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Environmental Medicine

Legionella

Legionella are environmental germs that are widespread throughout the world. However, if their level in the water is too high, the bacteria can lead to severe pneumonia. Large hot water systems must therefore be checked regularly for legionella. If the limit value is exceeded, the health department must be informed.

Legionella pathogen at 1000x magnification under the microscope.

Legionella are a natural component of surface water and groundwater in small numbers. Under unfavorable conditions, legionella can multiply in drinking water installations. They are transmitted by atomized, nebulized water. The droplets containing the pathogen can spread in the air and be inhaled. Possible sources of infection include showers, whirlpools, humidifiers, faucets, and cooling towers. In addition, there are many other possible sources of infection.

Effects on health

As a rule, drinking the water is harmless. When drinking, infection with legionella is only possible if, for example, water accidentally enters the lungs via the trachea when swallowed.

If the pathogens reach the lungs in high concentrations, they can cause illness. The bacteria cause various clinical pictures, from flu-like symptoms to severe pneumonia. People with a weakened immune system due to illness or medication, as well as people with certain underlying diseases, are particularly affected. Smokers also fall ill more frequently.

Legionella is not transmitted from person to person.

How legionella multiply

Legionella multiply best at temperatures between 25 °C and 45 °C. Above 60 °C they are usually killed and below 20 °C they multiply only slowly.

Especially in artificial water systems such as water pipes in buildings, the pathogens find good growth conditions at corresponding temperatures. In deposits and coatings of the pipe system, the Legionella can multiply particularly well. Other unfavorable factors are, for example, existing dead pipes, non-use of tapping points or an installation that does not comply with the generally accepted rules of technology.

To prevent Legionella infestation, operators of large hot water systems must have their water tested regularly.

In addition to compliance with technical requirements, it is important to keep the water moving. Consumers should use all taps regularly. Water should be withdrawn from the tap after 72 hours at the latest. This reduces the risk of legionella.

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Explanations and information

Picture credits

  • CDC Public Health Image Library (Wikipedia/Community Free)
  • Stuttgart Networks BW
  • Stuttgart Municipal Drainage
  • T&C of Jan Potente, www.janpotente.de