Harper Water

Blog Archive

Pseudomonas Colonisation: No Quick Fix

We underestimate the tenacity of our waterborne pathogens.  They endure.  A recent paper by William Stribling and team from the Multi-Drug-Resistant Organism Repository and Surveillance...

Reducing Water Services = Improved Patient Safety

Congratulations to the Royal Society for Public Health who organised an insightful lunchtime webinar on 3rd September 2025 (https://www.rsph.org.uk/events/) delivered by Professor Michael Gormley from...

Non-Tuberculous Mycobacteria Shared Learnings

The Harper Water team are active within Project Water Safety Groups in several new build and refurbishment projects impacting high risk patient groups such as adult and neonatal intensive care...

The “F” Word – Flushing

Flushing outlets within healthcare facilities is a commonly undertaken measure that involves discharging a volume of water – hot and cold – at selected locations as a compensating behaviour and to...

Complex Relationships with Drinking Water Disinfectants

Effective operational management and use of in-premise hot and cold water systems is essential to reduce risk of waterborne pathogen colonisation, amplification and transmission.  The most...

Inadequate Temperature & Throughput = Ideal Legionella Conditions

There is much talk about reducing in-premise hot water temperatures in order to save energy and move towards net zero goals.  However, there is little evidence to support adequate control of...

Environmental CRO Contamination in New Hospital Buildings – What to do about the waste water interface?

How long does it take for multi-drug resistant organisms to take up residence within environmental reservoirs and niches of newly built healthcare facilities?  Sadly this may be before building...

Investigating Drain-Life

Multiple studies have identified that handwash basin, sink and shower drains and ubends play a role in the transmission of healthcare-acquired antibiotic-resistant infections, particularly those...

Water Sources Highlight A Patient Care Gap

Clinical handwash basins, healthcare sinks and showers along with their u-bends and wastewater drains are not addressed as infection sources.  The plethora of recently published waterborne infection...

Recognising Hazards & Seeing Risks

Sinkevitch and co-workers from the US Centers for Disease Control & Prevention (CDC) have recently reported on the investigation into three cases of Mycobacterium abscessus colonisation and/or...

Think Pink – Serratia marcescens strikes again

Occasionally a paper pops up which raises a red flag of concern – or in this case pink.  Serratia marcescens belongs to the Enterobacteriacae family and is a common water dweller.  There...

Moulds in Drinking Water

The main focus on fungal contamination within healthcare facilities is directed at air quality and ventilation, however a relatively common source is in-premise water networks.  Fungi can become...

Continuous Risk Recognition from Drinking Water Sources

Recent publications have supported recognition of risk relevant to in-premise water services, and this month our attention has been captured by three American publications. Firstly, Najjar-Debbiny et...

Derogate to Improve In-Premise Water Hygiene

The new NHS England publication on “Processes for Managing & Reporting Derogations from Estates Technical Standards & Guidance”...

The conflicts between energy-saving and water hygiene

Ongoing drivers in environmental sustainability have led to pressure and increasing responsibility on building owners and managers to consider energy saving measures during day-to-day operation of...

Multi-Drug Resistant Microorganisms In Your Drains

Evidence linking the role of water services – both potable influent and waste waters – in the transmission of waterborne pathogens such as Legionella pneumophila, Pseudomonas aeruginosa...

Is Bottled Drinking Water Quality Suitable for Patient Consumption?

The provision of bottled water for patient consumption and assessment of the microbial risk remains a blind spot for infection prevention teams and water safety groups.  Few consider that bottled...

Thermostatic Mixing Valves & Water Hygiene

Authors: David Harper & Dr. Catherine Whapham Contamination of Thermostatic Mixer Valve (TMV) Taps In August 2022, Meda & Gentry from Frimley Park Hospital, published a letter in the Journal...

Fungal Spores in Drinking Water – Aspergillus, Fusarium, Candida, Cryptococcus and others

The College of Environmental Science and Engineering at Tongii University, Shanghai (Zhao et al, 2022) have completed an important review and analysis of published literature on the presence of fungi...

Non-Tuberculous Mycobacteria – a 21st Century Waterborne Pathogen

Non-Tuberculous Mycobacteria (NTM) are microorganisms which can be found everywhere in our environment, not just in water but in soil, vegetation, aerosols and dust particles.  There are over 170 NTM...

Catching Killers

New Learning About Legionella With two new Legionella species discovered within the last 12 months it is clear that we continue to learn about this waterborne bacterium.  Two recently published...

Construction Concerns?

How well do we really understand the multiple factorial parameters that can influence Legionella, Pseudomonas, non-tuberculous mycobacteria, Stenotrophomonas and other waterborne pathogen survival and...

Protecting High Risk Patients from Waterborne Infection

Patients undergoing bone marrow transplantation (BMT) are profoundly immunosuppressed.  Their susceptibility to even very low concentrations of environmental microorganisms including waterborne...

Pseudomonas aeruginosa – Hiding in Plain Sight

The team from the Department of Civil and Environmental Engineering, National University of Singapore, have recently published on the functionality of Pseudomonas aeruginosa following exposure to...

Risks at The Water’s Edge

Until recently it was a rarity to read about Cupriavidus pauculus – an occasional case study perhaps – it was certainly not a waterborne pathogen at the centre of outbreak investigations like...

Water System Plastic Pipework – Not That Innocent?

Water system plastic pipes and storage tanks are commonly used in construction due to their ease of installation and low cost, and are typically made from high-density polyethylene and poly-vinyl...

Why do shower hoses pose a potential Legionella, Pseudomonas aeruginosa, non-tuberculous mycobacteria and other waterborne opportunistic pathogens’ infection risk for users?

Showering is a well acknowledged infection source for waterborne pathogens such as  Legionella, Pseudomonas aeruginosa, non-tuberculous mycobacteria in shower hoses and shower heads (see blog...

Legionella, Pseudomonas aeruginosa and NTM (non-tuberculous mycobacteria) in household showers: Should we take note?

Do Legionella, Pseudomonas aeruginosa and non-tuberculous mycobacteria in household showers occur and, if yes, do they play any role in consumers’ health? We know that Legionella is a waterborne...

Legionella in private homes: Can they cause infections?

In the last 20 years many reports have been published about private homes’ water systems being contaminated with Legionella, with hot water temperature being probably the most important factor for...

Re-opening your building & Water Safety Planning?

As we enter this critical ramp up phase in preparation and planning, how robust is your water safety planning, and how confident are you with the suitability of your risk assessment and pre-pandemic...

Covid-19 Pandemic & Water Installations: a Legionella Contamination Risk?

During the 2020/21 pandemic many buildings including hotels, schools, universities, student accomodation blocks, fitness and leisure centers have been closed for several months. This change in normal...