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			<title>Green Building Forum - Legionnaires&amp;#039; disease and warm houses</title>
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		<title>Legionnaires&#039; disease and warm houses</title>
		<link>https://www.greenbuildingforum.co.uk/newforum/comments.php?DiscussionID=853&amp;Focus=9206#Comment_9206</link>
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		<pubDate>Sat, 10 Nov 2007 16:26:21 +0000</pubDate>
		<author>Neil K</author>
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			<![CDATA[Has anybody looked into whether there are any risks (unreasonable risks that is) associated with the routing of the cold water pipes in a well insulated building?<br /><br />The point is that in old buildings the loft was normally cold and the supply pipework was therefore running at low temperatures. This would mean that there was no 'cold' water sitting about at room temperature. We are planning to build a SIP house, so the envelope of the house will be warm. i.e. the roof space will also be within the insulated envelope and is likely to be at, or near, the living temperature.<br /><br />Give that Legionnaires is known to like water around 20C I wonder if there is an issue with the routing of the cold pipes within the house. Should I, for example, run all the cold pipes in the ground below the insulated slab rather than through the warm loft? On the other hand does the chlorination in mains water deal with this?<br /><br />Glad of a steer on this.]]>
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		<title>Legionnaires&#039; disease and warm houses</title>
		<link>https://www.greenbuildingforum.co.uk/newforum/comments.php?DiscussionID=853&amp;Focus=9208#Comment_9208</link>
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		<pubDate>Sat, 10 Nov 2007 17:45:29 +0000</pubDate>
		<author>nigel</author>
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			<![CDATA[Cold pipes should be insulated and not run next to hot water pipes.<br />Minimise cold water storage.<br />Low use outlets should be upstream of higher use ones to keep water moving. And avoid dead legs in pipework.<br /><br />Chlorination should deal with legionella but it is not guaranteed.<br /><br />There is a code of practice Legionnairesâ€™ disease: The control of legionella bacteria in water systems.<br />Approved Code of Practice and guidance L8 available from HSE.]]>
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		<title>Legionnaires&#039; disease and warm houses</title>
		<link>https://www.greenbuildingforum.co.uk/newforum/comments.php?DiscussionID=853&amp;Focus=9209#Comment_9209</link>
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		<pubDate>Sat, 10 Nov 2007 17:48:52 +0000</pubDate>
		<author>Mike George</author>
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			<![CDATA[Hi Neil, There is a pretty good explanation here <a href="http://en.wikipedia.org/wiki/Legionella." target="_self" rel="nofollow">http://en.wikipedia.org/wiki/Legionella.</a>]]>
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		<title>Legionnaires&#039; disease and warm houses</title>
		<link>https://www.greenbuildingforum.co.uk/newforum/comments.php?DiscussionID=853&amp;Focus=9217#Comment_9217</link>
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		<pubDate>Sat, 10 Nov 2007 23:02:31 +0000</pubDate>
		<author>tony</author>
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			<![CDATA[I cant see this happening inside a pipe of treated water. <br /><br />Ref insulated pipes. Whether or not the pipe is insulated the water in it will get to the same temperature as the house. Insulation does not of itself set up thermal gradients it just slows heat flow, it cannot stop the heat flowing though so temperatures will equilibrate.<br /><br />The most dangerous place in my opinion would be in pipes after sink mounted water filters these remove chlorine and their pipes are sometimes translucent and not barrier type so they can allow oxygen in. Still I dont see it happening in houses even there.]]>
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		<title>Legionnaires&#039; disease and warm houses</title>
		<link>https://www.greenbuildingforum.co.uk/newforum/comments.php?DiscussionID=853&amp;Focus=9222#Comment_9222</link>
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		<pubDate>Sun, 11 Nov 2007 08:16:16 +0000</pubDate>
		<author>Mike George</author>
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			<![CDATA[According to the link above,  legionella has to be inhaled to be a health risk. How is that going to happen in a domestic situation?]]>
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		<title>Legionnaires&#039; disease and warm houses</title>
		<link>https://www.greenbuildingforum.co.uk/newforum/comments.php?DiscussionID=853&amp;Focus=9225#Comment_9225</link>
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		<pubDate>Sun, 11 Nov 2007 09:40:40 +0000</pubDate>
		<author>nigel</author>
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			<![CDATA[<blockquote ><cite >Posted By: Mike George</cite>According to the link above,  legionella has to be inhaled to be a health risk. How is that going to happen in a domestic situation?</blockquote><br /><br />Showers are probably the highest risk. Also spray from taps.<br /><br />Legionella needs two things to grown warmth and food. The latter is usually contamination such as limescale build up.<br /><br />Below 20c legionella is largely dormant so insulating a pipe will reduce the possibility of it getting to 20c and given that cold water is used regularly it is not going to sit at that temperature for long periods.<br /><br />In a domestic situation the cold water supply is low risk providing some basic precautions are utilised.]]>
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		<title>Legionnaires&#039; disease and warm houses</title>
		<link>https://www.greenbuildingforum.co.uk/newforum/comments.php?DiscussionID=853&amp;Focus=9227#Comment_9227</link>
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		<pubDate>Sun, 11 Nov 2007 11:12:10 +0000</pubDate>
		<author>biffvernon</author>
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			<![CDATA[How many deaths from Legionaires have been attributed to domestic water systems?]]>
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		<title>Legionnaires&#039; disease and warm houses</title>
		<link>https://www.greenbuildingforum.co.uk/newforum/comments.php?DiscussionID=853&amp;Focus=9233#Comment_9233</link>
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		<pubDate>Sun, 11 Nov 2007 13:11:40 +0000</pubDate>
		<author>tony</author>
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			<![CDATA[none]]>
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		<title>Legionnaires&#039; disease and warm houses</title>
		<link>https://www.greenbuildingforum.co.uk/newforum/comments.php?DiscussionID=853&amp;Focus=9242#Comment_9242</link>
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		<pubDate>Sun, 11 Nov 2007 20:05:24 +0000</pubDate>
		<author>nigel</author>
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			<![CDATA[Not true. <a href="http://www.accepta.com/industry_water_treatment/legionnaires-disease-domestic-hot-water.asp" target="_self" rel="nofollow">http://www.accepta.com/industry_water_treatment/legionnaires-disease-domestic-hot-water.asp</a><br /><br />Also if you rent out residential property you are legally obliged to comply with approved Code of Practice under H&S regulations.]]>
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		<title>Legionnaires&#039; disease and warm houses</title>
		<link>https://www.greenbuildingforum.co.uk/newforum/comments.php?DiscussionID=853&amp;Focus=9246#Comment_9246</link>
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		<pubDate>Sun, 11 Nov 2007 20:57:06 +0000</pubDate>
		<author>tony</author>
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			<![CDATA[Is that evidence?]]>
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		<title>Legionnaires&#039; disease and warm houses</title>
		<link>https://www.greenbuildingforum.co.uk/newforum/comments.php?DiscussionID=853&amp;Focus=9250#Comment_9250</link>
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		<pubDate>Sun, 11 Nov 2007 21:27:01 +0000</pubDate>
		<author>nigel</author>
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			<![CDATA[Where's yours!!]]>
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		<title>Legionnaires&#039; disease and warm houses</title>
		<link>https://www.greenbuildingforum.co.uk/newforum/comments.php?DiscussionID=853&amp;Focus=9251#Comment_9251</link>
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		<pubDate>Sun, 11 Nov 2007 21:36:27 +0000</pubDate>
		<author>biffvernon</author>
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			<![CDATA[Nigel, that piece includes: 'Janet Stout, a microbiologist at the Veterans Administration Medical Center in Pittsburgh said "The evidence suggests that the residential water system is an under appreciated source of Legionnairesâ€™ disease".'  It goes on to say that Stout thinks that some people diagnosed as suffering pneumonia may actualy have undiagnosed Legionaires.  Unfourtunately the Accepta piece does not appear to give a reference to Stout's publication (if there is one) or did I miss it?<br /><br />The evidence for any deaths from Legionaires attributed to domestic water systems is thus rather thin.]]>
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		<title>Legionnaires&#039; disease and warm houses</title>
		<link>https://www.greenbuildingforum.co.uk/newforum/comments.php?DiscussionID=853&amp;Focus=9254#Comment_9254</link>
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		<pubDate>Sun, 11 Nov 2007 21:57:40 +0000</pubDate>
		<author>nigel</author>
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			<![CDATA[There is plenty of anecdotal evidence that domestic water systems are a source of legionella its just that they get less publicity than an large scale public outbreak.<br /><br />This report shows that there is evidence of domestic infection being significant. <a href="http://journals.cambridge.org/action/displayAbstract?fromPage=online&aid=190637" target="_self" rel="nofollow">http://journals.cambridge.org/action/displayAbstract?fromPage=online&aid=190637</a><br /><br />Some 10% of of infections prove to be fatal. In 2006 there were some 500 infections and 44 deaths. It would be naive to think that there has never been a death from a domestic source just because it has not been reported as such.<br /><br />Given that it is not that difficult to reduce the risk in a domestic system with modest and simple design criteria then I think it is sensible to do this.<br />This would be especially true if the occupant is in a higher risk category.]]>
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		<title>Legionnaires&#039; disease and warm houses</title>
		<link>https://www.greenbuildingforum.co.uk/newforum/comments.php?DiscussionID=853&amp;Focus=9261#Comment_9261</link>
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		<pubDate>Mon, 12 Nov 2007 07:46:10 +0000</pubDate>
		<author>biffvernon</author>
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			<![CDATA[I don't disagree with you Nigel but the concluion by Lim et.al., "These data suggest that Nottingham does have a higher rate of legionella infection compared to national figures and that home water systems are a source", raises the intriguing question, what's so special about plumbing in Nottingham?]]>
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		<title>Legionnaires&#039; disease and warm houses</title>
		<link>https://www.greenbuildingforum.co.uk/newforum/comments.php?DiscussionID=853&amp;Focus=9263#Comment_9263</link>
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		<pubDate>Mon, 12 Nov 2007 09:14:53 +0000</pubDate>
		<author>nigel</author>
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			<![CDATA[any plumbers from Nottingham able to enlighten us?]]>
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		<title>Legionnaires&#039; disease and warm houses</title>
		<link>https://www.greenbuildingforum.co.uk/newforum/comments.php?DiscussionID=853&amp;Focus=9264#Comment_9264</link>
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		<pubDate>Mon, 12 Nov 2007 10:02:02 +0000</pubDate>
		<author>tony</author>
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			<![CDATA[If this was a real problem we would not be hearing about it on here first<br /><br />A recent suspected case in Reading caused an in depth search of domestic water systems in flats in Reading   --   no legionella was found.]]>
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		<title>Legionnaires&#039; disease and warm houses</title>
		<link>https://www.greenbuildingforum.co.uk/newforum/comments.php?DiscussionID=853&amp;Focus=9267#Comment_9267</link>
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		<pubDate>Mon, 12 Nov 2007 10:38:36 +0000</pubDate>
		<author>nigel</author>
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			<![CDATA["A recent suspected case in Reading caused an in depth search of domestic water systems in flats in Reading -- no legionella was found."<br />Therefore legionella does not occur in residential dwellings - QED<br /><br />So nothing you hear on the green building forum that you have not heard elsewhere first is a problem. <br />If you are never going to learn something on here why bother reading it?<br /><br />If it is the case tha there is no risk why has the HSE introduced regulations that require private domestic landlords to comply with the code of practice on legionella?<br /><a href="http://www.hse.gov.uk/pubns/indg376.pdf" target="_self" rel="nofollow">http://www.hse.gov.uk/pubns/indg376.pdf</a>]]>
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		<title>Legionnaires&#039; disease and warm houses</title>
		<link>https://www.greenbuildingforum.co.uk/newforum/comments.php?DiscussionID=853&amp;Focus=9270#Comment_9270</link>
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		<pubDate>Mon, 12 Nov 2007 12:54:03 +0000</pubDate>
		<author>tony</author>
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			<![CDATA[OK then why is this guidance for private domestic landlords and not everyone????<br /><br />What is the difference between pipes in rented houses and owner occupied houses?????]]>
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		<title>Legionnaires&#039; disease and warm houses</title>
		<link>https://www.greenbuildingforum.co.uk/newforum/comments.php?DiscussionID=853&amp;Focus=9291#Comment_9291</link>
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		<pubDate>Mon, 12 Nov 2007 19:28:16 +0000</pubDate>
		<author>Neil K</author>
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			<![CDATA[Thanks for the comments and it has certainly lit a few fuses!. To deal with a couple of point s that have come up:<br /><br />1. I believe a cleanerd caught legionnaires from the aerosols formed when filling a bucket in an underground station in Gateshead some years ago. The point being that this was a rarely used tap with a pipe in a warm environment. The aerosol was created from the impact of water into the bucket.<br /><br />2. It strikes me that there is an increased risk now due to the general increase in living temperatures in houses, and also possibly by the routing of pipework within the heated envelope of the buildings. I think Tony is right, and insulation will not stop cold water getting to room temperature... it will just take longer. It will, however prevent additional warming from nearby hot water, so it seems to worth looking at. Luckily the bottom range for breeding bugs is about the top of the houshold temps.<br /><br />3. I like the idea of trying to route the pipework so that the most used appliances are at the far end of the pipe run, so inducing maximum flushing, and minimising dead legs.<br /><br />4. As to why Nottingham is popular: No idea, it certianly wasn't warmer when I lived there! :-)<br /><br />On reflection I intend to route the main pipe run under the slab in the colder ground, and minimise the dead legs. An occasional draw off will also probably be worth putting into the maintenance regime.]]>
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		<title>Legionnaires&#039; disease and warm houses</title>
		<link>https://www.greenbuildingforum.co.uk/newforum/comments.php?DiscussionID=853&amp;Focus=9294#Comment_9294</link>
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		<pubDate>Mon, 12 Nov 2007 20:07:54 +0000</pubDate>
		<author>nigel</author>
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			<![CDATA[<blockquote ><cite >Posted By: tony</cite>OK then why is this guidance for private domestic landlords and not everyone????<br /><br />What is the difference between pipes in rented houses and owner occupied houses?????</blockquote><br /><br />Probably the same reason that a private householder can remove asbestos in his own house and not comply with any guidance.<br />That doesnt mean that asbestos is safe if its in a private dwelling.<br /><br />Me thinks your clutching at straws Tony.]]>
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		<title>Legionnaires&#039; disease and warm houses</title>
		<link>https://www.greenbuildingforum.co.uk/newforum/comments.php?DiscussionID=853&amp;Focus=9298#Comment_9298</link>
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		<pubDate>Mon, 12 Nov 2007 21:48:16 +0000</pubDate>
		<author>biffvernon</author>
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			<![CDATA[The moral is don't fill buckets in underground stations in Gatehead.  Personally, I've never felt the urge.<br /><br />Never mind the Legionaires, I would have thought that having water coming out of the cold tap too cold and out of the hot tap too hot for the bugs would be pretty desirable.  Any system that delivered luke warm water out of either tap would be pretty undesirable.]]>
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		<title>Legionnaires&#039; disease and warm houses</title>
		<link>https://www.greenbuildingforum.co.uk/newforum/comments.php?DiscussionID=853&amp;Focus=9330#Comment_9330</link>
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		<pubDate>Tue, 13 Nov 2007 18:49:24 +0000</pubDate>
		<author>tony</author>
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			<![CDATA[It seems a bit remote to me that enough aerosol could be generated never mind inhaled filling a bucket?]]>
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