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Legionella Control

lejyonella kontrolü

What is Legionella?

Legionella is a rod-shaped bacterium belonging to the Legionellaceae family. Legionella bacteria are non-spore-forming, gram-negative microorganisms that live in water and move using one or more polar/subpolar flagella (whip-like structures). It is important to note that Legionella should be considered a potential human pathogen. Among the various species, Legionella pneumophila is of utmost importance as it is responsible for causing illness in humans (accounting for approximately 70% to 90% of cases, depending on the region). Legionella is the virus behind Legionellosis or Legionnaires’ disease. Controlling Legionella, especially in water, is crucial to prevent people from getting sick.

One characteristic feature of many Legionella species is the presence of branched, high levels of fatty acid chains in their membrane lipids. In the case of Legionella pneumophila, the proportion of fatty acid chains is approximately 64%.

Legionella bacteria can cause a severe type of pneumonia called Legionnaires’ disease. It can also cause a milder illness known as Pontiac fever. People can become ill when they inhale water droplets containing Legionella or when they swallow water containing Legionella. Less commonly, people can get sick by aspirating Legionella-contaminated drinking water. This occurs when water accidentally enters the lungs while drinking. Individuals at higher risk of aspiration include those with swallowing difficulties. It is important to note that people generally do not spread Pontiac fever or Legionnaires’ disease to others. However, in rare cases, transmission may be possible.

Most healthy individuals exposed to Legionella do not become ill. People at higher risk of illness include:

  • Individuals aged 50 and above
  • Current or former smokers
  • Those with chronic lung diseases (such as emphysema or chronic obstructive pulmonary disease)
  • Individuals with weakened immune systems or those taking immunosuppressive medications (e.g., following a transplant surgery or chemotherapy)
  • Cancer patients
  • Individuals with underlying conditions such as diabetes, kidney or liver failure

To minimize the risk of Legionella, you can contact Chemya to learn how we can assist you with Legionella control.

The Habitat of Legionella

Legionella bacteria are found in freshwater environments such as rivers and lakes. When these bacteria grow and spread in building water systems, they can become a health concern. Water systems that harbor a risk of Legionella include:

  • Showerheads and faucet aerators
  • Cooling towers (structures that contain water and a fan as part of centralized air cooling systems for buildings or industrial processes)
  • Hot tubs
  • Decorative fountains and water features
  • Hot water tanks and heaters
  • Large, complex plumbing systems

However, Legionella growth is also possible in the windshield washer fluid reservoir of a vehicle (such as a car, truck, van, school bus, or taxi), especially if the reservoir is filled with water instead of the original windshield cleaning solution. There is no vaccine available to prevent Legionnaire’s disease. Instead, the key to preventing Legionnaire’s disease is to reduce the risk of Legionella growth and spread. Building owners and managers can do this by properly maintaining building water systems and implementing controls for Legionella.

Legionella thrives best in warm water. Hot weather also makes it challenging to maintain disinfectants such as chlorine at the necessary levels to kill microorganisms like Legionella.

Legionella Control Regulation

Legionella Control Regulation has been established in Turkey, following the regulations set by the World Health Organization (WHO) and the European Union (EU) to take preventive measures against the Legionella bacteria. The national working program, conducted by the Turkish Public Health Institution, was determined through the Legionnaires’ Disease Regulation published in 2015.

The Legionella control regulation aims to eliminate the bacteria as a public health threat before it becomes widespread. Since Legionella bacteria can be transmitted through water and air, it has the potential to cause epidemic outbreaks. Immediate measures should be taken if symptoms of Legionnaires’ disease are observed under the regulation. Click here for more information about the regulation.

Legionella Disinfection

Do you comply with the Legionella Control Regulation requirements? Chemya has extensive knowledge and experience in the supply and implementation of the following Legionella control methods:

  • Risk Assessment
  • Chemical and Service Support – Cooling Systems
  • Analytical Services – Microbiological and Chemical
  • Monitoring and Control Programs

We ensure compliance with the Legionella Control Regulation and can provide the necessary expertise and services for effective Legionella control.

Frequently asked Questions

What is Legionella testing?

Legionella is a bacterium that causes Legionnaires' disease. It reproduces naturally in the environment. This bacterium particularly thrives in artificial environments. It easily proliferates in hot and cold water systems, showerheads, air conditioning systems, and similar places. Therefore, to detect and prevent the bacterium, samples are taken from artificial environments, and these samples are examined in laboratories. This method is called Legionella testing.

How is Legionella testing performed?

Samples are collected from pools, hot and cold taps, and showerheads in healthcare facilities and rooms. The samples are sent to the laboratory for examination. Approximately 15 days after the initial examination, a return visit is made to collect another sample. Comparisons are made between the initial and final examinations to determine compliance.

What does Legionnaires' disease mean?

Legionnaire's disease is a rare but serious illness caused by a bacterium called Legionella. It manifests itself with symptoms similar to pneumonia and usually appears 2 to 10 days after exposure to the bacteria. In addition, it may present with symptoms such as muscle aches, chills, high fever, and coughing up blood. However, these symptoms can vary from person to person.

What is good for Legionnaire's disease?

Individuals diagnosed with Legionnaire's disease are treated by hospitalization. There are two types of treatment methods applied to the patient:

  • Oxygen therapy
  • Intravenous antibiotic treatment


If the patient shows signs of improvement, it is possible to continue the treatment with oral antibiotics at home. However, this treatment can vary between 1-3 weeks. In addition, rest and abundant fluid intake are necessary during the treatment.

At what temperature does Legionella thrive?

The natural habitat of this bacterium includes environments such as lakes, mud, and springs. Therefore, the bacteria occur naturally in the environment. Legionella bacteria typically thrive between 25 to 45 degrees Celsius. Within approximately 48 hours, they can multiply to high levels and pose a threat.

At what temperature does the Legionella bacterium die?

The Legionella bacterium dies at a temperature of 60 degrees Celsius. The time it takes for this destruction is approximately 25 minutes. Additionally, when the temperature reaches 70 degrees Celsius, the chances of survival are nearly zero.

How to collect a Legionella water sample?

  • First, the sample tubes are obtained.
  • The sampling process is documented with photographs.
  • pH measurement is conducted at the sampling points.
  • The examination form is filled out for the samples.
  • Swabs are placed into the sample tubes.
  • Labels are prepared for the tubes containing water samples.
  • The samples are sent to the laboratory.

How to prevent Legionella?

There are disinfection methods available that can help eliminate or greatly restrict the growth of this bacterium. These include:

  • Chlorination
  • Chlorine dioxide
  • Peracetic acid
  • Synthetic bactericidal agents
  • UV radiation

How is Legionella cleaning performed?

Legionella cleaning is performed using the methods outlined in the Legionella control program guidelines. These methods are as follows: Physical Methods: System temperatures are raised to 70 degrees Celsius or above for a duration of 30 minutes. The 70-degree water in the system flows from all outlets.
Chemical Methods: Chlorine is required for the bacteria to die. Note: The translation maintains the structure of the original text without altering the code structure.

What is Legionella training?

A control program is implemented for Legionnaire's disease. The aim of this program is to control and eliminate the risks associated with the disease. As part of this program, personnel working in the units receive an 8-hour training. This training includes information about Legionella and Legionnaire's disease. Additionally, detailed explanations are provided regarding preventive measures and protective practices to prevent the disease.