Assessment of relative potential for Legionella species or surrogates inhalation exposure from common water uses

Water Research

Volumn 56, Issue , 2014, Pages 203-213

  Hines, Stephanie A ^a   Chappie, Daniel J ^a   Lordo, Robert A ^a   Miller, Brian D ^a   Janke, Robert J ^b   Lindquist, H Alan ^b   Fox, Kim R ^b   Ernst, Hiba S ^b   Taft, Sarah C ^b  

^a BATTELLE MEMORIAL INSTITUTE   (United States)

^b U S ENVIRONMENTAL PROTECTION AGENCY   (United States)

Author keywords

Drinking water; Inhalation; Legionella species; Legionellosis; Microbial exposure assessment

Indexed keywords

DIAGNOSIS; UNCERTAINTY ANALYSIS;

EXPOSURE ASSESSMENT; EXPOSURE DOSE; EXPOSURE PATHWAYS; INHALATION; INHALATION EXPOSURE; LEGIONELLA SPECIES; LEGIONELLOSIS; MICROBIAL EXPOSURE ASSESSMENT; RELATIVE RANKINGS; WATER USE;

POTABLE WATER;

WATER; AEROSOL;

CONCENTRATION (COMPOSITION); EPIDEMIOLOGY; ESTIMATION METHOD; MICROBIAL COMMUNITY; SPECIES DIVERSITY; UNCERTAINTY ANALYSIS; WATER QUALITY; WATER USE; WATERBORNE DISEASE;

AEROSOL; ARTICLE; COOL MIST HUMIDIFIER; EXPOSURE; HUMIDIFIER; LEGIONELLA; LEGIONNAIRE DISEASE; NONHUMAN; PRIORITY JOURNAL; QUANTITATIVE STUDY; ULTRASONIC HUMIDIFIER; WATER CONTAMINATION; WATER EXPOSURE; CLASSIFICATION; HUMAN; MICROBIOLOGY; PHYSIOLOGY; RISK FACTOR; WATER SUPPLY;

AEROSOLS; HUMANS; INHALATION EXPOSURE; LEGIONELLA; RISK FACTORS; WATER MICROBIOLOGY; WATER SUPPLY;

EID: 84897011551     PISSN: 00431354     EISSN: 18792448     Source Type: Journal    
DOI: 10.1016/j.watres.2014.02.013     Document Type: Article

References (52)

1. Alleron L., Merlet N., Lacombe C., Frere J. Long-term survival of Legionella pneumophila in the viable but nonculturable state after monochloramine treatment. Curr. Microbiol. 2008, 57(5):497-502.
2. Angenent L.T., Kelley S.T., St Amand A., Pace N.R., Hernandez M.T. Molecular identification of potential pathogens in water and air of a hospital therapy pool. Proc. Natl. Acad. Sci. U.S.A. 2005, 102(13):4860-4865.
3. Armstrong T.W., Haas C.N. A quantitative microbial risk assessment model for Legionnaires' disease: animal model selection and dose-response modeling. Risk Anal. 2007, 27(6):1581-1596.
4. Armstrong T.W., Haas C.N. Quantitative microbial risk assessment model for Legionnaires' disease: assessment of human exposures for selected spa outbreaks. J. Occup. Environ. Hyg. 2007, 4(8):634-646.
5. Armstrong T.W., Haas C.N. Legionnaires' disease: evaluation of a quantitative microbial risk assessment model. J. Water Health 2008, 6(2):149-166.
6. Arnow P.M., Chou T., Weil D., Shapiro E.N., Kretzschmar C. Nosocomial Legionnaires' disease caused by aerosolized tap water from respiratory devices. J. Infect. Dis. 1982, 146(4):460-467.
7. Arvand M., Jungkind K., Hack A. Contamination of the cold water distribution system of health care facilities by Legionella pneumophila: do we know the true dimension?. Eur. Surveill. 2011, 16(16). 19844. Available online:. http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=19844.
8. Bollin G.E., Plouffe J.F., Para M.F., Hackman B. Aerosols containing Legionella pneumophila generated by shower heads and hot-water faucets. Appl. Environ. Microbiol. 1985, 50(5):1128-1131.
9. Breiman R.F. Impact of technology on the emergence of infectious diseases. Epidemiol. Rev. 1996, 18(1):4-9.
10. Buse H.Y., Schoen M.E., Ashbolt N.J. Legionellae in engineering systems and use of quantitative microbial risk assessment to predict exposure. Water Res. 2012, 46(4):921-933.
11. Cowen K.A., Ollison W.M. Continuous monitoring of particle emissions during showering. J. Air Waste Manag. Assoc. 2006, 56(12):1662-1668.
12. Darlow H.M., Bale W.R. Infective hazards of water-closets. Lancet 1959, 1(7084):1196-1200.
13. Delgado-Viscogliosi P., Solignac L., Delattre J.-M. Viability PCR, a culture-independent method for rapid and selective quantification of viable Legionella pneumophila in environmental water samples. Appl. Environ. Microbiol. 2009, 75(11):3502-3512.
14. Deloge-Abarkan M., Ha T.-L., Robine E., Zmirou-Navier D., Mathieu L. Detection of airborne Legionella while showering using liquid impingement and fluorescent in-situ hybridization (FISH). J. Environ. Monit. 2007, 9(1):91-97.
15. Dennis P.J.L., Wright A.E., Rutter D.A., Death J.E., Jones B.P.C. Legionella pneumophila in aerosols from shower baths. J. Hyg. Lond. 1984, 93(2):349-353.
16. DeOreo W.B., Heaney J.P., Mayer P.W. Flow trace analysis to assess water uses. J. Am. Water Works Assoc. 1996, 88(1):79-90.
17. DeSchrijver K., Van Bouwel E., Mortelmans L., Van Rossom P., De Beukelaer T., Vael C., Dirven K., Goosens H., Leven M., Ronveaux O. An outbreak of Legionnaire's disease among visitors to a fair in Belgium, 1999. Eurosurveillance 2000, 5(11). pii=7.
18. Haupt T.E., Heffernan R.T., Kazmierczak J.J., Nehls-Lowe H., Rheineck B., Powell C., Leonhardt Kathryn K., Chitnis A.S., Davis J.P. An outbreak of Legionnaires disease associated with a decorative water wall fountain in a hospital. Infect. Control Hosp. Epidemiol. 2012, 33(2):185-191.
19. Hautemaniere A., Remen T., Mathieu T., Deloge-Abarkan M., Hartemann P., Zmirou-Navier D. Pontiac fever among retirement home nurses associated with airborne legionella. J. Hosp. Infect. 2011, 78(4):269-273.
20. Heidelberg J.F., Shahamat M., Levin M., Rahman I., Stelma G., Grim C., Colwell R.R. Effect of aerosolization on culturability and viability of gram-negative bacteria. Appl. Environ. Microbiol. 1997, 63(9):3585-3588.
21. Highsmith V.R., Rodes C.E., Hardy R.J. Indoor particle concentrations associated with use of tap water in portable humidifiers. Environ. Sci. Technol. 1988, 22(9):1109-1112.
22. Highsmith V.R., Hardy R.J., Costa D.L., Germani M.S. Physical and chemical characterization of indoor aerosols resulting from the use of tap water in portable home humidifiers. Environ. Sci. Technol. 1992, 26(4):673-680.
23. Jernigan D.B., Hofmann J., Cetron M.S., Nuorti J.P., Fields B.S., Benson R.F., Breiman R.F., Lipman H.B., Carter R.J., Genese C.A., Paul S.M., Edelstein P.H., Guerrero I.C. Outbreak of Legionnaires' disease among cruise ship passengers exposed to a contaminated whirlpool spa. Lancet 1996, 347(9000):494-499.
24. Koury J.M. Aquatic Therapy Programming: Guidelines for Orthopedic Rehabilitation 2007, Human Kinetics Publishers, Champaign, Illinois.
25. Lee J.V., Lai S., Exner M., Lenz J., Gaia V., Casati S., Hartemann P., Luck C., Pangon B., Ricci M.L., Scaturro M., Fontana S., Sabria M., Sanchez I., Assaf S., Surman-Lee S. An international trial of quantitative PCR for monitoring Legionella in artificial water systems. J. Appl. Microbiol. 2011, 110(4):1032-1044.
26. Mayer P.W., DeOreo W.B., Opitz E.M., Kiefer J.C., Davis W.Y., Dziegelwski B., Nelson J.O. Residential End Uses of Water 1999, AWWA Research Foundation and American Water Works Association, Denver, Colorado.
27. Morawska L. Droplet fate in indoor environments, or can we prevent the spread of infection?. Indoor Air 2006, 16(5):335-347.
28. Muder R.R., Yu V.L., Woo A.H. Mode of transmission of Legionella pneumophila: a critical review. Arch. Intern. Med. 1986, 146(8):1607-1612.
29. Neil K., Berkelman R. Increasing incidence of legionellosis in the United States, 1990-2005: changing epidemiologic trends. Clin. Infect. Dis. 2008, 47(5):591-599.
30. Ng V., Tang P., Fisman D.N. Our evolving understanding of legionellosis epidemiology: learning to count. Clin. Infect. Dis. 2008, 47(5):600-602.
31. Ng V., Tang P., Jamieson F., Drews S.J., Brown S., Low D.E., Johnson C.C., Fisman D.N. Going with the flow: legionellosis risk in Toronto, Canada is strongly associated with local watershed hydrology. EcoHealth 2008, 5(4):482-490.
32. O'Loughlin R.E., Kightlinger L., Werpy M.C., Brown E., Stevens V., Hepper C., Keane T., Benson R.F., Fields B.S., Moore M.R. Restaurant outbreak of Legionnaires' disease associated with a decorative fountain: an environmental and case-control study. BMC Infect. Dis. 2007, 7(93):1-9.
33. O'Toole J., Keywood M., Sinclair M., Leder K. Risk in the mist? Deriving data to quantify microbial health risks associated with aerosol generation by water-efficient devices during typical domestic water-using activities. Water Sci. Technol. 2009, 60(11):2913-2920.
34. Perkins S.D., Mayfield J., Fraser V., Angenent L.T. Potentially pathogenic bacteria in shower water and air of stem cell transplant unit. Appl. Environ. Microbiol. 2009, 75(16):5363-5372.
35. Schoen M.E., Ashbolt N.J. An in-premise model for Legionella exposure during showering events. Water Res. 2011, 45(18):5826-5836.
36. Singh N., Stout J.E., Yu V.L. Legionnaires' disease in a transplant recipient acquired from a patient's home: implications for management. Transplantation 2002, 74(6):755-756.
37. Sirignano W.A. Fluid Dynamics and Transport of Droplets and Sprays 1999, Cambridge University Press, New York.
38. Sutton S. Accuracy of plate counts. J. Valid. Technol. 2011, 17(3):42-46.
39. Thomas R.J., Webber D., Hopkins R., Frost A., Laws T., Jayasekera P.N., Atkins T. The cell membrane as a major Site of damage during aerosolization of Escherichia coli. Appl. Environ. Microbiol. 2011, 77(3):920-925.
40. Tyndall R.L., Dudney C.S., Katz D.S., Ironside K.S. Characterization of Microbial Content and Dispersion from Home Humidifiers, Final Reports on Phase I, II, and III 1989 and 1991, U.S. Consumer Product Safety Commission, Washington, DC.
41. Tyndall R.L., Lehman E.S., Bowman E.K., Milton D.K., Barbaree J.M. Home humidifiers as a potential source of exposure to microbial pathogens, endotoxins, and allergens. Indoor Air 1995, 5(3):171-178.
42. U.S.Environmental Protection Agency Risk Assessment Guidance for Superfund: Human Health Evaluation Manual (Part A) 1989, Vol. I. Interim Final. Washington, D.C., EPA/540/1-89/002.
43. U.S.Environmental Protection Agency Guidelines for Exposure Assessment 1992, Risk Assessment Forum, Washington, DC, EPA/600/Z-92/001.
44. U.S.Environmental Protection Agency Legionella: Human Health Criteria Document 1999, Office of Science and Technology, Office of Water, Washington, DC, EPA-822-R-99-001.
45. U.S.Environmental Protection Agency An Examination of EPA Risk Assessment Principles and Practices 2004, Washington, DC, EPA/100/B-04/001.
46. U.S.Environmental Protection Agency Integrated Science Assessment for Particulate Matter 2009, Research Triangle Park, North Carolina, EPA/600/R-08/139F.
47. U.S.Environmental Protection Agency Protocol for Microbial Risk Assessment to Support Human Health Protection for Water-based Media (Draft) 2009, Office of Science and Technology, Office of Water, Washington, DC.
48. U.S.Environmental Protection Agency Exposure Factors Handbook 2011, Washington, DC, EPA/600/R-09/052F.
49. Vanaclocha H., Guiral S., Morera V., Calatayud M.A., Castellanos M., Moya V., Jerez G., Gonzalez F. Preliminary report: outbreak of Legionnaires' disease in a hotel in Calp, Spain, update on 22 February 2012. Eur. Surveill. 2012, 17(8). pii=20093. Available online:. http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=20093.
50. Woo A.H., Goetz A., Yu V.L. Transmission of Legionella by respiratory equipment and aerosol generating devices. Chest 1992, 102(5):1586-1590.
51. World Health Organization Legionella and the Prevention of Legionellosis 2007, Geneva, Switzerland. J. Bartram, Y. Chartier, J.V. Lee, K. Pond, S. Surman-Lee (Eds.).
52. Zhou Y., Benson J.M., Irvin C., Irshad H., Cheng Y.S. Particle size distribution and inhalation dose of shower water under selected operating conditions. Inhal. Toxicol. 2007, 19(4):333-342.