This was, oddly, for regulatory reasons; the concern was that a blocked mixer unit could cause hot water (considered potentially unsafe) to be forced into the mains supply (presumed safe). This hasn't been a concern with mixer designs for a long time, but it took til the 90s to get the rule changed.
Hot water getting into the mains would be a concern anywhere; in particular, unless all equipment is in perfect working order, there's a legionnaires disease risk, but there are many other risks.