Abstract

Legionnaires disease can be acquired through exposure to Legionella pneumophila, a gram-negative bacteria ubiquitous in both natural and engineered water systems. Over the years, a number of disinfection techniques notably, chlorination, ozonation, thermal, UV and copper-silver ionization have been employed across different kinds of engineered water systems with diverse measures of success. Available evidence portends, most of the aforementioned techniques often have to be combined to achieve long-term efficacy. Remarkably, albeit the extensive research and reportage on Legionnaires outbreak in the developed world, very few studies have been carried out with regards to Africa. We reviewed existing literature on the application of the aforementioned techniques in buildings. Our study concurs with earlier studies; most of the disinfection techniques will have to be combined to achieve the desired efficacy. We found very scanty studies on Legionella or reportage of its outbreak within Africa. Our study also found very little in terms of any of the techniques been applied with the specific aim of reducing Legionella proliferation in engineered water systems within Africa. This is alarming, especially, on a continent where several communities have little or no access to quality water and healthcare. In light of the above, stronger measures such as sensitization, properly managed water distribution systems, as well as policies aimed at enforcing national and international guidelines on Legionella control is recommended. Key words: Legionnaires disease, water disinfection, engineered water system, Africa.

Highlights

  • Legionnaire‟s disease first commanded attention in 1976 during an American Legion convention in Philadelphia (Swanson and Hammer, 2000)

  • Whilst initial documentation on Legionnaires was related to cooling towers, a study by Tobin et al (1981) was one of the earliest to demonstrate Legionella could be found in water distribution systems of hotels and hospitals

  • Solar Water Disinfection (SODIS) w hich is appears to be highly patronised due to the conspicuously low cost implication associated w ith it compared to the conventional use of UV lamps, positions the use of UV- light as somew hat unpopular

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Summary

Evidence based review of Legionella elimination in building water systems

Legionnaires disease can be acquired through exposure to Legionella pneumophila, a gram-negative bacteria ubiquitous in both natural and engineered water systems. Most of the aforementioned techniques often have to be combined to achieve long-term efficacy. Albeit the extensive research and reportage on Legionnaires outbreak in the developed world, very few studies have been carried out with regards to Africa. Our study concurs with earlier studies; most of the disinfection techniques will have to be combined to achieve the desired efficacy. Our study found very little in terms of any of the techniques been applied with the specific aim of reducing Legionella proliferation in engineered water systems within Africa. This is alarming, especially, on a continent where several communities have little or no access to quality water and healthcare.

INTRODUCTION
CLASSIFICATION OF WATER DISINFECTION TECHNOLOGIES IN LEGIONELLA CONTROL
Method
HYPER CHLORINATION
Water samples
UV IRRADIATION
DISCUSSION
REFERENC ES
Findings
Water in

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