Legionnaires’ Disease Sickens 11 in Upper Manhattan

By Zoe Greenberg

“An outbreak of Legionnaires’ disease has sickened 11 people in Upper Manhattan, 10 of whom have been hospitalized, according to city health officials.

Eight people remained in the hospital on Thursday.

“This disease is very treatable with antibiotics,” Dr. Mary Bassett, the city’s health commissioner, said in a statement. “I encourage anyone with symptoms of Legionnaires’ disease to seek care early.”

The city’s Department of Health said it was “actively investigating” the cases, but had not yet determined the source of the bacteria. A spokesman for Mark Levine, a City Council member who represents the area and who was briefed on the outbreak, said inspectors took water samples from buildings between 145th and 155th Streets. While the city waits for the test results from the 20 cooling-tower systems that were sampled, it has already treated the towers’ water, said Dr. Demetre Daskalakis, the deputy commissioner of disease control.

The cluster of people infected all live in Upper Manhattan and are older than 50, health officials said.

Three of the 11 cases were identified on Thursday, and that number could rise.

“We may continue to see additional cases,” Dr. Bassett said Thursday night at a community meeting at Saint Luke’s African Methodist Episcopal Church on Amsterdam Avenue that was held to discuss the outbreak and answer questions.

Legionnaires’ disease is a serious type of pneumonia commonly caused by breathing in water vapor that contains Legionella bacteria. The disease is most common in the summer because the bacteria thrives in warm water, said Dr. Waleed Javaid, the director of infection prevention and control at Mount Sinai Downtown Network.

Some of the most common culprits in the spread of the disease are cooling towers, humidifiers, hot water tanks and condensers in large air-conditioning units. Whirlpool spas and hot tubs are also sometimes sources of the disease.

In 2015, contaminated cooling towers were the source of a Legionnaires’ outbreak that killed 12 people and sickened more than 120. Legionnaires’ can sometimes contaminate smaller water supplies, as well. In April, three people were diagnosed with Legionnaires’ after the water supply at the Co-Op City complex in the Bronx was contaminated, and one person died.

City health officials said this is the year’s first “cluster” outbreak, in which people across different buildings have fallen ill. Every year, between 200 and 500 people are diagnosed with the disease in the city.

“During a cluster, we’re way, way, way more aggressive than when there’s no evidence of disease transmission from that tower,” Dr. Daskalakis said.

He added that individuals did not need to change their behavior.

“People should drink the water, take showers, bathe as usual, cook as usual, but just be vigilant and persistent and don’t wait,” if flu-like symptoms occur, he said.

“If a person is asymptomatic, they don’t have to worry or panic,” Dr. Javaid said. “Panic is not helpful in this situation if you’re not ill.”

By Thursday, fliers in English and Spanish hung throughout Upper Manhattan. They included a list of frequently asked questions about Legionnaires and a notice to residents: “The risk to most people is low, but if you have flu-like symptoms, please see your medical provider right away.”

Diana Dondrue, 32, said she saw city workers handing out fliers, but she was not overly worried.

Joarty Román, 37, said she was unaware of the outbreak, and was concerned for her elderly parents.

“They should make it more public,” Ms. Román said. “My parents are elderly and I take care of them, so this is something that I should be aware of.”

Mariana Alfaro contributed reporting.

A version of this article appears in print on , on Page A18 of the New York edition with the headline: Legionnaires’ Disease Sickens 11 in Upper Manhattan. Order Reprints | Today’s Paper | Subscribe
Sources: https://www.nytimes.com/2018/07/12/nyregion/legionnaires-disease-nyc.html

When Going Green Goes Too Far: Part 2


  1. With decreased efficiencies due to scaling, water usage will significantly increase. NOT GREEN.
  2. If one were to perform energy studies, the increased load is alarming. More power and utilities…NOT GREEN


  1. One word. Legionella! The dreaded “L word.” Now, legionella can happen in any system with any treatment program. But with a responsible biocide program, the risk is greatly reduced, and better controlled.

If someone were to contract legionella from a cooling tower for which the owner opted to use a non-proven chemical free form of treatment over a proven EPA registered biocide approach…they will have some tough questions to answer.

If legionella and/or HPC levels get too high, per state and industry guidelines, an EPA registered biocide must be used to resolve the issue. Now we are back to using chemicals. Almost seems like a reactive approach, instead of a proactive or preventative approach.

Causing an environmental and health concern…NOT GREEN!

Instead of jumping to chemical free to “go green”, sit down with your water treater to learn how Chemical Water Treatment is in itself a Green technology!

Make a plan to implement automation to help decrease chemical feed. Work together to increase system efficiencies and reduce water by cycling your cooling tower at its peak efficiency.

Chemical water treatment is proven effective, and when properly administered, truly a Green solution that reduces costs, helps the environment and counts for LEED credits!

When Going Green, Goes too Far…

Part 1

Of course, we all want to be as environmentally responsible as we can with our facility cooling systems and treatment programs.

I can see the attraction for going chemical free. But can you take it too far?  Is it necessary to go chemical free to be “green?”

Chemical free forms of treatment have been around the industry for years. Many of these have not been proven or do not have a steady track record of positive results.  Some almost seem like a late-night TV gimmicky advertisement, promising the world!

We have seen some of these systems work “ok” in specific environments and applications. Great!  But we have also seen damage to systems, decreased operating efficiencies, and in some cases, causing environmental concerns such as legionella. Very concerning.

Each of these concerns are the opposite of going green.  Ironic, don’t you think?

To contact us: https://metrogroupinc.com/contact/


Cost Savings with Evaporation Credits

With a growing desire to conserve energy, water and other resources, a commonly overlooked option for cost savings is Cooling Tower Evaporation Credits. With the growing costs of fresh water supply and sanitary service, taking advantage of evaporation credits can provide a cost savings towards plant operations budget. Evaporation is calculated by recording water make-up to the cooling tower, then subtracting water discharge via blow down. The difference is water lost to Evaporation. This allows for savings on water that would normally be paid for as sanitary waste.

It is suggested that the customer check with local water authorities to ensure that the water meters and method of recording will be acceptable to obtain the evaporation credits.

Example:  A 300-Ton cooling tower running at 4 cycles of concentration uses 1,000,000 gallons of make-up water for a cooling season. The blow down water to sanitary drain at 4 cycles would be 250,000 gallons. This would allow for a savings on sewer charges for 750,000 gallons of water that is evaporated through the cooling process.

For more information about your specific Cooling Tower System and how you can potentially realize Cost Savings thru Evaporation Credits, please get in touch with local Metro Representative.

Legionella Remediation – Installation of Secondary Disinfection System utilizing Chlorine Dioxide Technology

Metro recently completed the installation of a permanent Secondary Disinfection System (pictured below) utilizing Chlorine Dioxide for a building drinking water system that experienced the persistent presence of the Legionella Bacteria over an extended period of time.

Metro employs Chlorine Dioxide as a disinfectant for Legionella Remediation for its ability to penetrate biofilm and get to the source of the problem, something Chlorine and Bromine can’t do.  And as Chlorine Dioxide is generated onsite, no chemicals have to be mixed or stored, making it a much safer option.

Often times, a one-time Disinfection of a piping system is enough to remediate the presence of Bacteria, but in some instances with persistent issues, the permanent installation must be considered.

For more information, please get in touch and we will connect you with your local Metro Consultant.


For more information on Legionella and Industry Regulations and guidelines, click here.

Troubleshooting Water Softeners

Having problem with your water softener?  Metro can assist your facility in walking you thru a few simple troubleshooting steps.

The most common water softener problem is a poor brine draw.  Poor brine draw is typically caused either by a leaking brine draw tube, (flexible tube leading from brine tank to softener head) or a cracked or damaged brine check valve assembly. Item 2 on diagram

Brine tanks and valves should be cleaned out every year, as salt always contains some amount of foreign material, plugging valves and interfering with brine draw.

If indeed the softener is drawing brine well, then an elution study and/or a resin analysis may be necessary.

Brine Tank

Contact your local Metro representative for more details!

Customer blames fitness club’s negligence for his illness

by Noddy A. Fernandez |

Apr. 6, 2018, 1:04pm

ORLANDO — An Orlando customer is suing a fitness club, alleging it allowed Legionella bacteria to exist in the water fixtures of its premises.

Reinaldo Mariaca filed a complaint March 26, in Orange County Circuit Court against Fitness International, LLC, failure to exercise reasonable care in maintaining premises in a safe condition for the safety of clients.

According to the complaint, on May 26, 2017, Mariaca was lawfully upon the premises of defendant’s LA Fitness club in Orlando. Mariaca says he contracted legionella pneumonia after utilizing the showers, water fountains, spas, pools and water fixtures within the club.

As a result, Mariaca say he suffered has bodily injury, loss of the capacity for the enjoyment of life, and the expense of hospitalization, medical and nursing care and treatment.

The plaintiff alleges Fitness International failed to adequately inspect the showers, water fountains, spas, pools and water fixtures on the premises to determine whether the Legionella existed before guests utilized the premises.

Mariaca seeks trial by jury, damages in excess of $15,000, plus interest and court costs. He is represented by attorney Lawrence Gonzalez II of Morgan & Morgan PA in Orlando.


Source: https://flarecord.com/stories/511384266-customer-blames-fitness-club-s-negligence-for-his-illness

New Legionnaires’ Cases at Veterans Home

“QUINCY, IL (WGEM/CNN) – Two new cases of Legionnaires’ disease have been reported at a veterans home where more than a dozen people have died from the disease since 2015.

“I have no idea why it’s still happening, because I know they put a whole new water system in out here when the first outbreak came out in 2015,” said Bill Huber, whose father resides in the home. “It’s still frustrating that it’s still happening.”

The Illinois Department of Public Health said two residents showed signs of pneumonia on Feb. 8. That’s when tests were sent to a local hospital.

When those tests came back negative, different tests were done at a state lab. Those tests confirmed Legionnaires’ disease.

“Look, the capital development board should be brought in,” said Illinois state Sen. Tom Cullerton, D-Villa Park. “There’s 15 million dollars of federal funds that could be utilized, and the governor should come to us to appropriate whatever else is needed to get the problem fixed, but he’s not doing that.”

With Legionella bacteria known to grow in summer months, Cullerton said it’s concerning to see it pop up in the winter.

“If it’s coming up in the dead of cold when it’s not supposed to, how quickly once that thaw hits, is it really going to start affecting the entire institution?” Cullerton said.

State Sen. Jil Tracy, R-Quincy, said these new cases will speed up the process for lawmakers to come up with a plan.

“We’re looking at the option to retrofit new piping from the new water treatment facility there, so all of it is being discussed,” Tracy said.

Bill Huber’s father suffers from Alzheimer’s and has been at the home for nearly a year. Huber wishes the state could solve the situation, but he’s glad to see local staff working hard.

“They check it every hour of every day, so they’re doing everything they can to keep the residents safe,” Huber said.

The Illinois Department of Public Health said engineers are scouring the home, looking for the presence of more Legionella bacteria. They also have put measures in place to protect residents and staff.”


Sources: http://www.mysuncoast.com/news/national/new-legionnaires-cases-at-veterans-home/article_f37f514e-9fd6-5630-b9c5-8f45a2d05236.html


All Legionella Test Results are Not the Same

Legionella testing laboratories will usually express their findings across all Legionella species using available culture methodologies (through ISO or CDC).  In some cases, laboratories are required by regulations to do so.  While on the surface, testing for all species of Legionella would seem to be more protective of public health, evolving information has shown the opposite.  This bears out in the literature to be the statistically and internationally accepted logic.  In September 2017 the World Health Organization released its recommendation that water systems be monitored for Legionella pneumophila specifically.  Their report was confirmation that Pneumophila is clearly recognized as the causative agent of legionellosis, and not the other Legionella species.  Identification of non-pneumophila species could lead directly to unnecessary response and expense.  The door could be opening for the acceptance of more focused testing methods, where specific isolation of Pneumophila promotes better problem ID, testing accuracy, and mostly reduces the cost of administering a water management plan.

Written by: John D. Caloritis, CWT, Technology Director

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Softener Equipment

Sodium zeolite softener systems consist of a softener tank, valving and a means of transporting brine (salt solution) to the softener tank.  The tank includes a service and rinse water inlet distributor, freeboard or the headspace from the top of the resin bed to the top of the vertical wall of the tank, a regenerant distributor, a bed of ion exchange resin and sometimes a supporting medium or outlet distribution system.

The inlet assembly is designed to evenly distribute the incoming water.  It also acts as a collector for the backwash water that goes to the sewer.

The feedboard space allows the resin to expand without loss to drain during the backwashing.  It should be designed to permit a minimum of 50% expansion.

The regenerant distributor located above the resin bed, spreads the brine uniformly over the resin beads.

A bed of resin, operating in the sodium cycle, softens the water.  The quantity of resin used depends on the raw water hardness, the quantity of water to be treated per regeneration, flowrate, and the regenerant level employed.

An underdrain system evenly collects the treated water, waste brine and rinse water, and distributes the backwash water.

It is not unusual to have a valving system that consists of either a valve nest or a single, multiport control valve.  A nest of six (6) main valves is needed for the service inlet and outlet, backwash inlet and outlet, brine inlet and rinse outlet.  The valves may be either manually operated or any variety of air-, water- or motor-operated automatic valves.  A single, multiport control valve may be used in place of the valve nest.  As the multiport valve moves through a series of four positions, the ports in the valve direct the flow of water in the same manner as the opening and closing of separate valves.

The brining system consists of a salt dissolving/brine – measuring tank.  It is used to prepare a saturated brine solution.  This tank frequently has a float – operated valve to control the fill and drawdown level and thus, the quantity of brine added to the softener.  Usually an eductor transfers the saturated brine to the softener and dilutes the saturated brine with inlet water to the desired concentration for resin regeneration.

A future article will include a guide to softener troubleshooting along with additional information on softener operation and maintenance.