Background: Legionella disease (LD) is believed to be an environmentally acquired disease, inhaled as contaminated aerosolized water containing Legionella, and gains entry into the lungs. Cooling towers of air conditioning systems have been recognized as the primary source for Legionella Objective: to determine Legionella pollution prevalence, describe the amount of Legionella respect to temperature in CTWs of various type of public place. Methods: 321 cooling tower water (CTWs) from target sites were sampled, using probability proportion (around 1/500) to size (PPS) sampling Results: It was found that of the samples, 58.9% (189/321) samples were observed positive with Legionella, 19.9% were isolated as over 100 CFU/ml, and 0.9% even exceeding 1000 CFU/ml. Lp-1 was the most frequently isolated species (155/189, 82.0%), followed by L-mic that is at the second (44/189, 23.3%). In addition, the mean CFU/ml of Legionella in CTWs reached its peak in July, August and September (mean CFU/ml was 180, 170 and 170 respectively), and begins to drop gradually in October and November, down to 39.3 and 0.33 respectively. 15.4% of samples with exceeding 100 CFU/ml were observed in a hospital setting; 18.9%, 27.7%, 12.3%, and 22.7% of the samples exceeding 100 CFU/ml were from office buildings, subway stations, hotels, and stores respectively. Conclusion: The problem with Legionella pollution in CTWs, especially in subway stations and hospitals, is worrying. A significant correlation was found between the positive rate and CFU/ml of Legionella in CTWs and air temperature. To deal with the potential risk of LD, improved control and prevention strategies are urgently needed.
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