There’s something in the water…
Even though Legionnaire’s disease is often fatal, coverage and education of the topic is limited within the UK due to the low number of cases.
The Legionella bacteria was first discovered in 1977 when an outbreak occurred at a hotel in Philadelphia, USA at an American Legion convention. The bacteria caused an onset of severe pneumonia; within a week of the event, more than 130 people had been hospitalised and 25 had died.
The US Centre for Disease Control and Prevention launched an investigation that found the source of the bacteria to be breeding in a cooling tower within the hotels air conditioning unit; this circulated the bacteria around the building. This tragic event led to new regulations and legislation regarding worldwide climate control systems.
The bacterium, Legionella Pneumophila, is naturally found in fresh water albeit in harmlessly low numbers. The bacteria can rapidly multiply in artificial water supply systems such as hot water tanks, hot tubs, spa pools and cooling towers of air conditioning units.
The bacteria is usually spread and contracted by inhaling mist (small droplets of water) that contains the bacteria.
The key temperature bracket for Legionella to breed is 20-45 degrees. There is also a high chance that Legionella will become harmful if there are impurities in the water such as rust and algae that the bacteria can use for food.
Typically, there is no evidence to suggest that Legionnaires’ disease is contagious and passed from one human to another.
Due to the nature of how it is spread, anyone can contract the disease. However, there are those that are more susceptible to the infection.
Those who are at a higher risk include people over the age of 45, smokers and heavy drinkers, those suffering from chronic respiratory or kidney disease, those with diabetes, lung or heart disease and anyone with an impaired immune system.
Legionnaires’ disease is a deadly form of pneumonia with initial flu like symptoms. 10% of infected cases are likely to be fatal. Once the bacteria begins to infect the lungs, the symptoms of pneumonia begin with a persistent cough, shortness of breath and chest pains.
The incubation period from contracting the infection to the start of symptoms is normally six to seven days but can range anywhere from two to 19 days.
There is no vaccine to protect against Legionnaires’ disease and the effects of the Legionella bacteria. Prevention is key and it is dependant on good maintenance of water systems. Treatment of the disease is with antibiotics.
There are locations more at risk from Legionnaires’ disease including local authorities, universities, housing associations, hospitals, office blocks, hostels, museums, private rental properties, hotels and caravan sites. These venues and organisations are more susceptible due to having larger, complex water systems within which the bacteria can spread quickly.
In 2015, 371 cases were reported within the UK (www.gov.uk). Cases of the disease within the UK normally peak between July and September.
In Edinburgh in 2012 in which 92 cases were detected and 4 people died. This is understood to be contracted by stagnant water in cooling towers.
A recent case of Legionnaires’ disease was identified at a hospice in Sydenham after a patient died and a worker suffered life altering effects from the disease. The hospice had implemented measures to attempt to control legionella but failed to appoint a competent person to manage these systems. The hospice pleaded guilty to breaching Sections 3 (1) and 2 (1) of the Health and Safety at Work Act 1974 and were sentences to a two year conditional discharge and ordered to pay costs of £25,000.
Every business has a moral and legal obligation to take care of its staff and members of the general public. Employers are required to consider the risks from legionella and take suitable precautions.
Once risked has been identified and assessed, a course of action should be put in place to prevent/control the risk. Implementation of the action is key and a competent person should be appointed to manage this. Records should be collated to provide evidence of checks and where appropriate, rectify any issues. In some instances, it is also appropriate to notify the local authority of cooling towers on site. This is the basic – Plan, Do, Check, Act process that can ensure compliance with health and safety regulation. Regular water tests are essential; ensuring water systems remain in use to prevent stagnation is vital.
The Control of Substances Hazardous to Health Regulations 2002 (COSHH) provides a framework of actions designed to assess, prevent and control risk from bacteria such as Legionella and take suitable precautions. There is an Approved Code of Practice (ACoP) with details and guidance on how to manage the risks within your business.
Should an occurrence of Legionellosis become apparent, this is reportable under RIDDOR (Reporting of Injury, Death and Dangerous Occurrences Regulations).
We at BN SHE Consultancy Ltd are dedicated to ensuring that businesses are compliant with health and safety laws and legislation.
If you’re unsure about your obligations regarding Legionella, believe your business may be at risk or have any other questions, please don’t hesitate to get in touch and let us know; firstname.lastname@example.org or 01981 540 197.
Luke WellingsManagerTrueline Expanded Products Ltd
"Trueline got in touch with BN SHE following a visit from the HSE in which an improvement notice was issued. In order for us to comply with health and safety legislation we needed a fully compliant health and safety management system that was not only comprehensive and effective but enforced and communicated to employees. BN SHE immediately identified what we needed at Trueline and designed a bespoke action plan to achieve results in a short period of time. Not only was an action plan created but Bonita created all policies and procedures we needed to become compliant and made sure I was involved at every stage so I could understand and enforce our new system. The service BN SHE provided was extremely professional and we could not have been any happier, not only did our health and safety culture improve but Bonita gave me the confidence and knowledge to continue to improve the health and safety of our employees."
Megan McHaleCompliance ManagerFlatley Construction Limited
"We worked closely with BN SHE Consultancy Ltd, to implement an integrated management system; IS0 9001, 14001 & 45001. After getting to know our business, BN SHE produced a system which is reflective of us as a company, easy to understand and therefore easy to implement. We would like to thank Neil and the team at BN SHE for being available evenings and weekends to answer any questions we had leading up to our audits. We would also like to thank them for helping us become an ISO certified business, which will allow us to tender for further work in the future."
Clive IllingworthSHEA ManagerEssential Fleet Services
"BN SHE Consultancy Ltd were, up until December 2015, assisting our company through various business changes. As the Health & Safety Manager for the company I have found both Bonita and Neil extremely professional in not only dealing with our internal sites and depots, but also our external customers when required. Their meticulous approach when dealing within specific criteria for vehicle repair workshops is second to none. With their proactive approach in dealing with problems, identified as part of the audit process, they were able to assist our staff with on the spot advice on how to rectify the issue/problem; this pragmatic approach and attitude helped make the whole auditing process work extremely well."
Michael Cirstean Managing Director Dynamic Group Limited
"Dynamic Group were looking for a company to help us with an integrated management system; ISO 9001, 14001 AND 45001 that would incorporate our rail management system to give us a solution for the whole business. We were referred to BN SHE and Neil was assigned to us to review our current systems. As soon as we were able to present to Neil our audit results he attended our offices and put together an action plan to adopt all the necessary processes and procedures required for us to reach the acquired standard. The speed in which Neil put our systems together is testament to the great service they provide. We gave them a narrow window within which we wanted to achieve these standards and working management system and they certainly delivered with time to spare. To help us through the process Neil often dealt with enquiries outside of office hours and this still further helped with a smoother process. Very professional at all times and highly recommended. Thank you to the BN SHE Team "
Joe Reynolds Operations DirectorAK Industries
"BN SHE were approached to form part of our HSE support network and aid AKI with our Health & Safety (ISO 45001) and Environmental (ISO 14001) certification. Not only did BN SHE support with the development and implementation of a new integrated HSE management system but they proved invaluable in skilling up internal staff and worked directly with the external accreditation body during the initial audits, making them both pain and non-conformance free. BN SHE currently form part of our health & safety committee and provide invaluable direct day to day support for all our HSE needs. In summary BN SHE have helped remove the fog of confusion around HSE and made it something AKI are now proud of."
Dr. Noel JohnCompliance Director LCI Rail
"We enlisted BNSHE to implement an integrated management system during 2018 that would be in compliance with ISO 9001, 14001 & 45001. This project was to be from start to finish and they should also attend the ISO certification audit (UKAS). We worked with both Neil and Bonny at times during this project which was seamless from beginning to end. Neil even managed to cross reference and signpost to existing processes required for our Rail RISQS compliance. We started in April and by September we were a certificated organisation. I have no hesitation in recommending the BNSHE team to any organisation who is looking for someone who delivers on what they promise they are just brilliant!"
Mike Wilding DirectorDT Contracting (SW) Ltd
"After many years working with a multitude of consultants negotiating the myriad of compliance accreditations necessary to operate within the highly regulated construction industry we were fortunate to be introduced to BN SHE Consultancy Ltd. In a relatively short time Bonny and Neil have streamlined and updated all our internal SHEQ systems resulting in our ISO9001:2015 certification being achieved in less than a year. We are currently working towards ISO14001 and ISO45001 with the full guidance of BN SHE Consultancy Ltd, who also provide us with effective ongoing support in maintaining our SSIP and RISQS accreditations. The service extends to regular site audits and clear, objective reviews of our contract documentation in relation to SHEQ. Above all the support our team receives is always proactive and entirely professional, giving us an extra level of confidence in our day to day operations in what can still be very much a high risk industry. We would have no hesitation in recommending BH SHE Consultancy Ltd to other companies within the industry"
Katie ShooterManagerAesthetiCare & Ferndale Pharmaceuticals Ltd
"Health and Safety is no longer something to be scared of in our company. We have been working with BN SHE Consultancy Ltd for over a year now, and this has just become a part of our daily routine. BN SHE always ensure we are fully compliant with Health and Safety regulations, and that we have the correct Risk Assessments in place which fall in line with business change. I would highly recommend BN SHE Consultancy Ltd."