{"id":2354,"date":"2020-11-26T09:50:51","date_gmt":"2020-11-26T09:50:51","guid":{"rendered":"http:\/\/www.btaloos.co.uk\/?p=2354"},"modified":"2020-11-26T09:50:51","modified_gmt":"2020-11-26T09:50:51","slug":"legionaires-disease","status":"publish","type":"post","link":"http:\/\/www.btaloos.co.uk\/?p=2354","title":{"rendered":"LEGIONAIRES DISEASE"},"content":{"rendered":"\n<h1>Managing legionella in hot and cold water systems<\/h1>\n\n\n\n<p><strong>The official APPROVED CODE of PRACTICE from the HSE is ACOP L8 and can be found at:<\/strong><br><a href=\"https:\/\/www.hse.gov.uk\/pubns\/books\/l8.htm\"> https:\/\/www.hse.gov.uk\/pubns\/books\/l8.htm<\/a> <\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2>What is legionella?<\/h2>\n\n\n\n<p>Legionella bacteria is commonly found in water. The bacteria multiply where temperatures are between 20-45\u00b0C and nutrients are available. The bacteria are dormant below 20\u00b0C and do not survive above 60\u00b0C.<\/p>\n\n\n\n<p>Legionnaires\u2019 disease is a potentially fatal type of pneumonia, contracted by inhaling airborne water droplets containing viable Legionella bacteria. Such droplets can be created, for example, by: hot and cold water outlets; atomisers; wet air conditioning plant; and &nbsp;whirlpool or hydrotherapy baths.<\/p>\n\n\n\n<p>Anyone can develop Legionnaires\u2019 disease, but the elderly, smokers, alcoholics and those with cancer, diabetes or chronic respiratory or kidney disease are at more risk.<br>HSE\u2019s&nbsp;<a href=\"https:\/\/www.hse.gov.uk\/legionnaires\/index.htm\">Legionnaires\u2019 disease<\/a>&nbsp;page provides information on managing the risks<\/p>\n\n\n\n<h2>What you need to do<\/h2>\n\n\n\n<p>Health and social care providers should carry out a full risk assessment of their hot and cold water systems and ensure adequate measures are in place to control the risks.<\/p>\n\n\n\n<h2>Using temperature control<\/h2>\n\n\n\n<p>The primary method used to control the risk from Legionella is water temperature control.<br>Water services should be operated at temperatures that prevent Legionella growth:<\/p>\n\n\n\n<ul><li>Hot water storage cylinders (calorifiers) should store water at 60\u00b0C or higher<\/li><li>Hot water should be distributed at 50\u00b0C or higher (thermostatic mixer valves need to be fitted as close as possible to outlets, where a scald risk is identified).<\/li><li>Cold water should be stored and distributed below 20\u00b0C.<\/li><\/ul>\n\n\n\n<p>A competent person should routinely check, inspect and clean the system, in accordance with the risk assessment.<\/p>\n\n\n\n<p>You must identify \u2018sentinel\u2019 outlets (furthest and closest to each tank or cylinder) for monthly checking of the distribution temperatures. You should also check the hot water storage cylinder temperatures every month and cold water tank temperatures at least every six months.<\/p>\n\n\n\n<p>Stagnant water favours Legionella growth. To reduce the risk you should remove dead legs\/dead ends in pipe-work, flush out infrequently used outlets (including showerheads and taps) at least weekly and clean and de-scale shower heads and hoses at least quarterly. Cold-water storage tanks should be cleaned periodically and water should be drained from hot water cylinders to check for debris or signs of corrosion.<\/p>\n\n\n\n<p>Design systems to minimise Legionella growth, by:<\/p>\n\n\n\n<ul><li>keeping pipe work as short and direct as possible;<\/li><li>adequately insulating pipes and tanks;<\/li><li>using materials that do not encourage the growth of Legionella;<\/li><li>preventing contamination, eg by fitting tanks with lids and insect screens.<\/li><\/ul>\n\n\n\n<h2>Additional controls<\/h2>\n\n\n\n<p>Water samples should be analysed for Legionella periodically to demonstrate that bacteria counts are acceptable. The frequency should be determined by level of risk, in accordance with the risk assessment.<\/p>\n\n\n\n<h2>Other control methods<\/h2>\n\n\n\n<p>Other methods to control Legionella include copper and silver ionisation and biocide treatments (eg chlorine dioxide). To ensure that they remain effective their application will need suitable assessment as part of the overall water treatment programme including proper installation, maintenance and monitoring.<\/p>\n\n\n\n<h2>Further information<\/h2>\n\n\n\n<ul><li><a href=\"https:\/\/www.hse.gov.uk\/legionnaires\/hot-and-cold.htm\">Hot and cold water systems<\/a>.<\/li><li><a href=\"https:\/\/www.hse.gov.uk\/legionnaires\/index.htm\">HSE Website \u2013 Legionnaires\u2019 disease<\/a>&nbsp;&#8211; provides guidance on managing the risks.<\/li><li><a href=\"https:\/\/www.hse.gov.uk\/pubns\/books\/l8.htm\">Legionnaires\u2019 disease. The control of Legionella bacteria in water systems (L8)<\/a>&nbsp;&#8211; sets out both established standards for managing the risks from Legionella and provides guidance on how to comply with the law.<\/li><li><a href=\"https:\/\/www.hse.gov.uk\/pubns\/books\/hsg220.htm\">Health and safety in care homes (HSG220)<\/a>&nbsp;&#8211; provides guidance on how to manage the risks at care homes.<\/li><li><a href=\"http:\/\/www.hpa.org.uk\/Topics\/InfectiousDiseases\/InfectionsAZ\/LegionnairesDisease\/\">HPA Website \u2013 Legionnaires\u2019 disease<\/a>&nbsp;&#8211; provides information on Legionnaires\u2019 disease and the requirement to report cases in England and Wales to the HPA.<\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Managing legionella in hot and cold water systems The official APPROVED CODE of PRACTICE from the HSE is ACOP L8 and can be found at: https:\/\/www.hse.gov.uk\/pubns\/books\/l8.htm What is legionella? Legionella bacteria is commonly found in water. The bacteria multiply where temperatures are between 20-45\u00b0C and nutrients are available. The bacteria are dormant below 20\u00b0C and<\/p>\n","protected":false},"author":3,"featured_media":2265,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[1],"tags":[],"_links":{"self":[{"href":"http:\/\/www.btaloos.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/2354"}],"collection":[{"href":"http:\/\/www.btaloos.co.uk\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.btaloos.co.uk\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.btaloos.co.uk\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"http:\/\/www.btaloos.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2354"}],"version-history":[{"count":1,"href":"http:\/\/www.btaloos.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/2354\/revisions"}],"predecessor-version":[{"id":2355,"href":"http:\/\/www.btaloos.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/2354\/revisions\/2355"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.btaloos.co.uk\/index.php?rest_route=\/wp\/v2\/media\/2265"}],"wp:attachment":[{"href":"http:\/\/www.btaloos.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2354"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.btaloos.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2354"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.btaloos.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2354"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}