If you need assistance with Legionnaire’s Disease and Legionella Pneumophila as discussed in this article, call us at 973-366-4660 or e-mail us at firstname.lastname@example.org for details and a free estimate.
Written By: Robert E. Sheriff, MS, CIH, CSP, President and Henry P. Shotwell, Ph.D., CIH, Vice-President
August 7, 2020
Legionnaire’s Disease Caused by Legionella Pneumophila
Legionnaire’s Disease is an environmentally transmitted disease caused by the Legionella Pneumophila bacteria that infect human hosts who breathe minute droplets of water that have been contaminated with the Legionella organism, a gram-negative bacterium.
The Legionnaire’s Disease bacteria thrive in water temperatures between 95 and 115 degrees Fahrenheit. Its growth is inhibited at temperatures outside this range.
Closures Causing A Resurgence
The Pandemic Shutdown caused by the CORONAVIRUS is causing an upsurge in Legionnaire’s Disease cases. Buildings are shutdown with reduced—or no—utilities operating. Stagnant water especially in hot water systems, cooling towers, and just stagnant water are creating an environment for the growth of the Legionella Bacteria and increased exposure and disease as people begin to re-occupy those buildings.
In residences, the most common sources of Legionella microorganisms are aerosolized water from sink traps and showerheads with the actual source being the hot water heater or old hot water piping.
In commercial buildings, medical buildings, and healthcare institutions, the most likely sources are hot water and cooling towers.
In medical facilities, especially for the elderly, it is not unusual to set the hot water temperature low (100-120°F) to prevent burns, but this creates a possible growth environment for the Legionella bacteria.
Hot Water and Cooling Systems
Cooling towers receive warm or hot water and cool it, but the warm water can be an incubator for Legionella Pneumophila if not properly treated. In other cases, hot tubs—and saunas—that were not properly treated with a bactericide have been sources of Legionnaire’s Disease and Pontiac Fever since the water temperature seems to be in the 100-120°F range.
Legionella is ubiquitous. It is likely to be found in every water system to some degree but in very small quantities. But just because Legionella is present, it doesn’t mean infection will occur. Sometimes, people who are hospitalized with respiratory problems are tested for Legionella antibodies and show a positive test. This doesn’t necessarily mean the patient has a case of Legionnaire’s Disease.
Most people have developed antibodies to Legionella without ever becoming infected. The truth is the most people who live in a mega-metropolitan area have been subjected to Legionella (such as NYC, Boston, Chicago) have developed antibodies for that bacteria.
Legionnaire’s Disease History
Legionnaire’s Disease first came to our attention in July 1976, when 240 attendees at an American Legion Convention in Philadelphia were struck by an unrecognized respiratory disease that claimed 34 lives. After many months’ investigation, the causative agent, a previously unknown bacterium, Legionella pneumophila, was identified. Today, there are 48 known species of Legionella. A milder form of this infection is called Pontiac Fever named for a 1968 outbreak in Pontiac, Michigan. Both Legionnaire’s and Pontiac Fever are caused by the same Legionella pneumophila bacterium, but patients with Pontiac Fever do not have pneumonia, unlike those with Legionnaire’s Disease.
The best way to minimize the possibility of a Legionella outbreak is through proper maintenance of the water system, especially the hot water systems and cooling towers. This includes identifying and removing “dead legs” in the piping which contains stagnant water; removal of scale, sediment and biofilm, controlling temperatures in the system, and regular treatments with biocides.
Consulting a local water treatment lab can provide you with a list of biocides that will be effective in controlling Legionella and at the same time minimize corrosion to the system’s tanks and piping. Sending them a water sample can determine if the bacteria is present.
When re-occupancy, after a building shutdown, flush all water systems and turn up the hot water systems to high BEFORE occupancy, then turn it back down after flushing the hot water system. If using a biocide, treat the system before occupancy.
The only way to know for sure if your facility’s water system is harboring potentially harmful levels of Legionella is to test the water. The USEPA approved procedure is to take two samples from a faucet; one is a “first catch,” collected when the hot water faucet is turned on. The second sample is collected after the hot water has been allowed to run long enough for the water leaving the faucet is as hot as it will get. These samples and the Legionella organism are fragile and must be in the hands of the lab not more than 24 hours after collection.
The laboratory will take 2 weeks to incubate the sample and give results. Ridding a system of Legionella Bacteria is a difficult task since they are ubiquitous (www.osha.gov/dts/osta/otm/legionnaires/index.html). If you rid the system of Legionella Bacteria but don’t eliminate the environment for their growth, they will return.
Identify and Eliminate the Source
Once someone has been diagnosed with Legionnaire’s Disease, especially in multi-family housing, commercial building, or healthcare facility, the local health department must be contacted. Thereafter, the efforts to identify the source and eliminate the source—and causes—will require the assistance of qualified professionals and likely involve the local health department.
For more information on Legionnaire’s Disease and Pontiac Fever, testing, identification, and elimination services contact Atlantic Environmental today. Use our contact form or call us at 973-366-4660 to discuss your Legionnaire and Pontiac Fever concerns and obtain a complimentary, no-obligation quotation. We provide environmental consulting services tailored to your company’s requirements.
Our primary service areas for Legionnaire’s Disease Testing/Sampling and Consulting are:
New Jersey NJ, New York NY, (New York City), Pennsylvania PA, Connecticut CT, Delaware DE, Massachusetts, (Boston) MA, Rhode Island RI, Washington DC, Wisconsin WI, Maryland MD, Michigan MI, Illinois (Chicago) IL, Virginia VA, Indiana IN, Georgia (Atlanta) GA, Alabama AL, North Carolina NC, South Carolina SC, Tennessee TN, Texas (Dallas, Ft Worth) TX, Oklahoma OK, DC, Arkansas AR, Florida FL. We can service most other areas of the U.S. but with some added travel charges.