Scaling Up! H2o

What if preventing Legionella outbreaks wasn’t about adding more chemicals, but removing what the bacteria needs to survive? In this episode of Scaling UP! H2O, host Trace Blackmore talks with Dr. David Krause, Certified Industrial Hygienist, toxicologist, and founder of HC3, about his groundbreaking approach — LIDO (Legionella Inhibition by Deoxygenation). Legionella on the Rise  Dr. Krause has investigated high-profile Legionella outbreaks and seen firsthand how current prevention strategies often fall short. Despite ASHRAE 188 standards, CMS requirements, and increasing water management plan adoption, Legionella cases continue to climb — often due to infrastructure issues, insufficient monitoring, and a lack of evidence-based guidance.  Inside an Outbreak Investigation  From the first call at 4:30 on a Friday to the coordination between local health departments, state agencies, and the CDC, Krause explains the rigorous (and sometimes chaotic) process of pinpointing outbreak sources. He also reveals why p