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Legionnaire’s Disease is caused by a waterborne bacterium Legionella that grows best in slow-moving or still, warm water. The primary route of exposure is aerosolization, most commonly from evaporative cooling towers or showerheads. A common cause in commercial buildings is due to poorly placed or maintained evaporative cooling towers, which often release aerosolized water that may enter nearby ventilation intakes. Outbreaks in medical facilities and nursing homes, where patients are immuno-suppressed and immuno-weak, are the most commonly reported cases of Legionellosis. More than one case has involved outdoor fountains in public attractions. The presence of Legionella in commercial building water supplies is highly under-reported, as healthy people require heavy exposure to acquire infection.

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