“…Biofilms in DWDS may harbor pathogens (WHO 2011; van der Wielen and van der Kooij 2013; Qin et al 2017) that may be causative agents of waterborne diseases (Gulati and Ghosh 2017). Biofilm development in DWDS is dependent on several factors, particularly nutrient availability, temperature, the characteristics of the adhesion surface, hydrodynamic conditions and the presence/concentration of disinfectants (Inkinen et al 2018). Materials typically used in DWDS, particularly in household and hospital plumbing, are comprised of plastics (for example, polyvinyl chloride-PVC, chlorinated PVC, polypropylene, polyethylene-PE, and polybutylene) and metallics (copper, galvanized iron, cast iron, galvanized steel) (WHO 2006).…”