Preventing Legionella Outbreaks in High-Risk Commercial Plumbing Systems

Preventing Legionella Outbreaks in High-Risk Commercial Plumbing Systems

As an experienced plumbing consultant, I’ve seen firsthand how the design, installation, and maintenance of modern commercial plumbing and drainage systems can significantly impact the risk of Legionella bacteria growth and the potential for outbreaks. We learned this the hard way… ​This critical issue has only become more pressing in the wake of the COVID-19 pandemic, as prolonged building shutdowns and reduced water usage have created the perfect breeding ground for this dangerous pathogen.

Legionella Bacteria and Plumbing Systems

Biology and Transmission of Legionella

Legionella is a type of bacteria commonly found in natural freshwater environments like lakes and streams. However, the bacteria can also thrive in human-made water systems, especially those found in large commercial buildings such as hotels, hospitals, and industrial facilities. When people breathe in water droplets containing Legionella, they risk contracting Legionnaires’ disease, a severe and potentially deadly form of pneumonia.

Outbreaks of Legionnaires’ disease often stem from issues within a building’s plumbing system. ​The bacteria can grow and multiply in areas of the water supply where temperatures are in the optimal range of 68°F to 122°F (20°C to 50°C). Stagnant water, poor disinfection, and the formation of biofilm on pipe surfaces all create an environment that allows Legionella to proliferate and spread through the system.

Risk Factors in Plumbing Systems

Some of the key factors that can contribute to Legionella growth in commercial plumbing systems include:

  • Excessive Water Age: When water sits idle in pipes for extended periods, it can lose disinfectant residuals and drop into the ideal temperature range for Legionella.
  • Biofilm Accumulation: Rough pipe surfaces and mineral deposits can provide a foothold for bacteria to form protective biofilms, shielding them from disinfectants.
  • Lukewarm Water Temperatures: Water heaters set below 140°F (60°C) or poorly insulated pipes can allow the water to remain in the Legionella growth zone.
  • “Dead Legs” and Stagnation: Infrequently used fixtures and sections of piping that don’t see regular water turnover can become stagnant reservoirs for the bacteria.
  • Inadequate Disinfection: Insufficient chlorine or other disinfectants, or poor distribution throughout the system, allows Legionella to thrive.
  • Corrosion and Scale: Degradation of pipes and fixtures can disrupt protective scale layers, exposing more surface area for biofilm attachment.

According to the CDC, 9 out of 10 Legionnaires’ disease outbreaks are caused by these types of preventable plumbing issues. Proper design, installation, and ongoing maintenance are crucial to mitigate the risk.

Proactive Maintenance Strategies

Water Treatment and Disinfection

Maintaining adequate disinfectant levels throughout the plumbing system is one of the most effective ways to control Legionella. Chlorine, chlorine dioxide, and copper-silver ionization are common disinfection methods used in commercial buildings. ​The dosage and distribution of these treatments might want to be carefully monitored and adjusted as conditions change over time.

Thermal disinfection, where the water heater temperature is raised to 140°F (60°C) or above, can also help kill off Legionella bacteria. However, this approach requires extra precautions to prevent scalding and might want to be balanced against the energy costs.

Monitoring and Testing Protocols

Facility managers should implement a comprehensive water management program that includes regular testing and monitoring for Legionella. This may involve taking water samples from high-risk locations, like dead legs or areas with low flow, and sending them to a certified lab for analysis.

Establishing a baseline profile of the building’s water quality and tracking any changes over time is crucial. Spikes in Legionella levels or drops in disinfectant residuals should trigger immediate remedial action.

System Retrofits and Upgrades

In some cases, the existing plumbing infrastructure may need to be modified or upgraded to address Legionella risks. This could include:

  • Pipe Replacements: Swapping out older, rougher pipes with smoother, more Legionella-resistant materials like CPVC.
  • Water Heater Upgrades: Installing higher-capacity units that can maintain temperatures above the Legionella growth zone.
  • Fixture Modifications: Removing dead legs, installing automatic flushing valves, and upgrading to low-flow fixtures that promote water turnover.
  • Disinfection System Enhancements: Adding or upgrading central disinfection equipment like chlorine or UV treatment.

While the upfront costs of these improvements may be significant, they can pay dividends in terms of long-term risk reduction and operational savings.

Design Considerations for New Installations

Water Pressure and Pipe Sizing

When designing a new commercial plumbing system, it’s critical to properly size all components to maintain adequate water pressure and flow throughout the building. Undersized pipes or fittings can lead to stagnation and temperature drops, increasing the risk of Legionella growth.

Flow and pressure calculations should account for peak demand periods, fixture count, and any special requirements (e.g., fire sprinklers, industrial processes). Consulting a qualified plumbing engineer is highly recommended to double-check that the system is optimized for both performance and Legionella prevention.

Drainage Layout and Stagnation Minimization

The plumbing system’s drainage design also plays a role in Legionella mitigation. Avoiding dead legs, minimizing pipe runs, and strategically placing flush points can help double-check that regular water turnover and discourage bacterial colonization.

Particular attention should be paid to the layout of water heaters, recirculation loops, and any infrequently used fixtures or equipment. Careful zoning and flow balancing can go a long way in reducing stagnation risks.

Compatibility with Disinfection Technologies

When specifying plumbing materials and components, it’s crucial to double-check that compatibility with the chosen disinfection method, whether that’s chlorine, copper-silver ionization, or another approach. Some pipe and fixture materials may be more resistant to the effects of disinfectants than others.

Consulting with the disinfection system manufacturer and thoroughly vetting all products for chemical compatibility can help avoid future issues that could compromise the efficacy of the water treatment.

Regulatory Compliance and Industry Standards

Local and National Regulations

In the UK, there are several important regulations and guidelines that commercial building owners and facility managers might want to be aware of when it comes to Legionella control. The Health and Safety at Work Act 1974 and the Control of Substances Hazardous to Health (COSHH) Regulations 2002 both place legal duties on employers to manage the risks posed by Legionella.

Additionally, the Approved Code of Practice and guidance L8 “The control of legionella bacteria in water systems” provides detailed requirements for conducting Legionella risk assessments, implementing control measures, and maintaining comprehensive water safety plans.

ASHRAE Standard 188 and Other Guidelines

While primarily focused on the US market, the ASHRAE Standard 188-2018, “Legionellosis: Risk Management for Building Water Systems,” has become a globally recognized industry standard for Legionella prevention. This standard outlines a robust framework for developing a comprehensive water management program, including risk assessment, control measures, and ongoing monitoring and verification.

In the UK, the Health and Safety Executive’s Legionnaires’ disease: Technical guidance HSG274 Part 2 also provides valuable guidance on the design, commissioning, and maintenance of hot and cold water systems to mitigate Legionella risks.

Outbreak Preparedness and Emergency Response

Incident Investigation and Remediation

Despite proactive measures, there may be instances where a Legionella outbreak occurs within a commercial building. In such cases, a swift and coordinated response is crucial to contain the situation and minimize further spread of the bacteria.

The first step is to immediately investigate the source of the outbreak, which may involve extensive water sampling and testing. Remediation efforts can then be tailored to the specific circumstances, potentially including superchlorination, thermal disinfection, or even partial system shutdown and cleaning.

Communication and Notification Procedures

Effective communication with building occupants, health authorities, and other stakeholders is also a vital component of Legionella outbreak management. Facility managers should have clear, pre-established protocols for notifying relevant parties, providing updates, and coordinating any necessary public health responses.

Maintaining transparent and timely communication can help maintain trust, alleviate concerns, and double-check that a collaborative approach to resolving the issue.

Training and Education for Facility Managers

Legionella Awareness and Risk Recognition

Equipping facility managers and maintenance personnel with a thorough understanding of Legionella and its implications is crucial for effective prevention and control. Training should cover the biology of the bacteria, how it is transmitted, the potential health consequences, and the specific risk factors present in commercial plumbing systems.

By fostering this awareness, staff can be better positioned to recognize the early warning signs of Legionella growth and take appropriate action before an outbreak occurs.

Proper Maintenance Techniques

In addition to general Legionella education, facility staff might want to also receive comprehensive training on the proper techniques for maintaining plumbing systems in a way that mitigates the risk of bacterial proliferation. This may include instruction on disinfection procedures, water testing protocols, pipe flushing methods, and the correct handling of any necessary system retrofits or upgrades.

Ongoing training and regular refreshers are essential to double-check that that knowledge and skills remain up-to-date, especially as building systems and regulations evolve over time.

Addressing the threat of Legionella in commercial plumbing systems requires a multifaceted approach, from proactive design and installation practices to rigorous maintenance protocols and emergency response planning. By staying informed, implementing the latest industry best practices, and fostering a culture of Legionella awareness, facility managers can help protect the health and safety of building occupants while minimizing the risk of costly and disruptive outbreaks. For more information on how to safeguard your commercial plumbing systems, visit plumbingdrainsnorthwales.co.uk.Tip: Schedule regular maintenance to inspect for leaks and corrosion

Scroll to Top