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Maintenance of cooling towers following two outbreaks of Legionnaires' disease in a city

Published online by Cambridge University Press:  15 May 2009

R. S. Bhopal  and
G. Barr
R. S. Bhopal
Affiliation:
Division of Community Medicine, The Medical School, Framlington Place, Newcastle upon Tyne, NE2 4HH, UK
G. Barr
Affiliation:
Glasgow District Council, 23 Montrose Street, Glasgow, G1 1RN, UK
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Summary

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This survey assessed the maintenance of evaporative cooling towers in Glasgow, following two Legionnaires' disease outbreaks. Information was obtained from 76 of 81 premises and a maintenance score was calculated for each of 174 towers. The quality of maintenance was extremely varied (range of maintenance scores, 8–30 mean, 22 (S. D., 5.0); median, 23; maximum possible, 33) and some towers were neglected. Breaches of maintenance principles were mainly structural and organizational, e.g. inadequate drift control, rather than failure to use chemicals. Low maintenance scores were associated with no log book, no guidelines, no change in procedures in last 5 years, solitary cooling towers, and towers on industrial premises. Despite intense publicity the standard of cooling tower maintenance in Glasgow remained a concern. Information campaigns directed at those responsible for cooling–tower maintenance are neccessary.

Type
Research Article
Information
Epidemiology & Infection , Volume 104 , Issue 1 , February 1990 , pp. 29 - 38
Copyright
Copyright © Cambridge University Press 1990

References

REFERENCES

1.Miller, PR.Cooling towers and evaporative condensers. Ann Intern Med 1979; 90: 667–70.CrossRefGoogle ScholarPubMed
2.Dhss and the Welsh Office. The control of Legionella in health care premises. London: HMSO, 1988.Google Scholar
3.Department of Health and Social Security. Report of the Expert Advisory Commitee on Biocides. London:HMSO, 1989.Google Scholar
4.Bartlett, CLR, Macrae, AD, Macfarlane, JT.Legionella infections. London: Edward Arnold, 1986.Google Scholar
5.Ad hoc Committee. Outbreak of Legionellosis in a community. Lancet 1986, II 380–3.Google Scholar
6.Committee of Inquiry. First report of the Committee of Inquiry into the outbreak of Legionnaires' Disease in Stafford in April 1985. London: HMSO, 1986.Google Scholar
7.Timbury, MC, Donaldson, JR, McCartney, AC, et al. , Outbreak of Legionnaires' disease in Glasgow Royal Infirmary: microbiological aspects. J Hyg 1986; 97: 393–403.CrossRefGoogle Scholar
8.Communicable Disease Surveillance Centre. Communicable Disease Report: April to June 1988. Community Med 1988; 10: 358–62.Google Scholar
9.Department of Health and Social Security. Legionnaires' Disease and hospital water systems. Circular No. HN (80) 39, 1980.Google Scholar
10.Department of Health and Social Security. Legionnaires' Disease:Engineering guidence note 3. Circular No. HN (86) 16, 1986.Google Scholar
11.Department of Health and Social Security. Legionnaires' Disease:Engineering guidence note 3. Circular No. HN (87) 16, 1987.Google Scholar
12.Health and Safety Executive. Legionnaires' Disease. Guidance note EH48. Environmental Hygiene Series 48. London: HMSO, 1987.Google Scholar
13.Department of Health and Social Security. Health Services Management. The Control of Legionellae in health care premises. Circular No.HL (88) 47 and HN (FP) (88) 19, 1989.Google Scholar
14.Chartered Institute of Building Service Engineers. CIBSE code of practice. Minimising the risk of Legionnaires' Disease.Google Scholar
15.Committee of Inquiry into the outbreak of Legionnaires' Disease in Stafford, April 1985. Second report. London: HMSO; 1987 (Cmnd 256).Google Scholar
16.Baxter, D. Legionnaires' Disease. A comprehensive description contemporary bibliography. Occasional paper No. 9. Manchester University. Department of Community Medicine, 1985.Google Scholar
17.Bhopal, RS, Fallon, RJ. Geographical epidemiology of Legionnaires' Disease in Glasgow: a preliminary report. Communicable Diseases (Scotland) Unit Weekly Bulletin. 1988 No. 17 (pp. 7–11) and No. 18 (p. 2).Google Scholar
18.Spss Inc. Norusis, Marija J.. SPSS/PC plus. Chicago: SPSS Inc, 1986.Google Scholar
19.Siegel, S.Nonparametric statistics for the behavioural sciences. New York: McGraw Hill, 1956.Google Scholar
20.Water Research Centre. Water fittings and materials directory 1988/89. Water Research Centre, Marlow, 1988.Google Scholar