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Your garden hose: a potential health risk due to Legionella spp. growth facilitated by free-living amoebae.
[legionellosis]
Common
garden
hoses
may
generate
aerosols
of
inhalable
size
(
≤
10
μm
)
during
use
.
If
humans
inhale
aerosols
containing
Legionella
bacteria
,
Legionnaires
'
disease
or
Pontiac
fever
may
result
.
Clinical
cases
of
these
illnesses
have
been
linked
to
garden
hose
use
.
The
hose
environment
is
ideal
for
the
growth
and
interaction
of
Legionella
and
free-living
amoebae
(
FLA
)
due
to
biofilm
formation
,
elevated
temperatures
,
and
stagnation
of
water
.
However
,
the
microbial
densities
and
hose
conditions
necessary
to
quantify
the
human
health
risks
have
not
been
reported
.
Here
we
present
data
on
FLA
and
Legionella
spp
.
detected
in
water
and
biofilm
from
two
types
of
garden
hoses
over
18
months
.
By
culturing
and
qPCR
,
two
genera
of
FLA
were
introduced
via
the
drinking
water
supply
and
reached
mean
densities
of
2
.
5
log
10
amoebae
·
mL
(
-
1
)
in
garden
hose
water
.
Legionella
spp
.
densities
(
likely
including
pathogenic
L
.
pneumophila
)
were
significantly
higher
in
one
type
of
hose
(
3
.
8
log
10
cells
·
mL
(
-
1
)
,
p
<
0
.
0001
)
.
A
positive
correlation
existed
between
Vermamoebae
vermiformis
densities
and
Legionella
spp
.
densities
(
r
=
0
.
83
,
p
<
0
.
028
)
.
The
densities
of
Legionella
spp
.
identified
in
the
hoses
were
similar
to
those
reported
during
legionellosis
outbreaks
in
other
situations
.
Therefore
,
we
conclude
that
there
is
a
health
risk
to
susceptible
users
from
the
inhalation
of
garden
hose
aerosols
.
Diseases
Validation
Diseases presenting
"fever"
symptom
22q11.2 deletion syndrome
acute rheumatic fever
alexander disease
allergic bronchopulmonary aspergillosis
canavan disease
carcinoma of the gallbladder
child syndrome
congenital toxoplasmosis
cushing syndrome
cystinuria
dracunculiasis
erdheim-chester disease
esophageal adenocarcinoma
esophageal carcinoma
familial mediterranean fever
focal myositis
hodgkin lymphoma, classical
lamellar ichthyosis
legionellosis
locked-in syndrome
malignant atrophic papulosis
neonatal adrenoleukodystrophy
neuralgic amyotrophy
oculocutaneous albinism
papillon-lefèvre syndrome
pyomyositis
pyruvate dehydrogenase deficiency
scrub typhus
severe combined immunodeficiency
sneddon syndrome
systemic capillary leak syndrome
triple a syndrome
typhoid
waldenström macroglobulinemia
wolf-hirschhorn syndrome
This symptom has already been validated