SPONSOR CPD PROGRAMME | LEGIONELLA Module 165 July 2020 1.What proportion of cases of Legionnaires disease were being formally reported according to the German study? Name (please print)......................................................................................... Job title................................................................................................................ Organisation...................................................................................................... Address .............................................................................................................. A Fewer than 5% ............................................................................................................................... B 6% to 25% ............................................................................................................................... C 26% to 50% D Postcode ............................................................................................................ 51% to 75% E More than 75% 2.Which amoeba was noted in the article as being a specific host for legionella? A Acanthamoeba B Amoeba proteus C Chaos carolinense D Entamoeba histolytica E Gromiidea 3.Which is the most recently updated standard/guidance to include an increased emphasis on risk assessment and management? A ASHRAE Guideline 12 B BS 8580-1 Email .................................................................................................................... Are you a member of CIBSE? If so, please state your membership number: ................................................................................... The CIBSE Journal CPD Programme By participating in this CPD module, you consent to sharing your details with Hamworthy. Hamworthy may contact you via email and/or telephone with further information and technical insight on its services. You have the right to opt-out from such communications at any time. I understand that I will receive marketing communications from Hamworthy after completing this module (please tick here): By entering your details above, you agree that CIBSE may contact you with information about CPD and other training or professional development programmes, and about membership of CIBSE, if you are not a member. Go to www.cibsejournal.com/cpd to complete this questionnaire online. You will receive notification by email of successful completion, which can be used to validate your CPD records. Alternatively, fill in this page and post it to: N Hurley, CIBSE, 222 Balham High Road, London, SW12 9BS C CIBSE TM13 D HSE L8 E HTM 04-01 4.In a recent study, what proportion of Legionella pneumophila cells were found to survive heat treatment of 70C? A Up to 10% B Up to 15% C Up to 20% D Up to 25% E Up to 30% 5.In the application of the copper and silver ionisationprotected system, at what approximate temperature was the water safely stored and circulated? A 20C B 30C C 40C D 50C E 60C 46 July 2020 www.cibsejournal.com CIBSE July 2020 p43-46 CPD Hamworthy 165 v2.indd 46 References: 1 TM13:2013 Minimising the risk of Legionnaires disease, CIBSE 2013 2 Bradley, B T et al, Emerging respiratory infections: the infectious disease pathology of SARS, MERS, pandemic influenza, and Legionella, Seminars in Diagnostic Pathology 36, 152159, 2019 bit.ly/CJJul20CPD1 3 Cunha, B A et al, Legionnaires disease, Lancet 387, pp 376-385, 2016 4 European Legionnaires Disease Surveillance Network, bit.ly/CJJul20CPD2 5 Monthly Legionella Report, Public Health England, December 2019 6 HSE Royal United Hospital case, bit.ly/CJJul20CPD3 accessed 1 June 2020 7 This Week in FM, bit.ly/CJJul20CPD4 accessed 1 June 2020 8 AWT Legionella 2019: A position statement and guidance document 9 Scheid, P, Relevance of free-living amoebae as hosts for phylogenetically diverse microorganisms, Parasitology Research 113, 2,4072,414 (2014) bit.ly/CJJul20CPD5 10 Delafont, V et al, Vermamoeba vermiformis: a free-living amoeba of interest, Review, Microbial Ecology 2018 Nov, 76(4):991-1001, doi:10.1007/s00248-018-1199-8 11 Rowbotham, T, Preliminary report on the pathogenicity of Legionella pneumophila for freshwater and soil amoebae, Journal of Clinical Pathology 33:11791183, 1980 12 Nisar, M A, Legionella pneumophila and protozoan hosts: implications for the control of hospital and potable water systems 13 Whiley, H et al, Legionella persistence in manufactured water systems: pasteurization potentially selecting for thermal tolerance, Frontiers in Microbiology, 2017 14 Guidance for reopening buildings after prolonged shutdown or reduced operation, CDC, bit.ly/CJJul20CPD6 accessed 1 June 2020 15 Scherberger, J, Identifying and eradicating biofilm (with HOCL), bit.ly/CJJul20CPD7 accessed 1 June 2020 16 Migliarina, F et al, A modern approach to disinfection, as old as the evolution of vertebrates, Healthcare 2014; 2(4):516-526. doi:10.3390/healthcare2040516 17 Cloutman-Green, E et al, Controlling Legionella pneumophila in water systems at reduced hot-water temperatures with copper and silver ionization, AJIC 47 (2019) 761-766 18 Legionella risks during the coronavirus outbreak, HSE, bit.ly/CJJul20CPD8 19 Safe management of water systems in buildings in Covid-19, bit.ly/CJJul20CPD9 20 Guidance for Reopening Buildings..., CDC, bit.ly/CJJul20CPD10 19/06/2020 16:00