Management of Legionella in Water Systems.
A Consensus Study Report of The National Academies. Copyrite 2020. National Academies Press. Washington, DC.
Chapter 5. Regulations and Guidelines on Legionella Control in Water Systems:
Lack of Federal Laws and Regulations Pertinent to Legionella.
State and Local Regulations and Other Enforceable Policies.
Regulations and Policies From Other Countries.
Steps Forward for United States Legionella Management:
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Recommendation 1. Expand the CMS Memorandum to Require Monitoring for Legionella in Environmental Water Samples.
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Recommendation 2. Register and Monitor Cooling Towers.
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Recommendation 3. Require Water Management Plans for All Public Buildings.
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Recommendation 4. Require a Temperature of 60°C (140°F) at Hot-Water Heaters and 55°C (131°F) to Distal Points.
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Recommendation 5. Require a Minimum Disinfectant Residual Throughout Public Water Systems and Concomitant Monitoring for Legionella.