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C1,'()'(*+%,'-(./()1+1/,.2()3&+5&4() (DD&5,5&)0(')0'(:(.&'()%,)5'(15&/,)4&),%*>(E) 0'+/+2+&)(4),%/'&)3,//('&)5>()0+/'(33('+) D,:+'&'()%,)5'(15&/,)4(%%,)<(*&+.(%%,6) 7" #$%&'()()4'(.,'()&%)1&1/(-,)(4)(DD(//$,'() /$//()%()+0(',2&+.&)4&)-,.$/(.2&+.() 1(5+.4+)%()',55+-,.4,2&+.&)4(%) 5+1/'$//+'(6)F=)+00+'/$.+)&1/&/$&'()() /(.('()1(-0'(),**&+'.,/+)$.)'(*&1/'+) 4(%%,)-,.$/(.2&+.(6) ) ) !"#$%&$"#'()'(*+"','-+.'/"$($(0/"','-+( G%&)(1&/&)4(%)5,-0&+.,-(./+)0('-(//+.+)4&) :,%$/,'()%,)5+./,-&.,2&+.()4(%%=&-0&,./+E)4&) 4&1/&.*$('()/',)$.,)5+%+.&22,2&+.()%+5,%()(4)$.,) 1&1/(-&5,)()4&)&4(./&D&5,'()&)0$./&)4+:()H) 0'(1(./()$.)-,**&+')'&15>&+6) $ Tab. 1 IMPIANTO IDRICO Tipo di intervento in base alla concentrazione di Legionella riscontrata nell'impianto Concentrazione di Legionella (UFC/L) Intervento richiesto Minore di 100 UFC/L Nessun intervento richiesto. Maggiore di 100 UFC/L ma minore o uguale a 1000 UFC/L Verificare che siano in atto le misure di controllo. Negli stabilimenti termali effettuare comunque una bonifica. Maggiore di 1000 UFC/L ma minore o uguale a 10000 UFC/L In assenza di casi, verificare che siano in atto le misure di controllo ed effettuare una valutazione del rischio. In presenza di un caso singolo o di un cluster, rivedere le misure di controllo messe in atto ed effettuare una bonifica. Maggiore di 10000 UFC/L Mettere in atto immediatamente le misure di bonifica, anche in assenza di casi. Verificare l'efficacia delle misure adottate, sia immediatamente dopo la bonifica, che periodicamente. Come si previene !"##"$%&'"##"$()"$*"+,-.-$*-.-$/01-/%&%0$+#0$ 0.%"/2".%0$30$*&.040(&50-."$"$'-.040(&$3&$ "44"%%,&/"$*,##&$'&*"$3"##"$(-.(".%/&50-.0$30$ 6"+0-."##&$/0#"2&%"$."+#0$0710&.%0$03/0(0$"$."##"$ %-//0$30$/&44/"33&7".%-8$ $ Tab. 2 TORRI DI RAFFREDDAMENTO Tipo di intervento in base alla concentrazione di Legionella riscontrata nell'impianto Concentrazione di Legionella (UFC/L) Intervento richiesto Nessun intervento richiesto. Maggiore di 10000 UFC/L Mettere in atto immediatamente le misure di bonifica, anche in assenza di casi. Verificare l'efficacia delle misure adottate, sia immediatamente dopo la bonifica, che periodicamente. In assenza di casi, verificare che siano in atto le misure di controllo ed effettuare una valutazione del rischio. In presenza di un caso singolo o di un cluster, rivedere le misure di controllo messe in atto ed effettuare una bonifica. !"#$#%&'()'%&#$*#$+,%#-#.,/#0%'$'$10%#-#.,$+0%0$#$ +'23'%$ 56 7'$8$#9:"#.,&,$",$('&'$*#$*#+&(#13/#0%'$ *'"";,.<3,$.,"*,4$ =6 >3"#('$9,%3,"9'%&'$#$+'(1,&0#$*'"";,.<3,$ .,"*,$'$"'$.,"*,#'$:'($(#930)'('$ #%.(0+&,/#0%#$'$+'*#9'%&#?$ Come si previene Minore o uguale a 1000 UFC/L Maggiore di 1000 UFC/L ma minore o uguale a 10000 UFC/L . Come si previene !" #$%$&'()%*+(,-.')&.+//)%$*$./()0)**$. '1$2$'$-.*3**).45$2/$+&*).$0($').6+'73+. 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