water systems of different environments; the role of different factors that can influence the Legionella contamination, as well as the advantages and disadvantages of different methodological approaches.


Decontamination in Hospitals and Healthcare

Decontamination in Hospitals and Healthcare

Author: James T. Walker

Publisher: Woodhead Publishing

Published: 2019-11-26

Total Pages: 594

ISBN-13: 0081025661

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Decontamination in Hospitals and Healthcare, Second Edition, enables users to obtain detailed knowledge of decontamination practices in healthcare settings, including surfaces, devices, clothing and people, with a specific focus on hospitals and dental clinics. - Offers in-depth coverage of all aspects of decontamination in healthcare - Examines the decontamination of surgical equipment and endoscopes - Expanded to include new information on behavioral principles in decontamination, control of microbiological problems, waterborne microorganisms, pseudomonas and the decontamination of laundry


Drinking Water Distribution Systems

Drinking Water Distribution Systems

Author: National Research Council

Publisher: National Academies Press

Published: 2006-12-22

Total Pages: 404

ISBN-13: 0309133955

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Protecting and maintaining water distributions systems is crucial to ensuring high quality drinking water. Distribution systems-consisting of pipes, pumps, valves, storage tanks, reservoirs, meters, fittings, and other hydraulic appurtenances-carry drinking water from a centralized treatment plant or well supplies to consumers' taps. Spanning almost 1 million miles in the United States, distribution systems represent the vast majority of physical infrastructure for water supplies, and thus constitute the primary management challenge from both an operational and public health standpoint. Recent data on waterborne disease outbreaks suggest that distribution systems remain a source of contamination that has yet to be fully addressed. This report evaluates approaches for risk characterization and recent data, and it identifies a variety of strategies that could be considered to reduce the risks posed by water-quality deteriorating events in distribution systems. Particular attention is given to backflow events via cross connections, the potential for contamination of the distribution system during construction and repair activities, maintenance of storage facilities, and the role of premise plumbing in public health risk. The report also identifies advances in detection, monitoring and modeling, analytical methods, and research and development opportunities that will enable the water supply industry to further reduce risks associated with drinking water distribution systems.