https://www.sciencedaily.com/releases/2018/07/180726085742.htm

Biofilms, which are similar to the films that grow on the glass of fish tanks, are present in almost all plumbing systems and anchor themselves to mineral scale buildups in pipes. They are teeming with harmless microbial life and incidents of waterborne illness are rare.

"The groundwater that supplies many cities may be high in magnesium and calcium," said Helen Nguyen, a professor of civil engineering and co-author of the study. "When combined with other elements, they can form thick deposits of mineral scale that clog up engineered water systems. Because of this, water treatment plants add chemicals called polyphosphates to dissolve the minerals to keep the scale buildup under control."