Guidelines, Standards, and Laws

This page was updated on December 5, 2019.

  • = External website
  • = PDF

Standard

  • Legionellosis

    Risk management for building water systems. ANSI/ASHRAE standard 188–2015. Atlanta, GA: ASHRAE; 2015.

General Guidelines

  • Minimizing the risk of legionellosis associated with building water systems.

    ASHRAE guideline 12-2000external icon. Atlanta, GA: ASHRAE; 2000.

  • Cooling Tower Institute.

    Legionellosis guideline: Best practices for control of Legionella.

  • Centers for Disease Control and Prevention.

    Model aquatic health code.

  • Centers for Disease Control and Prevention.

    Disinfection of hot tubs contaminated with Legionella.

  • Occupational Safety and Health Administration (OSHA)

    Legionellosis (Legionnaires' Disease and Pontiac Fever).

State Regulations

  • New York

    Environmental health information related to Legionellosis in healthcare facilities.

Healthcare-specific Guidelines and Requirements

  • Centers for Medicare & Medicaid Services.

    Requirement to reduce Legionella risk in healthcare facility water systems to prevent cases and outbreaks of Legionnaires’ disease [4 pages]. 2017.

  • Centers for Disease Control and Prevention.

    Guidelines for environmental infection control in health-care facilities: Recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee. MMWR. 2003;52(RR-10):1–42.

  • Centers for Disease Control and Prevention.

    Guidelines for preventing health-care-associated pneumonia, 2003: Recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee. MMWR. 2004;53(RR-3):1–36.

  • Centers for Disease Control and Prevention.

    Guidelines for infection control in dental health-care settings, 2003. MMWR. 2003;52(RR-17).

  • Department of Veterans Affairs.

    Prevention of healthcare-associated Legionella disease and scald injury from potable water distribution systems. VHA Directive 1061. 2014.

  • Infectious Diseases Society of America/American Thoracic Society.

    Consensus guidelines on the management of community-acquired pneumonia in adults, 2007.

  • Infectious Diseases Society of America/American Thoracic Society.

    Management of adults with hospital-acquired and ventilator-associated pneumonia: Clinical practice guidelines, 2016.

Laws

  • Environmental Protection Agency.

    Safe drinking water act.

  • Environmental Protection Agency.

    Federal insecticide, fungicide, and rodenticide act.

Literature Reviews

  • Environmental Protection Agency.

    Technologies for Legionella Control in Premise Plumbing [139 pages, 1.67 MB]

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