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@loveblue

I am astounded at the confusion surrounding cleaning of the nebulizer. I think even the experts change their minds frequently. I was told at National Jewish last fall that Dawn liquid detergent was the chosen cleaner over vinegar and if equipment is dry after cleaning, there is no chance of reinfecting with MAC. So why would it matter about rinsing with boiled water? I bought a baby sterilizer and now NJ says the preferred method is microwaving. My daily process has been to let the arobika and nebulizing equipment soak about 15 minutes in warm water with Dawn liquid detergent. Rinsing with regular water then using the bottle sterilizer for 8 minutes with distilled water. Then I put a nail fan on the parts to dry them. Yikes....Now I am concerned once again about what to do. Boiling water seems like a LOT of work.

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Replies to "I am astounded at the confusion surrounding cleaning of the nebulizer. I think even the experts..."

@loveblue, I believe that your cleaning methods are sufficient. If I were a resident of Wisconsin, then I would never use tap water for any part of my cleaning as the water there seems to have the highest incidence of mac.

Another Wisconsin Resident on board. I would be interested in knowing if we are in certain regions. I see South Carolina and the east coast and Wisconsin. Do we have some West Coast? I understand that Oregon is high also

@jkiemen , The hot-spot regions for mac are: Arizona, California, Hawaii, Florida, New Hampshire, and Wisconsin. These states have the highest incidence of reported mac infections.

and in Wisconsin, we have allot of people that spend half the year in Arizona and Florida
Also I am wondering about the larger area in Wisconsin were this is being detected. South East Wisconsin seems to be a big area but there are also many larger medical centers in that area. So is the diagnosis the key and other area underdiagnosed or is it just the area.

Good question. People living in rural areas or small towns could easily be under or misdiagnosed. Or simply never even seek medical treatment due to lack of insurance coverage or access to major medical centers.

@jkiemen, South East Wisconsin seems to be a hotbed for mac. I know that some of the counties there are supplied by water that is open reservoirs; which means that lots of natural organisms live there in it.