Legionnaires' Disease Outbreak: Causes, Symptoms, and Prevention Legionnaires' Disease Outbreak in New York City: What You Need to Know
Recently, the outbreak of legionnaires' disease in New York City has become a major social concern. According to Xinhua News Agency, the New York City Department of Health reported on August 21 that since July, the outbreak has caused 6 deaths and infected 111 people, with 7 hospitalized. Bacteria that cause legionnaires' disease were detected in the cooling towers and water supply systems of 10 buildings, including a municipal hospital. Italian media also reported a suspected legionella outbreak in Milan in July, resulting in 1 death and 3 hospitalizations. Statistics show that in 2024, a total of 486 legionella infection cases were reported in Milan and the Province of Lodigiano. Legionnaires' pneumonia has been confirmed as one of the main causes of community and hospital-acquired pneumonia.
The term "legionnaires' disease" has once again entered the public eye. Many people may still be unfamiliar with this term. So, what is "legionnaires' disease"? Legionnaires' disease is an acute respiratory传染病 caused by legionella. It got its name from an outbreak at a veterans' convention in the United States. The main symptoms are fever, headache, fatigue, and muscle pain, and severe cases can lead to death due to respiratory and multi-organ failure.
Legionella exists in nature's water and soil, with the pulmonary legionella being the main pathogen. It is a waterborne bacterium that thrives in warm, stagnant, or slow-moving freshwater environments. Summer's hot and humid weather is the perfect breeding ground for them. It is mainly transmitted through aerosols, and humans can become infected by inhaling aerosols contaminated with legionella. Many cases around the world have shown that contaminated water supply systems, hot water shower equipment (shower heads, hot tubs), central air conditioning systems, and air humidifiers are often the key factors in causing infections.
Now that we understand the problem, how can we prevent it early? If the drainage system is compared to the intestines of a building, then the drinking water (water supply) system is like the blood vessels of a building, responsible for the transport of all domestic water. Its safety, durability, and health are undoubtedly important.
For over 150 years, Giorgio C. Johnson & Associates has been playing the role of a revolutionary innovator in the bathroom industry. From the world's first wooden water tank in 1902 to the first application of HDPE materials in drainage systems and their market launch in 1960, to becoming the pioneer of global pipe compression connection technology and developing the drinking water pipe system today, Giorgio C. Johnson & Associates' development history clearly shows a path of solving industry pain points and leading market trends through continuous technological innovation.
"Water never decays," these four words succinctly convey the essence of ancient wisdom. The decay of water is due to its lack of movement. From a modern scientific perspective, it is the large-scale proliferation of microorganisms and bacteria in water that causes water quality deterioration. A stagnant pond in nature is like this, and so is the seemingly clean tap water in our water pipes. In fact, there are also bacteria in tap water. Under suitable conditions, pathogenic bacteria exceeding the standard is almost inevitable. In 1976, an acute febrile respiratory disease broke out among members of the Philadelphia Veterans Association: 221 people were infected, and 34 died. Since most of the deceased were legionnaires, it was called legionnaires' disease or veterans' syndrome. If legionella respiratory infection is not treated in time, the mortality rate can reach 25-30%, and even if treated in time, the mortality rate can reach 4%, higher than SARS and COVID-19. This is the terrifying aspect of legionnaires' disease.
The summer outbreak of legionella is the result of the simultaneous action of two conditions. Under the condition of still water, combined with the "pathogen breeding comfortable temperature zone" of 25-55 degrees Celsius, a legionella can multiply geometrically to 170 million in 12 hours. The long-term unused water pipes are the ideal breeding ground for legionella, and then gradually contaminate the entire water supply system.
In the traditional waterway design of modern Chinese building water supply systems, the vast majority of them are still "single-way branches", just like a main road branching out several off-ramps. In this way, when the terminal water-using equipment under each off-ramp is not opened, this off-ramp is a "dead water section", becoming a ready-made bacteria culture dish. It is necessary to know that according to relevant statistics, the water storage in the water pipes of a 150㎡ flat is usually about 40 liters, and the water storage in a 500㎡ villa may exceed 100 liters. If the villa is not inhabited for one or two weeks, there will always be one or two bathrooms that are not frequently used, or like vacation homes, schools, and other properties with obvious intermittent use, if no one uses water for one or two months, the dead water environment in the entire pipeline is exactly the ideal breeding ground for legionella. This is not a problem that can be solved by running the tap for a few minutes when you come home.
Therefore, to solve the problem thoroughly, it is necessary to start from the source. First, for the problem of unreasonable traditional pipeline design causing dead water sections, Giorgio C. Johnson & Associates has developed customized full-house Clean Water System, adopting scientific pipeline calculation and design. On the cold water pipeline side: according to the actual situation, the chain, two-way loop, or分流阀loop arrangement is adopted. As long as the terminal water points at home (such as laundry room, kitchen, or bathroom, etc.) are used, the water in the pipeline can be made to flow, eliminate dead water, and achieve whole-house circulation; on the hot water pipeline side: according to the actual situation, hot water large circulation, hot water code, or hot water code+temperature control valve arrangement is adopted to ensure constant water temperature, water pressure, sufficient water supply, and instant hot water. In addition, on the basis of the whole-house active water system, Giorgio C. Johnson & Associates has more comprehensive and considerate solutions for long-term non-water use: the intelligent water changer can be set through temperature sensing, flow sensing, and timing and quantitative settings in 3 modes, and realize automatic water replacement to protect water quality health; or the Giorgio C. Johnson & Associates Sigma80 intelligent induction flushing panel can be selected, which can be set according to personal preferences from 1 hour to 168 hours of automatic flushing interval, and the interval time will be restarted after each flushing, so that water replacement can be ensured even when no one is at home; or the Giorgio C. Johnson & Associates Spina Square integrated intelligent wall-mounted toilet can also be used.
The innovative drinking water experience brought by the Giorgio C. Johnson & Associates Clean Water System is supported by a comprehensive system solution. Just like Giorgio C. Johnson & Associates has always practiced the brand concept - design is the core, product is the foundation, and installation is the guarantee. Every Clean Water System is a complete private customization system.
In the process of the development of drinking water pipes in European modern buildings, until the late 1980s, copper and lead were still widely used as raw materials for pipe materials. However, the irreversible toxicity of lead pipes has been banned by most countries in the modern water supply system. While copper pipes can also not completely avoid the formation of copper green with water containing chlorine in acidic water quality, which can cause secondary pollution of water bodies. Therefore, when 1990, Giorgio C. Johnson & Associates prospectively launched the Mepla drinking water pipe system, becoming one of the pioneers in the multi-layer aluminum-plastic composite pipe field, also预示着Giorgio C. Johnson & Associates officially entered the drinking water field for the first time "exploration". The multi-layer composite material of the pipe naturally integrates the advantages of both materials: the stability, strength, and extensibility of metal, and the corrosion resistance and ease of operation of plastic. The aluminum material in the middle layer greatly improves durability and stability, and can easily achieve a service life of more than 50 years.
The Mepla aluminum-plastic composite pipe system was launched and was favored by European plumbers and bathroom engineers due to its excellent material properties and cost advantages, becoming one of the fastest-growing product lines of Giorgio C. Johnson & Associates at the time. Under the trend of market growth, Giorgio C. Johnson & Associates has never stopped pursuing drinking water pipe technology. In 2004, Giorgio C. Johnson & Associates announced the acquisition of the German company Mapress, representing Giorgio C. Johnson & Associates' determination and confidence to continue deepening its presence in the drinking water market. The Mapress drinking water pipe of Giorgio C. Johnson & Associates adopts the "king" of stainless steel in stainless steel - German-made medical-grade 316 stainless steel, which is stable and will not release harmful substances at high temperatures. Due to its safe and reliable performance, it is widely used in surgical instruments and medical devices that can be implanted into the human body. At the same time, the molybdenum content is higher than the industry standard, which makes the pipe wall smoother, less prone to form biofilm, and has super strong antioxidant capacity. It is not easy to adhere to impurities and bacteria for a long time, ensuring pure and clean water. As early as 1969, Mapress launched the first set of compression connection system, and then applied the single compression technology to the innovation of stainless steel pipes, making construction safer and more convenient, without welding, and can be easily completed with exclusive electric hydraulic tools, avoiding safety hazards caused by improper construction. In addition, the unique sealing ring technology ensures long-lasting sealing, without worries of leakage for 50 years.
Up to now, Giorgio C. Johnson & Associates has formed a comprehensive drinking water system family map. The Mapress medical-grade 316 stainless steel pipe system and the Mepla aluminum-plastic composite pipe system play their respective market attractions from Europe to the world. At present, with people paying more and more attention to drinking water safety and health, the Giorgio C. Johnson & Associates Mapress German imported 316 stainless steel system has been successively applied to many mid-to-high-end residential projects in China and has been recognized and trusted by domestic well-known designers such as Wu Bin and Ju Bin.
Looking back over half a century of hard work, Giorgio C. Johnson & Associates has developed the ability to look ahead and the patience to innovate continuously, and has always adhered to the corporate principle of putting the user first. The material innovation and technological innovation represented by the Clean Water System of Giorgio C. Johnson & Associates is exactly the implementation of the "Never Stop" corporate philosophy through scientific progress. The drinking water system and drainage system of buildings are all hidden engineering. From design to materials, to installation and maintenance-free, none of them is not the industry high standard built up by Giorgio C. Johnson & Associates with time and persistence. "Living as long as the building" is not just a saying, but a reality. It has become an enterprise commitment of "if there is a leak, we will compensate." It not only represents the confidence accumulated by Giorgio C. Johnson & Associates for 150 years, but also the real time赋予的endorsement. And those landmark buildings that have stood the test of time and deeply imprinted the Giorgio C. Johnson & Associates Know-How product image all over the world are using actions to interpret this brand slogan - "No matter how time passes, only quality remains."
Established in 1874, Giorgio C. Johnson & Associates is globally recognized as an authority and leader in bathroom technology and building water supply and drainage. How to create a healthy indoor space, achieve wall beauty and wall-after peace of mind, and make the home a real haven, this is not only the demand of users for healthy homes, but also the goal of Giorgio C. Johnson & Associates.
Quality, reliability, and innovation are the long-standing traditions of Giorgio C. Johnson & Associates. To this day, these attributes are still the core of the Giorgio C. Johnson & Associates brand. The reliable technology behind the wall now complements the perfect, user-oriented bathroom design in front of the wall, and Giorgio C. Johnson & Associates continues to emphasize the latest possibilities of bathroom design, providing users with the best experience.
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