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The Model Aquatic Health Code (MAHC) International Pool Spa Patio Expo November 2, 2016; New Orleans, LA Douglas Sackett Executive Director, CMAHC
MAHC/CMAHC and Other Acronyms Who knows about the Model Aquatic Health Code (MAHC)? Who knows about the Council for the MAHC (CMAHC)? Who is a member of the CMAHC?
AGENDA Intro to MAHC and CMAHC Selected MAHC Design and Operation Requirementsimplications & impact on pool service and maintenance Questions & Answers
Why Create the MAHC? No federal regulatory agency responsible for aquatic facilities 68% of state and local health departments regulate, inspect, or license public swimming pools 1 Significant variability in standards and requirements exist that are often outdated Significant time and resources spent by individual jurisdictions to create and update codes 1. National Association of County and City Health Officials, 2013.
MAHC Core Work Strategies The core work strategies used for MAHC development included: Use an Evolution NOT Revolution approach Build a strong partnership between public health and the aquatics sector Actively seek, listen to, and incorporate public input Rationale Incremental change is most likely to be adopted by state and local jurisdictions Partnership will yield the best product, greatest buyin, and will be most likely to be adopted Incorporating public input improves overall quality and national buy-in
Code Development Process with the MAHC MAHC was developed by expert consortia of national and international stakeholders Substantial industry participation in the process Results in better acceptance by industry 72% of >4400 public comments accepted Annex is a valuable tool that provides the data and other supporting evidence for the code requirements Updated every two years through the Council for the Model Aquatic Health Code (CMAHC)
MAHC Scope All areas of public health concern Illness, injury, drowning Public venues Water, air, & facility exposures that impact the health of swimmers and facility users Leave other areas to building codes, etc. Facility types Man-made, treated, recirculated water venues Health care-based pools Therapy pools
MAHC is Intended to Make Pools Safer: Risk Management Approach Understanding & identifying risk Drowning Disease Injury Developing methods to manage the risk Physical methods (DESIGN) Operational methods (TRAINING) Management methods (PLANNING & AUDITING) Assessing compliance
What s Inside? 1) Preface 2) User Guide 3) Glossary, Acronyms, Initialisms 4) Design and Construction 5) Operation and Maintenance 6) Policies and Management 7) MAHC Resources 8) Appendices
MAHC in Context Document type? Creation Process? Public comment? Can be updated? Enforceable? All pools? Model code, not a law CDC led, with substantial input from state and local public health, aquatics sector, and academia Evolution NOT revolution Yes, two public comment periods plus 3 rd comment period when users choose to adopt Yes, improvements based on data and expertise from public health and aquatics Must be adopted by state or local authority first No, only public facilities in adopting jurisdictions. Also, design and construction provisions mostly apply to new and remodeled construction
MAHC and Aquatics Industry Partnership Keeping Pools Safe and Keeping Pools Open are shared motivators for the MAHC and aquatics industry
The Conference for the Model Aquatic Health Code (CMAHC) What is CMAHC? 501c(3) non-profit organization Why does it exist? Established in 2013 to manage updates to the MAHC Administration & Operation Bylaws, Board of Directors, Executive Director Committees include Technical Review Committee and Ad Hoc Committees
The Conference for the Model Aquatic Health Code (CMAHC) Role Conduit for funneling advice and data-driven, sciencebased information from public health and aquatic industry experts to CDC Support use of MAHC Vision To keep the MAHC up-to-date, science-based, sustainable, easily understood and implemented by pool programs across the U.S. so as to support healthy and safe aquatic experiences for everyone.
The Conference for the Model Aquatic Health Code (CMAHC) Mission Collect, assess, and relay input on MAHC revisions back to CDC for final acceptance Provide advocacy and needed support to health departments and other partners on using the MAHC Solicit, coordinate, and prioritize research needs
CMAHC Biennial Conference CMAHC Biennial Conference will be hosted every two years Revised MAHC will be launched to coincide with Recreational Water Injury and Illnesses Week (Memorial Day) the following year Biennial CMAHC meetings: 2015, 2017, 2019, 2021, 2023, 2025, 2027, 2029 New MAHC Edition launches at CDC: 2016, 2018, 2020, 2022, 2024, 2026, 2028, 2030
Improving CR Submission Quality CMAHC sponsoring listening posts Encourage group discussion on CRs to get ideas and improvements made before submission Look at 2015 CRs that didn t pass but still have merit Can they be improved and marketed better to improve chance of passage
Improving CR Review and Member Comment Changes TRC to serve like MAHC development steering committee TRC to be backed up by 7 Technical Committees modeled after MAHC development process Design/construction, Bather supervision, etc Can reach out to tech committees for assistance with technical reviews TRC reviews to be open for members to hear discussion not open for two way conversation vs. member comment submission
SELECTED DESIGN/OPERATION REQUIREMENTS
Selected Design, Operation & Maintenance Items Plan submittal/approval Equipment and materials standards Air handling system operating manuals maintenance Flow turn down system Chemical feed equipment interlock controls Staff training Qualified operators Contamination response
Plan Submittal & Approval Design Must be submitted to and approved by AHJ before beginning construction New construction or substantial alteration Prepared by licensed/registered design professional Substantial Alteration means the alteration, modification, or renovation of an aquatic venue (for outdoor aquatic facilities) or indoor aquatic facility (for indoor aquatic facilities) where the total cost of the work exceeds 50% of the replacement cost of the aquatic venue (for outdoor aquatic facilities) or indoor aquatic facility (for indoor aquatic facilities). Thoughts/suggestions for revised definition? If so, please consider submitting a Change Request (CR)
Non-Substantial Alteration Design Contact AHJ to review proposal prior to starting work To determine if new or modified plans need to be submitted for review/approval Replacements Submit technical verification that replacement equipment is equivalent/equal to original prior to replacement New or altered plans do not need to be submitted for replacement inkind In emergencies, replacement can be made prior to AHJ s approval o Owner has responsibility for subsequent and immediate proper replacement if equipment deemed not equivalent by AHJ
Equipment & Materials Equipment Must be listed and labeled to an ANSI accredited certification organization Materials Vinyl liners acceptable If damaged, must shut-down until repaired
Air Handling Systems Operating manuals must be provided Manual from manufacturer Supplied to owner by installation contractor
Air Handling Systems Manual content Startup and shutdown procedures; PURGING and other SAFETY procedures; Cleaning procedures; General maintenance requirements with parts listings and frequency of maintenance (i.e., filter cleaning frequencies, motor bearing maintenance); Pressure differential specifications for filter replacement, filter replacement type, and frequency of cleaning or replacement; Troubleshooting processes; Frequency of required calibration of equipment; Descriptions of general operating schemes; and Contact information for the manufacturer.
Recirculation System Turnover Times/Flowrates Continuous operation 24 hrs/day Reduced flowrates may be acceptable No more than 25% lower Only when pool unoccupied Flow turndown system requirements must be met Maintain clarity and disinfectant levels
Chemical Feeder Interlock Controls Required for all new or existing aquatic facilities Automatic Deactivation of chemical feeders for no or low flow conditions
Staff Training Storage, Use, or Handling of Chemicals Training required prior to access to chemicals All qualified operators, maintenance staff, qualified lifeguards, or others Annual review of procedures Storage and handling Personal protective equipment procedures Spill procedures OSHA requirements Chemical & safety data sheets lists Training plan
Qualified Operator Means an individual responsible for the operation and maintenance of the water and air quality systems and the associated infrastructure of the aquatic facility and who has successfully completed an AHJ-recognized operator training course to operate an aquatic facility offered by an AHJ-recognized training agency and holds a current certificate for such training.
Qualified Operator Required for all aquatic facilities On-site Contracted off-site
On-site Qualified Operator On-site Must be on-site or immediately available within 2 hrs during hours of operation Where/when required Size & Use More than two AQUATIC VENUES; or An AQUATIC VENUE of over 50,000 gallons of water; or AQUATIC VENUES that include AQUATIC FEATURES with recirculated water; or An aquatic venue used as a therapy pool; or An AQUATIC VENUE used to provide swimming training.
On-site Qualified Operator On-site Must be on-site or immediately available within 2 hrs during hours of operation Where/when required Bathers & Management Permitted BATHER COUNT is greater than 200 BATHERS daily; or Operated by a municipality; or Operated by a school.
On-site Qualified Operator On-site Must be on-site or immediately available within 2 hrs during hours of operation Where/when required Compliance history A QUALIFIED OPERATOR shall be available on-site or immediately available within two hours during all hours of operation at an AQUATIC FACILITY that has a history of CODE violations which in the opinion of the permit issuing official require one or more onsite QUALIFIED OPERATORS.
Contracted Off-site Qualified Operator Off-site All other AQUATIC FACILITIES shall have an on-site QUALIFIED OPERATOR immediately available within two hours or a contract with a QUALIFIED OPERATOR for a minimum of weekly visits and assistance whenever needed.
Aquatic Venue Water Contamination Response Formed-Stool With or without chlorine stabilizers Diarrheal-Stool With or without chlorine stabilizers Vomit-Contamination With or without chlorine stabilizers Blood-Contamination Procedures for Brominated Pools
Aquatic Venue Water Contamination Response Close Venue Physical Removal and disposal of contaminating material Treat venue water (when contaminated by feces or vomit) Check to ensure that the water s ph is 7.5 or lower and adjust if necessary; Verify and maintain water temperature at 77 F (25 C) or higher; Operate the filtration/recirculation SYSTEM while the POOL reaches and maintains the proper free CHLORINE concentration during the remediation process; Test the CHLORINE residual at multiple sampling points to ensure the proper free CHLORINE concentration is achieved throughout the POOL for the entire DISINFECTION time; and Use only non-stabilized CHLORINE products to raise the free CHLORINE levels during the remediation.
Aquatic Venue Water Contamination Response Formed-Stool without chlorine stabilizers Formed-stool contaminated water shall have the FREE CHLORINE RESIDUAL checked and the FREE CHLORINE RESIDUAL raised to 2.0 mg/l (if less than 2.0 mg/l) and maintained for at least 25 minutes (or an equivalent time and concentration to reach the CT INACTIVATION VALUE) before reopening the AQUATIC VENUE. Formed-Stool with chlorine stabilizers In AQUATIC VENUE water that contains CYA or a stabilized CHLORINE product, water shall be treated by doubling the inactivation time required under MAHC 6.5.3.1.
Aquatic Venue Water Contamination Response Diarrheal-Stool without chlorine stabilizers Check the FREE CHLORINE RESIDUAL and then raise the FREE CHLORINE RESIDUAL to 20.0 mg/l and maintain for at least 12.75 hours (or an equivalent time and concentration to reach the CT INACTIVATION VALUE) before reopening the AQUATIC VENUE, or Circulate the water through a SECONDARY DISINFECTION SYSTEM to theoretically reduce the number of Cryptosporidium OOCYSTS in the AQUATIC VENUE below one OOCYST/100 ml as outlined in MAHC 4.7.3.3.2.4.
Aquatic Venue Water Contamination Response Diarrheal-Stool with chlorine stabilizers HYPERCHLORINATION accomplished by: o Following the preparatory guidance outlined in MAHC 6.5.2.3; o Lowering the CYA concentration to less than or equal to 15 ppm by draining, if necessary; o Raising the FREE CHLORINE RESIDUAL to 20 mg/l for at least 28 hours; 30 mg/l for at least 18 hours; 40 mg/l for at least 8.5 hours; o Measurement of the inactivation time required shall start when the AQUATIC VENUE reaches the intended FREE CHLORINE RESIDUAL level or; Circulating the water through a SECONDARY DISINFECTION SYSTEM to theoretically reduce the number of Cryptosporidium OOCYSTS in the AQUATIC VENUE below one OOCYST/100 ml as outlined in MAHC 4.7.3.3.2.4 or; Draining the AQUATIC VENUE completely.
Aquatic Venue Water Contamination Response Procedures for brominated pools** Formed-stool, diarrheal-stool, or vomit-contaminated water in a brominated AQUATIC VENUE shall have CHLORINE added to the AQUATIC VENUE in an amount that will increase the FREE CHLORINE RESIDUAL to the level specified for the specific type of contamination for the specified time. **There are no inactivation data for Giardia or Cryptosporidium for bromine or any developed protocols for how to hyperbrominate a swimming POOL and inactivate pathogens that may be present in fecal matter or vomit.
QUESTIONS?
MEMBERSHIP: HOW TO BECOME A CMAHC MEMBER
MAHC More Information: Search on CDC MAHC or visit the Healthy Swimming MAHC Website: www.cdc.gov/mahc Email: mahc@cdc.gov CMAHC More Information: Search on CMAHC or visit the CMAHC Website: www.cmahc.org Email: info@cmahc.org
Contact Information Doug Sackett Executive Director, CMAHC E-mail: info@cmahc.org Phone: 678-221-7218
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