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Professional showerhead in operation with steam — Legionella risk

Every spring, thousands of water installations resume activity after a long period of winter inactivity: hotels reopened, campsites restarted, indoor pools relaunched, air conditioning systems reactivated. This moment also marks the silent awakening of a major bacteriological danger: Legionella and other pathogens that have developed during the months of stagnation.

Legionellosis, a serious pulmonary disease caused by Legionella pneumophila, accounts for more than 1,200 reported cases in France each year, with a mortality rate of 10 to 20% in severe forms. Water treatment professionals and managers of establishments open to the public (ERP) are on the front line to prevent this risk — with precise regulatory obligations.

This article explains why spring is the most critical season, which installation points to monitor as a priority, the applicable regulations in France and Belgium, and DIMM solutions to effectively protect your installations.

25–45 °C active proliferation zone
≥ 60 °C mandatory DHW threshold FR / BE
1,000 CFU/L ERP alert threshold
99.99 % elimination by UV-C

1. Legionella: understanding the enemy

A natural bacterium that becomes dangerous in artificial circuits

Legionella pneumophila is a bacterium naturally present in fresh water (lakes, rivers, underground aquifers) at low concentrations, without particular danger in its natural environment. The problem arises when it colonises hot artificial water systems: domestic hot water tanks (DHW), distribution networks, showers, spas, cooling towers. There it finds ideal conditions to proliferate and can reach dangerous concentrations.

Legionella contamination chain — stagnant water, proliferation, aerosols, inhalation
The 4-step mechanism: stagnant water → proliferation → 1-5 µm aerosols → pulmonary inhalation.

Human contamination occurs exclusively through inhalation of aerosols — microdroplets of 1 to 5 microns suspended in the air, mainly from showers, spas and cooling towers. You cannot contract legionellosis by drinking water: the bacterium does not survive in the stomach. Inhalation is the exclusive vector.

🚨 Particularly vulnerable populations

  • Elderly people (nursing homes, care homes): reduced immunity — higher mortality rate.
  • Hospitalised patients (especially immunocompromised): critical risk — zero tolerance Legionella threshold in healthcare facilities.
  • Smokers, people with chronic lung diseases (COPD, asthma).
  • Diabetics, renal insufficiency patients: increased sensitivity.
  • Men > 50 years old: the most represented population in confirmed cases.

The 3 conditions that promote proliferation

1. Temperature: Legionella multiplies actively between 25 and 45 °C, with a growth peak at 37 °C — human body temperature. It is inhibited below 20 °C and destroyed above 60 °C.

2. Stagnation: water that does not circulate constitutes an ideal environment for bacterial colonisation. Dead legs in the network, little-used or unused tanks and dead-end pipes are the most critical areas.

3. Biofilm and limescale: the bacterium lodges in deposits of scale, sludge and corrosion products that line the inside of pipes and tanks. These environments protect it from thermal and chemical treatments.

2. Why is spring the highest-risk season?

The trap of resuming activity after winter

Spring concentrates a combination of aggravating factors that make it the most dangerous season for water circuits in public establishments:

  • Prolonged winter stagnation: installations little used during winter have left water stagnating for weeks, even months, at 15-25 °C — the ideal range for progressive colonisation.
  • Gradual temperature rise: network water temperature naturally rises in spring. DHW circuits not maintained at temperature find themselves in the thermal danger zone (25-45 °C) for several weeks.
  • Restart without precautions: many managers reopen their installations without thermal shock or mandatory regulatory disinfection.
  • Biofilm established during winter: the long stagnation has allowed Legionella to settle deep in the biofilm. They are then difficult to eliminate by simple temperature increase.
  • Resumption of collective showers: the reopening of changing rooms, sports showers and bathing facilities concentrates dozens of people simultaneously exposed to aerosols.
Technician recommissioning a DHW tank in spring
Spring recommissioning of a DHW tank — critical moment for Legionella prevention.

💡 Did you know? Legionella can survive at 80 °C

Under laboratory conditions (bacteria in suspension), 90% of Legionella are destroyed at 60 °C in 5 minutes. But in real installations, Legionella protect themselves within amoebae — microorganisms more resistant to heat and chlorine. Some amoebae survive at 80 °C and release still-living Legionella during cooling. This is why simple thermal shock is not sufficient in scaled installations: you need to combine descaling + thermal treatment + UV.

3. Key temperatures: from proliferation to destruction

Temperature control is the primary prevention tool against Legionella. Here are the thresholds to know and respect imperatively.

Water temperature Zone Legionella risk Consequence
< 20 °CCold waterBacteria inactiveLegionella dormant, no multiplication
20 – 25 °CTepid zone⚠️ Risk beginsSlow multiplication possible — avoid stagnation
25 – 45 °CDanger zone🔴 Active proliferationRapid multiplication — peak at 37 °C
46 – 50 °CBorderline zone⚠️ SlowdownGrowth slowed but bacteria alive
50 – 55 °CSafe zone (DHW storage)✅ Inhibition90% of Legionella destroyed in 2 to 6 h
60 °CRegulatory threshold✅ Rapid destruction90% destroyed in 5 min — mandatory DHW threshold FR/BE
70 °CThermal shock✅ Total destructionCurative treatment — rapid and complete destruction
≥ 55 °C (distribution)Network temperature✅ Regulatory thresholdMinimum distribution temperature (FR decree 2010)
Digital temperature probe showing 55.4°C on a copper pipe
Daily DHW temperature monitoring — the first barrier against Legionella.

4. Priority points of use to monitor

Not all water circuits present the same level of risk. Here are the professional installations that merit increased vigilance, particularly in spring.

At-risk point of use Contamination mode Key preventive measures
Showers (hotel, sports, camping)Direct inhaled aerosolsInspection 2×/year min. — thermal or UV disinfection — weekly purge of little-used points
Spa, jacuzzi, whirlpool bathAerosols + stagnant warm waterEnhanced monitoring — chemical + UV disinfection — regular draining and cleaning
Cooling towers (TAR)Wide aerosol dispersionMandatory sanitary logbook — monthly analyses — biocide per protocol
DHW tanks > 400 LWater stagnation at tank bottomStorage temp. ≥ 55 °C — annual Legionella analysis — regular bottom-of-tank purge
Little-used networks / dead legsStagnation and biofilmWeekly purge — eliminate dead legs — network mapping
Ornamental fountains / humidifiersContinuous aerosolsRegular maintenance and disinfection — avoid stagnant warm water
Ice machines / beverage dispensersIndirect water-aerosol contactCleaning and disinfection per manufacturer protocol
Installations resumed after winterisationProlonged stagnation in cold waterMandatory thermal shock before recommissioning + Legionella analysis
Hotel spa and pool — Legionella risk points
Spas, pools and collective showers: a cluster of risk points in a single establishment.

5. Regulations in France and Belgium: managers' obligations

Legionella regulation in France is primarily based on the decree of 1 February 2010 (amended 2022), supplemented by the Public Health Code (articles L.1335-1 et seq.). In Belgium, the Flemish government decree of 4 May 2007 constitutes the main regulatory framework, with regional specificities.

Obligation 🇫🇷 France 🇧🇪 Belgium
Reference textDecree 1 Feb. 2010 (amended 2022) + Public Health CodeFlanders decree 4 May 2007 + Brussels environmental permit
DHW production temperature≥ 60 °C (storage > 400 L)≥ 60 °C — distributed ≥ 55 °C
DHW distribution temperature≥ 50 °C at points of use≥ 50 °C — thermostatic mixer recommended
Cold water≤ 25 °C (piping)≤ 25 °C — avoid DHW contact
DHW production analyses1×/year (tank bottom)Per regional decree + installation type
Point-of-use analysesPer ERP typePer decree + sanitary logbook
Legionella alert threshold≥ 1,000 CFU/L (ERP)≥ 1,000 CFU/L — point-of-use closure
Critical health threshold< detection limitZero tolerance — specific protocol
Sanitary logbookMandatory for ERPMandatory — available to authorities
Authority notificationMandatory if > 1,000 CFU/LNotification to competent authority

⚠️ Mandatory disinfection before recommissioning (France)

According to article R1321-56 of the Public Health Code, it is mandatory to clean, rinse and disinfect water networks and installations before commissioning or recommissioning. This obligation fully applies to the spring reopening of seasonal hotels, campsites, sports changing rooms and any establishment that has experienced a prolonged interruption of activity.

Open sanitary logbook with temperature readings and DHW dashboard tablet — April 2026
Sanitary logbook and DHW monitoring tablet — regulatory traceability in practice.

6. DIMM solutions for preventing and treating bacteriological risk

Solution 1 — UV sterilisation: chemical-free disinfection

Disinfection by ultraviolet light is the most recommended solution for bacteriological prevention in professional water circuits. UV-C lamps at 254 nanometres alter the DNA and RNA of bacteria, viruses and microorganisms, rendering them incapable of reproducing — without any addition of chemical products and without altering the taste or composition of the water.

UV sterilisation is particularly suitable for water entry points (wells, boreholes), post-DHW distribution systems, collective showers and rainwater harvesting installations. It must be preceded by pre-filtration to eliminate particles that create a shadow effect.

DIMM UV steriliser AQFBB-10-TWIN with pressure gauge
DIMM UV steriliser — the reference solution for chemical-free bacteriological disinfection.

Solution 2 — Filtration to protect UV and purify upstream

Before any UV steriliser, effective pre-filtration is essential. Turbidity, suspended matter, iron and manganese create a shadow effect that reduces UV efficiency. DIMM filter media and filter housings form the first line of defence in the microbiological treatment chain.

Solution 3 — Water softening: fighting limescale biofilm

Limescale is Legionella's best ally: scale deposits create crevices where bacteria settle and protect themselves from thermal and chemical treatments. A professional water softener upstream of the DHW network significantly reduces limescale biofilm formation and improves the effectiveness of anti-Legionella treatments.

Solution 4 — Water testing: detect before you act

Legionella is invisible, odourless and tasteless. Without analysis, it is impossible to know if an installation is contaminated. DIMM tests allow rapid on-site diagnosis. For regulatory Legionella analyses, an accredited laboratory is required — but field tests allow intermediate monitoring of parameters promoting proliferation (turbidity, temperature, pH).

7. Spring recommissioning protocol: step-by-step guide

Anti-Legionella protocol infographic — 7 steps for spring recommissioning
The 7 steps of the spring recommissioning protocol — to be followed in order, with no weak link.

🔧 Spring recommissioning protocol — Key steps

  1. Visual inspection → Check the condition of tanks, pipes, showerheads, flexible hoses. Replace if biofilm or visible corrosion.
  2. Descaling → DIMM filter media and inhibitors — eliminate limescale deposits that protect bacteria.
  3. Complete purge → Drain all tanks, purge all points of use, including little-used rooms and branches.
  4. Thermal shock → Raise to 70 °C for a minimum of 30 minutes at all points (temperatures to be recorded in the sanitary logbook).
  5. UV disinfection → Activation or installation of UV sterilisers upstream of sensitive points.
  6. Legionella analysis → Sampling by accredited laboratory before welcoming the public.
  7. Commissioning → Weekly monitoring of temperatures and purging of little-used branches for the first 4 weeks.

8. Specificities by type of establishment

Hotels and tourist accommodation

The spring reopening of a hotel is the moment of maximum risk. Rooms little used in winter have had their showers stagnating for months. Every room must be purged before welcoming the first guests. The hotelier is responsible for the quality of sanitary water — their civil and criminal liability may be engaged in case of legionellosis attributable to the establishment.

Campsites and outdoor accommodation

Collective campsite showers are among the highest-risk installations: water stagnant all winter in often uninsulated pipes, temperatures close to the critical range in spring, sudden high attendance from the first fine days. A thermal shock and Legionella analysis are essential before the first opening of the season.

Healthcare facilities and nursing homes

These establishments are subject to the strictest requirements: Legionella tolerance at points of use accessible to patients is below the detection limit. The management protocol must be formalised, documented and audited regularly. DIMM UV systems are particularly recommended at terminal points of use.

Sports centres, swimming pools and spas

Collective showers, changing rooms, whirlpool baths and jacuzzis constitute a cluster of multiple risk points within a single establishment. Spring reopening after winterisation requires a rigorous protocol including spa draining, descaling and thermal shock of the entire network.

Conclusion: act now, before Legionella acts for you

Legionellosis is not inevitable. It is a 100% preventable disease with the right equipment and proper maintenance practices. But it requires permanent vigilance, particularly in spring during recommissioning, and a prevention chain with no weak link: temperature, circulation, filtration, UV disinfection and regular monitoring.

ERP managers have a legal and moral responsibility towards their users. Specialised installers and distributors are their trusted partners for designing, installing and maintaining compliant installations.

At DIMM, we have been supporting professionals for over 30 years in the microbiological safety of their water installations — swimming pools, hotels, campsites, healthcare facilities. Contact our technical team for an audit of your installations before spring reopening.

References & sources

  1. Viessmann — Legionellosis: DHW temperature, proliferation, prevention
  2. Energie Plus — Legionellosis: critical temperatures, biofilm, amoebae, 80 °C resistance
  3. Thermor — Legionellosis: water heater settings, temperature zones, prevention
  4. Nicoll — Legionellosis DHW: dead legs, stagnation, ERP regulations
  5. Légifrance — Decree of 1 February 2010 — Legionella monitoring DHW (amended 2022)
  6. Herli / Légifrance — Legionella ERP regulation — frequencies, thresholds, sanitary logbook
  7. Guide Bâtiment Durable (BE) — Legionella Belgium — Flemish, Brussels regulations, NBN standards
  8. Advizeo — Legionella risk: sanitary logbook, alert thresholds, corrective procedures

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