Bacteria have been shown to live in "premises plumbing systems". The latter refers to the "pipes and fixtures within a building that transport water to taps after it is delivered by the utility".[34] Community water systems have been known for centuries to spread waterborne diseases like typhoid and cholera, however "opportunistic premises plumbing pathogens" have been recognized only more recently; Legionella pneumophila discovered in 1976, Mycobacterium avium, and Pseudomonas aeruginosa are the most commonly tracked bacteria, which people with depressed immunity can inhale or ingest and may become infected with.[35] These opportunistic pathogens can grow for example in faucets, shower heads, water heaters and along pipe walls. Reasons that favor their growth are "high surface-to-volume ratio, intermittent stagnation, low disinfectant residual, and warming cycles". A high surface-to-volume ratio, i.e. a relatively large surface area allows the bacteria to form a biofilm, which protects them from disinfection.[35]

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“Don’t go to the Yellow Pages to find a plumber,” says Berkey’s Bill Stevens. “It’s like guessing lottery numbers. Anyone can make an appealing ad, but that doesn’t mean they are legitimate. In this industry, it’s easy for a plumber who develops a poor reputation to advertise under a different name. They come and go.” Even searching for someone online may end up being a scam using fake reviews. Instead, look for a plumber who is well-established in your community. Check the Better Business Bureau and read customer reviews at sites such as HomeAdvisor, Angie’s List, or Citysearch. Local contractors or plumbing fixture stores can also refer you to a quality plumber, according to Grady Daniel, who owns a plumbing company in Austin, Texas. “Most of these firms won’t work with bad plumbers.” Or simply ask your neighbors for a referral. A trusted plumber that consistently delivers quality service does not remain a secret for very long.
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