April 24, 2009Presenters:

Laura Hunter, EPHSThomas Bixler, EPHSBob Reynolds, EPHSBrent Brockmeyer,

NSPF Certified Pool Operator Instructor

AgendaSign In and IntroductionPool Ordinance InformationBreakSessions InspectionChemical Storage Safety with BrentTesting ProceduresBreakTroubleshooting with BrentRecreational Water DiseasesCollect Surveys!!!Virginia Graeme Baker ActQuestions

Inspection of Indoor and Outdoor Pools and Spas

City of Branson Municipal CodeChapter 46 HEALTH AND SANITATION

Division 3. Swimming Pools Sec. 46-121 through 46-169

Definition: Public Swimming Pool- means any place open to the public for swimming or recreative bathing whether or not a fee is charged for use thereof, and shall be classified as pools, outdoor or indoor, which are entirely of artificial construction

Health Permit displayed in a conspicuous place

Frequency of InspectionIndoor Facilities: Inspected 4 times a year,

approximately every 3 months (not including complaints or revisits)

Outdoor Facilities: Inspected 3 times a yearUsually open in May and close in SeptemberApproximately every 5 or 6 weeks

Safety: Lifeguard Chairs/StationsAt least one lifeguard shall be

provided for swimming pools, spas, and recreational water attractions equal to or greater than 3400 square feet of pool surface area.

One additional lifeguard shall be provided for each additional 2000 square feet of pool surface area thereafter.

Safety Requirements: Safety UnitOne unit = Conspicuous location of a throwable

device and a reaching device.One unit shall be provided for each 2,000 square feet

of water surface area or major fraction thereof.

Safety Unit DefinitionsThrowable Device: A U.S. Coast Guard Approved

Ring, 18 inches in diameter, or throwing buoy fitted with a one-fourth-inch diameter line with a length of 1 ½ times the maximum width of the pool or 50 feet, whichever is less.

Reaching Device: A life pole, or shepherd’s crook type of pole, having blunted ends with a minimum length of 12 ft and able to reach the center of the bottom of the pool at the deep end.

First Aid Equipment

Every swimming pool shall be equipped with a minimum of a Red Cross standard 16-unit first aid kit, or its equivalent.

A spine board should be provided at each pool.

Attendant AlarmAny swimming pool, spa, or recreational water

attraction which is located such that it is not at all times in direct view of the attendant shall have, in the immediate vicinity of the pool, a clearly labeled alarm device that can be activated when a bather is in trouble and is easily heard throughout the area or building. Or the facility shall have a non-pay telephone permanently installed at pool side which is readily accessible and conspicuously located. The telephone shall have signage stating call 911 in case of emergency or contact directly with an attendant.

Attendant Alarm1. Attendant who has direct line of sight

of pool at all times2. Alarm that rings to an attendant or

front desk or be heard throughout facility. There must be someone available to respond to alarm

3. Emergency Phone: Ring to front desk or 911. Clearly mark phone with a sign and dialing directions!!!

Safety Requirements: Depth Markings

Plainly marked at or above the water surface on the pool wall and on the edge of the pool deck, at maximum and minimum points points of break between the deep and shallow portions, and at intervals of not more than 25-feet, intervals measured peripherally.

Numerals 4 inches minimum height and a contrasting color with the background.

Decks

Entirely surround poolNot less than 5 feetEasily cleanedSlip resistantNo carpeting Hose bib required

Fencing and Gates

Completely surroundedNot less than 4 feet highSelf-closing and positive

self-latching closure mechanism

The latch shall be installed as high as possible, but at least 4 feet high

Safety Requirements:Rules and SignsLocated in a conspicuous placeLetters at least 4 inches in highLetters contrasting color from backgroundWARNING SIGNS

Whenever the pool area is opened for use and no lifeguard service is required or provided, warning signs shall be placed in plain view to the entrances and inside the pool area which state “WARNING--NO LIFEGUARD

ON DUTY” legible letters at least 4 inches tall.

Pool RulesChildren shall not use pool/spa without an

adult in attendance. Persons with infections not permitted. No food, drink, gum or tobacco permitted in pool or on

deck. No containers made of glass or shatterable plastic. Shower before entering and after use of toilet facilities.No running or rough play.No pets allowed.Do not leave small our young children unattended.Management shall post additional rules as needed

Spa Signage

Caution signs. A legible sign visible from the spa shall be provided. It shall state:

“Caution. Any person having an acute or chronic disease such that use of the spa might adversely affect their health should consult a physician before using the spa. Do not use the spa immediately following exercise or while under the influence of alcohol. Do not use the spa longer than ten minutes. Children shall be accompanied by an adult.”

Disinfection

Swimming pools shall be designed to provide for continuous disinfection of the pool water with a chemical which is an effective disinfectant and which is easily measured, active residual.

Test KitsColormetric, DPD test kit

(Diethyl-P-Phenylene Diamine)pH test kit with a range from

6.8-8.2, accurate to the nearest 0.2

Appropriate reagentsReagents replaced annuallyDemonstrate working

knowledge of proper use

MaintenancePool Cleaning SystemA pool cleaning shall be provided

to remove dirt from the bottom of the pool.

Manual For OperationsInstructions for each filter, pump,

or other equipment, drawings, illustrations, chart operating instructions, and parts list to permit to permit proper installation, operation, winterization and maintenance.

Log SheetsPool water quality should be checked AT LEAST 2

times a day and logged Chlorine: combined, total, and freepH

Any chemicals added should also be written down in the log sheets along with the amounts added

Routine maintenance or repairs need to be logged as well

Safety Requirements: Chemical Storage

Rule of Thumb: Store like chemicals with like chemicalsStore acids separate and away from basesNever re-use chemical containers, especially to store

other chemicalsNever use the same scoop or utensil for different

chemicalsNever use the same cloth to clean up spillsStore on a non-absorbent surface

STORE IN ACCORDANCE TO MANUFACTURER’S LABEL

Water Quality Standards

Chlorine, Free and Combined

Free chlorine residual of at least 1.5 mg/l for a pH of 7.2 to 7.5 shall be maintained throughout the pool.

For higher pH values, higher free chlorine residuals of at least 0.2 mg/l for each 0.2 pH unit increase shall be maintained.

Total at least 1.5 ppm and not more than 5 ppm1 ppm = 1 mg/l

pH Maintained between 7.2 and 8.2

Combined ChlorineIf the concentration of combined

chlorine greater than 0.2 ppm, than the pool should be super chlorinated to reduce the concentration of combined chlorine

Superchlorination (46-161.f.1): free chlorine raised between 5 to 10 ppm.

Swimmers are not allowed back in until residual below 5 ppm

BromineWhen Bromine is used as a disinfectant, a residual

of 1 ppm shall be maintained for a pool with a pH below 7.8

2 ppm for pH 7.8 or higher

Water Clarity

Swimming pool water shall have sufficient clarity that the main drain cover is readily visible at the deepest point of the pool when viewed from the side of the pool.

A black drain cover or two-inch circle around the drain cover.

Transparency Disk Must be readily visible

Clarity

Algae Control

An algaecide may be used as long as it is in accordance with the label.

TemperaturePool water should be between 72 F and 85 FAir temperature for an indoor swimming pool should

be maintained from two to five degrees F above the pool temp.This helps with the humidity and also comfort of

swimmers Spa temperature not over 102 F

Pool CleaningRecommended pool and deck be cleaned, the pool

water surface skimmed, and the pool walls and bottom vacuumed or brushed, all on a daily basis and while the pool is closed for use.

TurnoverPool water turnover at least every 6 hours (4 times

a day)Wading pools must turnover a minimum of every 2

hoursA flow meter shall be provided to determine flow

rates and turnover rates

Code Compliance: What Fails and InspectionAny critical violation!

Criticals:Chemicals out of compliance

Chlorine (free or combined) or pH too high or low

Clarity: Cannot clearly see black drainNo continuous disinfectionInoperable pumpsEntrances not closedUnsanitary conditions, including saunas and showersAny electrical deficiencies

Ex. Bare wires

Code Compliance: What Fails and InspectionImmediate Danger-Any threat to safety of life

Ex. No lifeguard, as required by codeEx. No attendant, emergency phone, or alarm

Overhead lights not shatterproof or properly shieldedBackflow prevention device on hose bibCross connection of potable water to sewageAny repairs to walls, ceilings or floorsAbsence of anti-entrapment system and standards

(includes lack of proof or documentation)

3 GROUPS AND ROTATE EVERY 10 MINUTES

Pool Inspection: 10 minutes

Water Testing: 10 minutes

Chemical Safety: BRENT 10 minutes

Troubleshooting Brent will discuss common problems with pools and

how to bring your pool into compliance

Recreational Water Illnesses (RWI’s)Diseases that are transmitted through recreational

use of water including waterslides, swimming pools and lakes.

Some infect the gastro intestinal and respiratory tracts while others infect skin, ears, and eyes

9 Steps to Prevention of RWI’s

LeadershipEducationCommunicationWater QualityDisinfectionFacility DesignPlanningPreventionHealthy Swimming

Lead Your StaffMaking a choice to integrate an RWI protection plan

into an existing facility risk management plan is the single greatest decision you can make to protect swimmers from RWI’S

Educate Pool staffEnsure that all staff know the critical role of water

testing, proper testing methods, and how to respond if disinfectant levels are not adequate.

Develop Partnerships

Building a communication bridge to your health department and other aquatic facilities is a great way to get information about other outbreaks occurring in your community.

Educate Swimmers and ParentsRemember that people care about their health, so a lead-

in might be: “To ensure the health and safety of all our visitors, we ask that you remember to follow these easy

“ P-L-E-As” for Healthy Swimming.” Please don’t swim when you have diarrhea.Please don’t swallow the pool waterPlease practice good hygienePlease take your kids on bathroom breaks oftenPlease change diapers in a bathroom, not at poolsidePlease wash your child thoroughly (especially the rear end)

with soap and water before swimming

Maintain Water Quality EquipmentKeep the chemical feed equipment and chemicals at

optimal levels.Poor pH control can compromise chlorine’s

effectiveness as a disinfectant.Ensure regular and thorough maintenance of the

recirculation and filtration equipment to provide maximum filtration.

Institute Disinfection GuidelinesHave a written fecal accident response policy and

keep records of all fecal accidents, chlorine and pH level measurements, and any major equipment repairs or changes.

http://www.cdc.gov/healthyswimming/fecalresponse.htm

Evaluate Hygiene FacilitiesIn CDC’s parent interviews, parents uniformly said

they changed diapers at poolside because changing rooms were unclean, poorly maintained, and/or had inadequate diaper-changing facilities.

Create a Special Policy for Large Groups of Young ChildrenIf you allow large groups of diaper/toddler-aged

children in the pool consider:Requiring RWI orientation training for the care

providers and make sure they understand that your pool, like most daycare centers, also excludes children ill with diarrhea.

Keeping diaper/toddler-aged children in the pools specifically designated for them.

Post and Distribute Health InformationEncourage swimmers to shower with soap and

water before entering the pool.Post the six “P-L-E-As” that promote Healthy

Swimming.

Develop an Outbreak/Emergency Response PlanThe best advise is to be prepared. If an outbreak does occur, are you ready? Do you have a plan?Collaborate with your local health department.Support the investigation, it can lead to better illness

prevention strategies that can help everyone.

Cryptosporidiosis “Crypto”During the past two decades, Crypto has become

recognized as the most common cause of RWI’s in the United States.

Causes diarrhea and respiratory infectionsProtozoa found in infected people’s stoolCannot be seen by the naked eyeSurvives for a long period of timeResistant to chlorine disinfectionTakes approximately 6.7 days to kill in chlorinated

swimming pool

Escherichia Coli 0157:H7BacteriaCauses severe diarrhea and abdominal crampsCan lead to hemolytic uremic syndrome the principal

cause of acute kidney failure in childrenChlorine is very affective in killing E. coli 0157:H7 , <

1 minute

E.Coli 0157:H7

Giardia (gee-ARE-dee-uh)A protozoan infection principally of the upper small

intestineFound in infected peoples stoolCannot be seen by the naked eyeTakes approximately 45 minutes for properly

chlorinated water to kill

Giardia

NorovirusNoroviruses are a group of viruses that cause the

“stomach flu,” or gastroenteritis (GAS-tro-en-ter-I-tes), in people.

Found in the stool or vomit of infected peopleVery contagious and can spread easily from person

to person

ShigellosisDisease caused by a group of bacteria called

ShigellaInfects the GI tract Characterized by diarrhea accompanied by fever

and nausea, vomiting and crampsPresent in infected individuals stools while they are

sick and for a week or two afterwards

Shigella

Pseudomonas aeruginosaDermatitis/FolliculitisPathogenic Bacteria

Hot Tub Rash

Be aware that hot tubs and spas have warmer water than pools, so chlorine or other disinfectants break down faster

LegionellosisLegionnaires’ disease and Pontiac fever are caused

by Legionellae bacterium. Symptoms include anorexia, malaise, myalgia,

headaches, rapidly rising fever and chills. Temperatures commonly reach

102° F - 105° F.

Legionella bacterium

Other InfectionsSwimmer’s ear (ear ache) is an infection caused by

Pseudomonas aeruginosa.Swimmer’s itch, also called cercarial dermatitis,

appears as a skin rash caused by an allergic reaction to certain parasites

Swimmer’s itch

Questions???Questions for InspectorsQuestions For Brent

Troubleshooting for pool problemsPumps, filters, etc.

New Rules based on Virginia Graeme Baker Act is next. If you are not staying please fill out a survey and pass it in now. If you are staying, please fill out survey now or make sure it gets turned in after the VGB section:

Surveys are important because it helps us have a better Pool School for you next year!!!

ThanksCenter for Disease Control

www.cdc.govMany images found through www.google.comBrent Brockmeyer: Vaughn PoolsRoark Health Club: for use of Facilities!

Thank YouFor taking time out to be dedicated to Public Health

Taney County Health Department

Environmental Section

New City Ordinances: VGBThe Virginia Graeme Baker Act went into

enforcement action December 19, 2009The City of Branson also adopted provisions from

the Virginia Graeme Baker Act into the current municipal pool ordinance.

All pools in operation at this time (indoor pools) must be in compliance at this time or will be closed.

All pools who haven’t opened (outdoor pools) must come into compliance before opening

ResourcesUS!!!! Contact your inspector for questions or set up

a consult of your pool and/or spa.

Your pool supply company

www.cpsp.govwww.apsp.orgwww.nspf.org

Plan SubmittalPlease consult your inspector before making

changes to your pool!Please submit your plans of action for coming into

compliance and have your inspector approve it before making big purchases or changes to your pool!

Please keep all information, documentation, and certificates of compliance on hand at the facility.

How do I know my pool or spa is in Compliance???Step 1: Does my drain comply with the VGB Act?

They must be marked with

VGB 2008

ASME/ANSI A112.19.8 2007 or logo

Flow Rate

Life Span

Drain CoversIf field fabricated, must by certified by a Registered

Design Professional (Professional Engineer) who provides a copy of a certificate saying it meets the VGB Act Standards, including flow rates, UV exposure, and durability

Is it secure and installed according to manufacturer’s instructions?

Is my pool in compliance?Step 2: Do you have secondary back up options?

Do you have more than 1 main drain going to single pump? (MUST BE 3 FT DISTANCE FROM CENTERS)

If you have a single main drain?Did you get an SVRS (Safety Vacuum Release System)Do you have and automatic shut off?Do you have a suction-limiting vent system?Is your drain unblockable?Is your drain gravity fed?Did you disable your main drain? (if you did, did you

provide flow rates or turnover rates to show you meet local code?)

Secondary SystemsSVRS: A safety Vacuum release system which

ceases operation of the pump, reverses the circulation flow, or otherwise provides a vacuum release at the suction outlet when a blockage is detected, that has been tested standard by an independent third party and found to conform to ASME?ANSI standard A112.19.17 or ASTM F2387

Automatic Pump Shut Off System: An automatic pump shut-off system

Secondary Systems Suction-limiting Vent System: A suction-limiting vent

system with a tamper-resistant atmospheric opening.Unblockable: means a drain of any size and shape

that a human body cannot sufficiently block to create a suction entrapment hazard.(from CPSC interpretation)ASME/ANSI A112.19.8 standard of unblockable-

Dimensions of 18’’ x 23”, which represents shoulder to waist measurements of the 99th percentile of adult males.

Secondary SystemsGravity Drainage System: A gravity drainage system

that utilizes a collector tank.Drain Disablement: A device or system that disables

the drainONLY IF YOUR INSPECTOR APPROVES IT!!!!!YOU MUST MEET LOCAL CODE TURNOVER AND

FLOW RATES!!!! Turnover Rates Every 6 hours (4x a day) for pools Every 2 hours for wading pools and spas

Secondary SystemsOther Systems can be used but must be determined

by the CPSC as equally effective or better than the ones outlined in the VGB Act.

NO DRAIN REVERSALS! (These are not permanent and the department is not approving them)

If you answered no…Than grab a card of your inspector and call and set

up a consult.

YOU MUST MEET ALL REQUIREMENTS OF THE VGB ACT AND LOCAL CODE TO OPEN YOUR POOL.

Questions?Thank you for attending.Please turn in surveys now if you haven’t already.

Make a consult with your inspector if you have specific or detailed questions about your specific pool.

Have a Great Day!!!!