Water heating by a domestic water heater. Two conflicting safety issues affect water heater temperature—the risk of scalding from excessively hot water greater than , and the risk of incubating bacteria colonies, particularly "Legionella", in water that is not hot enough to kill them. Both risks are potentially life-threatening and are balanced by setting the water heater's thermostat to . The European Guidelines for Control and Prevention of Travel Associated Legionnaires’ Disease recommend that hot water should be stored at and distributed so that a temperature of at least and preferably is achieved within one minute at points of use. If there
Lyme disease spread. In Europe ticks of the "Ixodes ricinus" type may spread the bacteria more quickly. In North America, "Borrelia burgdorferi" and "Borrelia mayonii" are the cause. In Europe and Asia, the bacteria "Borrelia afzelii" and "Borrelia garinii" are also causes of the disease. The disease does not appear to be transmissible between people, by other animals, or through food. Diagnosis is based upon a combination of symptoms, history of tick exposure, and possibly testing for specific antibodies in the blood. Blood tests are often negative in the early stages of the disease. Testing of individual ticks is not typically useful.