Valuing the subsurface pathogen treatment barrier in water recycling via aquifers for drinking supplies

A quantitative microbial risk assessment (QMRA) was performed at four managed aquifer recharge (MAR) sites (Australia, South Africa, Belgium, Mexico) where reclaimed wastewater and stormwater is recycled via aquifers for drinking water supplies, using the same risk-based approach that is used for public water supplies. For each of the sites, the aquifer treatment barrier was assessed for its log₁₀ removal capacity much like for other water treatment technologies. This information was then integrated into a broader risk assessment to determine the human health burden from the four MAR sites. For the Australian and South African cases, managing the aquifer treatment barrier was found to be critical for the schemes to have low risk. For the Belgian case study, the large treatment trains both in terms of pre- and post-aquifer recharge ensures that the risk is always low. In the Mexico case study, the risk was high due to the lack of pre-treatment and the low residence times of the recharge water in the aquifer. A further sensitivity analysis demonstrated that human health risk can be managed if aquifers are integrated into a treatment train to attenuate pathogens. However, reduction in human health disease burden (as measured in disability adjusted life years, DALYs) varied depending upon the number of pathogens in the recharge source water. The beta-Poisson dose response curve used for translating rotavirus and Cryptosporidium numbers into DALYs coupled with their slow environmental decay rates means poor quality injectant leads to aquifers having reduced value to reduce DALYs. For these systems, like the Mexican case study, longer residence times are required to meet their DALYs guideline for drinking water. Nevertheless the results showed that the risks from pathogens can still be reduced and recharging via an aquifer is safer than discharging directly into surface water bodies.     

Effect of pathogen concentrations on removal of Cryptosporidium and Giardia by conventional drinking water treatment

The presence of waterborne enteric pathogens in municipal water supplies contributes risk to public health. To evaluate the removal of these pathogens in drinking water treatment processes, previous researchers have spiked raw waters with up to 10(6) pathogens/L in order to reliably detect the pathogens in treated water. These spike doses are 6-8 orders of magnitude higher than pathogen concentrations routinely observed in practice. In the present study, experiments were conducted with different sampling methods (i.e., grab versus continuous sampling) and initial pathogen concentrations ranging from 10(1) to 10(6) pathogens/L. Results showed that Cryptosporidium oocyst and Giardia cyst removal across conventional treatment were dependent on initial pathogen concentrations, with lower pathogen removals observed when lower initial pathogen spike doses were used. In addition, higher raw water turbidity appeared to result in higher log removal for both Cryptosporidium oocysts and Giardia cysts.     

Escherichia coli O157:H7 in drinking water from private water supplies in the Netherlands

The microbiological quality of drinking water from 144 private water supplies in the Netherlands was tested and additionally the occurrence of Escherichia coli O157 was examined. Faecal indicators were enumerated by using standard membrane filtration methods. The presence of E. coli O157 was determined using a specific enrichment method. Eleven percent of the samples contained faecal indicators whereas E. coli O157:H7 was isolated from 2.7% of the samples that otherwise met the drinking water standards. The E. coli O157 positive water supplies were located on camp-sites in agricultural areas with large grazer densities. Pulsed field gel electrophoresis (PFGE) analysis suggested that cattle might have been the cause of contamination. Our results indicate that compliance with microbiological quality standards obtained in routine monitoring does not always guarantee the absence of pathogens. The presence of pathogens such as E. coli O157 may suggest possible health consequences; however, a risk assessment process should be performed as the monitoring of both faecal indicator parameters and pathogens do not predict the effect of microbial contamination of drinking water on a population.     

Designing water supplies: Optimizing drinking water composition for maximum economic benefit

It is possible to optimize drinking water composition based on a valuation of the impacts of changed water quality. This paper introduces a method for assessing the potential for designing an optimum drinking water composition by the use of membrane desalination and remineralization. The method includes modeling of possible water quality blends and an evaluation of corrosion indices. Based on concentration-response relationships a range of impacts on public health, material lifetimes and consumption of soap have been valued for Perth, Western Australia and Copenhagen, Denmark. In addition to water quality aspects, costs of water production, fresh water abstraction and CO₂-emissions are integrated into a holistic economic assessment of the optimum share of desalinated water in water supplies. Results show that carefully designed desalination post-treatment can have net benefits up to €0.3 ± 0.2 per delivered m³ for Perth and €0.4(±0.2) for Copenhagen. Costs of remineralization and green house gas emission mitigation are minor when compared to the potential benefits of an optimum water composition. Finally, a set of optimum water quality criteria is proposed for the guidance of water supply planning and management.     

Quantitative microbial risk assessment with respect to Campylobacter spp. in toilets flushed with harvested rainwater

In light of increasing pressures on water supplies in some areas, water demand management and water conservation techniques are likely to become increasingly prevalent. In‐house systems using alternatives to mains supplies for nonpotable uses present one such option for reducing potable water demand. This paper, through a formal desk‐based health impact assessment (HIA) and quantitative microbial risk assessment (QMRA), examines one of the possible health implications (Campylobacter infection from toilet flushing) resulting from the use of rainwater harvesting in the home in the United Kingdom. This is investigated using data from the literature and a hypothetical case study population of over 4000 people (based on data for the ‘average’ population in England), with the results being expressed as disability‐adjusted life years (DALYs) (on an annual basis) and placed in context of the ‘tolerable’ risk from drinking‐water supplies.     

Using QMRA-based regulation as a water quality management tool in the water security challenge: Experience from the Netherlands and Australia

Innovation in the water sector is at play when addressing the global water security challenge. This paper highlights an emerging role for Quantitative Microbial Risk Assessment (QMRA) and health-based targets in the design and application of robust and flexible water quality regulation to protect public health. This role is especially critical as traditional supply sources are subject to increased contamination, and recycled wastewater and stormwater become a crucial contribution to integrated water supply strategies. Benefits and weaknesses of QMRA-based regulation are likely to be perceived differently by the multiple stakeholders involved. The goal of the current study is to evaluate the experience of QMRA-based regulation implementation in the Netherlands and Australia, and to draw some lessons learned for regulators, policy makers, the industry and scientists. Water experts from regulatory bodies, government, water utilities, and scientists were interviewed in both countries. This paper explores how QMRA-based regulation has helped decision-making in the Netherlands in drinking water safety management over the past decade. Implementation is more recent in Australia: an analysis of current institutional barriers to nationally harmonized implementation for water recycling regulation is presented. This in-depth retrospective analysis of experiences and perceptions highlights the benefits of QMRA-based regulation and the challenges of implementation. QMRA provides a better assessment of water safety than the absence of indicators. Setting a health target addresses the balance between investments and public safety, and helps understand risks from alternative water sources. Challenges lie in efficient monitoring, institutional support for utilities, interpretation of uncertainty by regulators, and risk communication to consumers.     

Changing from intermittent to continuous water supply and its influence on service level benchmarks: a case study in the demonstration zone of Nagpur,India

A dearth in infrastructure and operations significantly reduces the expected benefits of safe drinking water provision. Intermittent water supplies are characterized by inefficient demand and supply management owing to operational inadequacies eventually causing physical deterioration of infrastructure and inconvenience to consumers, resulting in consumer dissatisfaction. Conversion from intermittent to continuous water supply was undertaken in a demonstration zone of Nagpur, India, with a population of about 150,000 people. Data related to the infrastructural, operational, managerial and financial capabilities were used to determine service level benchmarks (SLBs) — pre- and post-intervention — to quantify the improvement due to continuous water supply interventions. The post-intervention data analysis clearly indicated substantial improvement in post-intervention SLBs, consequently paving the way for the conversion of the water supply of the entire city to continuous mode.     

MILESTONES IN THE DEVELOPMENT OF MUNICIPAL WATER TREATMENT SCIENCE AND TECHNOLOGY IN THE 19TH AND EARLY 20TH CENTURIES: PART II

The remarkable progress made in the early 20th century in improving the microbiological quality of municipal drinking water supplies is undoubtedly one of the most important factors contributing to the improved health and life expectancy of the developed world during that century. The paper highlights perceived milestones in the 19th and early 20th centuries in the scientific and technological developments in municipal water treatment practice, particularly in relation to the improvements in the chemical and biological quality of drinking water supplies. The paper concludes by summarizing key developments in the methods of measuring water quality and in the improvements in drinking water quality standards during that period.     

Incidence of adenoviruses in raw and treated water

Adenoviruses are of major public health importance and are associated with a variety of clinical manifestations, i.e. gastroenteritis, eye infections and respiratory infections. The importance of water in the epidemiology of adenoviruses and the potential health risks constituted by adenoviruses in water sources and supplies are widely recognised. This study was conducted to assess the incidence of human adenoviruses in raw and treated water systems. Various raw and treated water were routinely monitored for the presence of adenoviruses, over a 1-year period (July 2000-June 2001). The supplies were derived from acceptable quality surface water sources using treatment processes, which conform to international standards for the production of safe drinking water. Adenoviruses were detected by firstly amplifying the viruses in cell cultures and then amplifying the extracted nucleic acids of these viruses using molecular techniques (nested PCR). The results indicated human adenoviruses present in 13 (12.75%) of the raw and 9 (4.41%) of the treated water samples tested. The combination of cell culture and nested PCR has proved to be a quick and reliable method for the detection of adenoviruses in water environments.     

Low- and medium-pressure UV inactivation of microsporidia Encephalitozoon intestinalis

Newly recognized waterborne pathogens such as microsporidia are being detected in the world's water supplies with increasing frequency. Many of these organisms have been shown to cause negative health impacts for both immunocompetent as well as immunocompromised individuals. It is imperative that these emerging pathogens be investigated for their ability to resist both traditional and novel disinfection technologies that are currently in use or under consideration for drinking water treatment. Low- and medium pressure UV light is at the cutting edge of disinfection technologies for the drinking water industry. While previous UV disinfection studies have focused on the inactivation of Cryptosporidium and Giardia as well as viruses and common bacteria, this research reports the ability of low- and medium pressure UV light to inactivate > 3.6 log10 of microsporidia Encephalitozoon intestinalis spores at a dose of 6 mJ/cm2 or higher as determined using a cell culture approach.     

Mapping of fluoride endemic areas and assessment of fluoride exposure

The prevalence of fluorosis is mainly due to the consumption of more fluoride through drinking water. It is necessary to find out the fluoride endemic areas to adopt remedial measures to the people on the risk of fluorosis. The objectives of this study are to estimate the fluoride exposure through drinking water from people of different age group and to elucidate the fluoride endemic areas through mapping. Assessment of fluoride exposure was achieved through the estimation fluoride level in drinking water using fluoride ion selective electrode method. Google earth and isopleth technique were used for mapping of fluoride endemic areas. From the study it was observed that Nilakottai block of Dindigul district in Tamil Nadu is highly fluoride endemic. About 88% of the villages in this block have fluoride level more than the prescribed permissible limit in drinking water. Exposure of fluoride among different age groups was calculated in this block, which comprises 32 villages. The maximum estimated exposure doses were 0.19 mg/kg/day for infants, 0.17 mg/kg/day for children and 0.10 mg/kg/day for adults. When compared with adequate intake of minimal safe level exposure dose of 0.01 mg/kg/day for infants and 0.05 mg/kg/day for other age groups, a health risk due to fluorosis to the people in Nilakottai block has become evident. From the results, the people in Nilakottai block are advised to consume drinking water with fluoride level less than 1 mg/l. It has been recommended to the government authorities to take serious steps to supply drinking water with low fluoride concern for the fluorosis affected villages.     

Molecular detection of pathogens in water - The pros and cons of molecular techniques

Pollution of water by sewage and run-off from farms produces a serious public health problem in many countries. Viruses, along with bacteria and protozoa in the intestine or in urine are shed and transported through the sewer system. Even in highly industrialized countries, pathogens, including viruses, are prevalent throughout the environment. Molecular methods are used to monitor viral, bacterial, and protozoan pathogens, and to track pathogen- and source-specific markers in the environment. Molecular techniques, specifically polymerase chain reaction-based methods, provide sensitive, rapid, and quantitative analytical tools with which to study such pathogens, including new or emerging strains. These techniques are used to evaluate the microbiological quality of food and water, and to assess the efficiency of virus removal in drinking and wastewater treatment plants. The range of methods available for the application of molecular techniques has increased, and the costs involved have fallen. These developments have allowed the potential standardization and automation of certain techniques. In some cases they facilitate the identification, genotyping, enumeration, viability assessment, and source-tracking of human and animal contamination. Additionally, recent improvements in detection technologies have allowed the simultaneous detection of multiple targets in a single assay. However, the molecular techniques available today and those under development require further refinement in order to be standardized and applicable to a diversity of matrices. Water disinfection treatments may have an effect on the viability of pathogens and the numbers obtained by molecular techniques may overestimate the quantification of infectious microorganisms. The pros and cons of molecular techniques for the detection and quantification of pathogens in water are discussed.     

An assessment of the costs and benefits of interventions aimed at improving rural community water supplies in developed countries

We report a cost benefit analyses (CBA) for water interventions in rural populations of developed country sub-regions. A Bayesian belief network was used to estimate the cost benefit ratio using Monte Carlo simulation. Where possible we used input data from recently published primary research or systematic reviews. Otherwise variables were derived from previous work in the peer-reviewed or grey literature. For these analyses we considered the situation of people with small and very small community supplies that may not be adequately managed. For the three developed country sub-regions Amr-A (America region A), Eur-A (European region A) and Wpr-A (Western Pacific region A), we estimate the costs of acute diarrhoeal illness associated with small community supplies to be U$4671 million (95% CI 1721-9592), the capital costs of intervention to be US$13703 million (95% CI 6670-20735), additional annual maintenance to be US$804 million (95%CI 359-1247) and the CB ratio to be 2.78 (95%CI 0.86-6.5). However, we also estimated the cost of post infectious irritable bowel syndrome (IBS) following drinking water-associated acute gastroenteritis to be US$11896 million (95%CI 3118-22657). When the benefits of reduced IBS are added to the analysis the CB ratio increases to 9.87 (95%CI 3.34-20.49). The most important driver of uncertainty was the estimate of the cost of illness. However, there are very few good estimates of costs in improving management of small rural supplies in the literature.Investments in drinking-water provision in rural settings are highly cost beneficial in the developed world. In the developed world, the CB ratio is substantially positive especially once the impact of IBS is included.     

Detection of enteroviruses in untreated and treated drinking water supplies in South Africa

Enteric viruses have been detected in many drinking water supplies all over the world. A meaningful number of these supplies were treated and disinfected according to internationally acceptable methods. In addition, counts of bacterial indicators (coliform bacteria and heterotrophic plate count organisms) in these water supplies were within limits generally recommended for treated drinking water and these findings have been supported by epidemiological data on infections associated with drinking water. The shortcomings of conventional treatment methods and indicator organisms to confirm the absence of enteric viruses from drinking water, was generally ascribed to the exceptional resistance of these viruses. In this study, the prevalence of enteroviruses detected from July 2000 to June 2002 in sewage, river-, borehole-, spring- and dam water as well as drinking water supplies treated and disinfected according to international specifications for the production of safe drinking water was analysed. A glass wool adsorption-elution technique was used to recover viruses from 10--20 l of sewage as well as environmental water samples, in the case of drinking water from more than 100 l. Recovered enteroviruses were inoculated onto two cell culture types (BGM and PLC/PRF/5 cells) for amplification of viral RNA with nested-PCR being used to detect the amplified viral RNA. Results from the study demonstrated the presence of enteroviruses in 42.5% of sewage and in 18.7% of treated drinking water samples. Furthermore, enteroviruses were detected in 28.5% of river water, in 26.7% of dam/spring water and in 25.3% of borehole water samples. The high prevalence of coxsackie B viruses found in this study suggested, that a potential health risk and a burden of disease constituted by these viruses might be meaningful. These findings indicated that strategies, other than end-point analysis of treated and disinfected drinking water supplies, may be required to ensure the production of drinking water that does not exceed acceptable health risks. More reliable approaches to ensure acceptable safety of drinking water supplies may be based on control by multiple-barrier principles from catchment to tap using hazard assessment and critical control point (HACCP) principles.     

The Impact of Plastic Materials on Iron Levels in Village Groundwater Supplied in Malawi

I ron is not normally considered to be a constituent of health significance, and recommended limits for iron in drinking water supplies are based on aesthetic considerations. Experience in Malawi has demonstrated that, even when present in only trace amounts, iron can influence the consumer's acceptance of an improved borehole supply. The effect of the use of plastic construction materials on the iron content of village groundwater supplies was investigated using a statistical approach. The majority of groundwater points using only plastic materials was found to supply water containing less than the WHO guideline value of 0.3 mg/l iron. In contrast, the use of ferrous-materials increased the iron content of the water to unacceptable levels, sometimes causing the consumers to reject the borehole as a source of drinking water.
Bacteriological data show that the quality of the alternative, traditional supply is far inferior to the new improved supply. An otherwise perfectly safe supply may therefore be abandoned as a direct result of contamination introduced by 'down the hole' components. This frustrates efforts to improve the well-being of rural communities, and is a waste of precious development resources.     

Cost-effectiveness analysis of risk-reduction measures to reach water safety targets

Identifying the most suitable risk-reduction measures in drinking water systems requires a thorough analysis of possible alternatives. In addition to the effects on the risk level, also the economic aspects of the risk-reduction alternatives are commonly considered important. Drinking water supplies are complex systems and to avoid sub-optimisation of risk-reduction measures, the entire system from source to tap needs to be considered. There is a lack of methods for quantification of water supply risk reduction in an economic context for entire drinking water systems. The aim of this paper is to present a novel approach for risk assessment in combination with economic analysis to evaluate risk-reduction measures based on a source-to-tap approach. The approach combines a probabilistic and dynamic fault tree method with cost-effectiveness analysis (CEA). The developed approach comprises the following main parts: (1) quantification of risk reduction of alternatives using a probabilistic fault tree model of the entire system; (2) combination of the modelling results with CEA; and (3) evaluation of the alternatives with respect to the risk reduction, the probability of not reaching water safety targets and the cost-effectiveness. The fault tree method and CEA enable comparison of risk-reduction measures in the same quantitative unit and consider costs and uncertainties. The approach provides a structured and thorough analysis of risk-reduction measures that facilitates transparency and long-term planning of drinking water systems in order to avoid sub-optimisation of available resources for risk reduction.     

原水氨氮较高期间氯耗高的原因及对策

汕头市月浦水厂近年来在3月-5月间常出现持续10多天的原水氨氮浓度较高的现象,此间氯耗显著增高.针对这一问题,从水体及制水构筑物的耗氯情况、加氯方式以及余氯测定方法造成的影响三个方面进行了分析,建议原水氨氮浓度较高期间采取定期向各构筑物内投加适量次氯酸钙（漂粉精）,对出厂水余氯以总氯控制代替游离氯控制,统一使用DPD法测定余氯等措施加以解决.     

Heavy metal contamination of water, soil and produce within riverine communities of the Río Pilcomayo basin, Bolivia

The Río Pilcomayo heads on the Cerro Rico de Potosí precious metal-polymetallic tin deposits of Southern Bolivia. Mining of the Potosí deposits began in 1545 and has led to the severe contamination of the Pilcomayo's water and sediments for at least 200 km downstream of the mines. This investigation addresses the potential human health affects of metal and As contamination on four communities located along the upper Río Pilcomayo by examining the potential significance of human exposure pathways associated with soils, crops and water (including river, irrigation and drinking water supplies). The most significantly contaminated agricultural soils occur upstream at Mondragón where Cd, Pb and Zn concentrations exceed recommended guideline values for agricultural use. Further downstream the degree of contamination decreases, and metal concentrations are below Dutch, German and Canadian guideline values. Metal and As concentrations in agricultural products from the four communities were generally below existing guidelines for heavy metal content in commercially-sold vegetables. Thus, the consumption of contaminated produce does not appear to represent a significant exposure pathway. A possible exception is Pb in carrots, lettuce and beetroots from Sotomayor and Tuero Chico; 37% and 55% of the samples, respectively, exceeded recommended guidelines. Most communities obtain drinking water from sources other than the Río Pilcomayo. In general, dissolved concentrations of metals and As in drinking water from the four studied communities are below the WHO guideline values with the exception of Sb, which was high at Tasapampa. The inadvertent ingestion of contaminated water from irrigation canals and the Río Pilcomayo represents a potential exposure pathway, but its significance is thought to be minimal. Given the degree of soil contamination in the area, perhaps the most significant exposure pathway is the ingestion of contaminated soil particles, particularly particles attached to, and consumed with vegetables. The risks associated with this pathway can be reduced by thoroughly washing or peeling the vegetables prior to consumption. Other exposure pathways that are currently under investigation include the consumption of contaminated meat from livestock and poultry, which drink polluted waters and the ingestion of contaminated wind-blown dust.     

Health Risks of Chlorination - is there a Problem?

C hlorine is an effective and reliable disinfectant whose use in the treatment of drinking water has ensured water of high microbiological quality. Although the benefits of chlorination are beyond doubt, the fact that chlorine reacts with many of the organic substances in raw waters forming some substances of potential risk to health has led to concern and has stimulated a series of investigations. These investigations have used a variety of approaches and techniques, including advanced organic analysis, epidemiology, and toxicology. The paper reviews this research and discusses some of the factors affecting the risks associated with drinking chlorinated water.