“…Regarding aerosol dispersion (quantity, size), the discrepancy between the results from the different studies is due to the different methods and apparatuses used to measure the air bacteria concentration and to numerous other factors, such as ambient humidity, type of shower stall, design of the showerhead, water temperature, piping materials, human occupants or bacterial communities and biofilm development. Several publications (Chattopadhyay et al, 2017;Cowen and Ollison, 2006;Estrada-Perez et al, 2018;O'Toole et al, 2009;Perkins et al, 2009;Zhou et al, 2007) have shown that (i) a shower with the low-flow showerhead generates a significantly higher number of aerosols than a high-flow shower. (ii) A hot shower (approximately 40°C) increases the rate of evaporation; therefore, the number of small particles within the breathable range is increased, and the culturability of cells is decreased with the turn off to the VBNC state, as shown for Pseudomonas and Legionella.…”