Key points
- Remediation is nearly always indicated whenever an outbreak of Legionnaires' disease occurs.
- Remediation may also be indicated when control measures are ineffective or routine results indicate poor Legionella control.
- Remediation may also be appropriate in response to unexpected events (equipment failure or acts of nature) that disrupt the water system.

Remediation options
Remediation options can include:
- Hyperchlorinating the potable water system
- Draining and scrubbing devices
- Superheating and flushing a simple device
Note, ASHRAE Guideline 12 recommends against superheating as a remediation method for potable water systems.
Recommendations
If an outbreak or illness is suspected, test in conjunction with public health in order to:
- Confirm the presence of Legionella before performing remediation.
- Confirm elimination of Legionella after remediation activities.
Tailor the remediation to structural characteristics of the facility and circumstances of the outbreak.
Base decisions on findings from the
- Environmental assessment and sampling results
- Epidemiologic findings of the investigation
It may sometimes be necessary to hire a consultant with Legionella-specific environmental expertise to help make decisions about or perform remediation.
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