1. Legionnaires Disease in a Healthcare Facility Greg Osborne

2. Overview Recognition and Notification Incident Management Initial Procedures Sampling and Testing Disseminating Information Remediation Resources

3. Recognition and Notification Recognition – Flow of Information Hospital Infection Control Administrator Notification Health Department Environmental Specialists Facility Staff

4. Incident Management Initial Procedures Treat as a disaster Shut down water supply Isolate potential sources of contamination Locate emergency water supply Receive direction from local health department

5. Incident Management Sampling Contact Environmental Specialist Obtain samples from entire facility Determine water source for each sample Testing CDC's Environmental Legionella Isolation Techniques Evaluation (ELITE) Ten day turnaround

6. Disseminating Information Stakeholders Health Officials Maryland Dept. of Veterans Affairs Family and Residents CHVH Staff Media and Community Members

7. Remediation Hyperchlorination Process Continued Testing Preventive Maintenance Process Time FrameFrequency of Testing Months 1 – 31 x 2 Weeks Months 4 – 61 x 1 Month Thereafter1 x 6 Months

8. Resources Dependent on your location Agencies at all levels Federal State Local

9. Questions ?