Legionnaires’ Disease at Fifty Years: Linking Water System Microbial Ecology, Diagnosis, and Prevention

Fifty years after Legionnaires’ disease was identified, outbreaks continue because environmental science, clinical practice, and building management remain poorly integrated. This review connects biofilms, protozoan hosts, water-system dynamics, diagnostic technologies, and public health responses, highlighting how coordinated monitoring, rapid attribution, and performance-based prevention can reduce disease risk.


Read full article for free (open access):

https://www.sciencedirect.com/science/article/pii/S2666517426001288


Conceptual pathway showing how Legionella survives within protozoa and biofilms in building water systems, influenced by stagnation, temperature, and pipe chemistry, leading to human exposure, clinical diagnosis, genomic source attribution, outbreak investigation, and integrated water safety management.


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