Health risk assessment resulting from the presence of Legionella bacteria in domestic hot water in public buildings – the results of a pilot study
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The aim of the study was to assess the risk posed by Legionella bacteria in a public building in Krakow. An old building with internal installation risers of different ages, as well as draw-off points of different types, was selected for testing. Samples were collected during two campaigns. In one sample of the first series of tests, no bacteria were found. During the second series of tests, no Legionella bacilli were found in just one sample and in one sample only 4 colony-forming units were detected. At the remaining draw-off points (water taps), the bacteria count detected were greater than the maximum threshold allowed by legal regulations (admissible threshold for public utility buildings – 100 cfu/100 mL). No morphological differences were observed with respect to the occurrence of specific serogroups. In 14 samples, Legionella pneumophila serogroups 2–14 were found, while the Legionella pneumophila serogroup 1 was only found in one sample. The risk assessment was also carried out based on a semi-quantitative risk matrix approach and as a quantitative microbial risk assessment. The risk matrix approach was successfully implemented for the recognition of the potential risk associated with the Legionella occurrence in a water system. The calculated annual cumulative risk is high. The research shows that even if the weekly inhalation exposure dose (and therefore the calculated risk) is high, the number of Legionella pneumophila illness cases found can be equal to zero. This is probably due to the large uncertainty associated with QMRA determination. The size of the room in which the contaminated water is used also affects the possibility of infection.
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Bibliografia
Amemura-Maekawa J., Kura F., Helbig J.H., Chang B., Kaneko A., Watanabe Y. et al., 2010. Characterization of Legionella pneumophila isolates from patients in Japan according to serogroups, monoclonal antibody subgroups and sequence types. Journal of Medical Microbiology, 59, 653–659.
Amemura-Maekawa J., Kura F., Chida K., Ohya H., Kanatani J., Isobe J. et al., 2018. Legionella pneumophila and other Legionella species isolated from Legionellosis Patients in Japan between 2008 and 2016. Applied and Environmental Microbiology, 84(18), 721–818. https://doi.org/10.1128/AEM.00721-18.
Armstrong T.W. & Haas C.N., 2007a. A quantitative microbial risk assessment model for Legionnaires’ disease: animal model selection and dose‐response modeling. Risk Analysis: An International Journal, 27(6), 1581–1596. https://doi.org/10.1111/j.1539-6924.2007.00990.x.
Armstrong T.W. & Haas C.N., 2007b. Quantitative microbial risk assessment model for Legionnaires’ disease: assessment of human exposures for selected spa outbreaks. Journal of Occupational and Environmental Hygiene, 4(8), 634–646. https://doi.org/10.1080/15459620701487539.
Bartram J., Chartier Y., Lee J.V., Pond K. & Surman-Lee S. (eds.), 2007. Legionella and the Prevention of Legionellosis. World Health Organization.
Benhammou S., De La Torre A., Oleo F., Rivas A. & Lorenzo M., 2012. Control of legionella. [in:] Maraver F. & Karagülle M.Z. (eds.), Medical Hydrology and Balneology: Environmental Aspects, Balnea. Serie de Monografias, 6, Universidad Complutense, Madrid, 340–341.
Boppe I., Bédard E., Taillandier C., Lecellier D., Nantel-Gauvin M.A., Villion M., Laferrière C. & Prévost M., 2016. Investigative approach to improve hot water system hydraulics through temperature monitoring to reduce building environmental quality hazard associated to Legionella. Building and Environment, 108, 230–239. https://doi.org/10.1016/j.buildenv.2016.08.038.
Borchgrevink C.P., Cha J. & Kim S., 2013. Hand washing practices in a college town environment. Journal of Environmental Health, 75(8), 18–25.
Borella P., Montagna M.T., Stampi S., Stancanelli G., Romano-Spica V., Triassi M., Marchesi I., Bargellini A., Tato D., Napoli C., Zanetti F., Leoni E., Moro M., Scaltriti S., Ribera D’Alcala G., Santarpia R. & Boccia S., 2005. Legionella contamination in hot water of Italian hotels. Applied and Environmental Microbiology, 71, 5805–5813. https://doi.org/10.1128/AEM.71.10.5805-5813.2005.
Buse H.Y. & Ashbolt N.J., 2012. Counting Legionella cells within single amoeba host cells. Applied and Environmental Microbiology, 78(6), 2070–2072. https://doi.org/10.1128/AEM.71.7.4086-4096.2005.
Collins S., Stevenson D., Bennett A. & Walker J., 2017. Occurrence of Legionella in UK household showers.International Journal of Hygiene and Environmental Health, 220, 401–406. https://doi.org/10.1016/j.ijheh.2016.12.001.
De Filippis P., Mozzetti C., Messina A. & D’Alò G.L., 2018. Prevalence of Legionella in retirement homes and group homes water distribution systems. Science of the Total Environment, 643, 715–724. https://doi.org/10.1016/j.scitotenv.2018.06.216.
Delgado-Viscogliosi P., Simonart T., Parent V., Marchand G., Dobbelaere M., Pierlot E., Pierzo V., Menard-Szczebara F., Gaudard-Ferveur E., Delabre K. & Delattre J.M., 2005. Rapid method for enumeration of viable Legionella pneumophila and other Legionella spp. in water. Applied and Environmental Microbiology, 71, 4086–4096. https://doi.org/10.1128/AEM.71.7.4086-4096.2005.
Directive, 2020. Directive (EU) 2020/2184 of the European Parliament and of the Council of 16 December 2020 on the quality of water intended for human consumption (recast). OJ L 435, 23.12.2020. http://data.europa.eu/eli/dir/2020/2184/oj [access: 21.01.2021].
Donohue M.J., 2021. Quantification of Legionella pneumophila by qPCR and culture in tap water with different concentrations of residual disinfectants and heterotrophic bacteria. Science of the Total Environment, 774, 145142. https://doi.org/10.1016/j.scitotenv.2021.145142.
Dur N., 2017. Bateria bezdotykowa – co to takiego i jak działa? Łazienkaplus.pl. https://www.lazienkaplus.pl/pl/blog/bateria-bezdotykowa-co-to-takiego-i-jak-dziala-180 [access: 1.09.2020].
ECDC, 2017. Legionnaires’ disease in Europe, 2015. European Centre for Disease Prevention and Control, Stockholm.
ESGLI, 2017. European technical guidelines for the prevention, control and investigation of infections caused by Legionella species. European Society of Clinical Microbiology and Infectious Diseases. https://www.escmid.org/fileadmin/src/media/PDFs/3Research_Projects/ESGL /ESGLI_European_Technical_Guidelines_for_the_Prevention_Control_ and_Investigation_of_Infections_Caused_by_Legionella_species_June_2017.pdf [access: 1.09.2020].
European Standards, 2013. Security of drinking water supply – Guidelines for risk and crisis management – Part 2: Risk management, DIN EN 15975-2. https://www.en-standard.eu/csn-en-15975-2-securityof-drinkingwater-supply-guidelines-for-risk-and-crisis-management-part-2-risk-management/ [access: 24.03.2020].
Fields B., Benson R.F. & Besser R.E., 2002. Legionella and legionnaires’ disease: 25 years of investigation. Clinical Microbiology Reviews, 15, 3, 506–526. https://doi.org/10.1128/CMR.15.3.506-526.2002.
Garret L., 1994. The Coming Plague: Newly Emerging Diseases in a World Out of Balance. Farrar, Straus and Giroux, New York. Główny Inspektorat Sanitarny, 2014. Wytyczne Głównego Inspektoratu Sanitarnego w sprawie wymagań jakości wody oraz warunków sanitarno-higienicznych na pływalniach [Guidelines of the State Sanitary Inspectorate on the requirements of water quality and sanitary-hygienic conditions in swimming pools]. Państwowa Inspekcja Sanitarna, Warszawa. https://www.gov.pl/attachment/152b6e52-3e75-48e8-8c29-f53177819700 [access: 24.03.2020].
Hamilton K.A. & Haas C.N., 2016. Critical review of mathematical approaches for quantitative microbial risk assessment (QMRA) of Legionella in engineered water systems: research gaps and a new framework. Environmental Science: Water Research and Technology, 2(4), 599–613. https://doi.org/10.1039/C6EW00023A.
Hamilton K.A., Hamilton M.T., Johnson W., Jjemba P., Bukhari Z., LeChevallier M., Haas Ch.N. & Gurian P.L., 2019. Risk-Based Critical Concentrations of Legionella pneumophila for Indoor Residential Water Uses. Environmental Science and Technology, 53(8), 4528–4541. https://doi.org/10.1021/acs.est.8b03000.
Helbig J.H., Bernander S., Castellani Pastoris M., Etienne J., Gaia V., Lauwers S. et al., 2002. Pan-European study on culture-proven Legionnaires’s disease: distribution of Legionella pneumophilaserogroups and monoclonal subgroups. European Journal of Clinical Microbiology & Infectious Diseases, 21(10), 710–716.
Hines S.A., Chappie D.J., Lordo R.A., Miller B.D., Janke R.J., Lindquist H.A., Fox K.R., Ernst H.S. & Taft S.C., 2014. Assessment of relative potential for Legionella species or surrogates inhalation exposure from common water uses. Water Research, 56, 203–213. https://doi.org/10.1016/j.watres.2014.02.013.
Huang L., Boyd D., Amyot W., Hempstead A.D., Luo Z., O’Connor T.J., Chen C., Machner M., Montminy T. & Isberg R.R., 2011. The E Block motif is associated with Legionella pneumophila translocated substrates. Cellular Microbiology,13, 227–245. https://doi.org/10.1111/j.1462-5822.2010.01531.x.
ISO, 2017. Water quality – Enumeration of Legionella. ISO standard no. 11731:2017.
Jamiołkowski A., 2020: Zwalczanie bakterii Legionella w instalacji domowej. BudujemyDom.pl. https://www.budujemydom. pl/woda-i-kanalizacja/18352-zwalczanie-bakterii-legionella-w-instalacji-domowej [access: 1.09.2020].
Kmiecik E., Wątor K., Mika A., Chochorek A. & Kołodziej M., 2017. Bacterias from Legionella group in the hot water installations in public buildings. [w:] SGEM 2017: international multidisciplinary scientific geoconference: water resources forest, marine and ocean ecosystems. Conference proceedings. Vol. 17 iss. 31, Hydrology and water resources marine and ocean ecosystems, STEF92 Technology Ltd., Sofia, 67–72.
Lesnik R., Brettar I. & Höfle M.G., 2016. Legionella species diversity and dynamics from surface reservoir to tap water: from cold adaptation to thermophily. ISME Journal, 10(5), 1064. https://doi.org/10.1038/ismej.2015.199.
Liguori G., Di Onofio V., Galle F., Liguori R., Nastro R.A. & Guida M., 2014. Occurrence of Legionella spp. in thermal environments: Virulence factors and biofilm in isolates from spa. Microchemical Journal, 112, 109–112. https://doi.org/10.1016/j.microc.2013.09.023.
Martin R.L., Strom O.R., Pruden A. & Edwards M.A., 2020. Interactive Effects of Copper Pipe, Stagnation, Corrosion Control, and Disinfectant Residual Influenced Reduction of Legionella pneumophila during Simulations of the Flint Water Crisis. Pathogens, 9, 730. https://doi.org/10.3390/pathogens9090730.
Mika A., Kmiecik E., Krawiec A., Wątor K., Zamfir M. & Chochorek A., 2019. Legionella pneumophila in Thermal Spa-Methodological Aspects of Sampling and Analysis. Geomicrobiology Journal, 36(5), 460–467. https://doi.org/10.108/01490451.2019.1571127.
Miyashita N., Higa F., Aoki Y., Kikuchi T., Seki M., Tateda K., Maki N., Uchino K., Ogasawara K., Kiyota H. & Watanabe A., 2020. Distribution of Legionella species and serogroups in patients with culture-confirmed Legionella pneumonia. Journal of Infection and Chemotherapy, 26(5), 411–417. https://doi.org/10.1016/j.jiac.2019.12.016.
Papadakis A., Chochlakis D., Sandalakis V., Keramarou M., Tselentis Y. & Psaroulaki A., 2018. Legionella spp. risk assessment in recreational and garden areas of hotels. International Journal of Environmental Research and Public Health, 15(4), 598. https://doi.org/10.3390/ijerph15040598.
Prussin II A.J., Schwake D.O. & Marr L.C., 2017. Ten questions concerning the aerosolization and transmission of Legionella in the built environment. Building and Environment, 123, 684–695. https://doi.org/10.1016/j.buildenv.2017.06.024.
Rafiee M., Jahangiri-rad M., Hajjaran H., Mesdaghinia A. & Hajaghazadeh M., 2014. Detection and identification of Legionella species in hospital water supplies through Polymerase Chain Reaction (16S rRNA). Journal of Environmental Health Science & Engineering, 12(1), 83. https://doi.org/10.1186/2052-336X-12-83.
Rasilainen T., Breitenstein A., Tilsala-Timisjärvi A., Kusnetsov J., Salkinoja-Salonen M. & Neubauer P., 2005. Novel detection method for pathogenic Legionella in water systems. [in:] Jalkanen A. & Nygren P. (eds.), Sustainable use of renewable natural resources: from principles to practices, Department of Forest Ecology, University of Helsinki, 197–207.
Rhoads W.J., Ji P., Pruden A. & Edwards M.A., 2015. Water heater temperature set pointand water use patterns influence Legionella pneumophila and associated microorganisms at the tap. Microbiome, 3, 67. http://dx.doi.org/10.1186/s40168-015-0134-1.
Rozporządzenie, 2002. Rozporządzenie Ministra Infrastrukturyz dnia 12 kwietnia z r. w sprawie warunków technicznych, jakim powinny odpowiadać budynki i ich usytuowanie [Regulation of the Minister of Infrastructure on the technical onditions to be met by buildings and their location]. Dz.U. 2002 nr 75, poz. 690.
Rozporządzenie, 2005. Rozporządzenie Ministra Zdrowia z dnia 22 kwietnia 2005 r. w sprawie szkodliwych czynników biologicznych dla zdrowia w środowisku pracy oraz ochrony zdrowia pracowników zawodowo narażonych na te czynniki [Regulation of the Minister of Health on biological agents which are harmful to health in the work environment and on the health protection of employees professionally exposed to these agents]. Dz.U. 2005 nr 81, poz. 716.
Rozporządzenie, 2015a. Rozporządzenie Ministra Zdrowia z dnia 13 listopada 2015 r. w sprawie jakości wody przeznaczonej do spożycia przez ludzi [Regulation of the Minister of Health on the quality of water intended for human consumption]. Dz.U. 2015, poz. 189.
Rozporządzenie, 2015b. Rozporządzenie Ministra Zdrowia z dnia 9 listopada 2015 r. w sprawie wymagań, jakim powinna odpowiadać woda na pływalniach [Regulation of the Minister of Health on the requirements to be met by water in swimming pools]. Dz.U. 2015 poz. 2016.
Sabrià M., García-Núñez M., Pedro-Botet M.L., Sopena N., Gimeno J.M., Reynaga E., Morera J. & Rey-Joly C., 2001. Presence and chromosomal subtyping of Legionella species in potable water systems in 20 hospitals of Catalonia, Spain. Infection Control & Hospital Epidemiology, 22(11), 673–676. https://doi.org/10.1017/S0195941700072623.
Schoen M.E. & Ashbolt N.J., 2011. An in-premise model for Legionella exposure during showering events. Water Research, 45(18), 5826–5836. https://doi.org/10.1016/ j.watres.2011.08.031.
Sharaby Y., Rodríguez-Martínez S., Höfle M.G., Brettar I. & Halpern M., 2019. Quantitative microbial risk assessment of Legionella pneumophila in a drinking water supply system in Israel. Science of the Total Environment, 671, 404–410. https://doi.org/10.1016/j.scitotenv.2019.03.287.
Springston J.P. & Yocavitch L., 2017. Existence and control of Legionella bacteria in building water systems: A review. Journal of Occupational and Environmental Hygiene, 14(2), 124–134. https://doi.org/10.1080/15459624. 2016.1229481.
States S.J., Conley L.F., Ceraso M., Stephenson T.E., Wolford R.S., Wadowsky R.M., McNamara A.M. & Yee R.B., 1985. Effects of metals on Legionella pneumophila growth in drinking water plumbing systems. Applied and Environmental Microbiology, 50, 1149–1154.
Stypułkowska-Misiurewicz H. & Czerwiński M., 2016. Legioneloza w Polsce w 2014 roku [Legionellosis in Poland in 2014]. Przegląd Epidemiologiczny, 70(2), 203–207.
US EPA, 1999. Legionella: Human Health Criteria Document. EPA‐822‐R‐99‐001, US Environmental Protection Agency, Washington, DC.
US EPA, 2011. Exposure Factors Handbook 2011 Edition (Final Report). EPA/60/R-09/052F, US Environmental Protection Agency, Washington, DC.
Walczak M., Kletkiewicz H. & Burkowska A., 2013a. Occurrence of Legionella pneumophila in lakes serving as a cooling system of a power plant. Environmental Science: Processes & Impacts, 15, 2273. https://doi.org/10.1039/C3EM00452J.
Walczak M., Krawiec A. & Lalke-Porczyk E., 2013b. Legionella pneumophila bacteria in a thermal saline bath. Annals of Agricultural and Environmental Medicine, 20, 4, 649–652.
Walczak M., Burkowska-But A., Świontek-Brzezinska M. & Krawiec A., 2016. Distribution of Legionella pneumophila in Thermal Pools. CLEAN Soil Air Water, 44(5), 532–537. https://doi.org/10.1002/clen.201400926.
Walser S.M., Gerstner D.G., Brenner B., Höller C., Liebl B. & Herr C.E.W., 2014. Assessing the environmental health relevance of cooling towers – A systematic review of legionellosis outbreaks. International Journal of Hygiene and Environmental Health, 217, 145–154. https://doi.org/10.1016/j.ijheh.2013.08.002.
WHO, 2009. Water Safety Plan Manual (WSP Manual). https://www.who.int/publications/i/item/9789241562638/ [access:24.03.2020].
WHO, 2017. WHO methods and data sources for global burden of disease estimates 2000–2015. Department of Information, Evidence and Research WHO, Geneva. https://www.who.int/healthinfo/global_burden_disease/GlobalDALYmethods_2000_2015.pdf [access: 24.03.2020].
Wiedenmann A., Langhammer W. & Botzenhart K., 2001. A case report of false negative Legionella test results in a chlorinated public hot water distribution system due to the lack of sodium thiosulfate in sampling bottles. International Journal of Hygiene and Environmental Health, 204(4), 245–249. https://doi.org/10.1078/1438-4639-00101.
Yu V.L., Plouffe J.F., Pastoris M.C., Stout J.E., Schousboe M., Widmer A., Summersgill J., File T., Heath C.M., Paterson D.L. & Chereshsky A., 2002. Distribution of Legionella species and serogroups isolated by culture in patients with sporadic community-acquired legionellosis: an international collaborative survey. Journal of Infectious Diseases, 186, 127–128.
Amemura-Maekawa J., Kura F., Chida K., Ohya H., Kanatani J., Isobe J. et al., 2018. Legionella pneumophila and other Legionella species isolated from Legionellosis Patients in Japan between 2008 and 2016. Applied and Environmental Microbiology, 84(18), 721–818. https://doi.org/10.1128/AEM.00721-18.
Armstrong T.W. & Haas C.N., 2007a. A quantitative microbial risk assessment model for Legionnaires’ disease: animal model selection and dose‐response modeling. Risk Analysis: An International Journal, 27(6), 1581–1596. https://doi.org/10.1111/j.1539-6924.2007.00990.x.
Armstrong T.W. & Haas C.N., 2007b. Quantitative microbial risk assessment model for Legionnaires’ disease: assessment of human exposures for selected spa outbreaks. Journal of Occupational and Environmental Hygiene, 4(8), 634–646. https://doi.org/10.1080/15459620701487539.
Bartram J., Chartier Y., Lee J.V., Pond K. & Surman-Lee S. (eds.), 2007. Legionella and the Prevention of Legionellosis. World Health Organization.
Benhammou S., De La Torre A., Oleo F., Rivas A. & Lorenzo M., 2012. Control of legionella. [in:] Maraver F. & Karagülle M.Z. (eds.), Medical Hydrology and Balneology: Environmental Aspects, Balnea. Serie de Monografias, 6, Universidad Complutense, Madrid, 340–341.
Boppe I., Bédard E., Taillandier C., Lecellier D., Nantel-Gauvin M.A., Villion M., Laferrière C. & Prévost M., 2016. Investigative approach to improve hot water system hydraulics through temperature monitoring to reduce building environmental quality hazard associated to Legionella. Building and Environment, 108, 230–239. https://doi.org/10.1016/j.buildenv.2016.08.038.
Borchgrevink C.P., Cha J. & Kim S., 2013. Hand washing practices in a college town environment. Journal of Environmental Health, 75(8), 18–25.
Borella P., Montagna M.T., Stampi S., Stancanelli G., Romano-Spica V., Triassi M., Marchesi I., Bargellini A., Tato D., Napoli C., Zanetti F., Leoni E., Moro M., Scaltriti S., Ribera D’Alcala G., Santarpia R. & Boccia S., 2005. Legionella contamination in hot water of Italian hotels. Applied and Environmental Microbiology, 71, 5805–5813. https://doi.org/10.1128/AEM.71.10.5805-5813.2005.
Buse H.Y. & Ashbolt N.J., 2012. Counting Legionella cells within single amoeba host cells. Applied and Environmental Microbiology, 78(6), 2070–2072. https://doi.org/10.1128/AEM.71.7.4086-4096.2005.
Collins S., Stevenson D., Bennett A. & Walker J., 2017. Occurrence of Legionella in UK household showers.International Journal of Hygiene and Environmental Health, 220, 401–406. https://doi.org/10.1016/j.ijheh.2016.12.001.
De Filippis P., Mozzetti C., Messina A. & D’Alò G.L., 2018. Prevalence of Legionella in retirement homes and group homes water distribution systems. Science of the Total Environment, 643, 715–724. https://doi.org/10.1016/j.scitotenv.2018.06.216.
Delgado-Viscogliosi P., Simonart T., Parent V., Marchand G., Dobbelaere M., Pierlot E., Pierzo V., Menard-Szczebara F., Gaudard-Ferveur E., Delabre K. & Delattre J.M., 2005. Rapid method for enumeration of viable Legionella pneumophila and other Legionella spp. in water. Applied and Environmental Microbiology, 71, 4086–4096. https://doi.org/10.1128/AEM.71.7.4086-4096.2005.
Directive, 2020. Directive (EU) 2020/2184 of the European Parliament and of the Council of 16 December 2020 on the quality of water intended for human consumption (recast). OJ L 435, 23.12.2020. http://data.europa.eu/eli/dir/2020/2184/oj [access: 21.01.2021].
Donohue M.J., 2021. Quantification of Legionella pneumophila by qPCR and culture in tap water with different concentrations of residual disinfectants and heterotrophic bacteria. Science of the Total Environment, 774, 145142. https://doi.org/10.1016/j.scitotenv.2021.145142.
Dur N., 2017. Bateria bezdotykowa – co to takiego i jak działa? Łazienkaplus.pl. https://www.lazienkaplus.pl/pl/blog/bateria-bezdotykowa-co-to-takiego-i-jak-dziala-180 [access: 1.09.2020].
ECDC, 2017. Legionnaires’ disease in Europe, 2015. European Centre for Disease Prevention and Control, Stockholm.
ESGLI, 2017. European technical guidelines for the prevention, control and investigation of infections caused by Legionella species. European Society of Clinical Microbiology and Infectious Diseases. https://www.escmid.org/fileadmin/src/media/PDFs/3Research_Projects/ESGL /ESGLI_European_Technical_Guidelines_for_the_Prevention_Control_ and_Investigation_of_Infections_Caused_by_Legionella_species_June_2017.pdf [access: 1.09.2020].
European Standards, 2013. Security of drinking water supply – Guidelines for risk and crisis management – Part 2: Risk management, DIN EN 15975-2. https://www.en-standard.eu/csn-en-15975-2-securityof-drinkingwater-supply-guidelines-for-risk-and-crisis-management-part-2-risk-management/ [access: 24.03.2020].
Fields B., Benson R.F. & Besser R.E., 2002. Legionella and legionnaires’ disease: 25 years of investigation. Clinical Microbiology Reviews, 15, 3, 506–526. https://doi.org/10.1128/CMR.15.3.506-526.2002.
Garret L., 1994. The Coming Plague: Newly Emerging Diseases in a World Out of Balance. Farrar, Straus and Giroux, New York. Główny Inspektorat Sanitarny, 2014. Wytyczne Głównego Inspektoratu Sanitarnego w sprawie wymagań jakości wody oraz warunków sanitarno-higienicznych na pływalniach [Guidelines of the State Sanitary Inspectorate on the requirements of water quality and sanitary-hygienic conditions in swimming pools]. Państwowa Inspekcja Sanitarna, Warszawa. https://www.gov.pl/attachment/152b6e52-3e75-48e8-8c29-f53177819700 [access: 24.03.2020].
Hamilton K.A. & Haas C.N., 2016. Critical review of mathematical approaches for quantitative microbial risk assessment (QMRA) of Legionella in engineered water systems: research gaps and a new framework. Environmental Science: Water Research and Technology, 2(4), 599–613. https://doi.org/10.1039/C6EW00023A.
Hamilton K.A., Hamilton M.T., Johnson W., Jjemba P., Bukhari Z., LeChevallier M., Haas Ch.N. & Gurian P.L., 2019. Risk-Based Critical Concentrations of Legionella pneumophila for Indoor Residential Water Uses. Environmental Science and Technology, 53(8), 4528–4541. https://doi.org/10.1021/acs.est.8b03000.
Helbig J.H., Bernander S., Castellani Pastoris M., Etienne J., Gaia V., Lauwers S. et al., 2002. Pan-European study on culture-proven Legionnaires’s disease: distribution of Legionella pneumophilaserogroups and monoclonal subgroups. European Journal of Clinical Microbiology & Infectious Diseases, 21(10), 710–716.
Hines S.A., Chappie D.J., Lordo R.A., Miller B.D., Janke R.J., Lindquist H.A., Fox K.R., Ernst H.S. & Taft S.C., 2014. Assessment of relative potential for Legionella species or surrogates inhalation exposure from common water uses. Water Research, 56, 203–213. https://doi.org/10.1016/j.watres.2014.02.013.
Huang L., Boyd D., Amyot W., Hempstead A.D., Luo Z., O’Connor T.J., Chen C., Machner M., Montminy T. & Isberg R.R., 2011. The E Block motif is associated with Legionella pneumophila translocated substrates. Cellular Microbiology,13, 227–245. https://doi.org/10.1111/j.1462-5822.2010.01531.x.
ISO, 2017. Water quality – Enumeration of Legionella. ISO standard no. 11731:2017.
Jamiołkowski A., 2020: Zwalczanie bakterii Legionella w instalacji domowej. BudujemyDom.pl. https://www.budujemydom. pl/woda-i-kanalizacja/18352-zwalczanie-bakterii-legionella-w-instalacji-domowej [access: 1.09.2020].
Kmiecik E., Wątor K., Mika A., Chochorek A. & Kołodziej M., 2017. Bacterias from Legionella group in the hot water installations in public buildings. [w:] SGEM 2017: international multidisciplinary scientific geoconference: water resources forest, marine and ocean ecosystems. Conference proceedings. Vol. 17 iss. 31, Hydrology and water resources marine and ocean ecosystems, STEF92 Technology Ltd., Sofia, 67–72.
Lesnik R., Brettar I. & Höfle M.G., 2016. Legionella species diversity and dynamics from surface reservoir to tap water: from cold adaptation to thermophily. ISME Journal, 10(5), 1064. https://doi.org/10.1038/ismej.2015.199.
Liguori G., Di Onofio V., Galle F., Liguori R., Nastro R.A. & Guida M., 2014. Occurrence of Legionella spp. in thermal environments: Virulence factors and biofilm in isolates from spa. Microchemical Journal, 112, 109–112. https://doi.org/10.1016/j.microc.2013.09.023.
Martin R.L., Strom O.R., Pruden A. & Edwards M.A., 2020. Interactive Effects of Copper Pipe, Stagnation, Corrosion Control, and Disinfectant Residual Influenced Reduction of Legionella pneumophila during Simulations of the Flint Water Crisis. Pathogens, 9, 730. https://doi.org/10.3390/pathogens9090730.
Mika A., Kmiecik E., Krawiec A., Wątor K., Zamfir M. & Chochorek A., 2019. Legionella pneumophila in Thermal Spa-Methodological Aspects of Sampling and Analysis. Geomicrobiology Journal, 36(5), 460–467. https://doi.org/10.108/01490451.2019.1571127.
Miyashita N., Higa F., Aoki Y., Kikuchi T., Seki M., Tateda K., Maki N., Uchino K., Ogasawara K., Kiyota H. & Watanabe A., 2020. Distribution of Legionella species and serogroups in patients with culture-confirmed Legionella pneumonia. Journal of Infection and Chemotherapy, 26(5), 411–417. https://doi.org/10.1016/j.jiac.2019.12.016.
Papadakis A., Chochlakis D., Sandalakis V., Keramarou M., Tselentis Y. & Psaroulaki A., 2018. Legionella spp. risk assessment in recreational and garden areas of hotels. International Journal of Environmental Research and Public Health, 15(4), 598. https://doi.org/10.3390/ijerph15040598.
Prussin II A.J., Schwake D.O. & Marr L.C., 2017. Ten questions concerning the aerosolization and transmission of Legionella in the built environment. Building and Environment, 123, 684–695. https://doi.org/10.1016/j.buildenv.2017.06.024.
Rafiee M., Jahangiri-rad M., Hajjaran H., Mesdaghinia A. & Hajaghazadeh M., 2014. Detection and identification of Legionella species in hospital water supplies through Polymerase Chain Reaction (16S rRNA). Journal of Environmental Health Science & Engineering, 12(1), 83. https://doi.org/10.1186/2052-336X-12-83.
Rasilainen T., Breitenstein A., Tilsala-Timisjärvi A., Kusnetsov J., Salkinoja-Salonen M. & Neubauer P., 2005. Novel detection method for pathogenic Legionella in water systems. [in:] Jalkanen A. & Nygren P. (eds.), Sustainable use of renewable natural resources: from principles to practices, Department of Forest Ecology, University of Helsinki, 197–207.
Rhoads W.J., Ji P., Pruden A. & Edwards M.A., 2015. Water heater temperature set pointand water use patterns influence Legionella pneumophila and associated microorganisms at the tap. Microbiome, 3, 67. http://dx.doi.org/10.1186/s40168-015-0134-1.
Rozporządzenie, 2002. Rozporządzenie Ministra Infrastrukturyz dnia 12 kwietnia z r. w sprawie warunków technicznych, jakim powinny odpowiadać budynki i ich usytuowanie [Regulation of the Minister of Infrastructure on the technical onditions to be met by buildings and their location]. Dz.U. 2002 nr 75, poz. 690.
Rozporządzenie, 2005. Rozporządzenie Ministra Zdrowia z dnia 22 kwietnia 2005 r. w sprawie szkodliwych czynników biologicznych dla zdrowia w środowisku pracy oraz ochrony zdrowia pracowników zawodowo narażonych na te czynniki [Regulation of the Minister of Health on biological agents which are harmful to health in the work environment and on the health protection of employees professionally exposed to these agents]. Dz.U. 2005 nr 81, poz. 716.
Rozporządzenie, 2015a. Rozporządzenie Ministra Zdrowia z dnia 13 listopada 2015 r. w sprawie jakości wody przeznaczonej do spożycia przez ludzi [Regulation of the Minister of Health on the quality of water intended for human consumption]. Dz.U. 2015, poz. 189.
Rozporządzenie, 2015b. Rozporządzenie Ministra Zdrowia z dnia 9 listopada 2015 r. w sprawie wymagań, jakim powinna odpowiadać woda na pływalniach [Regulation of the Minister of Health on the requirements to be met by water in swimming pools]. Dz.U. 2015 poz. 2016.
Sabrià M., García-Núñez M., Pedro-Botet M.L., Sopena N., Gimeno J.M., Reynaga E., Morera J. & Rey-Joly C., 2001. Presence and chromosomal subtyping of Legionella species in potable water systems in 20 hospitals of Catalonia, Spain. Infection Control & Hospital Epidemiology, 22(11), 673–676. https://doi.org/10.1017/S0195941700072623.
Schoen M.E. & Ashbolt N.J., 2011. An in-premise model for Legionella exposure during showering events. Water Research, 45(18), 5826–5836. https://doi.org/10.1016/ j.watres.2011.08.031.
Sharaby Y., Rodríguez-Martínez S., Höfle M.G., Brettar I. & Halpern M., 2019. Quantitative microbial risk assessment of Legionella pneumophila in a drinking water supply system in Israel. Science of the Total Environment, 671, 404–410. https://doi.org/10.1016/j.scitotenv.2019.03.287.
Springston J.P. & Yocavitch L., 2017. Existence and control of Legionella bacteria in building water systems: A review. Journal of Occupational and Environmental Hygiene, 14(2), 124–134. https://doi.org/10.1080/15459624. 2016.1229481.
States S.J., Conley L.F., Ceraso M., Stephenson T.E., Wolford R.S., Wadowsky R.M., McNamara A.M. & Yee R.B., 1985. Effects of metals on Legionella pneumophila growth in drinking water plumbing systems. Applied and Environmental Microbiology, 50, 1149–1154.
Stypułkowska-Misiurewicz H. & Czerwiński M., 2016. Legioneloza w Polsce w 2014 roku [Legionellosis in Poland in 2014]. Przegląd Epidemiologiczny, 70(2), 203–207.
US EPA, 1999. Legionella: Human Health Criteria Document. EPA‐822‐R‐99‐001, US Environmental Protection Agency, Washington, DC.
US EPA, 2011. Exposure Factors Handbook 2011 Edition (Final Report). EPA/60/R-09/052F, US Environmental Protection Agency, Washington, DC.
Walczak M., Kletkiewicz H. & Burkowska A., 2013a. Occurrence of Legionella pneumophila in lakes serving as a cooling system of a power plant. Environmental Science: Processes & Impacts, 15, 2273. https://doi.org/10.1039/C3EM00452J.
Walczak M., Krawiec A. & Lalke-Porczyk E., 2013b. Legionella pneumophila bacteria in a thermal saline bath. Annals of Agricultural and Environmental Medicine, 20, 4, 649–652.
Walczak M., Burkowska-But A., Świontek-Brzezinska M. & Krawiec A., 2016. Distribution of Legionella pneumophila in Thermal Pools. CLEAN Soil Air Water, 44(5), 532–537. https://doi.org/10.1002/clen.201400926.
Walser S.M., Gerstner D.G., Brenner B., Höller C., Liebl B. & Herr C.E.W., 2014. Assessing the environmental health relevance of cooling towers – A systematic review of legionellosis outbreaks. International Journal of Hygiene and Environmental Health, 217, 145–154. https://doi.org/10.1016/j.ijheh.2013.08.002.
WHO, 2009. Water Safety Plan Manual (WSP Manual). https://www.who.int/publications/i/item/9789241562638/ [access:24.03.2020].
WHO, 2017. WHO methods and data sources for global burden of disease estimates 2000–2015. Department of Information, Evidence and Research WHO, Geneva. https://www.who.int/healthinfo/global_burden_disease/GlobalDALYmethods_2000_2015.pdf [access: 24.03.2020].
Wiedenmann A., Langhammer W. & Botzenhart K., 2001. A case report of false negative Legionella test results in a chlorinated public hot water distribution system due to the lack of sodium thiosulfate in sampling bottles. International Journal of Hygiene and Environmental Health, 204(4), 245–249. https://doi.org/10.1078/1438-4639-00101.
Yu V.L., Plouffe J.F., Pastoris M.C., Stout J.E., Schousboe M., Widmer A., Summersgill J., File T., Heath C.M., Paterson D.L. & Chereshsky A., 2002. Distribution of Legionella species and serogroups isolated by culture in patients with sporadic community-acquired legionellosis: an international collaborative survey. Journal of Infectious Diseases, 186, 127–128.
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Kmiecik, E., Wątor, K., Chochorek, A., Kołodziej, M., Mika, A., Krawiec, A., & Herzig, J. (2021). Health risk assessment resulting from the presence of Legionella bacteria in domestic hot water in public buildings – the results of a pilot study. Geology, Geophysics and Environment, 47(1), 41–52. https://doi.org/10.7494/geol.2021.47.1.41
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