Hot and Cold Water Services
Guidance
Hot water systems present the greatest risk
in environments which allow the the proliferation
of legionella, for example:
* at the base of calorifiers where the incoming
cold water merges with the existing hot water.
This water collects sedimented organic and
mineral deposits which support bacterial growth,
including legionella. This can then be distributed
throughout the system to colonise its periphery,
especially where optimum temperatures and
stagnation occur, e.g. in infrequently used
outlets.
* water held in pipes between a recirculating
hot water supply and an outlet (e.g. tap or
shower), particularly when not in use, as
they may not be exposed to biocides and high
temperatures.
Water systems may occasionally be contaminated
with legionella (usually in small numbers)
which enter cold water storage systems from
the mains supply. This presents little risk
under normal circumstances. Legionella will
only grow in cold water systems and the distribution
pipework when there are increased temperatures
(e.g. due to heat gain), appropriate nutrients
and stagnation.
Cases of legionellosis have been reported
in hospitals where water systems have been
colonised by legionella. In addition, there
have also been reports of infection when tap
water was used to fill personal humidifiers
and to wash jet nebulisers and other respiratory
equipment. This, together with the presence
of susceptible individuals, means that there
may be an increased risk in health care premises
and additional precautions may be needed.
Substitution
Some of the features of gravity hot water
systems which influence the risk of exposure
to legionella, such as having open tanks and
relatively large storage volumes, can be eliminated
by moving to mains pressure systems. This
requires confidence in the reliability and
continuity of the mains supply and may not
be acceptable in all cases. Other problems,
such as the maintenance of water temperatures
throughout the distribution system and changes
in demand, can be simplified by changing to
point-of-use water heaters with minimal or
no storage. Guidance on the general principles
and limitations of instantaneous water heaters
is given in BS6700:1998.
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