Parameter Viewer

Document ID ca-gwpdw-2022-09 Title Guidance on waterborne pathogens in drinking water URL https://www.canada.ca/en/services/environment/pollution-waste-management/potato-processing-plant-liquid-effluent-regulations.html Jurisdiction /ca Subdomain(s) none Language Status completed Analyzed at 2026-05-13 14:51:34.013554+00:00 Relevance inventory_targeted_fetch

Q Qualitative Requirements (38)

Req ID Category Intent Legal Status Name Subdomain(s) Context Conditions Confidence
#Q001operationalhealthmandatoryCompliance with Effluent LimitswastewaterPlants must respect the limits on biochemical oxygen demanding matter, total suspended matter, and pH in their liquid effluents.high
#Q002operationalhealthrecommendedSource-to-tap risk management strategydrinking waterthe implementation of a source-to-tap or water safety plan approach, is the recommended strategy for water utilities to manage potential risks.high
#Q003administrativehealthrecommendedConsumer education and outreach programdrinking 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
#Q004monitoringoperationalrecommendedSubsurface source assessmentsdrinking 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 areahigh
#Q005treatmenthealthrecommendedProduction of biologically stable waterdrinking waterWater utilities should therefore aim to produce biologically stable water to minimize the potential for problems to occur in distribution and premise plumbing systemshigh
#Q006administrativehealthmandatoryBuilding water quality responsibilitydrinking waterBuilding owners/managers are responsible for managing water quality within their buildingshigh
#Q007operationalhealthrecommendedPremise plumbing temperature controldrinking waterkeeping 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)high
#Q008treatmenttreatmentrecommendedSecondary disinfection residual maintenancedrinking watermonochloramine is recommended only for secondary disinfection and residual maintenance in the distribution systemhigh
#Q009monitoringoperationalrecommendedMulti-parameter Risk Management Assessmentdrinking waterwater 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
#Q010monitoringoperationalrecommendedAerosol Source Risk Considerationdrinking 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.high
#Q011monitoringoperationalrecommendedMulti-parametric Distribution Monitoringdrinking waterComprehensive, multi-parametric monitoring programs (e.g., disinfectant residual paired with temperature and biofilm formation rate) are recommended to confirm system-specific requirements.high
#Q012administrativereportingrecommendedBuilding Regulatory Compliance Verificationdrinking waterbuilding 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
#Q013operationalhealthrecommendedSafe Nasal Rinse Proceduresdrinking waterindividuals should ensure that they conduct nasal rinses using water that has been boiled and cooled, or distilled water.high
#Q014monitoringoperationalrecommendedSource Nutrient Characterizationdrinking watersurface and subsurface sources should be characterized with regard to organic and inorganic nutrient concentrations (Cantor, 2017).high
#Q015treatmenttreatmentrecommendedTurbidity and NOM Removal Optimizationdrinking wateroptimize treatment performance for turbidity and natural organic matter removal;high
#Q016treatmenttreatmentmandatoryPrimary Disinfection Application (CT/IT)drinking waterproperly apply primary disinfection technologies to meet appropriate CT (disinfectant concentration in mg/L × time in minutes) requirements when using chemical oxidants (i.e., free chlorine, ozone, chlorine dioxide) or IT (intensity measured in mW/cm2 or W/m 2× time measured in seconds resulting in a computed fluence in mJ/cm2) requirements when using ultraviolet (UV) disinfection;high
#Q017treatmentoperationalrecommendedNutrient Concentration Minimization in Treated Waterdrinking waterminimize nutrient concentrations in treated water and have a good understanding of their concentrations in the distribution system;high
#Q018administrativeoperationalmandatoryOperator Training for Water Safety Plandrinking waterprovide operator training to assure the effectiveness of the water safety plan at all times.high
#Q019corrective_actionoperationalmandatoryDisinfectant Residual Maintenance and Corrective Actiondrinking watermaintain an effective disinfectant residual and take preventive/corrective actions when low disinfectant residuals occur, particularly during warm water temperature conditions when biofilm growth accelerates;particularly during warm water temperature conditionshigh
#Q020operationaloperationalmandatoryDistribution System Cleaning Maintenancedrinking waterkeep 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);high
#Q021operationalhealthrecommendedBuilding Aerosol Risk Mitigationdrinking waterreducing the formation and transmission of contaminated aerosols from system components such as cooling towers, showers, faucets, hot tubs and humidifiers.high
#Q022monitoringhealthmandatoryPrivate Well Inspection and Testingdrinking 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.high
#Q023administrativeoperationalrecommendedConsultation for Building Disinfectiondrinking waterA water treatment professional should be consulted before applying any supplemental disinfection.high
#Q024treatmentoperationalrecommendedScaling and Corrosion Optimizationdrinking wateroptimize treatment to minimize the amount of scaling and/or corrosion in the distribution system;part of water safety plan elementshigh
#Q025administrativeoperationalrecommendedClimate Change Risk Integrationdrinking waterwater 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
#Q026monitoringoperationalrecommendedSite-Specific Environmental Monitoringdrinking waterenvironmental monitoring at individual facilities should be informed by a site-specific risk assessment as part of a Water Management Planfor building water systemshigh
#Q027designhealthrecommendedMixing Valve Maintenance and Positioningdrinking waterMixing valves should be positioned as close as possible to the point of use and provide access for maintenance and cleaningto prevent Legionella attachment and growthhigh
#Q028monitoringoperationalrecommendedTreatment Plant Performance Testingdrinking waterconduct performance testing using multiple parameters (e.g., disinfectant residual, microbiological indicators, pH, turbidity);for water treatment plantshigh
#Q029treatmenttreatmentrecommendedSecondary Disinfection Applicationdrinking waterproperly apply secondary disinfection technologies (i.e., free chlorine or monochloramine) for residual maintenance in the distribution system;using free chlorine or monochloraminehigh
#Q030operationalhealthrecommendedDistribution Contaminant Entry Controldrinking waterminimize 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);via positive pressure, cross-connection control, and hygiene during repairshigh
#Q031operationaloperationalrecommendedDistribution Water Age and Temperature Managementdrinking watermanage water age and the effects of temperature;key distribution system operational and maintenance practicehigh
#Q032designoperationalrecommendedDistribution System Construction Materialsdrinking wateruse proper construction materials;for drinking water distribution systemshigh
#Q033designhealthrecommendedPlumbing Nutrient Limitationdrinking waterlimiting nutrient levels through an emphasis on system design and materials;for plumbing systemshigh
#Q034operationalhealthrecommendedPlumbing Stagnation Minimizationdrinking waterminimizing areas of low flow/stagnation;for building water management planshigh
#Q035treatmenthealthrecommendedConsumer use of certified 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 standardswhere treatment is necessaryhigh
#Q036operationaloperationalrecommendedBuilding manager equipment maintenancedrinking waterActions recommended as part of a water safety plan include regular cleaning and maintenance of plumbing fittings and equipment that can support biofilm growth and aerosol formation (faucets, showerheads, hot tubs/spas, cooling towers)as part of a water safety planhigh
#Q037operationalhealthrecommendedContact lens handling guidancedrinking waterIndividuals in the home who wear contact lenses should also follow guidance from their eye care providers on proper lens handling, cleaning and wearhigh
#Q038monitoringoperationalrecommendedBuilding monitoring programsdrinking waterIn general, monitoring programs consist of routine monitoring of general microbiological quality, as an indication of system control, in conjunction with testing for Legionella at regular time intervalsfor building water systemshigh

P Quantitative Requirements (50)

Req ID Category Intent Legal Status Name Subdomain(s) Limit Type Limit Value Context Conditions Confidence
#R001chemicaloperationalguidanceMinimum disinfectant residual concentration in distribution systemdrinking waterrequirement> 0.2 mg/LRequired to control microbiological (re)growth in the distribution system.Regular distribution system operations.high
#R002chemicaloperationalrecommendedFree chlorine residual for biofilm controldrinking waterrequirement1.0 mg/LRequired for controlling biofilm formation in chlorinating systems.Systems that chlorinate; lower concentrations may apply if biofilms are regularly removed.high
#R003chemicaloperationalrecommendedTotal chlorine residual for biofilm controldrinking waterrequirement1.8 mg/LRequired for controlling biofilm formation in chloraminating systems.Systems that chloraminate.high
#R004physicaloperationalrecommendedCold water plumbing temperaturedrinking waterrequirement< 20 °CKeeping cold water outside of the ideal range for microorganism growth.Premise plumbing systems.high
#R005physicaloperationalrecommendedHot water tank temperaturedrinking waterrequirement> 60 °CKeeping hot water outside of the ideal range for microorganism growth.Premise plumbing systems/hot water tanks.high
#R006physicaloperationalrecommendedHot water distal point temperaturedrinking waterrequirement> 55 °CTarget temperature for hot water lines at distal points.Ideally maintained at distal points in premise plumbing.high
#R007physicaloperationalguidelineMaximum water outlet temperature for scalding preventiondrinking waterrequirement<= 49 °CWater valves supplying showerheads and bathtubs.National Plumbing Code specification to reduce scalding risk.high
#R008microbiologicaloperationalguidanceLegionella concentration action leveldrinking water, otherrequirement50,000 CFU/LConcentration warranting concern and remedial activities.Found in various water systems (cooling towers, building plumbing).high
#R009chemicaloperationalguidanceMinimum free chlorine residual for Naegleria fowleri controldrinking waterrequirement0.5 mg/LRecommended throughout the distribution system in vulnerable systems.Vulnerable drinking water systems (e.g., temperatures exceeding 25°C).high
#R010chemicaloperationalguidanceChloramine residual for Naegleria fowleri controldrinking waterrequirement> 1.5 mg/LResidual concentration throughout the distribution system.Systems utilizing chloramination for residual maintenance.high
#R011operationaltreatmentguidanceCT Value for 2-log inactivation of biofilm-associated L. pneumophila (Free Chlorine)drinking waterunknown8.86 mg∙min/LInactivation of Legionella pneumophila strain Philadelphia-1 serogroup 1.pH = 8, temperature = 21 °C, PVC material.high
#R012operationaltreatmentguidanceCT Value for 2-log inactivation of biofilm-associated L. pneumophila (Monochloramine)drinking waterunknown17.16 mg∙min/LInactivation of Legionella pneumophila strain Philadelphia-1 serogroup 1.pH = 8, temperature = 21 °C, PVC material.high
#R013operationaltreatmentguidanceCT Value for 3-log inactivation of biofilm-associated L. pneumophila (Free Chlorine)drinking waterunknown36.11 mg∙min/LInactivation of Legionella pneumophila strain Philadelphia-1 serogroup 1.pH = 8, temperature = 21 °C, PVC material.high
#R014operationaltreatmentguidanceCT Value for 4-log inactivation of biofilm-associated L. pneumophila (Free Chlorine)drinking waterunknown63.67 mg∙min/LInactivation of Legionella pneumophila strain Philadelphia-1 serogroup 1.pH = 8, temperature = 21 °C, PVC material.high
#R015operationaltreatmentguidanceCT Value for 3-log inactivation of biofilm-associated L. pneumophila (Monochloramine)drinking waterunknown62.80 mg∙min/LInactivation of Legionella pneumophila strain Philadelphia-1 serogroup 1.pH = 8, temperature = 21 °C, PVC material.high
#R016operationaltreatmentguidanceCT Value for 4-log inactivation of biofilm-associated L. pneumophila (Monochloramine)drinking waterunknown108.44 mg∙min/LInactivation of Legionella pneumophila strain Philadelphia-1 serogroup 1.pH = 8, temperature = 21 °C, PVC material.high
#R017microbiologicaloperationalguidelineEU Action Level for Legionella in premise plumbingdrinking waterrequirement1000 CFU/LEuropean Union Drinking Water Directive action level.Premise plumbing systems.high
#R018microbiologicaloperationalguidelineNetherlands Aeromonas target limitdrinking waterOG< 1000 CFU/100 mLDutch drinking water legislation monitoring requirement.Operational parameter.high
#R019chemicaloperationalguidanceFree chlorine residual for Pseudomonas controldrinking waterrequirement> 0.3 mg/LUseful for control of Pseudomonas spp. in bulk water.Maintain throughout distribution/plumbing.high
#R020chemicaloperationalguidanceHealth-care facility Free Chlorine targetdrinking waterrequirement0.3 - 0.5 mg/LMinimum disinfectant residual targets for Legionella control in health-care plumbing.Health-care facilities.high
#R021chemicaloperationalguidanceHealth-care facility Monochloramine targetdrinking waterrequirement1.5 mg/LDisinfectant residual target for health-care facility water systems.Health-care facilities.high
#R022physicaltreatmentguidanceUV dose requirement for Naegleria fowleri cystsdrinking watertreatment_goal121 mJ/cm2Dose for 4 log reduction.high
#R023physicaltreatmentguidanceUV dose requirement for Acanthamoeba spp. cystsdrinking watertreatment_goal167 mJ/cm2Dose for 4 log reduction.high
#R024physicaltreatmentguidanceUV dose requirement for Adenovirusdrinking watertreatment_goal51 - 261 mJ/cm2Dose for 4 log reduction.high
#R025physicaloperationalrecommendedThermal shock remediation temperaturedrinking waterrequirement70 °CExtreme remediation measure for building systems.Applied for 30 minutes.high
#R026operationaltreatmentguidanceCT Value for Aeromonas species (Free Chlorine)drinking waterunknown0.2 - 1.4 mg∙min/L2 log inactivation, 5-25°C, pH 6-9.high
#R027operationaltreatmentguidanceCT Value for Pseudomonas species (Free Chlorine)drinking waterunknown0.0073 - 4.3 mg∙min/L2 log inactivation, 5-25°C, pH 6-9.high
#R028operationaltreatmentguidanceCT Value for Naegleria fowleri cysts (Free Chlorine)drinking waterunknown31 - 37 mg∙min/L4-log removal, 5-25°C, pH 6-9.high
#R029operationaltreatmentguidanceCT Value for Giardia cysts (Free Chlorine)drinking waterunknown25 - 99 mg∙min/L2 log inactivation, 5-25°C, pH 6-9.high
#R030operationaltreatmentguidanceCT Value for Mycobacterium avium (Free Chlorine)drinking waterunknown51 - 1552 mg∙min/L3-log removal, 5-25°C, pH 6-9.high
#R031physicaltreatmentguidanceUV dose requirement for Aeromonas speciesdrinking watertreatment_goal2.5 - 8 mJ/cm2Dose for 2 log removal.high
#R032physicaltreatmentguidanceUV dose requirement for Giardia cysts and Cryptosporidium oocystsdrinking watertreatment_goal22 mJ/cm2Dose for 4 log inactivation.high
#R033physicaltreatmentguidanceUV dose requirement for Legionella pneumophiladrinking watertreatment_goal11 - 30 mJ/cm2Dose for 4 log inactivation.high
#R034operationaltreatmentguidanceCT Value for Pathogenic bacteria group (Free Chlorine)drinking waterunknown0.034 - 5.1 mg∙min/L2 log inactivation, 5-25°C, pH 6-9. Includes E. coli, Campylobacter, Helicobacter, Salmonella, and Yersinia.high
#R035operationaltreatmentguidanceCT Value for Enteric viruses (Free Chlorine)drinking waterunknown0.01 - 12 mg∙min/L2 log inactivation, 5-25°C, pH 6-9.high
#R036operationaltreatmentguidanceCT Value for Legionella pneumophila (Free Chlorine)drinking waterunknown0.1 - 0.3 mg∙min/L3-4 log removal, 5-25°C, pH 6-9.high
#R037operationaltreatmentguidanceCT Value for Acanthamoeba species cysts (Free Chlorine)drinking waterunknown1300 mg∙min/L2 log inactivation, 5-25°C, pH 6-9.high
#R038physicaltreatmentguidanceUV dose requirement for Pseudomonas speciesdrinking watertreatment_goal3.1 mJ/cm2Dose for 4 log reduction.high
#R039physicaltreatmentguidanceUV dose requirement for Pathogenic bacteria groupdrinking watertreatment_goal5 - 51 mJ/cm2Dose for 4 log reduction. Includes E. coli, Campylobacter, Helicobacter, Salmonella, and Yersinia.high
#R040physicaltreatmentguidanceUV dose requirement for Enteric viruses groupdrinking watertreatment_goal16.4 - 61 mJ/cm2Dose for 4 log reduction. Includes Hepatitis A, Coxsackievirus, Poliovirus, and Rotavirus.high
#R041physicaltreatmentguidanceUV dose requirement for Mycobacterium aviumdrinking watertreatment_goal12.3 - 64 mJ/cm2Dose for 4 log reduction.high
#R042physicaltreatmentguidanceUV dose requirement for High-resistance Mycobacterium strainsdrinking watertreatment_goal96 - 192 mJ/cm2Dose for 2-5 log removal.high
#R043chemicaltreatmentguidanceTypical design CT for 4-log virus inactivation (Free Chlorine)drinking waterrequirement12 - 15 mg∙min/LTypical design values required for 4 log virus inactivation as displayed in Figure D1.Free chlorine, 5-25°C, pH 6-9.high
#R044chemicaltreatmentguidanceTypical design CT for 0.5-log Giardia inactivation (Free Chlorine)drinking waterrequirement35 - 65 mg∙min/LTypical design values required for 0.5 log Giardia inactivation as displayed in Figure D1.Free chlorine, 5-25°C, pH 6-9.high
#R045operationaltreatmentguidanceTime required for 2 log inactivation of biofilm-associated L. pneumophila (0.2 mg/L Free Chlorine)drinking waterrequirement44.3 minutesRequired time in a distribution system to achieve inactivation of biofilm-associated Legionella pneumophila.Free chlorine residual of 0.2 mg/L; assuming CT values from Table 3 (pH 8, 21°C).high
#R046operationaltreatmentguidanceTime required for 2 log inactivation of biofilm-associated L. pneumophila (0.5 mg/L Free Chlorine)drinking waterrequirement17.7 minutesRequired time in a distribution system to achieve inactivation of biofilm-associated Legionella pneumophila.Free chlorine residual of 0.5 mg/L; assuming CT values from Table 3 (pH 8, 21°C).high
#R047operationaltreatmentguidanceTime required for 2 log inactivation of biofilm-associated L. pneumophila (1.0 mg/L Free Chlorine)drinking waterrequirement8.9 minutesRequired time in a distribution system to achieve inactivation of biofilm-associated Legionella pneumophila.Free chlorine residual of 1.0 mg/L; assuming CT values from Table 3 (pH 8, 21°C).high
#R048operationaltreatmentguidanceTime required for 2 log inactivation of biofilm-associated L. pneumophila (1.0 mg/L Monochloramine)drinking waterrequirement17.2 minutesRequired time in a distribution system to achieve inactivation of biofilm-associated Legionella pneumophila.Monochloramine residual of 1.0 mg/L; assuming CT values from Table 3 (pH 8, 21°C).high
#R049operationaltreatmentguidanceTime required for 2 log inactivation of biofilm-associated L. pneumophila (1.5 mg/L Monochloramine)drinking waterrequirement11.4 minutesRequired time in a distribution system to achieve inactivation of biofilm-associated Legionella pneumophila.Monochloramine residual of 1.5 mg/L; assuming CT values from Table 3 (pH 8, 21°C).high
#R050operationaltreatmentguidanceTime required for 2 log inactivation of biofilm-associated L. pneumophila (1.8 mg/L Monochloramine)drinking waterrequirement9.5 minutesRequired time in a distribution system to achieve inactivation of biofilm-associated Legionella pneumophila.Monochloramine residual of 1.8 mg/L; assuming CT values from Table 3 (pH 8, 21°C).high

D Definitions (77)

Req ID Category Name Context Confidence
#D001AIDSacquired immunodeficiency syndromehigh
#D002AKAcanthamoeba keratitishigh
#D003ANSIAmerican National Standards Institutehigh
#D004ASHRAEAmerican Society of Heating, Refrigerating, and Air-Conditioning Engineershigh
#D005CDCCenters for Disease Control and Preventionhigh
#D006CFUcolony forming unitshigh
#D007CTconcentration (C) × time (T)high
#D008DAECdiffuse adherent Escherichia colihigh
#D009DNAdeoxyribonucleic acidhigh
#D010EAECenteroaggregative Escherichia colihigh
#D011E. coliEscherichia colihigh
#D012EHECenterohaemorrhagic Escherichia colihigh
#D013EIECenteroinvasive Escherichia colihigh
#D014EPECenteropathogenic Escherichia colihigh
#D015ESBLextended spectrum β-lactamasehigh
#D016ETECenterotoxigenic Escherichia colihigh
#D017EUEuropean Unionhigh
#D018GACgranulated activated carbonhigh
#D019GAEgranulomatous amoebic encephalitishigh
#D020HIVhuman immunodeficiency virushigh
#D021HPCheterotrophic plate counthigh
#D022HUShemolytic uremic syndromehigh
#D023HVACheating, ventilation and air conditioninghigh
#D024IARCInternational Agency for Research on Cancerhigh
#D025ISOInternational Organization for Standardizationhigh
#D026NASEMNational Academies of Sciences, Engineering and Medicinehigh
#D027NPCNational Plumbing Code (Canada)high
#D028NSFNSF Internationalhigh
#D029NTMnon-tuberculous mycobacteriahigh
#D030PAMprimary amebic meningoencephalitishigh
#D031PCRpolymerase chain reactionhigh
#D032PHACPublic Health Agency of Canadahigh
#D033POEpoint-of-entryhigh
#D034POUpoint-of-usehigh
#D035QMRAquantitative microbial risk assessmenthigh
#D036SCCStandards Council of Canadahigh
#D037spp.specieshigh
#D038US EPAUnited States Environmental Protection Agencyhigh
#D039U.S.United Stateshigh
#D040UVultraviolethigh
#D041VBNCviable but non-culturablehigh
#D042VTECverotoxin-producing Escherichia colihigh
#D043WHOWorld Health Organizationhigh
#D044Subacute cases of diarrheaSubacute cases of diarrhea are defined as those lasting from two weeks to two monthshigh
#D045ITintensity measured in mW/cm2 or W/m 2× time measured in seconds resulting in a computed fluence in mJ/cm2high
#D046shigellosisdisease caused by Shigella spp.high
#D047yersiniosisDisease caused by Y. enterocolitica or Y. paratuberculosishigh
#D048legionellosisIllnesses caused by Legionella spp.high
#D049planktonicfreely floatinghigh
#D050thermotolerantcan survive at high temperatures, between 55 and 70°Chigh
#D051Chronic casescases [of Aeromonas-associated diarrhea] 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
#D053Cervical lymphadenitisa disease of childhood, marked by swollen lymph nodes in the head or neckhigh
#D054Rapid growersSpecies [of mycobacteria] categorized based on the time required to produce colonies on growth mediahigh
#D055Slow growersSpecies [of mycobacteria] categorized based on the time required to produce colonies on growth mediahigh
#D056Guidance documentsprovide 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
#D057Guidelinesspecifically 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
#D058Opportunistic pathogensnaturally found in aquatic environments and can cause opportunistic infections when the conditions in engineered water systems (e.g., drinking water distribution systems and building/premise plumbing) allow them to multiply and spread primarily to individuals who are susceptible to infection, such as infants, the elderly and immunocompromised individuals.high
#D059Hemolytic uremic syndrome (HUS)results in decreased blood cell and platelet counts and acute kidney failure.high
#D060Legionnaires’ 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
#D061Pontiac fevera milder, flu-like, self-limiting and non-pneumonic disease associated with exposure to Legionella.high
#D062Enteric feveralso known as typhoid or paratyphoid fever, a serious and life-threatening illness.high
#D063Primary amebic meningoencephalitis (PAM)a rare but almost always fatal disease.high
#D064zoonotic pathogenstransmitted from animals to humanshigh
#D065shiga toxin-producing Escherichia colisubset of E. coli that can produce one or more of the potent Shiga toxins and are considered to be highly pathogenic to humanshigh
#D066trophozoitefeeding and infectious stagehigh
#D067cystresistant stage that can withstand temperatures of -20°C-56°C and provide resistance to desiccation and disinfectionhigh
#D068serotypesvariations in surface O and H antigenshigh
#D069biotypesdifferentiated by physiochemical and biochemical testshigh
#D070PFGEPulsed-field gel electrophoresishigh
#D071SBTsequence-based typinghigh
#D072MCLGmaximum contaminant level goal (a non-enforceable guideline)high
#D073MACMycobacterium avium complexhigh
#D074microaerophilicrequire lower oxygen levelshigh
#D075acidophilicacid-lovinghigh
#D076secondary disinfectionto maintain a disinfectant residual in the distribution systemhigh
#D077action levela Legionella concentration of 50,000 CFU/L [that] warrants concern and should be considered... to trigger remedial activitieshigh