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Reports
on Legionella and
Other Waterborne
Microbes
Home
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Publications
store
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for a
general
audience
How
to reduce
your risk of
Legionnaires’
disease in
public
places
Home
plumbing
systems: how
to reduce
your risk of
legionnaires'
disease and
other
bacterial
infections
Home
humidifiers:
Reducing
your
exposure to
harmful
bacteria
Dental
water line
contamination
Spas,
hot tubs,
and
whirlpool
bathtubs: A
guide for
disease
prevention
Cryptosporidium:
What you
need to know
to protect
yourself |
Publications
designed
primarily
for
professionals:
engineers,
physicians,
infectious
disease/infection
control
professionals,
public
health
officials,
industrial
hygienists,
attorneys,
water
utilities,
epidemiologists,
microbiologists,
or
consultants
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Legionellae Control in Health Care Facilities: A Guide for Minimizing Risk
by Matthew R. Freije • James M.
Barbaree, Ph.D., Technical Editor • Foreword by Alfred P.
Dufour, Ph.D.
Item 104, ISBN 0-9649926-4-7, July 1996,
Softcover, 8-1/2 x 11, 144 pages, fully indexed, US$79.
1997 Small Press Book Awards Finalist
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"Quite frankly, the approach and
application of science in this text represents some of the best industrial (occupational) hygiene that I have ever seen in print! ...You won't be sorry."
L. Betts, MD, Ph.D.,
CIH, Appl. Occup. Environ.
Hyg., ACGIH
"a practical, well-written, and thoroughly researched review..."
Michael F. Parry, MD, Dir. Of Inf. Dis. & Microbiology, The Stamford (USA) Hospital
"This is an excellent reference book for any facility (healthcare or otherwise)."
C. Crouch,
CSP;
Prof. Safety
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"All plumbing engineers involved in hospital projects should have access to a copy of this book."
T.
Allinson, PE;
ASPE Report
"Freije meets the issue head on and provides the system administrator with straightforward methods to minimize the risk."
Larry Staples, Consultant, 1996 VP of ASHRAE
"Matt has really tackled the thorny problem issues head on. ...I like the book because it is very much a 'what to do' book. There's no beating around the bush."
C.
Broadbent,
AIRAH Journal, Australian Inst. of Rfrg Air Cond Htg |
Overview of contents:
- Test questions to evaluate your facility
- Risk management data (factors that determine the strength of a plaintiff's case and actual verdict and settlement amounts)
- Preventive strategies for domestic water systems and cooling towers
- Costs-benefits analysis for water sampling
- How-to guidance for water sampling and disinfection procedures
- Estimated costs of equipment and procedures
- Screening questions to aid in finding the best laboratories, consultants, and disinfection equipment
- Extensive directory listing advisors, consultants, laboratories, government agencies, suppliers, attorneys experienced in Legionnaires' cases, and professional societies. (An updated electronic source directory is provided free to those who purchase the book.)
For more information, visit
http://www.hcinfo.com/ldbook.htm.
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Special reports for a general audience
How to Reduce Your Risk of Legionnaires' Disease in Public Places
$14, electronic format, Item 310e, May 2000, approximately 24 pages, download at
http://www.hcinfo.com
Facts about Legionnaires' Disease and Legionella bacteria; Avoiding exposure to Legionella bacteria: Understanding your risk; In hospitals and nursing homes; In office buildings; In hotels; From equipment; In your job; In dental offices; References
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Spas, Hot tubs, and Whirlpool Bathtubs: A guide for disease prevention
$17, electronic format, Item 311e,
July 2000, approximately 23 pages, download at
http://www.hcinfo.com
The differences between spas, hot tubs, and whirlpool baths; Illnesses associated with whirlpool spas and baths; Precautions for whirlpool bathtubs; Recommendations for spas and hot tubs: Overview of disinfection; Disinfectant levels and other parameters to maintain; Chemical monitoring and dosing; Precautions in handling chemicals; Draining and cleaning; Filters; Shock treatment; Bacterial monitoring; Avoiding contaminated public spas and baths; Displays at stores and trade shows; Tables: Common spa problems; Organisms found in spas; References; Appendix: Associations; Magazines and web sites; Auto dosing and monitoring equipment
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Home Plumbing Systems: How to reduce your risk of Legionnaires' disease
and other bacterial
infections
$14, electronic format, Item 312e, May 2000, approximately 25 pages, download at
http://www.hcinfo.com.
Facts about Legionnaires' disease and Legionella bacteria; Surveys of homes; Risk reduction options for home plumbing systems: Understanding your risk; Hot water temperatures; Mixing valves; Hot water flushes; Selecting a water heater; Plumbing repairs; Water softeners; Water filters; Ultraviolet treatment; New construction; Water sampling; Additional preventive measures; References; Appendix: Thermometer for checking water temperatures; UV treatment units
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Dental Water Line Contamination
$7, electronic format, Item 313e,
Ju.y 2000, approximately 4 pages, download at
http://www.hcinfo.com.
The potential for disease; The root of the problem; Possible solutions to the problem; References
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Home Humidifiers: Reducing your exposure to harmful bacteria
$5, electronic format, Item 314e, May 2000, approximately 5 pages, download at
http://www.hcinfo.com.
Risk of disease associated with humidifiers; Types of humidifiers; Recommendations for portable humidifiers; Recommendations for humidifiers installed in ventilation ductwork; References
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Cryptosporidium:
What you need to
know to protect
yourself
$9,
electronic format,
Item 316e, July
2000, approximately
8 pages, download at
http://www.hcinfo.com
This publication is
composed primarily
of information
excerpted and
adapted from three
chapters of
Cryptosporidium and
Water: A Public
Health Handbook, a
guide book developed
by the Working Group
on Waterborne
Cryptosporidiosis (WGWC).
WGWC is a
multi-disciplinary
group composed of
representatives from
the national Centers
for Disease Control
and Prevention (CDC),
US Environmental
Protection Agency
(EPA), Food and Drug
Administration
(FDA), US Department
of Agriculture
(USDA), state and
local health
departments, the
drinking water
industry, and
organizations
representing the
concerns of
immunocompromised
persons. The
contents include
answers to the
following questions:
What is
Cryptosporidium?
Where is
Cryptosporidium
found? What is
cryptosporidiosis?
How would I know if
I have
cryptosporidiosis?
Can
cryptosporidiosis be
treated? How is
cryptosporidiosis
contracted? What are
the sources of
contamination? How
can I avoid
infection? Should I
have my water
tested? What if my
water utility
reports
Cryptosporidium?
Does boiling kill
Cryptosporidium in
water? Which types
of home water
filters remove
Cryptosporidium?
What should I look
for on bottled water
labels? What about
other drinks?
Tables: What to look
for on filter
product labels; What
to look for on
bottled water
labels;
Cryptosporidium risk
of various
beverages.
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Special reports for engineers, physicians, health care professionals, public health officials, industrial hygienists, attorneys, epidemiologists, microbiologists, or consultants
Legionella Electronic Source Directory
$11, electronic format, Item 309e, approximately 40 pages, download at
http://www.hcinfo.com
Most listings include the organization name, contact name, address, telephone, fax, e-mail address, and web site address (if applicable). The directory is
hyperlinked: you can click on an e-mail address to send a message, or click and go instantly to a web site. Categories include: Laboratories that culture environmental samples for Legionella; Consultants; Attorneys experienced in handling Legionnaires' cases; Government agencies; Professional societies; Thermostatic master control valves and antiscald fixtures; Thermometer for checking water temperatures; Dip slide suppliers; Disinfection systems for plumbing systems and industrial applications (Copper-silver ionization, Ultraviolet, Ozone); Sampling supplies; Products used by laboratories for culturing; Rapid urinary antigen test for L pneumophila serogroup 1.
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Culture Methodology for Legionella Species, by Janet E. Stout, Ph.D.
$19 paper version, Item 308, ISBN 0-9649926-8-X, 1998, 14 pages
$13 electronic version, Item 308e, download at
http://www.hcinfo.com
Designed to help hospital, university, or commercial laboratory workers learn to culture specimens for Legionella or improve proficiency of existing operations. Clinical Specimens: Storage and transport of specimens; Media for clinical specimens. Environmental Samples: Sample storage temperature; Processing samples collected from water distribution systems; Processing samples collected from cooling towers and other equipment with high concentrations of bacteria; Media for samples collected from water distribution systems; Media for samples collected from cooling towers and other equipment with high concentrations of bacteria. Figures and Tables: Procedure for processing clinical samples for Legionella culture; Acid-buffer pretreatment procedures; Procedure for processing water samples for Legionella culture; Three currently recommended methods for monitoring Legionella pneumophila in potable water. Appendix: Suppliers of Legionella media and filters.
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Cryptosporidium
and Water: A Public
Health Handbook
$17, electronic
format, Item 315e,
1997, 151 pages,
download at http://www.hcinfo.com
This book was
developed by the
Working Group on
Waterborne
Cryptosporidiosis (WGWC)--a
multi-disciplinary
group composed of
representatives from
the national Centers
for Disease Control
and Prevention (CDC),
US Environmental
Protection Agency
(EPA), Food and Drug
Administration
(FDA), US Department
of Agriculture
(USDA), state and
local health
departments, the
drinking water
industry, and
organizations
representing the
concerns of
immunocompromised
persons. The book is
designed to assist
local health
departments and
water utilities in
preparing for and
responding to
reports of
Cryptosporidium in
tap water or in a
community’s source
of drinking water
(river, lake, well).
Water utilities in
the USA are required
to test drinking
water sources once a
month for
Cryptosporidium.
When Cryptosporidium
is found in water
supplies,
unnecessary boil
water advisories may
result if test
results are not
properly
interpreted. The
contents include:
Executive Summary;
Introduction; 1.
Coordination and
Preparation; 2.
Epidemiologic
Surveillance; 3.
Clinical Laboratory
Testing; 4.
Evaluating Water
Test Results:
Drinking Water
Sources; Treatment;
Testing; Issuing and
Rescinding a Boil
Water Advisory; 5.
Outbreak Management;
News Release
Information:
Frequently Asked
Questions; Protocols
for Special
Audiences and
Contingencies; 6.
Educational
Information for the
public; 7.
Recreational Water;
Appendix;Selected
Articles; Figures;
Index
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Note: Special Reports 301-307, described next, are composed primarily of information excerpted from Legionellae Control in Health Care Facilities: A Guide for Minimizing Risk, by Matthew R. Freije. The recommendations apply to nearly all types of buildings.
Legionnaires' Disease: Facts, Legal Issues, Risk
$14 paper version, Item 301, ISBN 0-9649926-0-4, 1998, 20 pages
$11 electronic version, Item 301e, download at http://www.hcinfo.com
Facts about Legionnaires' disease: Definitions of often-confused terms; Incidence; Death rate; Undetected cases; Who's at risk; Symptoms; How it's acquired; Sources of contamination; Lawsuits: Frequency of lawsuits; Factors that determine the strength of a plaintiff's case; Verdict and settlement amounts; Overview of risk reduction: Evaluating your risk: test questions to ask; Components of a Legionella action plan; Government regulations; Research progress; Deciding how much to spend on risk reduction; Overview of risk reduction strategies; Source directory: attorneys experienced in LD cases.
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How to Make Plumbing Systems Less Conducive to Legionella and Other Bacteria
$19 paper version, Item 302, ISBN 0-9649926-1-2, 1998, 24 pages
$14 electronic version, Item 302e, download at http://www.hcinfo.com
Hot water temperatures: effect on legionellae, scalding, regulations, checking; Using mixing and antiscald valves: options, costs, cautions; Water lines and fixtures: materials, design, what to avoid, contractor specifications, maintenance; Hot water tanks: new equipment recommendations, installation, cleaning; Specific incidents that have caused legionella problems; What not to do: procedures that are a waste of time and money; Source directory.
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Disinfecting Plumbing Systems of Legionella: Solving Problems Without Overspending
$19 paper version, Item 303, ISBN 0-9649926-2-0, 1998, 25 pages
$14 electronic version, Item 303e, download at
http://www.hcinfo.com
Advantages, disadvantages, and costs of: Heat shock, Chlorination, Ultraviolet radiation,
Ozonation, Copper-silver ionization; Smart buying: Getting advice from other users, 11 questions to ask; Screening manufacturers: 4 questions to ask; Practical points to consider before taking action; Source directory: consultants, manufacturers.
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Minimizing the Risk of Legionella in Cooling Towers and Other HVAC Equipment
$19 paper version, Item 304, ISBN 0-9649926-3-9, 1998, 18 pages
$14 electronic version, Item 304e, download at
http://www.hcinfo.com
Cooling towers: Physical cleaning, Disinfection, Maintenance and operation checklist, Conditions to avoid, Total bacteria counts vs. legionellae counts, Drift eliminators, Location, Purchasing new towers, Checklist of preventive measures, Source directory; Other HVAC equipment: Humidifiers, Ductwork, Condensate drip pans.
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Sample water for
legionella? Weighing the benefits against the costs
$14 paper version, Item 305, ISBN 0-9649926-5-5, 1998, 14 pages
$11 electronic version, Item 305e, download at
http://www.hcinfo.com
This report will help you decide whether or not to allocate money for water sampling. It covers the debate over routine environmental sampling, What sampling can and cannot tell you, Possible outcomes, Liability factors, Costs.
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Legionella environmental sampling guide
$24 paper version, Item 306, ISBN 0-9649926-6-3, 1998, 32 pages
$19 electronic version, Item 306e, download at
http://www.hcinfo.com
Selecting a laboratory: Overview of three laboratory methods; Screening laboratories: 16 questions to ask; Methods and prices of three laboratories; How to test the proficiency of a laboratory; Establishing your program: Choosing between air and water samples; Choosing between water & swab samples; Collecting samples yourself vs. hiring a consultant; Supplies to purchase; Frequency of screenings; Selecting equipment and building areas to sample; Number of samples per screening; Instructions for each screening: Scheduling checklist; Pre-screening checklist; Example of a completed sampling log; Collecting samples & recording data for each sample type; Seven-step checklist for shipping samples to the lab; Interpreting results; Sampling log (blank for copies); Source directory: Supplies to buy for sampling; Laboratories worldwide that specialize in Legionella.
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Getting Help with Legionella Problems: Guidance for Good Decisions
$14 paper version, Item 307, ISBN 0-9649926-7-1, 1998, 18 pages
$11 electronic version, Item 307e, download at http://www.hcinfo.com
Definition of a Legionella "problem;" A consultant versus a government agency; Overview of an investigation; Screening consultants; Source directory: consultants, agencies.
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Audio Cassette
Item 401:
Point/CounterPoint: Surveillance Cultures for Legionella, $9
Point/CounterPoint is a lively debate between V. L. Yu, MD (VA Med.
Ctr, Pittsburgh, USA) and R. F.
Breiman, MD (US CDC) recorded live at the 1996 Annual Meeting of
SHEA. Packed with facts about water sampling studies--and very entertaining! Top of page
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