Legionella bacteria can cause various symptoms in humans, ranging from flu-like illness to severe pneumonia. It is commonly found in soil and aquatic environments. Small amounts of the bacteria are naturally found in surface water and ground water.
The ideal growth conditions for legionella are temperatures between 25°C and 45°C. Its growth in water is inhibited at temperatures below 20°C and above 55°C. Temperatures above 60°C effectively kill the bacteria.
Legionella can be inhaled via aerosols (very fine water droplets), for example while taking a shower. This can trigger legionellosis, a severe form of pneumonia.
It is transmitted by small water droplets containing the bacteria in the air. These droplets can then be inhaled. Possible sources of infection include showers, whirlpools, humidifiers or faucets, as well as cooling towers. There are many other possible sources of infection.
Important: Legionella is not transmitted from person to person.
Most legionella-related infections have a mild course. They begin with flu-like symptoms such as fever, headache and joint pain. Some may experience chest pain and a cough. Usually the disease is limited to 2 to 5 days. Severe cases of the disease are associated with high fever (above 39°C), shortness of breath, cough and chills.
People at increased risk of developing severe disease are people with a weak immune system, such as older people, smokers or people taking immunosuppressive therapy. Men are more often affected than women, whereas children rarely develop the disease.
Pneumonia caused by legionella must always be treated with antibiotics. It is often necessary for a person infected with legionella to be admitted to a hospital.
In case of a local outbreak it is important to recognize and quickly eliminate the source of the infection in order to prevent further infections.
The current Drinking Water Ordinance includes a number of testing obligations, including the obligation to test drinking water for Legionella. Since November 2012, the water from water heating systems has to be regularly tested for legionella.
Further information can be found on the website of Robert Koch-Institutes