1.  April 26, 2010 Presenters:  Linda Randolph EPHS EH Section Manager  Laura Hunter EPHS  Bob Reynolds EPHS  Craig Rhoads EPHS  Erica Logsdon EPHS Presenters:  Thomas Bixler EPHS  Jeff Mefford EPHS  Lindel Gore EPHS  Stephen Njenga EPHS  Brent Brockmeyer, CPO Instructor

2.  Sign In and Introduction  Pool Ordinance Information  BREAK  Sessions  Inspection  Chemical Storage Safety with Brent  Testing Procedures BREAK Recreational Water Diseases Q&A with Inspectors Pick up surveys Certificates

3.  City of Branson Municipal Code  Chapter 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

4.  Indoor Facilities: Inspected 4 times a year, approximately every 3 months (not including complaints or revisits)  Outdoor Facilities: Inspected 3 times a year  Usually open in May and close in September  Approximately every 5 or 6 weeks

5. At least one lifeguard shall be provided for swimming pools, spas, and recreational water attractions equal to or greater than 3,400 square feet of pool surface area. One additional lifeguard shall be provided for each additional 2,000 square feet of pool surface area thereafter. Clarion pool is RecPlex: requires lifeguards

6.  One 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

7.  Throwable 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.

8.  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.

9.  Any 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.

10.  1. Attendant who has direct line of sight of pool at all times  2. 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!!!

11.  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 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.

12.  Entirely surround pool  Not less than 5 feet  Easily cleaned  Slip resistant  No carpeting  Hose bib required

13.  Completely surrounded  Not less than 4 feet high  Self-closing and positive self-latching closure mechanism  The latch shall be installed as high as possible, but at least 4 feet high

14.  Located in a conspicuous place  Letters at least 4 inches in high  Letters contrasting color from background  WARNING 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.

15.  Adequate ventilation required in:  Bathhouses, mechanical equipment rooms, storage areas, indoor swimming enclosures  Minimize condensation damage  Prevent direct drafts on swimmers

16.  Children 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

17.  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.”

18.  The Virginia Graeme Baker Act went into enforcement action December 19, 2008  The 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  Please consult your inspector before making changes to your pool!

19.  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

20.  If 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?  After installation, integrity of drain cover MUST be checked regularly (yearly) and replaced IMMEDIATLEY if broken

21.  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?)

22.  SVRS: 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: a device designed to sense a drain blockage and shut off the pump system

23.  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 99 th percentile of adult males.

24.  Gravity Drainage System: A gravity drainage system that utilizes a collector tank.  Drain Disablement: A device or system that disables the drain  ONLY 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  Every 30 minutes for spas

25.  Other 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)

26.  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.  An automatic feeder which is easily adjustable SHALL be provided for continuous application of disinfectant

27.  Colormetric, DPD test kit  (Diethyl-P-Phenylene Diamine)  Chlorine: 0.2 increments  Minimum of 0.2-3.0 range *suggest range at least to 5.0  pH test kit with a range from 6.8-8.2, accurate to the nearest 0.2  Appropriate reagents  Reagents replaced annually  Demonstrate working knowledge of proper use

28. Pool Cleaning System A pool cleaning shall be provided to remove dirt from the bottom of the pool. Manual For Operations Instructions 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.

29.  Pool water quality should be checked AT LEAST 2 times a day and logged  Chlorine: combined, total, and free  pH  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

30.  Rule of Thumb: Store like chemicals with like chemicals  Store acids separate and away from bases  Never re-use chemical containers, especially to store other chemicals  Never use the same scoop or utensil for different chemicals  Never use the same cloth to clean up spills  Store on a non-absorbent surface STORE IN ACCORDANCE TO MANUFACTURER’S LABEL

32.  Continuous operation, 24 hours a day, of all pumps, filters, disinfectant feeders, and al related components to the recirculation system shall be maintained.

33.  Free chlorine: Chlorine available to disinfect (kill bacteria and stuff)  residual of at least 1.5 ppm-5 ppm  Combined: Chlorine already used up and taking up space (it has already attached to dirt or bacteria)  Total: all the Chlorine in the pool (free and combined)  at least 1.5 ppm and not more than 5 ppm  1 ppm = 1 mg/l

34.  If 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

35.  Total Chlorine=free chlorine + combined chlorine  Test for free chlorine first  Ex: 3 ppm  Then determine total chlorine  3.5 ppm  The difference is the amount of combined  Example: Total Chlorine – Free Chlorine = Combined Chlorine 3.5 ppm - 3 ppm = 0.5 ppm

36.  pH maintained between 7.2-8.2  Proper pH levels are important because it prevents eye irritation.  pH of our eyes is 7.5

37.  When 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

38.  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 is sufficient  Must be readily visible

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

41.  Pool water should be between 72 F and 85 F  Air 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

42.  Recommended 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.

43.  Pool water turnover at least every 6 hours (4 times a day)  Wading pools must turnover a minimum of every 2 hours  Spa turnover every 30 minutes  A flow meter shall be provided to determine flow rates and turnover rates. It should continuously  Located in the recirculation pump discharge piping

44. Any critical violation! CRITICAL VIOLATIONS  Chemicals out of compliance  Chlorine (free or combined) or pH too high or low  Clarity: Cannot clearly see black drain  No continuous disinfection  Inoperable pumps and filters  Entrances not closed  Unsanitary conditions, including saunas and showers  Any electrical deficiencies  Ex. Bare wires

45.  Immediate Danger-Any threat to safety of life  Ex. No lifeguard, as required by code  Ex. No attendant, emergency phone, or alarm  Overhead lights not shatterproof or properly shielded  Backflow prevention device on hose bib  Cross connection of potable water to sewage  Any repairs to walls, ceilings or floors  Absence of anti-entrapment system and standards (includes lack of proof or documentation)

46.  Positive Coliform and E. coli test (one or both)  A sample taken each routine inspection and possibly complaints, depending on type of complaint  Must shock pool and maintain higher chlorine levels for one turnover (approximately 4 hours)  Swimmers can not return until Chlorine levels below 5ppm  Another water sample will be taken. Pool can remain closed until sample comes back negative

47. 3 GROUPS AND ROTATE EVERY 15 MINUTES Pool Inspection: 15 minutes Water Testing: 15 minutes Chemical Safety: BRENT 15 minutes

49.  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

50.  Leadership  Education  Communication  Water Quality  Disinfection  Facility Design  Planning  Prevention  Healthy Swimming

51.  Making 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

52.  Ensure that all staff know the critical role of water testing, proper testing methods, and how to respond if disinfectant levels are not adequate.

53.  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.

54.  Remember 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 water Please practice good hygiene Please take your kids on bathroom breaks often Please change diapers in a bathroom, not at poolside Please wash your child thoroughly (especially the rear end) with soap and water before swimming

55.  Keep 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.

56.  Have 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

57.  In 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.

58. If 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.

59.  Encourage swimmers to shower with soap and water before entering the pool.  Post the six “P-L-E-As” that promote Healthy Swimming.

60.  The 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.

61. 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 infections  Protozoa found in infected people’s stool  Cannot be seen by the naked eye  Survives for a long period of time  Resistant to chlorine disinfection  Takes approximately 6.7 days to kill in chlorinated swimming pool

63.  Bacteria  Causes severe diarrhea and abdominal cramps  Can lead to hemolytic uremic syndrome the principal cause of acute kidney failure in children  Chlorine is very effective in killing E. coli 0157:H7, < 1 minute

64. E.Coli 0157:H7

65.  A protozoan infection principally of the upper small intestine  Found in infected peoples stool  Cannot be seen by the naked eye  Takes approximately 45 minutes for properly chlorinated water to kill

66. Giardia

67.  Noroviruses 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 people  Very contagious and can spread easily from person to person

69.  Disease caused by a group of bacteria called Shigella  Infects the GI tract  Characterized by diarrhea accompanied by fever and nausea, vomiting and cramps  Present in infected individuals stools while they are sick and for a week or two afterwards

70. Shigella

71.  Pathogenic Bacteria  Hot Tub Rash  Be aware that hot tubs and spas have warmer water than pools, so chlorine or other disinfectants break down faster

73.  Legionnaires’ 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.

74. Legionella bacterium

75.  Swimmer’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

76. Swimmer’s itch

77.  Center for Disease Control www.cdc.gov  Many images found through www.google.comwww.google.com  Brent Brockmeyer: Vaughn Pools  Clarion: for use of Facilities!

78.  US!!!! Contact your inspector for questions or set up a consult of your pool and/or spa.  Your pool supply company  www.cpsp.gov www.cpsp.gov  www.apsp.org www.apsp.org  www.nspf.org www.nspf.org

79.  For taking time out to be dedicated to Public Health Taney County Health Department Environmental Section

80.  Questions for Inspectors  Questions For Brent  Troubleshooting for pool problems  Pumps, filters, etc.  Surveys are important because it helps us have a better Pool School for you next year!!!  www.taneycohealth.org

81.  Please fill out surveys. You will receive your certificate when your survey is turned in.  ADD TO SURVEY AT BOTTOM:  Is this your first Pool School?  How many years experience?  How did you hear about Pool School?  Radio, Newspaper, Flyer, Other  Make a consult with your inspector if you have specific or detailed questions about your specific pool.  Have a Great Day!!!!