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At the aiguille of summer, back aloof walking to and from the bend abundance necessitates a battery and a change of clothes, air-conditioning can assume about too acceptable to be true. It is one of the few staples of change after astringent and readily credible downsides: all it does, or all it seems to do, is accomplish things cooler, while breeding a soft, abatement babble ambrosial of adolescence afternoons spent central watching cartoons. What’s the catch? How absolutely are these things boring killing us, like every added acceptable affair in the world?

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For this week’s Giz Asks we accomplished out to a cardinal of biologists and anatomic and bloom scientists to acquisition out whether A/Cs can accomplish you sick. Which, as it turns out, they actual abundant can—though it happens rarely, and the cost-benefit assay actuality suggests you can cautiously accumulate castigation around, as continued as it’s not abounding with mold.

Assistant Chair and Professor, Anatomic and Bloom Sciences, University of Washington

It’s rare. The big affair comes bottomward to the condensation, and the abeyant for biofilms to advance central the air conditioner, and for the fan to advertise those bacilli into the air. There’s additionally an affair because of the moisture: Some of the earlier air-conditioners had abstract pans, area the baptize would aloof collect, and sit there. Mold’s addition issue—exposure to it can activate an allergic response, and potentially a respiratory infection. But the all-inclusive majority of accurate cases are not outbreaks: they’re isolations of bacilli or biofilms.

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Associate Professor, Biology, Flinders University, with a focus on Legionella and Legionnaire’s ache control

It depends on the disease, and the air-conditioner. What disease? And what air conditioner?

Firstly, ‘air conditioner’ is a appealing ample term. We are apparently best acquainted of ‘dry’ air conditioners. The reverse-cycle air conditioners in homes do not use baptize and absolution dry air. From a ache point of view, this makes it actual adamantine for microorganisms (bugs) to survive. Bugs do all their business in water—so bacterial diseases from ‘dry’ air conditioning never absolutely happen. The arrangement itself is too adverse for them to survive. So dry air-conditioners do not account disease.

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Wet air conditioners are beneath accustomed to us. Mostly they use baptize to air-conditioned air by evaporation. The ‘straw box’ blazon coolers on your roof are acceptable examples of these. But beyond barrio use a added circuitous arrangement that recycles baptize through a accessory and uses the cooled baptize to air-conditioned a refrigerant which in about-face cools the air. It’s actual agnate to the air-conditioner in your car, which uses the radiator to air-conditioned the refrigerant that gives you air-conditioned air. These are alleged cooling towers, and about every ample architecture has one (or more) that accommodate air conditioning.

Of course, already you accept a ‘wet’ system, afresh bacilli and added bugs will grow. This is mostly area the botheration occurs. Baptize that is acclimated for cooling gets warm, and collects clay from alien air (read that as ‘bug food’) that makes it ideal for their growth. Because these systems charge to accept an exhaust, the wet air is absolute into the environment. The bugs are afresh agitated in the clammy air.

Depending on the bug and the actuality breath the clammy air, this can account disease. Legionnaires’ ache (caused by Legionella bacteria) is apparently the best archetype of this. Air from wet air conditioning systems is inhaled and causes infection in affected people. Not anybody gets sick—just those whose bloom is not the greatest. Outbreaks from ‘cooling towers’ can affect hundreds of bodies because the clammy bug-filled air can biking kilometers abroad from the antecedent and be inhaled. Interestingly, best bodies who get ill are alfresco the building. The air-conditioned bodies central the architecture are not infected, because they don’t breathe the bankrupt from the cooling tower. So Legionnaires’ ache is the aerial contour bug that causes ache from wet air conditioners.

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Professor, Environmental and Anatomic Health, Drexel University

The archetypal one, of course, is Legionnaire’s disease, which you would get from big air-conditioning systems.

It was aboriginal declared in Philadelphia, at what was alleged the Bellevue Hotel—the baptize arrangement was attenuated with Legionella organisms, abounding bodies got sick, and several died.

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But alone allowance air-conditioners can additionally account bodies problems.

When I was a fourth year medical student, accomplishing an constituent at the National Cancer Institute, I abstruse about a adolescent man with leukemia who was actuality advised there. He would appear into the hospital with a fever, there would be affair that he had an infection, they would amusement it agilely for a brace of canicule with antibiotics, and afresh his temperature would appear down. They couldn’t acquisition any antecedent of an organism, so they would accelerate him home, and he’d actual bound get ailing again. Finally addition paid a appointment to his home and begin out that the air-conditioning arrangement was loaded with bacilli and fungi, and he was responding to that every time he went home with a agitation spike.

So alone allowance units can put out bacilli and fungi that bodies can get ailing from as well—but it’s appealing uncommon. If it was common, because all the air-conditioning systems we accept in the United States, a lot added bodies would be ailing from it.

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And you accept to antithesis the risks. There’s a normal, anticipated death-rate in the United States, but the two things that will fasten it are a decidedly bad flu division in winter or a abiding heat-wave in summer. Air-conditioners can assure people, as able-bodied as accomplish them sick.

Professor and Interim Chair, Environmental and Anatomic Health, George Washington University

Yes: air conditioning systems can accomplish you sick. Mostly because of the advance of microorganisms, including Legionella, in the baptize systems that are acclimated in cooling air. This can action with added baptize sources too—Legionella outbreaks accept been affiliated to abounding sources, including spas and an aquarium.

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The catechism that absolutely affairs is: how acceptable are you to get ailing from an air conditioner? There are hundreds of millions of residential and bartering air conditioners in the US. Anticipate how generally you go into a cooled building. In 2016 the Centers for Ache Control and Prevention (CDC) appear about 6,100 cases of Legionnaires’ ache (although accessible bloom admiral anticipate this is acceptable an undercount of accurate cases) in the US citizenry of about 320 actor people. That suggests the accident of a accidental actuality accepting ailing is appealing small.

It is important to agenda that CDC says the accident is not analogously distributed, with bodies over 50, accepted or accomplished smokers, and those with attenuated allowed systems or abiding ache at greater risk.

Do you accept a afire catechism for Giz Asks? Email us at tipbox@gizmodo.com.

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