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Matos de Oliveira YL, Lima ETS, Rott MB, Fernandes RPM, Jain S, de Aragão Batista MV, Santana Dolabella S. Occurrence, molecular diversity and pathogenicity of Acanthamoeba spp. isolated from aquatic environments of Northeastern Brazil. INTERNATIONAL JOURNAL OF ENVIRONMENTAL HEALTH RESEARCH 2023; 33:1686-1696. [PMID: 36041225 DOI: 10.1080/09603123.2022.2117280] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/19/2022] [Accepted: 08/22/2022] [Indexed: 06/15/2023]
Abstract
Acanthamoeba is a free-living amoeba (FLA) that is ubiquitous in nature and can cause serious pathologies in humans. This protozoan has been detected in several environmental sources, such as soil, water, and swimming pools. The aim of this study was to evaluate the occurrence and molecular diversity of Acanthamoeba spp. in aquatic environments of the state of Sergipe, northeastern Brazil, and to determine the pathogenic potential of the isolated samples. A total of 138 samples were collected from 69 aquatic environments and, after cell culture, 74% of the samples were positive for FLA, 47% belonging to the genus Acanthamoeba. Genotypic analysis was performed using the primers JDP1 and JDP2, confirming distinct Acanthamoeba genotypes: 18 (75%) isolates belonging to genotype T4, two (8%) to T3, and one isolate (4%) to genotype T5. Tests carried out to analyze the pathogenic potential showed that 11 isolates could grow at 0.5 M mannitol concentration and seven isolates supported hyperosmolarity. In the thermotolerance test, two isolates grew at 37°C. These results confirm the presence and the pathogenic potential of FLA of the genus Acanthamoeba in aquatic environments of the municipalities of Sergipe.
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Affiliation(s)
- Yrna Lorena Matos de Oliveira
- Laboratory of Entomology and Tropical Parasitology, Department of Morphology, University of Sergipe, São Cristóvão, Sergipe, Brazil
| | - Erica Tirzah Santos Lima
- Laboratory of Entomology and Tropical Parasitology, Department of Morphology, University of Sergipe, São Cristóvão, Sergipe, Brazil
- Postgraduate Program in Industrial Biotechnology, Universidade Tiradentes, Aracaju, Sergipe, Brazil
| | - Marilise Brittes Rott
- Department of Microbiology, Immunology and Parasitology, Institute of Basic Health Sciences, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | | | - Sona Jain
- Postgraduate Program in Industrial Biotechnology, Universidade Tiradentes, Aracaju, Sergipe, Brazil
| | - Marcus Vinicius de Aragão Batista
- Laboratory of Molecular Genetics and Biotechnology, Department of Biology, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil
| | - Silvio Santana Dolabella
- Laboratory of Entomology and Tropical Parasitology, Department of Morphology, University of Sergipe, São Cristóvão, Sergipe, Brazil
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Development of a Tool for Modeling the Fecal Contamination in Rivers with Turbulent Flows—Application to the Seine et Marne Rivers (Parisian Region, France). WATER 2022. [DOI: 10.3390/w14081191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/07/2022]
Abstract
Bacterial pollution in the water comes in particular from Escherichia coli and fecal coliforms, responsible for gastroenteritis and diarrhea, intestinal streptococci or enterococci (urinary tract infections and peritonitis), salmonella which can cause serious gastroenteritis, shigella (dysen-teritis, gastroenteritis), cholera vibrio (cholera). As 23 sites on the Seine and Marne Rivers (Parisian Region) would be identified as the natation competition sites for the Paris-2024 Olympic and Paralympic Games, the water quality at these sites should be seriously monitored. Numerical modeling can be considered one powerful tool to watch the water quality parameters. However, measurements show that the water quality is not homogeneous in a river cross-section, and one-dimensional (1D) models are not enough to accurately calculate the bacteriological concentration dispersion in the aquatic environments. Therefore, a two-dimensional model has been developed by coupling the TELEMAC-2D model and its water quality module WAQTEL for simulating bathing water quality in the Seine and Marne Rivers. The model was validated against in situ measurements and was compared against a 1D model. Results show that this model can simulate not only the longitudinal evolution but also the transverse dispersion of bacteriological pollutants. Then, a 3D multi-layer model has been developed around a bathing site using the TELEMAC-3D model. The result of the 3D model is promising and allows us to get a finer representation of the bacteriological concentration in three dimensions.
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Roviello V, Gilhen-Baker M, Vicidomini C, Roviello GN. The Healing Power of Clean Rivers: In Silico Evaluation of the Antipsoriatic Potential of Apiin and Hyperoside Plant Metabolites Contained in River Waters. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19052502. [PMID: 35270196 PMCID: PMC8909116 DOI: 10.3390/ijerph19052502] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/20/2021] [Revised: 02/14/2022] [Accepted: 02/17/2022] [Indexed: 12/23/2022]
Abstract
Humanity may benefit greatly from intact riverine ecosystems not only because they supply water to be used in the most common human activities, but also for the effects that clean rivers can have on human health. Herein, we used a computational approach to show that some phytochemicals produced by riparian plants as secondary metabolites, which are naturally released into river waters, can have therapeutic properties. These include antipsoriatic activities which we demonstrated in silico by modelling the interaction of apiin, guanosine and hyperoside, a few main river plant metabolites, with NF-kB, IL-17 and IL-36, which are recognized targets involved in psoriasis disease. In particular, we found that apiin and hyperoside are endowed with docking energies and binding affinities which are more favorable than the known reference inhibitors of the three protein targets whilst, in silico, guanosine shows comparable activity with respect to the inhibitors of IL-36 and NF-kB. The low skin permeation (logKp < −8) we predicted for apiin and hyperoside led us to hypothesize their possible utilization as topic antipsoriatic therapeutics, and in particular after PAINS (pan-assay interference compounds) score evaluation, we reached the conclusion that apiin, with no predicted tendency to react nonspecifically with the numerous targets involved in the biological cellular pathways, is particularly interesting for the desired therapeutic application.
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Affiliation(s)
- Valentina Roviello
- Department of Chemical, Materials and Industrial Production Engineering (DICMaPI), University of Naples Federico II, Piazzale V. Tecchio 80, 80125 Naples, Italy;
| | - Melinda Gilhen-Baker
- Faculty of Physical Medicine and Rehabilitation, Georgian State Teaching University of Physical Education and Sport, 49, Chavchavadze Avenue, 0162 Tbilisi, Georgia;
| | - Caterina Vicidomini
- Istituto di Biostrutture e Bioimmagini IBB—CNR, Area di Ricerca site and Headquartes - Via Pietro Castellino 111, 80131 Naples, Italy;
| | - Giovanni N. Roviello
- Istituto di Biostrutture e Bioimmagini IBB—CNR, Area di Ricerca site and Headquartes - Via Pietro Castellino 111, 80131 Naples, Italy;
- Correspondence: ; Tel.: +39-081-253-4585
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Roviello V, Gilhen-Baker M, Roviello GN, Lichtfouse E. River therapy. ENVIRONMENTAL CHEMISTRY LETTERS 2022; 20:2729-2734. [PMID: 35069061 PMCID: PMC8761511 DOI: 10.1007/s10311-021-01373-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
Affiliation(s)
- Valentina Roviello
- Department of Chemical, Materials and Industrial Production Engineering (DICMaPI), University of Naples Federico II, Piazzale V. Tecchio 80, 80125 Naples, Italy
| | - Melinda Gilhen-Baker
- Faculty of Physical Medicine and Rehabilitation, Georgian State Teaching University of Physical Education and Sport, 49, Chavchavadze avenue, 0162 Tbilisi, Georgia
| | - Giovanni N. Roviello
- IBB–CNR Mezzocannone Site and Headquarters, Istituto Di Biostrutture E Bioimmagini, 80145 Naples, Italy
| | - Eric Lichtfouse
- Aix-Marseille Univ, CNRS, IRD, INRA, CEREGE, 13100 Aix-en-Provence, France
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Lu J, Yang S, Zhang X, Tang X, Zhang J, Wang X, Wang H, Shen Q, Zhang W. Metagenomic Analysis of Viral Community in the Yangtze River Expands Known Eukaryotic and Prokaryotic Virus Diversity in Freshwater. Virol Sin 2022; 37:60-69. [PMID: 35234628 PMCID: PMC8922420 DOI: 10.1016/j.virs.2022.01.003] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2021] [Accepted: 09/03/2021] [Indexed: 11/16/2022] Open
Abstract
Viruses in aquatic ecosystems are characterized by extraordinary abundance and diversity. Thus far, there have been limited studies focused on viral communities in river water systems. Here, we investigated the virome of the Yangtze River Delta using viral metagenomic analysis. The compositions of viral communities from six sampling sites were analyzed and compared. By using library construction and next generation sequencing, contigs and singlet reads similar to viral sequences were classified into 17 viral families, including nine dsDNA viral families, four ssDNA viral families and four RNA viral families. Statistical analysis using Friedman test suggested that there was no significant difference among the six sampling sites (P > 0.05). The viromes in this study were all dominated by the order Caudovirales, and a group of Freshwater phage uvFW species were particularly prevalent among all the samples. The virome from Nanjing presented a unique pattern of viral community composition with a relatively high abundance of family Parvoviridae. Phylogenetic analyses based on virus hallmark genes showed that the Caudovirales order and CRESS-DNA viruses presented high genetic diversity, while viruses in the Microviridae and Parvoviridae families and the Riboviria realm were relatively conservative. Our study provides the first insight into viral community composition in large river ecosystem, revealing the diversity and stability of river water virome, contributing to the proper utilization of freshwater resource. First insight into viral community composition in large river ecosystem. Virus hallmark genes present both diverse and conservative characteristics. The composition of viral communities is similar on the whole. Slight regional variation of virome is existed in individual areas.
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Farrell ML, Joyce A, Duane S, Fitzhenry K, Hooban B, Burke LP, Morris D. Evaluating the potential for exposure to organisms of public health concern in naturally occurring bathing waters in Europe: A scoping review. WATER RESEARCH 2021; 206:117711. [PMID: 34637971 DOI: 10.1016/j.watres.2021.117711] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/20/2021] [Revised: 09/13/2021] [Accepted: 09/22/2021] [Indexed: 06/13/2023]
Abstract
Globally, water-based bathing pastimes are important for both mental and physical health. However, exposure to waterborne organisms could present a substantial public health issue. Bathing waters are shown to contribute to the transmission of illness and disease and represent a reservoir and pathway for the dissemination of antimicrobial resistant (AMR) organisms. Current bathing water quality regulations focus on enumeration of faecal indicator organisms and are not designed for detection of specific waterborne organisms of public health concern (WOPHC), such as antimicrobial resistant (AMR)/pathogenic bacteria, or viruses. This investigation presents the first scoping review of the occurrence of waterborne organisms of public health concern (WOPHC) in identified natural bathing waters across the European Union (EU), which aimed to critically evaluate the potential risk of human exposure and to assess the appropriateness of the current EU bathing water regulations for the protection of public health. Accordingly, this review sought to identify and synthesise all literature pertaining to a selection of bacterial (Campylobacter spp., Escherichia coli, Salmonella spp., Shigella spp., Vibrio spp., Pseudomonas spp., AMR bacteria), viral (Hepatitis spp., enteroviruses, rotavirus, adenovirus, norovirus), and protozoan (Giardia spp., and Cryptosporidium spp.) contaminants in EU bathing waters. Sixty investigations were identified as eligible for inclusion and data was extracted. Peer-reviewed investigations included were from 18 countries across the EU, totalling 87 investigations across a period of 35 years, with 30% published between 2011 and 2015. A variety of water bodies were identified, with 27 investigations exclusively assessing coastal waters. Waterborne organisms were classified into three categories; bacteria, viruses, and protozoa; amounting to 58%, 36% and 17% of the total investigations, respectively. The total number of samples across all investigations was 8,118, with detection of one or more organisms in 2,449 (30%) of these. Viruses were detected in 1281 (52%) of all samples where WOPHC were found, followed by bacteria (865(35%)) and protozoa (303(12%)). Where assessed (442 samples), AMR bacteria had a 47% detection rate, emphasising their widespread occurrence in bathing waters. Results of this scoping review highlight the potential public health risk of exposure to WOPHC in bathing waters that normally remain undetected within the current monitoring parameters.
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Affiliation(s)
- Maeve Louise Farrell
- Antimicrobial Resistance and Microbial Ecology Group, School of Medicine, National University of Ireland Galway, Ireland; Centre for One Health, Ryan Institute, National University of Ireland Galway, Ireland.
| | - Aoife Joyce
- Antimicrobial Resistance and Microbial Ecology Group, School of Medicine, National University of Ireland Galway, Ireland; Centre for One Health, Ryan Institute, National University of Ireland Galway, Ireland
| | - Sinead Duane
- Antimicrobial Resistance and Microbial Ecology Group, School of Medicine, National University of Ireland Galway, Ireland; Centre for One Health, Ryan Institute, National University of Ireland Galway, Ireland; Whitaker Institute, National University of Ireland Galway, Ireland
| | - Kelly Fitzhenry
- Antimicrobial Resistance and Microbial Ecology Group, School of Medicine, National University of Ireland Galway, Ireland; Centre for One Health, Ryan Institute, National University of Ireland Galway, Ireland
| | - Brigid Hooban
- Antimicrobial Resistance and Microbial Ecology Group, School of Medicine, National University of Ireland Galway, Ireland; Centre for One Health, Ryan Institute, National University of Ireland Galway, Ireland
| | - Liam P Burke
- Antimicrobial Resistance and Microbial Ecology Group, School of Medicine, National University of Ireland Galway, Ireland; Centre for One Health, Ryan Institute, National University of Ireland Galway, Ireland
| | - Dearbháile Morris
- Antimicrobial Resistance and Microbial Ecology Group, School of Medicine, National University of Ireland Galway, Ireland; Centre for One Health, Ryan Institute, National University of Ireland Galway, Ireland
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Azis MN, Abas A. The determinant factors for macroinvertebrate assemblages in a recreational river in Negeri Sembilan, Malaysia. ENVIRONMENTAL MONITORING AND ASSESSMENT 2021; 193:394. [PMID: 34101049 PMCID: PMC8187203 DOI: 10.1007/s10661-021-09196-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/05/2021] [Accepted: 06/01/2021] [Indexed: 06/12/2023]
Abstract
The determinant factors for macroinvertebrate assemblages in river ecosystems are varied and are unique and specific to the type of macroinvertebrate family. This study aims to assess the determinant factors for macroinvertebrate assemblages in a recreational river. The study was conducted on the Ulu Bendul River, Negeri Sembilan, Malaysia. A total of ten sampling stations were selected. The research methodology included (1) water quality measurement, (2) habitat characterization, and (3) macroinvertebrate identification and distribution analysis. The statistical analysis used in this study was canonical correspondence analysis (CCA) to represent the relationship between the environmental factors and macroinvertebrate assemblages in the recreational river. This study found that most of the families of macroinvertebrates were very dependent on the temperature, DO, NH3-N, type of riverbed, etc. All of these factors are important for the survival of the particular type of macroinvertebrate, plus they are also important for selecting egg-laying areas and providing suitable conditions for the larvae to grow. This study advises that improved landscape design for watershed management be implemented in order to enhance water quality and physical habitats, and hence the protection and recovery of the macroinvertebrate biodiversity.
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Affiliation(s)
- Mohd Noorazhan Azis
- Centre for Research and Development, Social and Environment (SEEDS), Faculty of Social Sciences and Humanities, Universiti Kebangsaan Malaysia, Bangi, Malaysia
| | - Azlan Abas
- Centre for Research and Development, Social and Environment (SEEDS), Faculty of Social Sciences and Humanities, Universiti Kebangsaan Malaysia, Bangi, Malaysia.
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Iñiguez-Armijos C, Sánchez J, Villareal M, Aguilar S, Rosado D. Effects of bathing intensity, rainfall events, and location on the recreational water quality of stream pools in southern Ecuador. CHEMOSPHERE 2020; 243:125442. [PMID: 31995889 DOI: 10.1016/j.chemosphere.2019.125442] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/18/2019] [Revised: 08/09/2019] [Accepted: 11/21/2019] [Indexed: 06/10/2023]
Abstract
Bathing in natural waters is a highly demanded recreational activity in tropical countries because of climatic conditions and availability of bathing sites; but, do users know the water quality of these sites? We determined the physicochemical and microbiological water quality of a highly used bathing site in southern Ecuador. We assessed how bather attendance, rainfall events, and pool location alters the recreational water quality (RWQ). Most of the parameters measured in the stream pools did not accomplish the Ecuadorian and international regulations for recreational water quality. Microbiological water quality diminishes from upstream to downstream pools because of human activities and bathing intensity having potential effects on bather health and eco-touristic development. We found that an increase of bathers is strongly associated with a growing concentration of Escherichia coli. It is suggested better land-use practices and review thoroughly the Ecuadorian regulation to assure a healthy RWQ. Further efforts are needed to identify more risky bathing sites, determine pollution sources, and establish a long-term monitoring program to support the touristic development in countries looking for diversifying their economy.
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Affiliation(s)
- Carlos Iñiguez-Armijos
- EcoSs Lab - Laboratorio de Ecología Tropical y Servicios Ecosistémicos, Departamento de Ciencias Biológicas, Universidad Técnica Particular de Loja, San Cayetano Alto s/n, 1101608, Loja, Ecuador.
| | - Julissa Sánchez
- Titulación de Ingeniero en Gestión Ambiental, Universidad Técnica Particular de Loja, San Cayetano Alto s/n, 1101608, Loja, Ecuador
| | - Marielena Villareal
- Titulación de Ingeniero en Gestión Ambiental, Universidad Técnica Particular de Loja, San Cayetano Alto s/n, 1101608, Loja, Ecuador
| | - Silvio Aguilar
- Departamento de Química y Ciencias Exactas, Universidad Técnica Particular de Loja, San Cayetano Alto s/n, 1101608, Loja, Ecuador
| | - Daniel Rosado
- Departamento de Química y Ciencias Exactas, Universidad Técnica Particular de Loja, San Cayetano Alto s/n, 1101608, Loja, Ecuador.
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Hamilton KA, Waso M, Reyneke B, Saeidi N, Levine A, Lalancette C, Besner MC, Khan W, Ahmed W. Cryptosporidium and Giardia in Wastewater and Surface Water Environments. JOURNAL OF ENVIRONMENTAL QUALITY 2018; 47:1006-1023. [PMID: 30272766 DOI: 10.2134/jeq2018.04.0132] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
and spp. are significant contributors to the global waterborne disease burden. Waterways used as sources of drinking water and for recreational activity can become contaminated through the introduction of fecal materials derived from humans and animals. Multiple studies have reported the occurence or concentrations of these pathogens in the environment. However, this information has not been comprehensively reviewed. Quantitative microbial risk assessment (QMRA) for and can be beneficial, but it often relies on the concentrations in environmental sources reported from the literature. A thorough literature review was conducted to develop an inventory of reported and concentrations in wastewater and surface water available in the literature. This information can be used to develop QMRA inputs. and (oo)cyst concentrations in untreated wastewater were up to 60,000 oocysts L and 100,000 cysts L, respectively. The maximum reported concentrations for and in surface water were 8400 oocysts L and 1000 cysts L, respectively. A summary of the factors for interpretation of concentration information including common quantification methods, survival and persistence, biofilm interactions, genotyping, and treatment removal is provided in this review. This information can help in identifying assumptions implicit in various QMRA parameters, thus providing the context and rationale to guide model formulation and application. Additionally, it can provide valuable information for water quality practitioners striving to meet the recreational water quality or treatment criteria. The goal is for the information provided in the current review to aid in developing source water protection and monitoring strategies that will minimize public health risks.
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Impact of Combined Sewer Overflow on Wastewater Treatment and Microbiological Quality of Rivers for Recreation. WATER 2017. [DOI: 10.3390/w9110906] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Within the framework of a one-year study the treatment capacity of a municipal wastewater treatment plant (WWTP) was evaluated, with regard to fecal indicator bacteria (FIB) and to their influence on the recipient. The logarithmic reduction rates for fecal coliforms (FC), Escherichia coli (EC) and intestinal enterococci (IE) were 2.84, 2.90 and 2.93. In the investigated period of time, the tested treatment plant released 4.3% of the total annual load flow volume as combined sewer overflow (CSO), that is, when the influent into the combined sewer exceeds the capacity of the treatment plant and coarsely cleaned wastewater arrives at the recipient. This CSO discharge increased the number of FIB significantly by 1.2 × 102 MPN/100 mL for EC, and by 1.8 × 101 MPN/100 mL for IE. For the Styrian part of the Mur River (1.6 million inhabitants), a calculation of FIB of all sewage treatment plants estimating the same ratio of CSO (4.3%) and a given mean flow rate (QM) results in a significant increase of the FIB load in the recipient: 3.8 × 103 MPN/100 mL for EC and 5.8 × 102 MPN/100 mL for IE. On the basis of these values the standards of water quality for recreational purposes cannot be met.
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Timm C, Luther S, Jurzik L, Hamza IA, Kistemann T. Applying QMRA and DALY to assess health risks from river bathing. Int J Hyg Environ Health 2016; 219:681-692. [PMID: 27590614 DOI: 10.1016/j.ijheh.2016.07.017] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2016] [Revised: 07/15/2016] [Accepted: 07/18/2016] [Indexed: 11/19/2022]
Abstract
To estimate the health impact of bathing in urban river waters a two-step risk assessment was conducted using the example of the Ruhr River in North-Rhine Westphalia (Germany). The risk of acquiring gastrointestinal illness (GI) due to bathing in the Ruhr River was the focus of this analysis. Referring to the WHO guidelines for safe recreational water environments, risk was defined as the probability of occurrence x severity of harm. Thus, the probability of acquiring GI by bathing in the Ruhr River has been calculated by means of the quantitative microbial risk assessment (QMRA) method. Additionally to this, harm was operationalized by using the DALY metric, quantifying the impact of disability for public health. The calculation of the DALYs based on the QMRA results, disease and lethality data of the population, duration of diseases, disability weights and a demographic profile of a regionally determined potential bathing population. DALYs were calculated for norovirus gastroenteritis, rotavirus gastroenteritis, cryptosporidiosis and giardiasis. The calculated DALYs were set into relation to other risks of daily life. Furthermore the effect of age weighting and time discounting for this site-specific population was considered. The viral load caused the main part of the environmental burden of disease by bathing in the river. The calculated DALYs are significantly lower than DALYs for all cause GI in Germany, which reach 1.19 DALY/1000, or DALYs accepted for an official EG designated bathing water (2.579 DALYs/1000 persons) but on a comparable level with the DALY for drowning (0.26 DALY/1000 Persons). The DALY concept provides a complementary tool to the QMRA for evaluating and comparing health risks arising from a specific environment for a specific population and behaviour and for comparing with other health risks of daily life.
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Affiliation(s)
- Christian Timm
- IHPH-Institute for Hygiene and Public Health, GeoHealth Centre, University of Bonn, 53105 Bonn, Germany.
| | - Stephan Luther
- IHPH-Institute for Hygiene and Public Health, GeoHealth Centre, University of Bonn, 53105 Bonn, Germany
| | - Lars Jurzik
- Department for Hygiene, Social and Environmental Medicine, Ruhr-University Bochum, 44801 Bochum, Germany
| | - Ibrahim Ahmed Hamza
- Environmental Virology Laboratory, Department of Water Pollution Research, National Research Centre, Dokki, Cairo, Egypt
| | - Thomas Kistemann
- IHPH-Institute for Hygiene and Public Health, GeoHealth Centre, University of Bonn, 53105 Bonn, Germany
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