Bacteria have been shown to live in "premises plumbing systems". The latter refers to the "pipes and fixtures within a building that transport water to taps after it is delivered by the utility". Community water systems have been known for centuries to spread waterborne diseases like typhoid and cholera. However, "opportunistic premises plumbing pathogens" have been recognized only more recently: Legionella pneumophila, discovered in 1976, Mycobacterium avium, and Pseudomonas aeruginosa are the most commonly tracked bacteria, which people with depressed immunity can inhale or ingest and may become infected with. Some of the locations where these opportunistic pathogens can grow include faucets, shower heads, water heaters and along pipe walls. Reasons that favor their growth are "high surface-to-volume ratio, intermittent stagnation, low disinfectant residual, and warming cycles". A high surface-to-volume ratio, i.e. a relatively large surface area allows the bacteria to form a biofilm, which protects them from disinfection.
Most states and localities require plumbers to be licensed. Although licensing requirements vary, most states and localities require workers to have 2 to 5 years of experience and to pass an exam that shows their knowledge of the trade and of local plumbing codes before they are permitted to work independently. In addition, most employers require plumbers to have a driver’s license.