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Understanding Ashrae 188 for Legionella Mitigation and Water Management Plan

Bond’s District Manager for Virginia, North Carolina, and South Carolina, John Dunford, Gives Presentation to The North Carolina Hospital Group

John Dunford with Bond Water Technologies gave a presentation to the NCHEA District IV for their summer meeting in Wilmington, NC in July.  The presentation centered around the seven required components for creating a Water Management Program associated with the ASHRAE 188-2015 standard.  The biggest takeaway from the presentation was to have a well, documented plan involving a team, control points, monitoring, measuring,  Ashrae 188 Hospital Management action levels and evaluating.

If you would like to download the presentation you can click on the button below.

You can also get in touch with John Dunford directly by emailing him at jdunford@bondwater.com or you can call John at (804) 912-3895.  Mr. Dunford is a Certified Water Technologist (CWT) and is the District Manager for Bond Water Technologies covering Virginia, North Carolina, and South Carolina.

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CMS Requirement To Reduce Legionella Risk

DEPARTMENT OF HEALTH & 
HUMAN SERVICES 
Announces Expectations for Healthcare Facilities and Surveyors
DATE: June 02, 2017
TO: State Survey Agency Directors
FROM: Director Survey and Certification Group.  Center for Clinical Standards and Quality/Survey & Certification Group Ref
SUBJECT: Requirement to Reduce Legionella Risk in Healthcare Facility Water Systems to Prevent Cases and Outbreaks of Legionnaires’ Disease (LD)
Memorandum Summary
• Legionella Infections: The bacterium Legionella can cause a serious type of pneumonia called LD in persons at risk. Those at risk include persons who are at least 50 years old, smokers, or those with underlying medical conditions such as chronic lung disease or immunosuppression. Outbreaks have been linked to poorly maintained water systems in buildings with large or complex water systems including hospitals and long-term care facilities. Transmission can occur via aerosols from devices such as showerheads, cooling towers, hot tubs, and decorative fountains.
• Facility Requirements to Prevent Legionella Infections: Facilities must develop and adhere to policies and procedures that inhibit microbial growth in building water systems that reduce the risk of growth and spread of legionella and other opportunistic pathogens in water.

Legionnaires Disease Signs Symptoms & Facts

The below article was published by The CDC on CDC.gov here.

Legionnaires’ (LEE-juh-nares) disease is a very serious type of pneumonia (lung infection) caused by bacteria called Legionella. If you develop pneumonia symptoms and may have been exposed to Legionella, see a doctor right away. Be sure to mention if you have used a hot tub, spent any nights away from home, or stayed in a hospital in the last two weeks.

Legionnaires’ Disease Can Cause Pneumonia Symptoms

Signs and symptoms of Legionnaires’ disease can include:

► Cough  ► Muscle aches ► Fever ► Shortness of breath ► Headache

Doctors use chest x-rays or physical exams to check for pneumonia. Your doctor may also order tests on a sample of urine and sputum (phlegm) to see if your lung infection is caused by Legionella.

Legionnaires’ Disease Is Serious, but Can Be Treated with Antibiotics

Legionnaires’ disease is treated with antibiotics (drugs that kill bacteria in the body). Most people who get sick need care in a hospital but make a full recovery. However, about 1 out of 10 people who get Legionnaires’ disease will die from the infection.

Certain People Are at Increased Risk for Legionnaires’ Disease

Most healthy people do not get Legionnaires’ disease after being exposed to Legionella. Being 50 years or older or having certain risk factors can increase your chances of getting sick. These risk factors include:

► Being a current or former smoker

► Having chronic lung disease, such as emphysema or chronic obstructive pulmonary disease (COPD)

► Having a weakened immune system from diseases like cancer, diabetes, or kidney failure

► Taking medication that weakens your immune system

Legionella Are Usually Spread through Water Droplets in the Air

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Chemical Feed Pump Maintenance – Tune it Up Now!

Tune it Up Now!

Chemical Feed Pump Maintenance – It’s Time

Scroll down to watch a video on the simplicity of a DIY pump repair and upgrade.

When was the last time you really paid attention to your chemical feed pumps?  Have you performed any maintenance on these at all?  HVAC scale and corrosion inhibitors can only be as good as the equipment that is used to administer them.

Conventional wisdom tells us that taking a few minutes now to pay attention to your water treatment chemical feed pumps will pay great dividends later this year when the warm weather hits.  Keeping your feed equipment well tuned not only eliminates downtime but ensure continuous high performance and accurate chemical dosing.  The end result is to provide the best system protection possible and it all takes only a few short minutes.

Bond can help you accomplish this in just a few easy steps. Continue reading

Glycol Closed Loop Systems – Are You Ready For Winter?

Many customers ask us about the chemical testing and treatment of glycol based closed loop systems. HVAC freeze protection is typically provided by adding either ethylene or propylene glycols. Most facilities use ethylene glycol as this provides the most efficient heat transfer. Propylene glycol is often used where toxicity is a concern. In systems that contain aluminum heat exchangers, a special pH sensitive mix is required. Each product is typically blended with special corrosion inhibitors; often dipotassium phosphate is used to help ensure long life for system metals. Many times, a secondary corrosion inhibitor such as nitrite, molybdate or an azole may be added on-site to further increase protection levels.  Continue reading

Ashrae Standard188 – Legionellosis: Risk Management for Building Water Systems

Below is part of the forward from the ANSI/ASHRAE Standard 188-2015 PDF.  For a fee, from the ASHRAE bookstore, you can download the entire PDF and Standard by clicking any of the blue buttons below.   

Ashrae 188 download button For the site

Approved by the ASHRAE Standards Committee on May 27, 2015; by the ASHRAE Board of Directors on June 4, 2015; and by the American National Standards Institute on June 26, 2015.

(This foreword is not part of this standard. It is merely informative and does not contain requirements necessary for conformance to the standard. It has not been processed according to the ANSI requirements for a standard and may contain material that has not been subject to public review or a consensus process. Unresolved objectors on informative material are not offered the right to appeal at ASHRAE or ANSI.)

FOREWORD – ASHRAE Standard 188

The purpose of ASHRAE Standard 188 is to establish minimum legionellosis risk management requirements for building water systems.  “Legionellosis” refers to two distinct clinical illnesses.  When the bacterium Legionella causes pneumonia, the disease is referred to as “Legionnaires’ disease” (LD). The Centers for Disease Control and Prevention (CDC) estimates that each year there are between 8000 and 18,000 cases of LD in the United States and that more than 10% of these cases are fatal. Legionella can also cause a less-severe influenza-like illness known as “Pontiac fever.” Most cases of legionellosis are the result of exposure to Legionella associated with building water systems. 

The presence of Legionella bacteria in building water systems is not in itself sufficient to cause LD. Other necessary factors include environmental conditions that promote the  growth of Legionella, a means of transmitting the bacteria to people in the building (e.g., aerosol generation), and exposure of susceptible persons to colonized water that is inhaled or aspirated into the lungs. Legionella bacteria are not transmitted person-to-person or from normal (nonaspirated) ingestion of contaminated water. Susceptible persons at high risk for legionellosis include but are not limited to the elderly, dialysis patients, persons who smoke, and persons with underlying medical conditions that weaken the immune system. 

This standard is intended for use by owners and managers of human-occupied buildings and those involved in the  design, construction, installation, commissioning, operation, maintenance, and service of centralized building water systems and components.  

Standard 188 consists of numbered normative sections  followed by normative and informative annexes. The normative sections and normative annex specify the requirements to  comply with this standard. The informative annexes and informative bibliography are provided for guidance that may be helpful for a given building water system. Building water systems vary substantially in their design and their capability for transmission of Legionella. Scientific evidence is either lacking or inconclusive in certain aspects of Legionella control. Therefore, the informative annexes and informative bibliography to this document provide suggestions, recommendations, and references to guidance. 

ASHRAE Standing Standard Project Committee (SSPC) 188 has devoted a considerable amount of time and thought to resolving the concerns of affected and interested parties. The committee thanks everyone who participated in the development of the standard, especially those who made public review comments.

Because changes to improve the standard are anticipated,   Standard 188 is now on continuous maintenance, permitting it to be updated through the publication of approved addenda. The planned schedule for republication with approved addenda and errata is anticipated to be every third year.

1. PURPOSE
The purpose of this standard is to establish minimum Legionellosis risk management requirements for building water
systems.

2. SCOPE

2.1 This standard provides minimum legionellosis risk management requirements for the design, construction, commissioning, operation, maintenance, repair, replacement, and expansion of new and existing buildings and their associated (potable and nonpotable) water systems and components.

2.2 This standard applies to human-occupied commercial, institutional, multi unit residential, and industrial buildings. This standard does not include single-family residential buildings. Only where specifically noted in this standard shall certain building water systems or parts of building water systems be exempt.

2.3 This standard is intended for use by owners and managers of human-occupied buildings, excluding single-family residential buildings. This standard is also intended for those involved in the design, construction, installation, commissioning, operation, maintenance, and service of centralized building water systems and components

Click below to download and read the entire ASHRAE Standard 188-2015. There is a fee from ASHRAE for the document.

Ashrae 188 download button For the site

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