LEGIONELLA - World Health Organization

LEGIONELLA - World Health Organization LEGIONELLA - World Health Organization

06.12.2012 Views

It is often practical and highly effective to reduce the concentration of dissolved minerals, such as calcium and magnesium, in make-up water before it enters the cooling system (water softening). Water softening reduces the potential of the system to form biofilms, but may increase corrosion. Reduction of organic load in the source water by chlorination or filtration (or both in concert) helps to remove nutrients that could lead to legionellae proliferation. Chlorination used to reduce the organic load may also serve to disinfect the water of its inherent microbial load. Water treatment and water distribution — control measures A system should be designed in such a way that water circulates through all parts of the system that should be wetted whenever it is operational. Deadlegs on existing systems should be removed or shortened (so that their length is no longer than the diameter of the pipe), or should be modified to permit the circulation of chemically treated water. Dirt, organic matter and other debris should be kept to a minimum, as water treatment chemicals are generally more effective when the system is kept clean. After stagnation of part or all of the system, system operation should always be coordinated with full chemical treatment of the water. Similarly, when a cooling tower system has been shut down for more than three days, the entire system (i.e. cooling tower, system piping, heat exchangers, etc.) should be drained to waste, if practicable. Since it is often not possible to completely eliminate all water from shut-down cooling systems, cooling water must be pretreated with an appropriate antimicrobial regimen before system start-up (HSC, 2000; Guideline 12– 2000 in ASHRAE, 2000); that is, before activating the fans. Corrosion inhibitors should be used to minimize corrosion of metal surfaces. Surfactants, biocides and other chemicals should be used to control fouling due to scale, silt and microbial growth. Use of these chemicals will help to maintain efficient heat transfer at metal surfaces, ensure free flow of water throughout the system and prevent the proliferation of microorganisms that are responsible for surface corrosion and degradation. Disinfection — control measures Because of the many factors that can compromise the disinfection process (outlined above), it is advisable to vary the antimicrobial stresses applied in the cooling water microbial control programme (McCoy, 1998), particularly in the case of non-oxidizing biocides. One practical and effective means to vary antimicrobial stresses is to alternate between two non-oxidizing biocides added as a single (“slug” or “shot”) dose, manually or automatically, at 3–4-day intervals. Another effective approach is to alternate use of an oxidizing antimicrobial with a nonoxidizing antimicrobial, to ensure that different modes of antimicrobial action are employed. When varying antimicrobial stresses, performance-based monitoring is used to assess the extent of microbial control achieved (McCoy, 2003). LEGIONELLA AND THE PREVENTION OF LEGIONELLOSIS

The section on control measures for cleaning and maintenance (below) contains additional information on the disinfection process. Oxidizing biocides Commonly used oxidizing antimicrobials for cooling water include chlorine, bromine, stabilized bromine, combinations of bromine and chlorine, chlorine dioxide, peroxy compounds such as hydrogen peroxide and peracetic acid, and ozone (Kim et al., 2002; McCoy, 2002).Oxidizing antimicrobials are often effective when fed continuously using metering systems with small pumps, and many towers are successfully treated with continuous dosing with chlorine or bromine. Shot-dosing of oxidants, which can also be very effective in microbial control, is an alternative to unvarying application of oxidizing antimicrobials. Non-oxidizing biocides Non-oxidizing biocides are most effective when shot dosed. The maintenance of a continuous residual of non-oxidizing biocides in the system will inevitably lead to the selection of resistant microorganisms and loss of microbial control (Russell, 2000; 2002). Non-oxidizing biocides are usually dosed at higher concentrations (15–50 parts per million [ppm]) than oxidizing biocides, and may require longer contact times at these concentrations (4–10 hours). Treatment programme All biocides should preferably be fed via a metering system, and the appropriate dose calculated on the basis of system volume and half-life (dilution rate) within the system (Kim et al., 2002). “Blow-down” or “bleed-off” is the removal of some of the water periodically or continually, and its replacement with fresh water, to control the continuous accumulation of dissolved solids in the water. This process may be controlled by a conductivity controller that detects the increase in conductivity due to the dissolved solids, and automatically regulates the rate to hold a preset conductivity by triggering the operation of a solenoid drain valve. Blow-down may be activated immediately before the addition of the biocide, to ensure that the amount of suspended dirt in the water that might react with and neutralize the biocide is minimized. Blow-down may then be stopped for a period after the addition of the biocide, to ensure that the chemical is retained at a sufficient concentration for long enough to be effective. In selecting a chemical treatment programme, the operating parameters and water chemistry that may be unique to the system should be considered. A microbial control problem is rarely resolved by the application of generic technologies. Any microbial control strategy will fail without due attention to other control measures. Usually, the advice and the practical guidance of a water treatment specialist are necessary. LEGIONELLA AND THE PREVENTION OF LEGIONELLOSIS

It is often practical and highly effective to reduce the concentration of dissolved minerals, such<br />

as calcium and magnesium, in make-up water before it enters the cooling system (water softening).<br />

Water softening reduces the potential of the system to form biofilms, but may increase corrosion.<br />

Reduction of organic load in the source water by chlorination or filtration (or both in concert)<br />

helps to remove nutrients that could lead to legionellae proliferation. Chlorination used to<br />

reduce the organic load may also serve to disinfect the water of its inherent microbial load.<br />

Water treatment and water distribution — control measures<br />

A system should be designed in such a way that water circulates through all parts of the system<br />

that should be wetted whenever it is operational. Deadlegs on existing systems should be<br />

removed or shortened (so that their length is no longer than the diameter of the pipe), or<br />

should be modified to permit the circulation of chemically treated water.<br />

Dirt, organic matter and other debris should be kept to a minimum, as water treatment chemicals<br />

are generally more effective when the system is kept clean.<br />

After stagnation of part or all of the system, system operation should always be coordinated with<br />

full chemical treatment of the water. Similarly, when a cooling tower system has been shut down<br />

for more than three days, the entire system (i.e. cooling tower, system piping, heat exchangers,<br />

etc.) should be drained to waste, if practicable. Since it is often not possible to completely<br />

eliminate all water from shut-down cooling systems, cooling water must be pretreated with<br />

an appropriate antimicrobial regimen before system start-up (HSC, 2000; Guideline 12–<br />

2000 in ASHRAE, 2000); that is, before activating the fans.<br />

Corrosion inhibitors should be used to minimize corrosion of metal surfaces. Surfactants,<br />

biocides and other chemicals should be used to control fouling due to scale, silt and microbial<br />

growth. Use of these chemicals will help to maintain efficient heat transfer at metal surfaces,<br />

ensure free flow of water throughout the system and prevent the proliferation of microorganisms<br />

that are responsible for surface corrosion and degradation.<br />

Disinfection — control measures<br />

Because of the many factors that can compromise the disinfection process (outlined above),<br />

it is advisable to vary the antimicrobial stresses applied in the cooling water microbial control<br />

programme (McCoy, 1998), particularly in the case of non-oxidizing biocides. One practical<br />

and effective means to vary antimicrobial stresses is to alternate between two non-oxidizing<br />

biocides added as a single (“slug” or “shot”) dose, manually or automatically, at 3–4-day intervals.<br />

Another effective approach is to alternate use of an oxidizing antimicrobial with a nonoxidizing<br />

antimicrobial, to ensure that different modes of antimicrobial action are employed.<br />

When varying antimicrobial stresses, performance-based monitoring is used to assess the<br />

extent of microbial control achieved (McCoy, 2003).<br />

<strong>LEGIONELLA</strong> AND THE PREVENTION OF LEGIONELLOSIS

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