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Legionella Guidelines Table

In the absence of a cohesive national approach to prevention, health organizations and professional associations have produced guidelines due to increasing cases of Legionnaires’ disease. The table includes both national and international guidelines that exist for Legionella prevention today.  Click on table row to view PDF. (See Terms of Use)

ORGANIZATIONGUIDELINEFOCUSYEAR
Allegheny County Health Department (ACHD)LEGIONELLA AND THE PREVENTION OF LEGIONELLOSIS
(Proactive approach)
Healthcare 1993
ACHD, Pittsburgh Regional Health Initiative, RANDUPDATED GUIDELINES FOR THE CONTROL OF LEGIONELLA IN WESTERN PENNSYLVANIAHealthcare2014
The American Industrial Hygiene Association (AIHA)Recognition, Evaluation, and Control of Legionella in Building Water Systems
(purchase standard on AIHA website)
Healthcare2015
ASHRAEANSI/ASHRAE Standard 188-2015 Legionellosis: Risk Management for Building Water Systems
(purchase standard on ASHRAE website)
HVAC & Healthcare2015
ASHRAE Minimizing the risk of Legionellosis associated with building water systems
(located on Baltimore Aircoil website)
HVAC & Healthcare 2000
Association of Water Technologies (AWT)LEGIONELLA 2003: AN UPDATE AND STATEMENT BY THE ASSOCIATION OF WATER TECHNOLOGIESHVAC2003
Australia/ New ZealandAIR-HANDLING AND WATER SYSTEMS OF BUILDINGS-MICROBIAL CONTROL. PART 3: PERFORMANCE-BASED MAINTENANCE OF COOLING WATER SYSTEMSHVAC1998
Centers for Disease Control and Prevention (CDC)DEVELOPING A WATER MANAGEMENT PROGRAM TO REDUCE LEGIONELLA GROWTH & SPREAD IN BUILDINGSAll2017
Centers for Disease Control and Prevention (CDC)GUIDELINES FOR PREVENTING HEALTH-CARE ASSOCIATED PNEUMONIAHealthcare2003
Centers for Disease Control and Prevention (CDC)Healthcare 1997
Centers for Medicare & Medicaid Services (CMS)REQUIREMENT TO REDUCE LEGIONELLA RISK IN HEALTHCARE FACILITY WATER SYSTEMS TO PREVENT CASES AND OUTBREAKS OF LEGIONNAIRES’ DISEASEHealthcare2017
Cooling Technology Institute (CTI)GUIDELINE: BEST PRACTICES FOR CONTROL OF LEGIONELLAHVAC2008
EPATECHNOLOGIES FOR LEGIONELLA CONTROL IN PREMISE PLUMBING SYSTEMS: SCIENTIFIC LITERATURE REVIEW
EPA2016
Health & Safety Executive (HSE)LEGIONNAIRES’ DISEASE. THE CONTROL OF LEGIONELLA BACTERIA IN WATER SYSTEMS. APPROVE CODE OF PRACTICE AND GUIDANCE.All 2000
Joint CommissionENVIRONMENT OF CARE: STANDARD EC.02.05.01Healthcare2009
New York City Department of Health and Mental HygieneNOTICE OF ADOPTION OF CHAPTER 8 (COOLING TOWERS) OF TITLE 24 OF THE RULES OF THE CITY OF NEW YORK
All2016
New York StateCOOLING TOWER REGULATION: PROTECTION AGAINST LEGIONELLAAll2015
New York
State Advisory / Dept. of Health
ADVISORY: PREVENTION AND CONTROL OF LEGIONELLOSIS (LEGIONNAIRES' DISEASE) IN HEALTHCARE FACILITIES & NY STATE DOH PREVENTION AND CONTROL OF LEGIONNAIRES' GUIDANCE FOR CLINICIANS: BACKGROUND AND DIAGNOSISHealthcare2015
Queensland Health, AustraliaPRELIMINARY GUIDELINES FOR MANAGING MICROBIAL WATER QUALITY IN HEALTH FACILITIESHealthcare2013
State of New York Dept. of HealthGUIDANCE FOR INFECTION CONTROL ACTIVITIES FOR PREVENTION, SURVEILLANCE, INVESTIGATION, AND CONTROL. GUIDANCE FOR ROUTINE ENVIRONMENTAL CARE AND MAINTENANCE WITHIN A FACILITY, AND RESPONSE TO POSSIBLE OR CONFIRMED HEALTHCARE FACILITY-ASSOCIATED LEGIONNAIRES' DISEASE CASESHealthcare2005
Veterans Health Administration (VHA) VHA GUIDANCE DOCUMENT (GD-2016-001) RISK ASSESSMENT FOR PREVENTION OF HEALTHCARE-ASSOCIATED LEGIONELLA DISEASE
Healthcare2016
Veterans Health Administration (VHA)VHA DIRECTIVE 1061: PREVENTION OF HEALTHCARE-ASSOCIATED LEGIONELLA DISEASE AND SCALD INJURY FROM POTABLE WATER DIISTRIBUTION SYSTEMSHealthcare2014
Veterans Health Administration (VHA)VHA DIRECTIVE 2008-010: PREVENTION OF LEGIONELLA DISEASEHealthcare2008
World Health Organization (WHO)LEGIONELLA AND THE PREVENTION OF LEGIONELLOSISHVAC & Healthcare2007