Legionnaires’ disease could potentially spread through toilet flushing, which releases invisible “plumes” of contaminated water into the air, according to a new report.

The report, published Wednesday (June 10) in the journal Emerging Infectious Diseases, describes the cases of two patients at a hospital in France who likely contracted Legionnaires’ disease through inhaling contaminated toilet water that was aerosolized during flushing. The patients stayed in the same hospital room but five months apart.

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