The 140 recommendation for dhw comes up again. While I don't dispute that it is possible that dhw less than 140 can result in some bacterial growth, I haven't heard of a single case resulting in illness or death anywhere in a home supplied dhw system.
All sources I have found find the risk to be miniscule; that the risk as it is relates to high risk individuals; and that unless your water system is infected with legionella, there is no need to do anything special, including water hotter than 120, to prevent or minimize legionella or other bacteria from a dhw system.
Note the following from the US Dept of Energy:
"Although some manufacturers set water heater thermostats at 140ºF, most households usually only require them set at 120ºF. Water heated at 140ºF also poses a safety hazard—scalding. However, if you have a dishwasher without a booster heater, it may require a water temperature within a range of 130ºF to 140ºF for optimum cleaning.
Reducing your water temperature to 120ºF also slows mineral buildup and corrosion in your water heater and pipes."
(broken link removed)
Note the following from the Univ or Michigan:
"The following chart shows just how dangerous hot water can be.
Temperature Time to Cause
of Water a Bad Burn
-------------------------------------
150°F (66°C) 2 seconds
140°F (60°C) 6 seconds
125°F (52°C) 2 minutes
120°F (49°C) 10 minutes "
(broken link removed to http://www.med.umich.edu/1libr/pa/pa_hotwatr_hhg.htm)
Note the following from legionella.org:
"I need your advice. My condominium association has received a proposal from a company to check our water for Legionella on a quarterly basis. As far as I know, we have had no cases. My inclination is to say no, but I want to consult an expert.
The brief answer to your query is "don't culture buildings unless the building houses a high risk group of individuals (chronic lung disease, immunosuppressive illnesses, illnesses requiring chemotherapy/transplant rejection meds/corticosteroids).
The rationale is at least 2.
1. Miniscule attack rate.
Please download the article on the home page of
www.legionella.org by Pedro-Botet on Coming of the 3rd Plague. We do recommend that convalescent care facilities housing a notable number of debilitated patients culture their water supply once a year (Seenivisan, J Amer Geriatrics Society 2005 in our Publications section).
2. Maintenance measures directed at water supplies colonized with legionella are not evidence-based; in fact data from our lab shows that virtually all recommendations involving maintenance do not affect legionella colonization.
So, what should the residents of your condominium association do to prevent Legionella infection? 1) Smokers should quit smoking. 2) High risk groups should not drink tap water (Singh, Transplant Infect Dis 2004 on the home page of
www.legionella.org). Tap water should be boiled, then cooled and refrigerated for drinking for high-risk patients."
(broken link removed to http://www.legionella.org/general_public.htm)
All publications I have seen recommending 140 water are hospitals, VA facilities, or other facilities where there exists an actual, reasonable risk of Legionella.
Is anyone aware of the incidence of Legionella resulting from dhw systems in homes?