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Case in Point

New Cooling Tower Protects A Hospital's Low Infection Rate

The Arkansas Surgical Hospital

The Arkansas Surgical Hospital installed a plastic cooling tower that will not only help to eliminate dangerous microbial growth, but when paired with an energy efficient chiller, will also save the center tens of thousands of dollars in utility costs.

August 11, 2017

A new Center for Disease Control and Prevention (CDC) study involving 196 cooling towers nationwide found that 84% contained Legionella DNA, indicating that the dangerous bacteria was present or had been at some point.

“During 2000–2014, passive surveillance for legionellosis in the United States demonstrated a 286% increase in reported cases per 100,000 population,” according to the CDC website.

The CDC also estimates that about 5,000 cases of Legionnaires’ Disease are now reported each year in the United States, and keeping Legionella out of water systems in buildings, with cooling towers a noted risk, is critical in preventing infection.

Throughout the U.S. and most of the world, the mainstay of large cooling systems remains the traditional HVAC combination of chillers, air handlers, and cooling towers. Cooling towers have a long history of effective use in expelling heat from the water used in many commercial and industrial applications that involve chillers. 

However, under typical operating conditions, cooling towers can propagate Legionella.  The design of many cooling towers creates pockets where water may stagnate, a condition that can lead to microorganism development. 

This has recently led ANSI/ASHRAE to publish its Standard 188, Legionellosis: Risk Management for Building Water Systems, which documents new risk standards and requirements for the design of new buildings and the renovations to existing structures.

“All facilities with HVAC or process cooling systems need to be aware of Legionnaires’ disease and handle any concerns about it,” says Rick Hill, facilities director at Arkansas Surgical Hospital in Central Arkansas.  “There have to be good procedures in place to prevent or control it.”

When it was time to replace an air cooled chiller at Arkansas Surgical Hospital, Steve Keen, president of Powers of Arkansas, the HVAC contractor responsible for the hospital project, recommended and installed a water cooled chiller, paired with an advanced cooling tower with anti-microbial properties.

“Legionella is always a concern for HVAC systems using a cooling tower and anywhere you have water exposed to the atmosphere,” says Keen. “The Delta Cooling Towers’ anti-microbial properties will help prevent that type of growth and exposure to patients and staff.”

Delta Cooling Towers recently introduced a line of towers constructed of anti-microbial resin, which is fully compounded into the base cooling tower structural material and casing. The cooling tower fill and drift eliminator are also made from anti-microbial PVC.  The anti-microbial resin contains wide-spectrum additives that operate on a cellular level to continuously disrupt and prevent uncontrolled growth of microorganisms and biofilm within the cooling tower. Efficacy tests were performed by Special Pathogens Laboratory, The Legionella Experts®. 

Cooling tower design and materials can be very significant in the prevention of pathogen growth. To avoid problems of stagnant water leading to pathogen growth, experts recommend cooling tower designs feature a sloped basin and/or basin sweeper system.

“We decided that since we were replacing the air cooled chiller with a water cooled chiller, we wanted a cooling tower that aligned with our philosophy of protecting patient safety,” says Hill, “We want to maintain one of the lowest infection rates among hospitals in the country.”

Arkansas Surgical Hospital already boasts a very low infection rate of under 0.3%, compared to a national average of 3% among U.S. hospitals.

By proactively making the switch to an advanced anti-microbial tower cooler, paired with a very high efficiency HVAC chiller, the hospital is also reducing energy costs, which was also a prime consideration. 

“Our previous air cooled HVAC system required a lot of electricity,” adds Hill. “With the water-based cooling tower and very efficient chiller, however, we expect to save tens of thousands of dollars annually in energy costs.”

Durability and longevity of the cooling tower were additional issues that Hill considered.

Metal-clad cooling towers are vulnerable to corrosion from salt air, industrial gasses, and even the chemicals used to treat the recirculating water. The best water treatments for Legionella prevention, in fact, are oxidizing biocides which react aggressively toward metal surfaces, effectively attacking metal-clad cooling towers and shortening service life.

According to Hill, he considered a metal cooling tower, but ultimately decided it would be too difficult to maintain. 

“Maintaining a metal cooling tower is more work than we wanted and the units have a shorter life cycle because metal will rust and require mending and repair,” says Hill. 

In choosing Delta’s cooling tower, officials said the Arkansas Surgical Hospital now has a cooling tower that is impervious to the corrosive effects of ambient air and water treatment chemicals, as well as oxidizing biocides.

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