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Re: Desinfeco legionelas

De: Fernando H Bensoussan
Para: Srgio F. Gnipper
Cpia: Marcos Bensoussan
Assunto: Re: Desinfeco legionelas
Data: 22/04/2013 18:15
Std188P_3rd... .pdf 215.33 KB

Srgio,
A questo da desinfeco bastante complexa e muitas vezes depende de cada caso e normalmente as normas no possuem uma soluo pronta.
Marcos da SETRI (que nos l em cpia) me confirmou agora pouco que a presena dele na reunio de quarta de manh e creio que ele possa auxiliar
nessa questo.
A ASHRAE 188P (que est atualmente na ltima reviso e dever logo ser publicada) fornece orientaes que esto bem alinhadas com as demais
recomendaes tcnicas internacionalmente aceitas. Estou lhe enviando em anexo a mesma norma (que como no fui publicada ainda, est
disponvel gratuitamente no site da ASHRAE). As recomendaes detalhadas esto em 8.1.5.1 e 8.1.5.2. que copiei no fim deste email para uma
consulta mais rpida.
De forma bastante objetiva, a resposta a suas perguntas seriam:
a) (1) entre 71 e 77C (2) purga de todas as sadas do sistemas por um tempo recomendvel de 30 min (3) a literatura normalmente no possui
recomendaes rotineiras de desinfeco por temperatura se as temperaturas de armazenamento e circulao so normalmente atingidas. Uma
desinfeco dever ser realizada em caso de I. suspeitas ou confirmaes de pessoas infectadas por meio do sistema de gua, II. confirmao de
alta concentrao de legionella no sistema (em especial quando o sistema utilizado por pessoas susceptveis - por ex. em hospitais), III. quando
uma avaliao de risco de legionella apontar a necessidade de desinfeco emergencial ou rotineira
b) (1) residual livre entre 20 e 50 ppm (2) tempo de contato depende da quantidade de cloro residual (ex. 1 hora com residual de 50 ppm ou 2 horas
com residual de 20 ppm) (3) a literatura normalmente no possui recomendaes rotineiras de desinfeco por temperatura se as temperaturas de
armazenamento e circulao so normalmente atingidas. Uma desinfeco dever ser realizada em caso de I. suspeitas ou confirmaes de
pessoas infectadas por meio do sistema de gua, II. confirmao de alta concentrao de legionella no sistema (em especial quando o sistema
utilizado por pessoas susceptveis - por ex. em hospitais), III. quando uma avaliao de risco de legionella apontar a necessidade de desinfeco
emergencial ou rotineira
OBS - Quantidades menores de residual de cloro podem ser utilizadas para remediaes ou desinfeces rotineiras. Sabemos que alta concentrao
de residual de cloro pode ocasionar diversos danos ao sistema (como a corroso) e por isso no so normalmente rotineiras, mas apenas como
desinfeco emergencial. Dessa forma que a preveno sempre a opo mais desejada e mais fcil de ser administrada. Inclusive, importante
ainda no projeto poder-se prever a capacidade do sistema em passar por essas desinfeces sem grandes danos ou complicaes. Valores mais
baixos de residual de cloro podem ser utilizados desde que se respeite o aumento de tempo de contato e um controle rigoroso do pH
para a desinfeco ser bem sucedida(possivelmente o Marcos que estar na reunio na quarta poder fornecer melhores informaes quanto a
isso)
TRECHO da ASHRAE 188P
8.1.5 Emergency Disinfection. The HACCP plan shall include procedures to be followed if there are
suspected legionellosis health problems associated with the use of potable water in a building system.
The plan shall include any directions given by state and local health department authorities. When an
outbreak of legionellosis has been associated with a potable water system or suspected cases of the
disease occur, disinfection shall be performed. These procedures shall include criteria for when and
where to test for Legionella in the potable water. The method of emergency disinfection shall be thermal
or chemical or any combination. Point-of-use filtration (0.2 micrometer) may be used for Legionella control
at specific taps and faucets.
Note: Emergency disinfection of hot and cold water systems is potentially hazardous and can cause
increased corrosion rates in the potable water system. Routinely performing these procedures can
significantly impact equipment/piping lifecycles and is therefore not recommended.
Note: Combining thermal shock (see Section 8.1.5.1.1) and chemical disinfection (see Section 8.1.5.1.2
or 8.1.5.2) is the most effective method of emergency disinfection.
Note: After emergency disinfection, re-colonization is likely to occur unless proper temperatures are
maintained or a continuous disinfectant residual is maintained or other design/maintenance conditions
that caused the problem are corrected.
Note: Point-of-Use filtration does not disinfect a system. It provides hazard control at the point of use
only.
8.1.5.1.1 A method for emergency disinfection of contaminated hot water systems is thermal shock
treatment to be implemented using the following procedure:
a) local building and sanitary codes shall be used to set temperature limits
b) building occupants and facility personnel shall be informed that disinfection with water
temperatures that could cause scalding will be used
c) water temperatures shall be maintained at 71-77C (160-170F) while progressively flushing each
outlet in the system
d) a flush time of thirty minutes shall be attempted. The intent is to provide thermal eradication for as
long as possible up to thirty minutes; the outlet flow rate shall not surpass the capacity of water
heaters to maintain temperature.
Note: Flushing should be performed in a manner that reduces the risk of scalding and, in healthcare
facilities, minimizes aerosolization of potable water in patient-care areas. This can be accomplished by
flushing to waste upstream of outlets, flushing risers and recirculation loops from outlets not used by or
near patients, and by flushing outlets in patient rooms at low flow or with aerators removed.
8.1.5.1.2 A method for emergency disinfection of contaminated hot water systems is hyper-halogenation

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using the following procedure:

a) building occupants and facility personnel shall be informed that halogen disinfection with
concentrations exceeding EPA allowable limits for drinking water will be used
b) an EPA-registered and labeled drinking water product shall be added in accordance with use
directions for the EPA-labeled product
c) all outlets shall be flushed until halogen concentration at representative distal taps and
faucets is confirmed by measurement and documented
d) close all outlets and disinfect with halogen for a minimum of 2 hours (not to exceed 24 hours).
e) thoroughly flush all outlets. Measure halogen concentration at representative outlets to
confirm it is within EPA limits before reuse of the system.
Example: One EPA approved halogen is chlorine. If using chlorine for disinfection, the level of free
residual chlorine should be raised to 20-50 mg/L (ppm) of free residual oxidant, as chlorine and
maintained at approximately 50 mg/L (ppm) for one hour or at approximately 20 mg/L (ppm) for two
hours. The pH of the water should be maintained below pH 8.0. Water pH above 8.0 will significantly
reduce chlorine disinfection efficacy. (Note: If chlorine dioxide is used, pH control is not required)
8.1.5.2 Cold Water Systems. Emergency disinfection of the cold potable water system shall be achieved
by the following halogenation procedure:
a) building occupants and facility personnel shall be informed that halogen disinfection with
concentrations exceeding EPA allowable limits for drinking water will be used in the procedure
b) an EPA-registered and labeled drinking water product shall be added to the cold water system in
accordance with use directions for the EPA-labeled product
c) all outlets shall be flushed until halogen concentration at representative distal taps and faucets is
confirmed by measurement and documented
d) close all outlets and disinfect with halogen for a minimum of 2 hours (not to exceed 24 hours)
e) thoroughly flush all outlets. Measure halogen concentration at representative outlets to confirm it
is within EPA limits before reuse of the system.
Example: One EPA approved halogen is chlorine. If using chlorine for disinfection, the level of free
residual chlorine should be raised to 20-50 mg/L (ppm) of free residual oxidant, as chlorine and
maintained at approximately 50 mg/L (ppm) for one hour or at approximately 20 mg/L (ppm) for two
hours. The pH of the water should be maintained below pH 8.0. Water pH above 8.0 will significantly
reduce chlorine disinfection efficacy. (Note: If chlorine dioxide is used, pH control is not required)

Fernando H. Bensoussan
SETR I C onsultoria e m Suste ntabilidade Ltda
C e l: +55 11 97695-2829 | Te l: +55 11 5096-1580
Sk ype : fhfbe nsoussan | Site : se tri.com .br

pa03cr

2013/4/20 Srgio F. Gnipper <gnipper@uol.com.br>

Prezado Fernando,
Veja se possvel contribuir com mais estas informaes, para incluso no texto base da norma de AF-AQ:
a) desinfeco trmica do sistema de gua quente: (1) qual ou quais as temperaturas recomendadas, (2) qual o tempo
mnimo de contato e (3) qual a periodicidade recomendada para o procedimento?
b) desinfeco qumica do sistema de gua fria: (1) qual a concentrao mnima de cloro recomendada, (2) qual o tempo
mnimo de contato e (3) qual a periodicidade recomendada para o procedimento?
Um abrao,
Srgio F. Gnipper
(41) 9927-7523
(41) 3254-8713

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