LiquiTech Blog

Legionella Risk in Potable Cold Water Systems 

Legionella, a waterborne pathogen, contaminates approximately half of all building water systems, including both potable and non-potable systems. It is typically introduced into building water systems from the municipal cold water supply. Once present, it can thrive in areas of the water system that offer ideal conditions for growth, such as warm water, sediment accumulation, stagnant water, or the presence of other microbes. Although hot water presents a greater risk, Legionella can also grow in cold water, a commonly overlooked factor. 

Legionella in hot water systems

Potable hot water systems, particularly untreated ones, can act as major reservoirs for Legionella growth. The most suitable temperature for Legionella growth is between 90°F and 120°F, making hot water systems a high-risk environment for Legionella. 

Legionella in cold water systems

According to various research publications, the survival and growth of some Legionella species at low water temperatures is common, including Legionella pneumophila, Legionella anisa, Legionella longbeachae, and Legionella moriavica.    

When present in cold water, Legionella pneumophila, the species that causes more than 90% of Legionnaires’ disease cases in the United States, tends to favor higher cold water temperatures, while Legionella anisa and other non-pneumophila species are commonly found in lower cold water temperatures. Although non-pneumophila species are less commonly associated with disease, there have been documented cases of Pontiac Fever from exposure to aerosols containing Legionella anisa.   

Legionella species in cold water

According to various research publications, the survival and growth of some Legionella species at low water temperatures is common, including Legionella pneumophila, Legionella anisa, Legionella longbeachae, and Legionella moriavica.    

When present in cold water, Legionella pneumophila, the species that causes more than 90% of Legionnaires’ disease cases in the United States, tends to favor higher cold water temperatures, while Legionella anisa and other non-pneumophila species are commonly found in lower cold water temperatures. Although non-pneumophila species are less commonly associated with disease, there have been documented cases of Pontiac Fever from exposure to aerosols containing Legionella anisa.   

Legionella in ice machines

According to various research publications, the survival and growth of some Legionella species at low water temperatures is common, including Legionella pneumophila, Legionella anisa, Legionella longbeachae, and Legionella moriavica.    

When present in cold water, Legionella pneumophila, the species that causes more than 90% of Legionnaires’ disease cases in the United States, tends to favor higher cold water temperatures, while Legionella anisa and other non-pneumophila species are commonly found in lower cold water temperatures. Although non-pneumophila species are less commonly associated with disease, there have been documented cases of Pontiac Fever from exposure to aerosols containing Legionella anisa.   

Controlling Legionella in cold water  

There are several options for controlling Legionella in a building’s cold water system. The optimal solution for a particular building will vary depending on several factors, such as the extent of the Legionella contamination, the vulnerability of building occupants, the location of the facility, and other factors.  

  • Copper-silver ionization: Copper-silver ionization is typically installed on the hot water system due to the higher risk of Legionella growth. It can also be installed on the cold water system and is especially beneficial in facilities with significant cold water positivity, in warmer regions with elevated municipal water supply temperatures, or in facilities with significant heat transfer between hot and cold water pipes.  
  • UV disinfection: Installing UV disinfection on the incoming cold water supply reduces Legionella levels entering the building. In most cases, UV disinfection should be coupled with a systemic treatment method, like copper-silver ionization. In these instances, UV disinfection reduces new Legionella entering and “reseeding” the water system, while the copper-silver ionization provides residual and continuous disinfection.  
  • Sediment filtrationSediment filtration installed on the incoming cold water supply can reduce the amount of sediment entering the building that can encourage bacteria growth by providing bacteria with a source of food and protection. Sediment filtration is also an effective barrier against unplanned external factors (e.g., water main breaks, construction, flooding, etc.) that impact the quality of water entering the building and reduce the effectiveness of supplemental disinfection.     

Ensuring overall water safety involves discovering and addressing the risk of Legionella in cold water systems. By taking proactive measures to manage Legionella, we can create safer and healthier environments. 

References 

Wadowsky, R. M., R. Wolford, A. M. McNamara, and R. B. Yee. 1986. Effect of temperature, pH, and oxygen level on the multiplication of naturally occurring Legionella pneumophila in potable water. Appl. Environ. Microbiol. 49:1197-1205.   

Rogers, J., A. B. Dowsett, P. J. Dennis, J. V. Lee, and C. W. Keevil. 1994. Influence of temperature and plumbing material selection on biofilm formation and growth of Legionella pneumophila in a model potable water system containing complex microbial flora. Appl. Environ. Microbiol. 60:1585–1592.   

Mauchline WS, James BW, Fitzgeorge RB, Dennis PJ, Keevil CW. Growth temperature reversibly modulates the virulence of Legionella pneumophila. Infect Immun. 1994 Jul;62(7):2995-7.  

Soderberg, M.A., Dao, J., Starkenburg, S.R., Cianciotto, N.P. 2008. Importance of type II secretion for the survival of Legionella pneumophila in tap water and in amoebae at low temperatures. Appl. Environ. Microbiol. 74(17):5583-5588.  

De Giglio, O., D’Ambrosio, M., Spagnuolo, V., Diella, G., Fasano, F., Leone, C. M., Lopuzzo, M., Trallo, V., Calia, C., Oliva, M., Pazzani, C., Iacumin, L., Barigelli, S., Petricciuolo, M., Federici, E., Lisena, F. P., Minicucci, A. M., & Montagna, M. T. 2023. Legionella anisa or Legionella bozemanii? Traditional and molecular techniques as support in the environmental surveillance of a hospital water network. Environmental monitoring and assessment, 195(4), 496.  

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