As the hot weather persists, air conditioners become a staple in every household. However, few are aware that after a period of inactivity, air conditioners can become a haven for Legionella bacteria – a dangerous agent that causes severe pneumonia and can even lead to fatality if not detected and treated promptly.
Lurking in Air Conditioners – The Dangers of Legionella Bacteria
According to medical experts, Legionella bacteria thrive in warm and humid environments, typically proliferating at temperatures ranging from 25 to 42 degrees Celsius. When tiny water droplets (aerosols) containing these bacteria are dispersed into the air, individuals who inhale them can contract Legionnaires’ disease – also known as “legion fever.”
What’s concerning is that the disease can be mistaken for a common cold or flu, as initial symptoms include fever, coughing, and fatigue. However, within 48 hours, if left untreated or improperly managed, it can rapidly progress into severe pneumonia, respiratory failure, multi-organ damage, and even lead to a reported mortality rate of 10-30%.

High-risk individuals include the elderly, those with chronic underlying conditions, smokers, and people with compromised immune systems.
Common Hiding Places of Legionella Bacteria
Legionella bacteria are not limited to air conditioners; they can also be found in various commonly used equipment and spaces, such as:
– Evaporator coils and air filters of air conditioners that are not regularly cleaned or maintained.
– Showerheads and faucets that have not been used for extended periods.
– Public hot springs, fountains, and household humidifiers.
– Water-utilizing appliances such as storage tanks and pipes in central air conditioning systems.
At these sites, if the water is not regularly cleaned and sanitized, Legionella bacteria can proliferate and form challenging-to-control reservoirs. When aerosolized, they pose a significant health risk.
Signs and Symptoms to Watch Out For
The incubation period for Legionella infection ranges from 2 to 10 days. Common symptoms to look out for include:
– Persistent high fever above 39°C
– Dry cough or productive cough, which may include blood-tinged sputum
– Chest pain and difficulty breathing
– Nausea and diarrhea
– Confusion and disorientation
Notably, many cases do not respond to common antibiotics such as penicillin, leading to misdiagnosis and treatment delays, which are primary factors in increasing the risk of severe complications.
Effective Prevention Strategies
1. Sanitize equipment before use:
– Air Conditioners: It is recommended to have air conditioners thoroughly cleaned by professional technicians at least once a year, especially before the summer season. Air filters should be removed and washed monthly using hot water (above 70°C) and a mild detergent.
– Showerheads and water-containing appliances: If they haven’t been used for a while, flush them with water for a few minutes to remove stagnant water and built-up debris.
– Humidifiers: Change the water daily, and disinfect weekly with a diluted chlorine solution.
2. Exercise caution when traveling or engaging in activities involving moist environments:
– Opt for hot springs, pools, or bathing facilities that maintain proper sanitation and have clear water quality control procedures.
– When gardening or handling soil, wear a mask and gloves to minimize direct contact with bacteria from the environment.
3. Monitor your health after potential exposure:
If you experience symptoms like high fever, coughing, or diarrhea after using air conditioners, bathing in warm water, or traveling, seek medical attention promptly. Be sure to inform your healthcare provider about your recent activities to facilitate appropriate testing and diagnosis.
Why is it Called “Legion Fever”?
The name “Legionella” originates from a significant health event that occurred in Philadelphia, USA, in 1976. During this incident, several veterans attending a conference contracted a severe form of pneumonia caused by this bacterium. The media referred to it as “legion fever,” and thus, the bacterium was named Legionella.
However, it’s essential to understand that this disease can affect anyone, not just soldiers or those with specific occupations. Anyone is at risk if proper hygiene practices are not maintained when using equipment associated with water and air.
Expert Recommendations
Prevention is always better than cure. During the summer peak, when air conditioner usage surges, individuals must stay vigilant and adhere strictly to equipment sanitation guidelines. If you experience any unusual respiratory symptoms, especially if they persist despite antibiotic treatment, consult a specialist in infectious diseases to rule out Legionella infection.