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LEGIONELLA - World Health Organization

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Table . Example documentat on for mon tor ng and correct ve act on<br />

Process step Ind cator Mon tor ng<br />

Chlorination Free<br />

chlorine<br />

ppm = parts per million<br />

What Chlorine Not less than<br />

0.5 ppm<br />

How Diethyl-pphenylene<br />

diamine<br />

test kit<br />

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

Operat onal<br />

l m t Correct ve act on<br />

What Check pH of<br />

water and the<br />

chlorine dosing<br />

pump<br />

How pH probe and<br />

observation of<br />

the pump<br />

When Weekly When Immediately<br />

Where Tower<br />

basin<br />

Who Building engineer<br />

If an outbreak of legionellosis occurs in the vicinity of a tower, that tower should be considered<br />

as a potential source of infection; a precautionary decontamination is appropriate. Water samples<br />

should be taken from the most contaminated point, and tests commenced immediately. The<br />

standard from the International <strong>Organization</strong> for Standardization ISO 5667 (ISO, 2001)<br />

can be used in developing sampling methods. Samples should be taken as near to the heat<br />

source as possible. The suspected tower can then be immediately decontaminated, rather than<br />

waiting for the results of the bacteriological tests, which may take 3–14 days.<br />

In an outbreak, an emergency corrective action will be required, and procedures should already<br />

be in place and staff trained in their implementation (e.g. see Box 5.3, above).<br />

5.5.4 Verification<br />

As part of a regular auditing programme, the operator or their water treatment company<br />

should inspect cooling towers at least monthly (although shorter intervals may be determined<br />

by the risk assessment for the system). Additional access hatches may need to be provided, to<br />

facilitate inspection and cleaning of parts of the tower.<br />

In a system in which risk assessment indicates cause for concern, verification of control of the<br />

system may be established by the routine assessment of Legionella concentrations in the cooling<br />

system. This verification should not precede or replace the routine monitoring of control<br />

measures established for the system.

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