How common is it for facility owners and designers to proactively address the issues of Legionella and scalding?
FITZGERALD: Unfortunately, not as common as it should be. I attribute this to the lack of understanding by infection control practitioners and facilities management about sources of bacteria and effective treatment protocols. SHEERIN: But in general, media coverage, facility maintenance education and sometimes local and state regulatory enforcement have created a greater awareness of the Legionella hazard. And most health-care facilities we work with proactively monitor and maintain their domestic hot water systems. HOOVER: While that’s generally true, one obstacle I foresee to a more proactive approach is the rising cost of natural gas. People will lower water heater thermostats to conserve energy without considering the potential for in- creased Legionella. CSE: What types of facilities are most vulnerable to these problems? KNIGHT: Hospitals, nursing homes, assisted-living centers and similar facilities whose occupants are often at greater risk due to their compromised immune system
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