Hotel Owner September 2018 | Page 22

FEATURE | HOW TO DEAL WITH A HOTEL CRISIS How to deal with a hotel crisis Legionnaires’ is a waterborne disease that has commonly affected the hotel industry, with one of the most recent and tragic cases occurring in the Feathers Hotel in Ludlow where a guest died after contracting the disease. ALESSANDRO CARRARA spoke with waterborne disease experts and Public Health England to hear what they think the hotel industry should be doing to ensure guest safety “My experience is that hotels generally local authorities and defence estates, tend to be less prepared to deal with and currently works for Hydrop, which Legionnaires’ outbreaks,” says Mike Koumi, specialises in the management of legionella a UK-based environmental microbiologist. and water quality. He has worked in the field It is vital, he says, “that hotels understand for more than 27 years, and has noticed the difference between the potential of over the years that hotels, unlike hospitals, infection and the potential of contamination cannot recognise individuals who may be - failure to have a suitable and sufficient risk susceptible to the disease, “since hotels assessment contravenes the Health and have no idea who walks through the door”. Safety at Work Act”. “You could well have people who are very susceptible,” he says, “since hotels can In 2017 alone there were 693 confirmed cases of Legionnaires’ disease in England typically be used by those recovering from and Wales, according to figures from Public an illness or medical treatment and are Health England. The most widely covered looking to go away for a weekend to get recent example was the Feathers Hotel in some relief.” Those suffering from conditions Ludlow, where an outbreak last year caused such as cancer, renal conditions and cystic fibrosis are particularly susceptible. the death of a guest, 69-year-old Elaine Brown. Days after she had stayed at the MIKE KOUMI Children are less likely to contract the hotel she suffered a stroke as a result of around 12% percent”, but those who survive disease than adults - their smaller lung contracting the disease, and later died at often have a rough ride - the disease can capacity means they cannot “extract the the Royal Liverpool University Hospital. still leave “permanent nerve damage, infective dose from the environment”. particularly to the brain”. Men’s greater lung capacity produces the According to Public Health England, Legionella is a bacterium found naturally in Koumi says Legionnaires’ is an “atypical” reverse effect - they are “twice as likely” to contract it. the environment, usually in water sources. pneumonia which produces different It likes to live in biofilms - a thin layer of symptoms and specifically affects those microorganisms usually in a free-living with a weakened immune system. “It’s an some properties are “not as well looked amoeba - and favours water temperatures opportunistic pathogen which means that after” often due to financial costs and other between 20 and 40 degrees centigrade. it won’t affect someone who is healthy,” factors. “I am not generalising,” says Koumi, The first recorded outbreak of the disease he says, “but it will affect someone who “but usually the smaller the hotel or the was in Philadelphia, America, in 1976, during is already suffering from a condition that smaller the chain the less likely they are a convention on the American Legion, from makes their immune system not as strong implementing the necessary precautions which it derives its name. as a healthy individual.” to control it.” He says this is typically When asked about the usual mortality Koumi is currently a water quality Other risk factors include the fact that because larger chains have more money rate of Legionnaires’ disease Koumi says management and control consultant to implement risk assessment procedures. the mortality rate with Legionnaires’ is “only for a large number of NHS Trusts, “That isn’t always the case, but evidence 22 www.hotelowner.co.uk September 2018