150 Transcript

150 The One Where We Talk Legionella Basics

 

Transcript Disclaimer: This Transcript is provided and copied from YouTube, grammar and mistakes are present.


 

scaled up nation
we are professional water treaters and
we need to know what’s in the water
and the tools we use to analyze that
water needs to be of the top quality
one of the tools that we use are dip
slides to determine planktonic bacteria
and fungi counts
fluid maintenance solutions provides
affordable reliable and quality dip
slides
fluid maintenance solutions can private
label your dip slides with your company
logo
don’t leave an empty box behind with
your customer leave them a branded
reminder of you
and your company order before august
31st and pay
only 14.95 per box of 10 count dip
slides
give fluid maintenance solutions a call
today at 405-612-7869
or go to scalinguph2o.com forward slash
dip slide fluid maintenance solutions
quality dip slides
you can count on
as a listener of the scaling up h2o
podcast you are looking for
ways to learn more nase the national
association of corrosion engineers is
helping us
do this very thing nasa’s basic
corrosion e-course is a knowledge-packed
course that teaches us the science of
corrosion
inspection and monitoring methods and
the different factors that determine the
corrosion of the assets we treat as
industrial water treaters
go to nace.org forward slash scaling up
and receive a 200 discount on the basic
corrosion e-course through
august 31st nace courses are recognized
globally as the premier technical
training for the corrosion workforce
get started learning today by going to
nace.org forward slash
scaling up
[Music]
welcome to scaling up the podcast where
we’re scaling up on knowledge so we
don’t scale
up our systems scale up nation trace
blackmore here
your host for scaling up h2o
and nation it is august already
august 7th and wow what a
crazy ride we have all been on now
i’m going to do something special
it’s not been done before i’m going to
declare it at least for the scaling up
nation
but i am going to declare
august legionella awareness
month so everybody out there in the
scaling up nation
i know you have questions about
legionella
i know that you are talking with
customers
about legionella and i know for some of
us we have
more questions than we have answers now
i’ve done
several shows on legionella if you want
to go back and
listen to some of those shows
those numbers are number nine so right
when we were just starting the podcast
out
friend of show dr janet stout came on
and she talked to us
about legionella from the water treaters
perspective
and then we had matt fariji come on to
talk about water
management plans and things that we need
to consider on episode 83
and then our friend janet stout came
back on episodes 120 and 121
where we talked about some changes to
ashrae’s
188. since that time
i’ve received several questions about
legionella and i think when we go to
conferences
about legionella the speakers are
talking about the topic at
such a high level and in the water
treatment industry
we have people over all aspects of their
career
so if someone is just getting started in
their career
they may not have the base information
that they need to be able to participate
in some of those higher level
conversations
so what i hope to do today is i
hope to bridge that gap and we’re going
to talk
very simplistically about legionella
legionella 101 maybe even more
basic so that’s what’s in store for
today
now you might be wondering why we’re
talking about legionella
why we’re declaring that august is
legionella awareness month
and the reason i’m doing that is because
there is a conference that’s put on
at the end of every august by
the national health services and the
national
environmental health association now
because of
everything that we’re experiencing right
now most conferences
are going virtual well they decided
that they were going to hold their
annual conference
next year and not do a virtual
conference so it was supposed to be
august
19th through 21st it’s now rescheduled
for
january 20th through 22nd
it’s still going to be in chicago at the
sheraton
grand hotel right there by the riverwalk
so if you’re planning on going to that
you’re going to meet a whole bunch of
people that have been on this show
and you’re going to meet a bunch of
people that have
the same desire that you do
trying to end legionnaires disease what
are the things
that we can do as professional water
treaters
so our customers can make better
decisions about the equipment that they
own
so people don’t have to suffer getting
sick
with legionnaires disease well as i
mentioned earlier
we are going to do today’s show just on
legionella so very baseline
this might be too basic for some of the
people out there and that’s
okay if we can all get to the same level
where we can have a conversation
i think everybody will be fine with that
so that’s what today’s topic is it’s
about legionella it’s about
knowing and just like our friend g.i joe
said
knowing is half the battle i guess i
just dated myself there’s is
that that was a cartoon on when i was a
kid do they still say that is there
still a
action hero called gi joe do they still
do that anyway
let’s talk about guidelines because i’m
sure the one that you’re thinking of is
ashrae’s
188 and you’re thinking you know i
really don’t think we had any sort
of documentation before ashrae came out
with this 188 document
and that is simply not the case in fact
we’ve had
some sort of guideline now ashtray 188
is a standard it’s the first standard
we’ve ever had
it’s a voluntary standard we’re going to
talk about that in a second
but we have had some sort of guideline
that we could choose from
back since the early 90s
there’s been various things over the
globe the united states is pretty slow
to catch up with some of this
but if you live in canada especially
quebec there’s all sorts of
documentation
there of course in england and all other
parts of
europe you can find documentation there
in australia
people are dealing with legionella way
better than the united states
has been so ashrae did what they
thought was best and they came up with a
committee that committee
met for many years i want to say it was
about 10 years
and then finally ashrae’s document 188
was
published but before that a lot of
people forget that there was a
guideline that ashrae had called 12
2000 and it was a standard
entitled minimizing the risk of
legionellosis
associated with building water systems
so folks stuff like this has been out
there in fact
awt back in 2003
published the first legionella white
paper and that has since been
updated several times so folks
it’s not a new topic maybe you’re just
hearing about ashrae 188 but i assure
you there is documentation
all over now ashrae 188
came out in 2015
and the thing about ashrae 188 is it is
a voluntary standard that means
that there’s a standard out there but
you have to choose unless
some sort of law says that you have to
follow this
and that was published in 2015 but the
thing you need to know is it is a
living document now what the living
document means
is that as new information becomes
available
as they find out that they can write
things in a better way
so people understand it better or
they’re meeting all the needs that the
document needs to meet
they will update it and folks that
happened in 2018
so they did add i think pretty much
basically it was some
language for making the document
easier to put into code but it did
update so if you’ve read it once you
have to keep on
keeping up with it because you might be
behind the game
now you can find ashrae’s document on
their website and this used to be true
and i’m pretty sure it still
is you can read it online and it won’t
cost you a dime
if you want to download it so you now
own a copy
they will charge you for that so just so
you know i wanna we’ll put all that
information on the show notes page but
there’s no reason that you should not
know what ashrae’s
document 188 says another question that
i get
all the time about ashrae is there’s
mention
to ansi ansi is american national
standards
institute and people don’t understand is
it an ashtray document
is it an ansi document what exactly does
this mean well what ashrae did
was they did it in conjunction with ansi
so
it could fit right in to
our local laws and codes and
using the ansi format that allowed them
to do that nation i’m just going to
start out
with talking about what the heck
legionella is and legionella that’s a
funny word why do we call this bacteria
legionella so i’m going to go back to
the very first
time when we discovered legionella
bacteria so it was in 1972
in philadelphia pennsylvania during an
american legion convention now if you
can imagine
american legion there are all people
that have served in the armed forces
and a lot of the people were of
a higher age so in their
high 60s 70s 80s and because of this
they’re more susceptible to catching
some diseases now the other thing that
was going on
was the date was 1976
so that was the 200th anniversary of the
signing of the declaration of
independence
so this was a super well attended
convention it was at the bellevue
stratford hotel
and everybody had a great time they went
home
and people started getting sick in fact
34 people died
and they had no idea what was getting
these people
sick if you were to look back at some of
the magazine
articles during that day you would see
speculation that perhaps the russians
were doing something to harm the united
states
veterans of course that wasn’t the case
but nobody knew
what it was well they found that there
was a bacteria
that people inhaled and they didn’t have
a name
for it well they named it after the
people that helped them
find it the people who originally
contracted it
and they named it legionella so
legionella is what we call the
actual bacteria named after
the legionnaires that originally got the
disease
so even with that i know there are some
questions so legionella
is the bacteria and the one that we are
most susceptible to is called legionella
pneumophila now that is a
mouthful well let’s look at the word so
now we have some information and things
should start making sense to us so
legionella well we know that we know
that’s named after the legionnaires that
originally contracted it
pneumophila so if we were to look
at pneumo that’s the term for lung
if we were to look at phylla that means
loving
so legionella is a lung loving
bacteria now legionnaires disease
is what happens when the bacteria
causes pneumonia legionnaires disease
is the pneumonia form of the disease
now let’s say somebody gets the bacteria
they get sick but it doesn’t develop
pneumonia
well that’s called pontiac fever and
that’s more of flu-like symptoms
now for those people that have been in
water treatment for
a while it’s very likely that you’ve
caught some
form of pontiac fever
and you never really realized it you
thought it was a bad cold a bad flu
and maybe your body was able to get over
it
or maybe you went to the doctor and they
gave you
something like a zithromyosin that’s a
z-pack they might have given you
something like levaquin
they might give you something like
tetracycline
now those are some of the antibiotics
that are proven effective in
helping the body get rid of the
legionella bacteria
now earlier i mentioned legionella
pneumophila i think it’s important to
know that there’s over
58 species of legionella
so if you’ve ever done a legionella test
you know that you’ve gotten a report
back and it says
what kind of species it is now sarah
group
one is the most infectious
so of the legionello demophila the serra
group
one is the one that’s most recognized
for
causing legionnaires disease and by the
way
last time i checked there were over 15
subgroups or sarah groups of those 58
species
of legionella so this is a ever-changing
people are discovering new forms of
legionella but again normally we worry
about that
serra group one people wonder what are
some of the symptoms
of legionnaires disease well before i do
that i mentioned pontiac
fever so again that is when you get sick
from the bacteria but you don’t have
pneumonia
normally that appears after one to three
days of exposure and it lasts about
five days or so normally it does not
require
hospitalization because most people get
over it on their own
as i mentioned before if they do have
some issues they can go to the doctor
and and if they do choose the right
antibiotics that will help with that
and over 95
of the world’s population is susceptible
to pontiac fever now let’s talk about
legionellosis now that’s the first time
i use that term
i’ve been using the term legionnaires
disease well folks they’re the same
thing
legionellosis and legionnaires disease
are the exact same thing just a little
different way of saying it and what that
is that’s the pneumonia form
now this is the time where it gets
really serious because this is what
people
die from it starts affecting multiple
systems within the body
it makes it so people can’t get the
their lungs aren’t working properly
because they’re filled with fluid and
that’s what pneumonia is
symptoms are high fever chills muscle
pain
headache dry cough it could have
diarrhea vomiting
confusion delirium there’s a host of
things but these are all associated
with legionnaires disease now somebody
exposed to this
can start seeing symptoms two to ten
days after exposure
normally it does require hospitalization
and they estimate about five percent of
the world’s population
is susceptible to this
now there are some people that are more
susceptible than others
and we mentioned that the legionnaires
they were older
and the older population the geriatric
population definitely
is in this susceptible group
people that are immune suppressed so
maybe somebody that’s had a transplant
or
undergoing chemotherapy some sort of
cardiac disease
lung disease maybe they’re on a steroid
to fight inflammation or
some sort of treatment well that’s also
going to suppress
their immune system of course people
that are normally sick or in poor health
they’re going to be in this age group as
well
we mentioned elderly people that are in
the hospital
people that smoke folks when you smoke
that does some
damage to the insides of your body
especially
lungs so you smokers out there that
are water treaters i want you to know
that you are putting yourself
at a higher risk for catching
legionnaires disease
than somebody that is not smoking so if
you needed a reason to quit
smoking add that to the list please
and of course people with lung disease
so
generally speaking somebody with a
weakened immune
system is going to be more susceptible
so now let’s talk about how we get
legionnaires disease
there’s a lot of people that think a
bunch of things i can get it if somebody
coughs on me
sneezes on me maybe i touch a surface
that had legionella on it
folks it is not like that legionella is
actually
contracted in one way and what that is
it’s through contaminated water droplets
you have to inhale the water droplets
that have
legionella bacteria in them and that’s
how they get
into the body so when you look
at what are the devices that have the
potential
to vaporize or to throw a mist off
of contaminated water those are the
areas
that are you’ve got to look out for for
legionnaires disease and we’re going to
talk a little bit about that in a second
we’ve had janet stout come on to talk
about how she does
her testing but it’s important to know
that when we talk about testing for
legionella there’s really two types of
tests when you look at the
what’s being tested so one is the system
we can take a sample from the system
send that off and they can say yes the
system
has legionella bacteria
and it’s this species and sarah group
number whatever
so with all of that a lot of us are
doing that type of test right now and
there are a lot of companies that are
doing that type of testing what i’m
going to do
is i’m going to introduce you
to some different types of legionella
tests
later in this month now you’re probably
using the culture
right now that is the gold standard
that’s what’s
most legally defensible but folks there
are other tests out there
and just because they’re not the gold
standard right now it doesn’t mean that
maybe someday
that they will so i want to make sure
that you’re familiar with that but
that’s not today’s show that’s coming
up later in the month suffice it to say
that this is when we go out and we take
a test
in one of the systems that could
transfer
water droplets and we want to make sure
that legionella
is either not in the system or if it is
in the system we’re aware of it and
we’re doing something about it
the other type of tests is when somebody
gets infected with it
and a lot of times this starts out as an
x-ray x-ray says that the person has
pneumonia there’s fluid in the lungs and
then
they may take another test to see
if it’s legionella positive now there’s
a urine test that they can do that
and there’s also where they take a
sample
of the sputum though what somebody would
cough up
when they’re sick and they would run a
test on that i think they can also do a
lung biopsy
as well now you might be
thinking that the only place
you can get legionella is in a cooling
tower
and folks it seems like the whole world
thinks that
but that is not the case in fact
80 percent of all of the cdc’s
legionella cases has been found in
domestic water
domestic water folks the water that
we are drinking the water that we’re
taking
showers in only 20
see that was pretty hard math but i did
that for you only 20
of the cdc’s cases have been
in cooling towers now the thing
i did not mention in the very beginning
when i was telling you about the
bellevue stratford hotel with the
legionnaires convention
is they found the first sample
where that legionella was coming from in
the cooling tower so folks forever
the cooling tower is going to be blamed
because
that’s where it was associated with
first that’s where they found it
so from here on out the cooling tower
has to be
proven innocent and it is assumed
guilty for those of you that practice
the same type of water treatment that i
do
you need to make sure that you have
proper documentation to prove the
cooling towers
in a sense and i think that’s a great
way to look at it
so with all of that with all of that
background i want to get into
the documents that were we’re all
familiar with that we know we need to
get familiar with
and that is ashrae’s 188.
by the way it’s entitled ashrae 188
legionellosis
risk management for building water
systems
so that was released on june 26
2015 and for those of you that go to the
association of water technologies
you might know bill pearson bill pearson
is a fellow
past president of the association of
water technologies and he was
also the ashrae liaison
representative for the association of
water technologies
and i remember bill pearson standing up
since
early 2000s 2003 2004 2005 saying
ashrae is going to put this document
together and every single year
and every year after that he would get
up and present
to the general assembly of the awt
this is what we’re working on it’s going
to be passed and then next year would go
by it wasn’t passed he said this is what
we’re working on it’s going to be passed
well because bill was so diligent the
awt
not only had representation the awt
had voting representation through bill
pearson
and there was a lot of back and forth
with awt
and that committee there are a lot of
people that were on that committee that
are part of the awt besides
bill pearson but because of that
relationship awt was kept
very informed but then on june 26
2015 it almost seemed like the entire
organization of the association of water
technologies
was struck by surprise that now we have
this standard
on legionella and bill’s thinking wait a
second for the past 10 years i’ve been
telling you all about this
and i guess people just have a tendency
that if it’s not
right now i’m not going to worry about
it and i’ll worry about it when it
becomes an issue
well 2015 june happened and then
just one month later after that document
came out there was a legionella outbreak
in new york city in the bronx
and 12 people died over a hundred people
got sick and with
that of course people get upset they say
why are people getting sick shouldn’t
somebody
have done something and then they say
wait a second
there was a standard out there there
were people out there
that ignored this standard and it’s out
there even though it’s new
somebody should have used it and that
could have saved these people from
having to experience this
so almost immediately not quite a
month after ashrae’s 188
was put out to the world new york
adopted it as law
now i said earlier it was not even a
month it was a little bit over a month
they adopted that on
august 17 2015
and what they did they only included
parts
of the cooling tower now if you back up
a little bit in this podcast
i gave you the information that the cdc
shared with me
that over 80 percent of all the cases
for legionnaires disease
comes from the domestic water so
they reacted to the situation that was
going
on right then and they just
put law into effect from this document
that dealt with the cooling tower
to my knowledge to date there’s still
nothing in there that deals
with what produces 80
of the legionella cases and that is
potable water
so people in new york guess what it is
not a voluntary standard like i
mentioned at the top of the show
it is in your law and just to make it
fun
it is in the law for you to either
abide by new york city or new york
state and from what i have read
and people i’ve talked to it is almost
impossible
to do both at the same time so with that
you got to pick and choose
which one you’re going to use so again
whenever we’re putting things into law
there are always issues when it’s the
first time around new york city
new york state was their first people to
put this into law
but i know there’s legislation out there
throughout the united states
to put this into law
so we all need to know about it because
it could happen
tomorrow and now our customers are
expecting
us to know what to do about it in fact a
good friend of mine who owns a company
in new york he got a certified letter
i think it was on a thursday afternoon
and
after he opened that certified letter
it changed how he ran his water
treatment company
from that moment forward now
if you ask him what he could have done
differently or what advice that he would
give he would say
one to know this document and he was the
first
one to experience this or he was the
state was the first one to experience
the city was the first person to
experience it
so folks we can learn from their
experiences
there’s no reason you can’t go online
and read the code
that they have to make sure
stays upheld that will give us an idea
what our city might adopt and now
we have hindsight where the people in
new york
they didn’t have that so we’ve got time
now i’m going to recommend
you all figure out what you can do so
you don’t have to change the way you run
your company overnight again
i am going to underline this statement
it’s not
if a legionella law will be
passed where you live it’s when
folks it will happen and probably
unfortunately what’s going to happen is
somebody is going to get sick
somebody’s going to die and somebody’s
going to say
somebody should have done something
about it a legislator
is going to be aware of ashrae’s 188 and
they’re going to push that as their
platform
and get that adopted into law folks
please
be proactive with this now for those of
you
that deal with hospitals doctors offices
people that are dealing with the care of
patients there’s a document out there
that you might not be
aware of but you need to be it is the
center
for medicare and medicaid
services 1730
and it was a document that was published
on june
2nd 2017 and it said
if you are going to bill medicaid or
medicare
services for services rendered like you
go to the doctor
that person is under those benefits
and that doctor now bills to be
reimbursed
for those services if they did not have
a water management plan as per ashrae’s
188
they risk not getting reimbursed
so now there are some uh revisions of
that
document but i am shocked by
how many water treaters have never heard
of that document we’re going to have
these documents
up on our web page so you can get to
them so you can read them so you can be
proactive but folks our customers are
relying on us to know
about this and if we’re not keeping
ourselves up to date we’re not able to
give them the best information now i
want to make sure i make this clear
we cannot do legionella prevention
for them because we don’t own the
equipment we can only suggest
what best practices are and and give
them
examples of what they can do and then
they have to say
yes or no we can’t do it for them
because we do not own the equipment and
if you read ashrae’s 188 it is for the
building owners
and managers so we need to
act as a liaison if you will like bill
pearson was
with ashrae and the association of water
technologies
we need to work with those parties and
let them know that this stuff is out
there
and they need to make some decisions and
we can be part of the team to help give
them some information
but the decision is theirs and folks
you need to have these conversations and
above all else
you need to document these conversations
because years can go by something will
happen
and everybody forgets please don’t rely
on your memory make sure you document
that yes we did have these conversations
yes
we did agree to do this or no
the customer decided not to do this at
this time and i would have them sign off
on it
again it’s not passing the buck it’s
making sure everybody understands what
their responsibility is
and now we’re just having a paper trail
so we can revisit it later if need be
folks people change their jobs so there
might be somebody new
and you had the conversation with
somebody else have it with the new
person
i hope all of you are doing customer
reviews on a regular basis
for the simple fact is i know the water
treater out there
does not get credit for all of the
services that they do up and above
what the actual contract is folks that’s
what that customer contract review
is for give yourself credit for all the
great things all the value that you
are bringing to the table and
also include a legionella conversation
with that another great reason to have
this conversation
with your customer is your customers not
thinking about this because
it’s not an issue right now when it
becomes an issue
they are going to assume nine times out
of ten
that because they have a water treatment
contract
with you they automatically assume that
it includes legionella prevention
folks that is not the case and that’s
bad information that our customers are
potentially working from
we have to have that conversation with
them we need to let them know
that a program for water treatment
does four things it tries to
reduce the amount of corrosion that you
would have if you didn’t have a water
treatment program
we’ve talked on the show before water’s
the universal solvent
water against anything else eventually
water is going to corrode it so we want
to protect
all that expensive equipment that the
water is flowing through
water treatment is one of the ways we
can do that the second is scaling
water has all this dissolved stuff in it
and a lot of that stuff will come out at
heat transfer surfaces
if it does it acts as insulation that
makes it
more expensive for us to heat and cool a
facility
and that means the customers paying more
because they don’t have
good efficiency it also reduces the
capacity that the water has to flow in
thereby also reducing efficiency
dirt and debris comes in with the water
so we need to do something to make sure
that dirt and debris
doesn’t settle out somewhere now that
might be a system design not
not a 100 water treatment issue but
again we have to have that conversation
if i had my way every cooling tower on
the planet would have a
sand filter on it but nobody asked me uh
we’ve got to filter these things that
are in our systems
and then the last leg is where the
confusion comes from
and folks that’s microbial and
microbial people think well hey that’s
legionella
no no no no that is not what that means
when we look at a regular water
treatment program
and how we deal with microbial
it is about efficiency we don’t want
things to grow in that system
so we’re reducing the water capacity or
we’re making insulation
so now the system has to work harder to
heat or cool
whatever it’s going to heat or cool so
it’s all about
efficiency it’s not about
public safety that puts microbial
on an entirely different plane
and that’s the connection that our
customers don’t automatically get to
if somebody wants to go after a very
specific
species see if it’s in their system
test for it have parameters what we’re
going to do when we get tests back
and then procedures on how we’re going
to get a level
from a to b down to a certain level
that is so far and beyond
efficiency and longevity and i know
every water treater out there
they get it but folks if you’re not
having that conversation with your
customer
they do not get it and bad things happen
when people assume the other party
understands what the other is thinking
so please
please please have those conversations
a lot of people are intimidated by the
ashrae 188
now 218 document would you be surprised
if i told you it was
only 17 pages
only 17 pages and
honestly the bulk of that is in the
references
and the code descriptions that they have
in the annexes in the back there are
five pages that deal
with compliance with building survey
requirements requirements for building
systems
and then the design for buildings
just five pages so
don’t get intimidated with this document
read the document and talk with somebody
that understands it
but again your customer probably doesn’t
know about this document
so having these conversations really
helps
prevent a situation before
something happens and now everybody has
to
get everything in order because the
conversation
had never been had so if there’s an
underlying theme
it’s talk to your customers and the
secondary theme is document that you’re
having those conversations
there is a tool out there that
i absolutely love it
is a hundred percent free and it is the
document
in which i have all my legionella
conversations with my customers with and
because i am
such a great advocate of raising the bar
i am going to share with you what i use
again it’s free to you as well
it is the cdc toolkit and i put a link
on our show notes page so you can go to
cdc and you can search for it
but if you go to our show notes page
we’ll send you a link straight
to there and it is a very simple
document that allows you
to use pictures graphics
to have this conversation and make
ashrae’s 188
so easy to understand so
does a building need a water management
plan
so that’s a question we all have so does
this customer need one
does the other customer need one well
there’s four questions up front that
you’re going to ask
the first one is is your building a
health care
facility where patients are staying
overnight
okay well that’s one question second
question
does your building primarily house
people
65 years of age or older
question three does your building have
multiple
housing units and a centralized hot
water system
and number four does your building
have more than 10 stories and this has
to include
parking and basement levels now if you
answered
yes to any one of those questions
you need a water management plan well
trace you said it was voluntary
you’re right but there’s a standard out
there
somebody’s going to find it if something
were to happen
this is what you need to tell your
customer and because you
answered yes to one two three
or four of those questions you just have
to answer yes to one
you need a water management plan
now let’s say you answer no to that well
there’s four
more questions that you need to ask to
see if you need a water management plan
so and this is dealing with devices
and it’s saying that you should have a
water management plan if you have one of
these devices so question number five on
the toolkit
was does your building have a cooling
tower well folks the whole
conversation we’ve been having on this
podcast is about cooling towers
so probably you should advise water
management plans
question six does the building have a
hot tub
seven does the building have a
decorative fountain
and the last question does your building
have a centrally
installed mister atomizer air washer or
humidifier again these are all the
devices that can carry out those
contaminated water
droplets if you answered yes to any one
of those
you should have a water management plan
now a water management plan does not
mean
every time you test for
legionella it’s zero and if it’s
not zero the water treater isn’t doing
their job
so many people think that that is not
the case
what a water management plan means
one is it’s not just for the cooling
tower
it is the entire building it is their
complete water systems
now those are divided into two parts
we’ve got the utility water that’s
things like the cooling tower
and then we have the domestic water so
what i’m going to do now is i’m going to
go over what ashrae 188
requires that you do number one
establish a water management program
team folks that’s not just the water
treater that’s
not just the building engineer that
might be people that are involved in the
day-to-day operations that might be
people that have
infectious disease knowledge that might
be equipment manufacturers
who is going to give us great
information about
that building that we would need to
build the best plan
for that building i’ve seen so many
plans when it’s
just named a water treatment
representative and that is not really
the spirit
of what this is asking for number two
describe
the building water systems using text
and flow diagrams all right now i’ve
seen some very elaborate
write-ups and drawings and i’ve seen
some very basic ones
all of them work if they show all of the
systems
next we’re going to go through number
three and identify
all the potential areas that legionella
can grow
and spread number four
we are going to decide where control
measures
should be applied and how we’re going
to monitor them so now that we
identified where the legionella
risk areas are what are we going to do
to ensure
that we’re not growing legionella and
what’s the schedule that we are going to
do
as far as testing now keep in mind
ashtray 188 does not require
that you test but i have no other way of
knowing
whether or not there is legionella in
the system
if i do not test for it so
do what you will with that but the only
way i know how to handle that
is to run testing now
and everybody thinks okay now we have to
have a
negative legionella test come back
in order for that plan to be validated
no folks that’s not
it at all what this is is this is
if we do a test and it comes back with
anything
besides a negative we now have
control measures well we can intervene
on the growth of that legionella
and we can knock it down we can kill it
we can hopefully
prevent people from getting legionnaires
disease because we’re reducing the
amount of
legionella by the way that is step
five that we are establishing ways to
intervene
when control limits are not met so
number five is we’ll have some ranges
that we’ll get legionella test back with
and depending on those ranges we’re
going to do
different control measures and it might
mean
that we’re going to be doing multiple
control measures
we do one right after the other if we’re
not getting back to the point that the
plan says
we need to get to now once we get to
that point a lot of times it’s no
legionella detected
then we’re going to continue the plan
and monitor and that
is the plan being successful it’s not
unsuccessful
because we found legionella it’s not
that the water treater didn’t do
his or her job because we found
legionella
we were successful because we found
legionella
and because we did something about it
because we reduced how much legionella
bacteria was in that system
and somebody did not have to suffer
legionellosis or legionnaire’s disease
use those terms interchangeably
that plan was successful everybody
that’s running that plan
was successful next thing we’re going to
do
number six is we’re making sure that
we’re running the program
we’re making sure it’s designed properly
we’re making sure
it’s effective so we’re just looking
trying to see what information that
we’re gaining over test
over learning the system a little bit
better and it’s a living document we’re
going to continue to
update the plan making it the best
legionella prevention over the entire
water system in that building number
seven
is everything that we do we’re going to
document
and communicate and by the way when we
communicate something we document
documented that we
communicated folks that’s it that is
a water management plan so a lot of
people get
really nervous over that but a lot of
people haven’t read it
so that is what it is read it
talk to people that understand it and
have
those conversations with your clients
now i’m going to have some reference
material on our show notes page
i’ve mentioned several i want to make it
very
easy for you to get those
i’ll definitely have where you can go
and get ashrae’s 188
i’ll have where you can download the cdc
toolkit that i mentioned and folks i got
to tell you that makes that conversation
with our customers so easy and then i
will have the center
for medicare and medicaid services cnc
1730 document that i mentioned i will
have that
for you as well nation there is no
doubt about it being a water treater is
one of the most challenging jobs out
there
because we have to wear so
many hats we’ve got to understand the
water of course which means we need to
understand chemistry
well if we’re sampling the water we
probably have to do some piping that
means we have to understand some
plumbing
the equipment we use is electrical that
means we need to understand some
electrical work of course we’re talking
about biological
so we have to understand biology and
folks i could go
on and on and on if you are not putting
yourself
in a position each and every day so you
can learn something
new when you’re out there doing your job
trust me you are doing the job
wrong there is so much stuff out there
that we can learn something new
each and every day please challenge
yourself
to do that write something down before
you go to bed
hey did i learn something new today
challenge yourself to do that
and i challenge you all to learn
more about legionella don’t be scared of
legionella
respect legionella educate on legionella
and share that knowledge with other
people
because as your information gets better
you’re going to be able to make better
decision
as the people you talk to get
more information they’re going to make
better decisions it’s all about
knowledge it’s all about sharing that
knowledge
and folks there’s a liability out there
too it’s all about
documenting those conversations that
you’re having
i hope this episode allowed you to
understand the baseline
with what legionella is why we need
to take it very seriously why
we are really strong in the ability that
we have to not only educate people
but also educate people in a way so they
can make decisions to keep
people from suffering legionnaires
disease
and i hope if you know somebody else
who’s in the water treatment community
that you share this episode with them
you let them know
that i am declaring that uh
scaling up h2o is declaring that
this is a legionella awareness month
and i’m going to bring you some more
shows where we’re going to talk about
some different type of testing
and i think that august is a great month
for you to learn as much as you can
about legionella and of course tune in
next week because i’ve got
even more have a great week folks
scouting up nation on episode 136 you
heard from four members of the rising
tide
mastermind one of those members was eric
russo
and eric is an extremely busy individual
and i asked him the question how he
found the time
and why he decided to join the rising
tide
mastermind here’s what he said like most
people in the water treatment industry
there’s always a struggle with work and
life and
i had a daughter on the way and i was
probably a little more mindful of how
much i was working
and how i can adjust my schedule or make
it in such a way that was sustainable
for my family
and this conversation is a little more
difficult when you don’t have people in
the water treatment industry because
they don’t understand
the travel aspect the service aspect the
technical
knowledge need to be successful it’s a
little more difficult
to balance that so to have a group of
like-minded individuals to work through
with the goal of self-development it’s
really helpful to kind of hash through
those problems for me
have you ever noticed that if you want
something done
you give it to a busy person why is that
why do busy people
always seem to get something
done and we always wonder why but
there’s a secret to that
most busy people if they’re busy on the
right things it means that they
are successful and they’ve learned to
say
yes to the things that help with
their success however they define
success
think about that when was the last time
you thought to yourself how do i
define success well those are some of
the questions that we ask in the rising
tide
mastermind and eric asked himself if i
joined
the rising tide mastermind will this
make me a better husband will this make
me a better father will this make me
a better water treater and eric has told
me that it has done
all of those things and he is sure glad
that he decided to join folks
i cannot say enough good things about
being involved in a mastermind group i
ask that you go to
scalinguph2o.com forward slash
mastermind to see if being a member of
the rising tide mastermind is right for
you
and if you decide that it is not please
find a group that is right for you
when we get together with other people
that are concerned
about everyone’s success everyone
gets better and the tide rises all boats