Protocol for responding to the detection of Legionella pneumophila in drinking water distribution systems

Abstract

A protocol for responding to Legionella pneumophila detections in distribution system samples is presented and justified. The protocol was developed using existing protocols for building water systems, vetted in workshops, and provided to utilities participating in a research project. The protocol provides action levels and actions that utilities can take when L. pneumophila is detected in distribution system samples. Action levels are based on the best available science and expert judgment and are similar to those in protocols for assessing building water system monitoring results. Action levels should be reassessed as additional data and knowledge on the occurrence and growth potential of L. pneumophila in distribution systems become available. All positive detections trigger assessments that focus first on conditions local to the sample location and then extend further into the distribution system. Higher concentration or more frequent detections initiate more assertive responses and communication than lower concentration and frequency detections. The protocol provides a starting point for the development of protocols for purposes such as L. pneumophila operational surveillance or within an outbreak investigation.