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Why Legionella Risk Assessments Matter Legionella bacteria is the cause of Legionnaires' disease, a severe and potentially fatal form of pneumonia. Outbreaks are reported across the world every year, and the fatality rate typically sits between 10 and 30 per cent. The risk is manageable, but only if it is properly understood, assessed, and controlled. That responsibility falls on the duty holder. Whether you are an employer, a building owner, or someone in control of premises