→ Methods for implementing Water Management Programs to reduce growth of transmission of Legionella

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The Centers for Disease Control and Prevention is requesting information 'on effective methods for achieving implementation of water management programs intended to reduce Legionella growth and transmission in buildings at increased risk.' The rate of reported cases of Legionnaires disease, caused by the bacterium Legionella, in the United States has increased 'more than four-fold since 2000... Water management programs identify hazardous conditions and take steps to minimize the growth and spread of Legionella and other waterborne pathogens in building water systems.' Information gathered from this comment period 'will inform efforts to prevent Legionnaires disease in the United States' and 'inform efforts to prevent disease due to other opportunistic waterborne pathogens (e.g., Pseudomonas, Acinetobacter, Burkholderia, Stenotrophomonas, nontuberculous mycobacteria, fungi, Naegleria).' Comments are specifically requested on (1) local knowledge about Legionnaires disease and prevention strategies, (2) stakeholder engagement, (3) knowledge of and experience with water management plan implementation, and (4) possible unintended impacts of proposed solutions, such as degradation of plumbing infrastructure or pathogen substitution.