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06/24/25 Public Health Education Topic: Legionella

Per CDC

Key points

  • The key to preventing Legionnaires' disease is to control Legionella growth and spread.

  • Buildings and devices at increased risk for Legionella growth and spread should have a water management program based on industry standards.

  • Owners of certain devices, like hot tubs, should take steps to reduce Legionella risk.

Bacteria called Legionella cause Legionnaires' disease. Legionella is found naturally in freshwater environments and can become a health concern in human-made building water systems.


Owners of the following devices should follow the manufacturer's instructions regarding cleaning, disinfecting, and maintenance:

  • Cooling towers

  • Decorative fountains

  • Hot tubs

  • Centrally installed misters, atomizers, air washers, or humidifiers


CDC has developed a toolkit on how to control Legionella in common sources of exposure, including decorative fountains and hot tubs.


Where Legionella can grow or spread

Legionella can grow in many parts of building water systems. Examples include:

  • Expansion tanks

  • Faucet flow restrictors

  • Hoses, pipes, valves, and fittings

  • Hot and cold-water storage tanks

  • Water filters

  • Water hammer arrestors

  • Water heaters

Certain devices spread water droplets, which can have Legionella in them. Examples include:

  • Aerators

  • Centrally installed misters, atomizers, air washers, and humidifiers

  • Medical equipment

  • Nonstream aerosol-generating humidifiers

  • Point of use fixtures such as showers, sprayers, and faucets

Examples of medical equipment includes CPAP machines, hydrotherapy equipment, and bronchoscopes.

In other devices, Legionella can both grow and spread. Examples include:

  • Cooling towers

  • Decorative fountains

  • Electronic and manual faucets

  • Hot tubs

  • Ice machines

  • Infrequently used equipment including eyewash stations







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