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Document ID ca-gwpdw-2022-09-3 Title Guidance on waterborne pathogens in drinking water URL https://www.canada.ca/en/environment-climate-change/services/water-overview/quantity/monitoring/survey.html Jurisdiction /ca Subdomain(s) none Language Status completed Analyzed at 2026-05-13 14:51:35.293251+00:00 Relevance inventory_targeted_fetch

Q Qualitative Requirements (36)

Req ID Category Intent Legal Status Name Subdomain(s) Context Conditions Confidence
#Q001administrativereportingmandatoryWater Resource Data ResponsibilityotherThe Water Survey of Canada (WSC) is the national authority responsible for the collection, interpretation and dissemination of standardized water resource data and information in Canada.medium
#Q002administrativereportingrecommendedConsumer Education and Outreachdrinking waterWater utilities should also have education and outreach programs to make consumers aware of how water quality can deteriorate within residential and building plumbing systems.high
#Q003operationaloperationalrecommendedMulti-Parametric Risk Management Strategiesdrinking waterAs a result, water utilities and building owners/managers should have appropriate risk management strategies that utilize multiple parameters to assess the performance of drinking water treatment and/or distribution operations.high
#Q004monitoringoperationalrecommendedSource Water Assessment Componentsdrinking waterSource water assessments should include: the identification of potential sources of microbiological contamination in the watershed/aquifer; potential pathways and/or events (low to high risk) by which microorganisms of concern can make their way into the source water and affect water quality; and conditions likely to lead to peak concentrations.high
#Q005monitoringoperationalrecommendedSubsurface Source Assessment Requirementsdrinking waterAssessments for subsurface sources should include, at a minimum, a hydrogeological assessment, an evaluation of well integrity and a survey of activities and physical features in the area (Health Canada 2019b, 2019c).high
#Q006treatmenttreatmentrecommendedBiological Stability Production Goaldrinking waterWater utilities should therefore aim to produce biologically stable water to minimize the potential for problems to occur in distribution and premise plumbing systems (see Sections A.3.3 and A.3.4) (Health Canada, 2022).high
#Q007administrativeoperationalrecommendedBuilding Water Management Plan Best Practicedrinking waterBuilding water management plans are the recommended best practice for building owners/managers.high
#Q008administrativereportingrecommendedJurisdictional Requirement Confirmationdrinking waterIn addition, building owners/managers should contact the responsible authority in the affected jurisdiction to confirm if specific requirements will apply to their system (e.g., cooling tower registry).high
#Q009operationaloperationalrecommendedClimate Change Risk Integrationdrinking waterThus, water utilities and building owners/managers should integrate the risks associated with climate change into their management strategies to maximize the reliability, robustness and resilience of their water systems.high
#Q010treatmenttreatmentrecommendedCertified Residential Treatment Devicesdrinking waterWhere treatment is necessary, Health Canada recommends that consumers use devices certified by an accredited certification body as meeting the appropriate NSF International (NSF)/American National Standards Institute (ANSI) drinking water treatment unit standards (NSF/ANSI, 2018, 2019, 2020).high
#Q011operationalhealthrecommendedSafe Nasal Rinse Waterdrinking waterHowever, individuals should ensure that they conduct nasal rinses using water that has been boiled and cooled, or distilled water.high
#Q012monitoringoperationalmandatorySource Assessment Risk Scopedrinking waterIt is important that risks from both land-based and aerosol-generating activities (e.g., spray irrigation, pressure washers) be considered in the source water assessment.During source water assessmenthigh
#Q013monitoringoperationalrecommendedSource Nutrient Characterizationdrinking waterThus, surface and subsurface sources should be characterized with regard to organic and inorganic nutrient concentrations (Cantor, 2017).high
#Q014treatmenttreatmentmandatoryWater Treatment Plant Optimization Elementsdrinking waterImportant elements related to drinking water treatment include: optimize treatment performance for turbidity and natural organic matter removal; properly apply primary disinfection technologies to meet appropriate CT requirements... or IT requirements...; minimize nutrient concentrations in treated water and have a good understanding of their concentrations in the distribution system; optimize treatment to minimize the amount of scaling and/or corrosion in the distribution system; properly apply secondary disinfection technologies (i.e., free chlorine or monochloramine) for residual maintenance in the distribution system; conduct performance testing using multiple parameters (e.g., disinfectant residual, microbiological indicators, pH, turbidity); provide operator training to assure the effectiveness of the water safety plan at all times.high
#Q015operationaltreatmentrecommendedMonochloramine Application Restrictiondrinking waterIt is important to note that monochloramine is recommended only for secondary disinfection and residual maintenance in the distribution system (Health Canada, 2019b).high
#Q016operationaloperationalmandatoryDistribution System Operational Practicesdrinking waterKey distribution system operational and maintenance practices include: use proper construction materials; maintain an effective disinfectant residual and take preventive/corrective actions when low disinfectant residuals occur, particularly during warm water temperature conditions when biofilm growth accelerates; manage water age and the effects of temperature; minimize the potential for contaminant entry from external sources (e.g., maintain positive pressure, implement cross-connection/backflow control programs, practice strict hygiene during mains constructions and repairs); keep the distribution system clean by removing biofilm, loose deposits and sediment from watermains and storage facilities (e.g., use of appropriate flushing and cleaning techniques); conduct performance testing using multiple parameters (e.g., disinfectant residual, microbiological indicators, biological stability indicators, pH, pressure, temperature, turbidity); and provide operator training to assure the effectiveness of the water safety plan at all times.During warm water conditions, prioritize residual maintenancehigh
#Q017operationalhealthmandatoryPremise Plumbing Control Elementsdrinking waterImportant elements of control strategies for plumbing systems include: limiting nutrient levels through an emphasis on system design and materials; minimizing areas of low flow/stagnation; keeping temperatures of cold and hot water systems outside of the ideal range for microorganism growth (e.g., cold water less than 20°C, hot water tank temperature greater than 60°C; hot water lines at distal points ideally greater than 55°C); and reducing the formation and transmission of contaminated aerosols from system components such as cooling towers, showers, faucets, hot tubs and humidifiers.Large building plumbing systemshigh
#Q018monitoringhealthmandatoryPrivate Well Quality Verificationdrinking waterFor residential-scale systems and private wells, regular physical inspection to identify deficiencies and testing of the water system (e.g., for E. coli and total coliforms) to confirm the microbiological quality of the water are important.Private wells and residential-scale systemshigh
#Q019monitoringoperationalrecommendedRisk-Informed Facility Monitoringdrinking waterThus environmental monitoring at individual facilities should be informed by a site-specific risk assessment as part of a Water Management Plan (HSE, 2013b; CDC, 2017a; ASHRAE, 2018).Building water systemshigh
#Q020administrativereportingrecommendedClimate Forecast Consultationdrinking waterThe responsible authority should be consulted to discuss relevant forecast scenarios.Regarding climate change impactshigh
#Q021operationaltreatmentrecommendedSecondary Disinfectant Selection Criteriadrinking waterthe choice of disinfectant residual should effectively balance concomitant water quality objectives related to: 1) microbial species (e.g., Legionella, mycobacteria); 2) water chemistry; 3) disinfection by-product concentrations; and 4) the complexity of the distribution system (Donohue et al., 2019a).high
#Q022operationaloperationalrecommendedSupplemental Disinfection Consultationdrinking waterA water treatment professional should be consulted before applying any supplemental disinfection.Supplemental disinfection in building water systemshigh
#Q023designoperationalrecommendedMixing Valve Placement and Maintenancedrinking waterMixing valves should be positioned as close as possible to the point of use and provide access for maintenance and cleaning.high
#Q024operationalhealthrecommendedSafety During Flushingdrinking waterCare should be taken during plumbing flushing procedures.high
#Q025monitoringoperationalrecommendedMulti-Parametric Monitoring Program Recommendationdrinking waterComprehensive, multi-parametric monitoring programs (e.g., disinfectant residual paired with temperature and biofilm formation rate) are recommended to confirm system-specific requirements (Health Canada, 2022).In distribution systems to confirm requirementshigh
#Q026administrativeoperationalrecommendedAuthority Consultation for Residential Water Systemsdrinking waterSpecific guidance on construction, operation, maintenance and testing should be obtained from the responsible drinking water authority in the affected jurisdiction.For residential-scale systems and private wellshigh
#Q027operationalhealthrecommendedContact Lens Care Requirementsdrinking waterIndividuals in the home who wear contact lenses should also follow guidance from their eye care providers on proper lens handling, cleaning and wear (CDC, 2017b).For contact lens wearers in home settingshigh
#Q028monitoringoperationalrecommendedSite Assessment for Water Management Plansdrinking waterSite assessments as part of a water management plan are recommended for informing and developing specific control strategies.As part of developing building water management planshigh
#Q029prohibitiontreatmentrecommendedPrimary Disinfection Restrictiondrinking waterMonochloramine should not be used for primary disinfection due to its low oxidation potential; monochloramine is recommended only for secondary disinfection (i.e., to maintain a disinfectant residual in the distribution system).During primary disinfection phasehigh
#Q030monitoringoperationalrecommendedChlorine Residual Impact Assessmentdrinking waterminimal impact was expected although system-specific assessments were recommended to avoid unintended consequences.When increasing free chlorine residuals (e.g., from 0.2 mg/L to 1.2 mg/L)high
#Q031administrativeoperationalmandatoryBuilding Water Quality Management Responsibilitydrinking waterBuilding owners/managers are responsible for managing water quality within their buildings and therefore should be aware of practices that reduce the risk of microorganism growth.Large complex premise plumbing systemshigh
#Q032operationaloperationalrecommendedElectric Storage-Type Water Heater Temperature Setpointdrinking waterThe NPC further specifies that electric storage-type water heaters should be pre-set to a temperature of 60°C as a result of the temperature stratification that can occur with this type of heater.Electric storage-type water heatershigh
#Q033designhealthrecommendedShower and Bathtub Valve Temperature Safetydrinking waterThe NPC specifies that water valves supplying showerheads and bathtubs should be capable of maintaining a water outlet temperature that does not exceed 49°C in order to reduce the risk of scalding.Installation of water valves for showers and bathtubshigh
#Q034administrativeoperationalrecommendedHealthcare and Long-term Care Water Management Requirementdrinking waterHealthcare and long-term care facilities and buildings with cooling towers are identified as buildings with a particular need for water management programs to reduce the risk of Legionella growth and spreadFacilities with higher populations of susceptible individualshigh
#Q035administrativeoperationalmandatoryQuebec Cooling Tower Regulatory Compliancedrinking waterThe regulations outline the requirements for owners that include registering their system with the regulator, implementing a water management plan and conducting regular testing for Legionella pneumophila.Cooling tower owners within the jurisdiction of Quebechigh
#Q036operationalhealthguidanceHomeowner Residential Water Tank Maintenancedrinking waterhomeowners can minimize their risk of exposure to opportunistic waterborne pathogens by maintaining the temperature of their hot water tank at a minimum of 60°CResidential household hot water systemshigh

P Quantitative Requirements (54)

Req ID Category Intent Legal Status Name Subdomain(s) Limit Type Limit Value Context Conditions Confidence
#R001operationaloperationalguidanceMinimum disinfectant residual concentration (distribution system)drinking waterrequirement> 0.2 mg/LRequired to control microbiological (re)growth in the distribution systemRegularly remove biofilms and loose depositshigh
#R002operationaloperationalguidanceFree chlorine residual for biofilm controldrinking waterrequirement1.0 mg/LRequired for controlling biofilm formation in chlorinating systemshigh
#R003operationaloperationalguidanceTotal chlorine residual for biofilm controldrinking waterrequirement1.8 mg/LRequired for controlling biofilm formation in chloraminating systemshigh
#R004physicaloperationalrecommendedCold water system temperaturedrinking waterrequirement< 20 °CTo keep cold water systems outside of the ideal range for microorganism growthPremise plumbing systemshigh
#R005physicaloperationalrecommendedHot water tank temperaturedrinking waterrequirement> 60 °CTo keep hot water tanks outside of the ideal range for microorganism growthPremise plumbing systemshigh
#R006physicaloperationalrecommendedHot water lines temperature at distal pointsdrinking waterrequirement> 55 °CIdeally maintained at distal points to inhibit growthPremise plumbing systemshigh
#R007microbiologicalhealthguidanceLegionella concentration action leveldrinking water, othertreatment_goal50000 CFU/LConcentration that warrants concern and triggers remedial activitiesVarious water systems including buildings and cooling towershigh
#R008physicaloperationalmandatoryHot water storage temperature (Electric storage-type)drinking waterrequirement60 °CNPC specifies pre-set temperature to address temperature stratificationNational Plumbing Code of Canada (NPC) requirementshigh
#R009physicalhealthmandatoryWater outlet maximum temperature (tap)drinking waterrequirement<= 49 °CMaximum allowable temperature at showerheads and bathtubs to reduce scalding riskNational Plumbing Code of Canada (NPC) requirementhigh
#R010operationaltreatmentguidanceFree chlorine residual for Naegleria controldrinking waterrequirement0.5 mg/LMinimum residual recommended throughout the distribution system for Naegleria controlVulnerable drinking water systemshigh
#R011operationaltreatmentguidanceChloramine residual for Naegleria controldrinking waterrequirement> 1.5 mg/LResidual recommended throughout the distribution system for controlBased on suggested best practicehigh
#R012operationaltreatmentguidanceFree chlorine residual target (Health-care facilities)drinking waterrequirement0.3 - 0.5 mg/LRecommended targets for Legionella control in health-care facility plumbinghigh
#R013operationaltreatmentguidanceMonochloramine residual target (Health-care facilities)drinking waterrequirement1.5 mg/LRecommended targets for Legionella control in health-care facility plumbingHealth-care facilities using on-site disinfectionhigh
#R014physicaloperationalguidelineThermal shock remediation temperaturedrinking waterrequirement70 °CExtreme remediation measure utilized as a control measure in building systemsRemediation situationshigh
#R015operationaloperationalguidelineThermal shock remediation durationdrinking waterrequirement30 minutesDuration for thermal shock remediation at specified temperatureRemediation situationshigh
#R016operationaloperationalguidelineFree chlorine residual for Pseudomonas controldrinking waterrequirement> 0.3 mg/LResidual level useful for control of Pseudomonas spp. in bulk waterBulk water maintenancehigh
#R017operationaloperationalguidelineAeromonas monitoring target (Dutch legislation)drinking waterrequirement< 1000 CFU/100 mLDutch drinking water legislation specifies this as an operational parameterBased on treatment achievability rather than health significancehigh
#R018microbiologicalhealthmandatoryLegionella action level (EU Drinking Water Directive)drinking waterrequirement1000 CFU/LIncluded in the 2020 EU Drinking Water Directive for premise plumbing systemsPremise plumbing systemshigh
#R019operationaltreatmentguidanceCT for 4-log inactivation of biofilm-associated Legionella pneumophila (Free Chlorine)drinking watertreatment_goal63.67 mg·min/LRequired CT for inactivation of strain Philadelphia-1 serogroup 1 on PVC materialpH 8, Temperature 21 °Chigh
#R020operationaltreatmentguidanceCT for 4-log inactivation of biofilm-associated Legionella pneumophila (Monochloramine)drinking watertreatment_goal108.44 mg·min/LRequired CT for inactivation of strain Philadelphia-1 serogroup 1 on PVC materialpH 8, Temperature 21 °Chigh
#R021operationaltreatmentguidanceCT for 2-log inactivation of Aeromonas species (Free Chlorine)drinking watertreatment_goal0.2 - 1.4 mg·min/LRelative CT values for 2 log inactivation5-25°C, pH 6-9high
#R022operationaltreatmentguidanceCT for 2-log inactivation of Acanthamoeba species cysts (Free Chlorine)drinking watertreatment_goal1300 mg·min/LCT value required for 2 log inactivation with free chlorine5-25°C, pH 6-9high
#R023operationaltreatmentguidanceUV dose for 4-log inactivation of Naegleria fowleri cystsdrinking watertreatment_goal121 mJ/cm2UV dose requirement for 4 log reductionhigh
#R024operationaltreatmentguidanceUV dose for 4-log inactivation of Acanthamoeba spp. cystsdrinking watertreatment_goal167 mJ/cm2UV dose requirement for 4 log reductionhigh
#R025operationaltreatmentguidanceUV dose for 4-log inactivation of Adenovirusdrinking watertreatment_goal51 - 261 mJ/cm2UV dose requirement for 4 log reductionhigh
#R026operationaltreatmentguidanceUV dose for 2-log removal of Aeromonas speciesdrinking watertreatment_goal2.5 - 8 mJ/cm2UV dose requirement explicitly marked for 2 log removalhigh
#R027operationaltreatmentguidanceUV dose for 4-log inactivation of Legionella pneumophiladrinking watertreatment_goal11 - 30 mJ/cm2UV dose requirement for 4 log reductionhigh
#R028operationaltreatmentguidanceCT for 3-log inactivation of Mycobacterium avium (Free Chlorine)drinking watertreatment_goal51 - 1552 mg·min/LRelative CT values for 3 log removal5-25°C, pH 6-9high
#R029operationaltreatmentguidanceCT for 2-log inactivation of biofilm-associated Legionella (Free Chlorine)drinking watertreatment_goal8.86 mg·min/LRequired for inactivation of strain Philadelphia-1 serogroup 1 on PVC materialpH 8, Temperature 21 °Chigh
#R030operationaltreatmentguidanceCT for 3-log inactivation of biofilm-associated Legionella (Free Chlorine)drinking watertreatment_goal36.11 mg·min/LRequired for inactivation of strain Philadelphia-1 serogroup 1 on PVC materialpH 8, Temperature 21 °Chigh
#R031operationaloperationalguidanceTime for 2-log inactivation of biofilm-associated Legionella (0.2 mg/L Free Chlorine)drinking waterrequirement44.3 minutesRequired time in distribution system assuming specific CT valuespH 8, Temperature 21 °Chigh
#R032operationaloperationalguidanceTime for 2-log inactivation of biofilm-associated Legionella (0.5 mg/L Free Chlorine)drinking waterrequirement17.7 minutesRequired time in distribution system assuming specific CT valuespH 8, Temperature 21 °Chigh
#R033operationaloperationalguidanceTime for 2-log inactivation of biofilm-associated Legionella (1.8 mg/L Total Chlorine)drinking waterrequirement9.5 minutesRequired time for inactivation in chloraminated systemspH 8, Temperature 21 °Chigh
#R034operationaltreatmentguidanceDesign CT for 4-log virus inactivation (Free Chlorine)drinking watertreatment_goal12 - 15 mg·min/LTypical design CTs for water treatment5-25°C, pH 6-9high
#R035operationaltreatmentguidanceDesign CT for 0.5-log Giardia inactivation (Free Chlorine)drinking watertreatment_goal35 - 65 mg·min/LTypical design CTs for water treatment5-25°C, pH 6-9high
#R036operationaltreatmentguidanceCT for 2-log inactivation of Pseudomonas species (Free Chlorine)drinking watertreatment_goal0.0073 - 4.3 mg·min/LRelative CT values for 2 log inactivation5-25°C, pH 6-9high
#R037operationaltreatmentguidanceCT for 2-log inactivation of E. coli, Campylobacter, Helicobacter, Salmonella, and Yersinia (Free Chlorine)drinking watertreatment_goal0.034 - 5.1 mg·min/LRelative CT values for 2 log inactivation5-25°C, pH 6-9high
#R038operationaltreatmentguidanceCT for 2-log inactivation of Enteric viruses (Free Chlorine)drinking watertreatment_goal0.01 - 12 mg·min/LRelative CT values for 2 log inactivation5-25°C, pH 6-9high
#R039operationaltreatmentguidanceCT for 3 to 4-log removal of Legionella pneumophila (Free Chlorine)drinking watertreatment_goal0.1 - 0.3 mg·min/LRelative CT values for removal5-25°C, pH 6-9high
#R040operationaltreatmentguidanceCT for 4-log removal of Naegleria fowleri cysts (Free Chlorine)drinking watertreatment_goal31 - 37 mg·min/LRelative CT values for 4 log removal5-25°C, pH 6-9high
#R041operationaltreatmentguidanceCT for 2-log inactivation of Giardia cysts (Free Chlorine)drinking watertreatment_goal25 - 99 mg·min/LRelative CT values for 2 log inactivation5-25°C, pH 6-9high
#R042operationaltreatmentguidanceUV dose for 4-log reduction of Pseudomonas speciesdrinking watertreatment_goal3.1 mJ/cm2UV dose requirement for 4 log reductionhigh
#R043operationaltreatmentguidanceUV dose for 4-log reduction of Cryptosporidium oocysts and Giardia cystsdrinking watertreatment_goal22 mJ/cm2UV dose requirement for 4 log reductionhigh
#R044operationaltreatmentguidanceUV dose for 4-log reduction of E. coli, Campylobacter, Helicobacter, Salmonella, and Yersiniadrinking watertreatment_goal5 - 51 mJ/cm2UV dose requirement for 4 log reductionhigh
#R045operationaltreatmentguidanceUV dose for 4-log reduction of Hepatitis A, Coxsackievirus, Poliovirus, Rotavirusdrinking watertreatment_goal16.4 - 61 mJ/cm2UV dose requirement for 4 log reductionhigh
#R046operationaltreatmentguidanceUV dose for 4-log reduction of Mycobacterium aviumdrinking watertreatment_goal12.3 - 64 mJ/cm2UV dose requirement for 4 log reductionhigh
#R047operationaltreatmentguidanceUV dose for 2 to 5-log removal of some strains of Mycobacterium speciesdrinking watertreatment_goal96 - 192 mJ/cm2UV dose requirement explicitly marked for variable log removalhigh
#R048microbiologicalhealthguidanceLegionella Action Level (Cooling Towers Range)othertreatment_goal> 1000 to > 1000000 CFU/LGuidance material produced by numerous agencies vary in recommendationsCooling towershigh
#R049microbiologicalhealthguidanceLegionella Action Level (Potable Water Systems Range)drinking watertreatment_goal> 1000 to > 10000 CFU/LGuidance material produced by numerous agencies vary in recommendationsPotable water systemshigh
#R050operationaltreatmentguidanceCT for 2-log inactivation of biofilm-associated Legionella (Monochloramine)drinking watertreatment_goal17.16 mg·min/LRequired CT for inactivation of strain Philadelphia-1 serogroup 1 on PVC materialpH 8, Temperature 21 °Chigh
#R051operationaltreatmentguidanceCT for 3-log inactivation of biofilm-associated Legionella pneumophila (Monochloramine)drinking watertreatment_goal62.80 mg·min/LRequired CT for inactivation of strain Philadelphia-1 serogroup 1 on PVC materialpH 8, Temperature 21 °Chigh
#R052operationaloperationalguidanceTime for 2-log inactivation of biofilm-associated Legionella pneumophila (1.0 mg/L Free Chlorine)drinking waterrequirement8.9 minutesRequired time in distribution system for 2 log inactivation assuming specific CT valuespH 8, Temperature 21 °Chigh
#R053operationaloperationalguidanceTime for 2-log inactivation of biofilm-associated Legionella pneumophila (1.0 mg/L Monochloramine)drinking waterrequirement17.2 minutesRequired time in distribution system for 2 log inactivation assuming specific CT valuespH 8, Temperature 21 °Chigh
#R054operationaloperationalguidanceTime for 2-log inactivation of biofilm-associated Legionella pneumophila (1.5 mg/L Monochloramine)drinking waterrequirement11.4 minutesRequired time in distribution system for 2 log inactivation assuming specific CT valuespH 8, Temperature 21 °Chigh

D Definitions (66)

Req ID Category Name Context Confidence
#D001opportunistic pathogensnaturally-occurring waterborne pathogens, as these microorganisms are often associated with infections, and in extreme cases, deaths in susceptible individuals (such as infants, the elderly and immunocompromised individuals)medium
#D002yersiniosisDisease caused by Y. enterocolitica or Y. paratuberculosis is commonly referred to as yersiniosishigh
#D003Subacute cases of diarrheaSubacute cases of diarrhea are defined as those lasting from two weeks to two monthshigh
#D004legionellosisIllnesses caused by Legionella spp. are collectively known as legionellosis.high
#D005water-to-air transmissionwater-to-air transmission, meaning inhalation of aerosols (size 2-10 µm) containing the bacteria is the main route of transmissionhigh
#D006AIDSacquired immunodeficiency syndromehigh
#D007AKAcanthamoeba keratitishigh
#D008ANSIAmerican National Standards Institutehigh
#D009ASHRAEAmerican Society of Heating, Refrigerating, and Air-Conditioning Engineershigh
#D010CDCCenters for Disease Control and Preventionhigh
#D011CFUcolony forming unitshigh
#D012CTconcentration (C) × time (T)high
#D013DAECdiffuse adherent Escherichia colihigh
#D014DNAdeoxyribonucleic acidhigh
#D015EAECenteroaggregative Escherichia colihigh
#D016E. coliEscherichia colihigh
#D017EHECenterohaemorrhagic Escherichia colihigh
#D018EIECenteroinvasive Escherichia colihigh
#D019EPECenteropathogenic Escherichia colihigh
#D020ESBLextended spectrum β-lactamasehigh
#D021ETECenterotoxigenic Escherichia colihigh
#D022EUEuropean Unionhigh
#D023GACgranulated activated carbonhigh
#D024GAEgranulomatous amoebic encephalitishigh
#D025HIVhuman immunodeficiency virushigh
#D026HPCheterotrophic plate counthigh
#D027HUShemolytic uremic syndromehigh
#D028HVACheating, ventilation and air conditioninghigh
#D029IARCInternational Agency for Research on Cancerhigh
#D030ISOInternational Organization for Standardizationhigh
#D031NASEMNational Academies of Sciences, Engineering and Medicinehigh
#D032NPCNational Plumbing Code (Canada)high
#D033NSFNSF Internationalhigh
#D034NTMnon-tuberculous mycobacteriahigh
#D035PAMprimary amebic meningoencephalitishigh
#D036PCRpolymerase chain reactionhigh
#D037PHACPublic Health Agency of Canadahigh
#D038POEpoint-of-entryhigh
#D039POUpoint-of-usehigh
#D040QMRAquantitative microbial risk assessmenthigh
#D041SCCStandards Council of Canadahigh
#D042spp.specieshigh
#D043US EPAUnited States Environmental Protection Agencyhigh
#D044U.S.United Stateshigh
#D045UVultraviolethigh
#D046VBNCviable but non-culturablehigh
#D047VTECverotoxin-producing Escherichia colihigh
#D048WHOWorld Health Organizationhigh
#D049zoonotic pathogenstransmitted from animals to humanshigh
#D050shigellosisdisease caused by Shigella spp.high
#D051chronic casesdiarrhea cases [that] persist for longer periods [than two months]high
#D052hypersensitivity pneumonitisa form of pulmonary illness where inflammation within the lung is attributable to the body’s immune response to mycobacterial antigenshigh
#D053planktonicfreely floatinghigh
#D054ITintensity measured in mW/cm2 or W/m 2× time measured in seconds resulting in a computed fluence in mJ/cm2high
#D055guidance documentsdeveloped to provide operational or management guidance related to specific drinking water–related issues (e.g., boil water advisories) in order to make health risk assessment information available when a guideline value is not deemed necessary.high
#D056Guidelinesestablished under the Guidelines for Canadian Drinking Water Quality specifically for contaminants that meet all of the following criteria: 1. exposure to the contaminant could lead to adverse health effects; 2. the contaminant is frequently detected or could be expected to be found in a large number of drinking water supplies throughout Canada; and 3. the contaminant is detected, or could be expected to be detected, at a level that is of possible health significance.high
#D057Legionnaires’ diseasea severe respiratory illness involving pneumonia, with symptoms that include fever, cough, chills, neurological aspects (confusion), muscle pain, headache and gastrointestinal problems (diarrhea, nausea, vomiting)high
#D058Pontiac fevera milder, flu-like, self-limiting and non-pneumonic disease associated with exposure to Legionella.high
#D059rapid growersSpecies ... categorized ... based on the time required to produce colonies on growth mediahigh
#D060slow growersSpecies ... categorized ... based on the time required to produce colonies on growth mediahigh
#D061EHECthe subset of E. coli that can produce one or more of the potent Shiga toxins and are considered to be highly pathogenic to humanshigh
#D062trophozoitea feeding [stage of the life cycle]high
#D063cystresistant stage [of the life cycle] that can withstand temperatures of -20°C-56°C and provide resistance to desiccation and disinfectionhigh
#D064acidophilicacid-lovinghigh
#D065thermotolerantcan survive at high temperatures, between 55 and 70°Chigh
#D066enteric feveralso known as typhoid or paratyphoid feverhigh