Abstract
Large numbers of bacteria and viruses when seeded into household toilets were shown to remain in the bowl after flushing, and even continual flushing could not remove a persistent fraction. This was found to be due to the adsorption of the organisms to the porcelain surfaces of the bowl, with gradual elution occurring after each flush. Droplets produced by flushing toilets were found to harbor both bacteria and viruses which had been seeded. The detection of bacteria and viruses falling out onto surfaces in bathrooms after flushing indicated that they remain airborne long enough to settle on surface throughout the bathroom. Thus, there is a possibility that a person may acquire an infection from an aerosol produced by a toilet.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Artenstein M. S., Miller W. S. Air sampling for respiratory disease agents in army recruits. Bacteriol Rev. 1966 Sep;30(3):571–572. doi: 10.1128/br.30.3.571-572.1966. [DOI] [PMC free article] [PubMed] [Google Scholar]
- BUCKLAND F. E., TYRRELL D. A. Loss of infectivity on drying various viruses. Nature. 1962 Sep 15;195:1063–1064. doi: 10.1038/1951063a0. [DOI] [PubMed] [Google Scholar]
- Bound W. H., Atkinson R. I. Bacterial aerosol from water closets. A comparison of two types of pan and two types of cover. Lancet. 1966 Jun 18;1(7451):1369–1370. doi: 10.1016/s0140-6736(66)92156-8. [DOI] [PubMed] [Google Scholar]
- Couch R. B., Douglas R. G., Jr, Lindgren K. M., Gerone P. J., Knight V. Airborne transmission of respiratory infection with coxsackievirus A type 21. Am J Epidemiol. 1970 Jan;91(1):78–86. doi: 10.1093/oxfordjournals.aje.a121115. [DOI] [PubMed] [Google Scholar]
- DARLOW H. M., BALE W. R., CARTER G. B. Infection of mice by the respiratory route with Salmonella typhimurium. J Hyg (Lond) 1961 Sep;59:303–308. doi: 10.1017/s0022172400038961. [DOI] [PMC free article] [PubMed] [Google Scholar]
- DARLOW H. M., BALE W. R. Infective hazards of water-closets. Lancet. 1959 Jun 6;1(7084):1196–1200. doi: 10.1016/s0140-6736(59)91201-2. [DOI] [PubMed] [Google Scholar]
- DAVIS J. E., SINSHEIMER R. L. The replication of bacteriophage MS2. 1. Transfer of parental nucleic acid to progeny phage. J Mol Biol. 1963 Mar;6:203–207. doi: 10.1016/s0022-2836(63)80069-8. [DOI] [PubMed] [Google Scholar]
- DuPont H. L., Hornick R. B., Snyder M. J., Libonati J. P., Formal S. B., Gangarosa E. J. Immunity in shigellosis. II. Protection induced by oral live vaccine or primary infection. J Infect Dis. 1972 Jan;125(1):12–16. doi: 10.1093/infdis/125.1.12. [DOI] [PubMed] [Google Scholar]
- HUTCHINSON R. I. Some observations on the method of spread of Sonne dysentery. Mon Bull Minist Health Public Health Lab Serv. 1956 Jun;15:110–118. [PubMed] [Google Scholar]
- Hendley J. O., Wenzel R. P., Gwaltney J. M., Jr Transmission of rhinovirus colds by self-inoculation. N Engl J Med. 1973 Jun 28;288(26):1361–1364. doi: 10.1056/NEJM197306282882601. [DOI] [PubMed] [Google Scholar]
- Kingston D. Selective media in air sampling: a review. J Appl Bacteriol. 1971 Mar;34(1):221–232. doi: 10.1111/j.1365-2672.1971.tb02280.x. [DOI] [PubMed] [Google Scholar]
- Newsom S. W. Microbiology of hospital toilets. Lancet. 1972 Sep 30;2(7779):700–703. doi: 10.1016/s0140-6736(72)92102-2. [DOI] [PubMed] [Google Scholar]
- SABIN A. B. Behavior of chimpanzee avirulent poliomyelitis viruses in experimentally infected human volunteers. Am J Med Sci. 1955 Jul;230(1):1–8. doi: 10.1097/00000441-195507000-00001. [DOI] [PubMed] [Google Scholar]
- Sobsey M. D., Wallis C., Henderson M., Melnick J. L. Concentration of enteroviruses from large volumes of water. Appl Microbiol. 1973 Oct;26(4):529–534. doi: 10.1128/am.26.4.529-534.1973. [DOI] [PMC free article] [PubMed] [Google Scholar]
- THOMSON S. The number of bacilli harboured by enteric carriers. J Hyg (Lond) 1954 Mar;52(1):67–70. doi: 10.1017/s0022172400027261. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wallis C., Grinstein S., Melnick J. L., Fields J. E. Concentration of viruses from sewage and excreta on insoluble polyelectrolytes. Appl Microbiol. 1969 Dec;18(6):1007–1014. doi: 10.1128/am.18.6.1007-1014.1969. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wallis C., Henderson M., Melnick J. L. Enterovirus concentration on cellulose membranes. Appl Microbiol. 1972 Mar;23(3):476–480. doi: 10.1128/am.23.3.476-480.1972. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wallis C., Melnick J. L. Concentration of enteroviruses on membrane filters. J Virol. 1967 Jun;1(3):472–477. doi: 10.1128/jvi.1.3.472-477.1967. [DOI] [PMC free article] [PubMed] [Google Scholar]