Prevention of Legionellosis Associated with Building Water Systems
The American Society of Heating, Refrigerating and Air-Conditioning Engineers (ASHRAE) has developed a draft standard addressing the issue of Legionellosis, a disease caused by infection with the bacterium Legionella pneumophila. The bacterium received this name from the infamous incident that occurred at the 1976 American Legion conference in Philadelphia, where many attendees suffered from an outbreak of a type of pneumonia – resulting in 34 deaths. Legionella pneumophila is spread by the release of small droplets of contaminated water into the air from equipment such as air conditioning cooling towers, showers, misters, and humidifiers. In the Philadelphia Legionnaires’ disease outbreak, the hotel’s cooling tower was identified as the likely source of the disease, although domestic water sources were not evaluated.
Legionnaire’s disease is considered to be fairly common and serious in the United States. It is frequently characterized as an “opportunistic” disease that most frequently attacks individuals with an underlying illness or weakened immune system. The most susceptible include persons who are elderly, smokers, or immuno-suppressed. Although approximately 1,000 cases are reported annually to the Center for Disease Control, it is estimated that over 25,000 cases occur each year and cause more than 4,000 deaths.