1
|
Santos DEO, Zapata YAU, Buitrago CA, Herrera GS, Becoche LEC, Páez MCL, López MCB, Pineda CO. Occurrence of parasites in waters used for crops irrigation and vegetables from the Savannah of Bogotá, Colombia. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2024; 31:33360-33370. [PMID: 38676868 PMCID: PMC11136797 DOI: 10.1007/s11356-024-33088-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/12/2023] [Accepted: 03/21/2024] [Indexed: 04/29/2024]
Abstract
The World Health Organization (WHO) has established as a criterion of parasitological quality for irrigation water, ≤ 1 helminth egg/liter, which guarantees the safety in agricultural products. In this study, the presence of parasites in surface water used for irrigation of crops (n = 96) and vegetables (celery and lettuce) (n = 120), from the Former La Ramada irrigation district, was evaluated using conventional and molecular parasitological methods. Our findings showed contamination of irrigation systems in the study area with domestic wastewater, demonstrated by the presence of Ancylostomatidae eggs, Ascaris spp., Hymenolepis spp., Trichuris spp., Capillaria spp., Giardia spp. cysts, and oocysts of Toxoplasma gondii and Cryptosporidium spp. A prevalence of 33% and 23.3% was calculated for helminths and protozoa, respectively in vegetables, representing a possible risk to human and animal health in relation to these parasites. These findings show the need for continuous monitoring of the water quality used for crop irrigation, as well as the safety of food, taking into account the values established in national and international regulations.
Collapse
Affiliation(s)
- Daniel Eduardo Ospina Santos
- Maestría en Ciencias Microbiología, Ciudad Universitaria, Universidad Nacional de Colombia, Bogotá, DC, CP 111321, Colombia
| | - Yulieth Alexandra Upegui Zapata
- Departamento de Salud Pública, Facultad de Medicina, Ciudad Universitaria, Universidad Nacional de Colombia, Bogotá, DC, CP 111321, Colombia
| | - Catherine Aguilar Buitrago
- Departamento de Salud Pública, Facultad de Medicina, Ciudad Universitaria, Universidad Nacional de Colombia, Bogotá, DC, CP 111321, Colombia
| | - Geraldine Sánchez Herrera
- Programa de Bacteriología y Laboratorio clínico, Universidad Colegio Mayor de Cundinamarca, Bogotá, DC, CP 111051, Colombia
| | - Libia Eunise Chandillo Becoche
- Programa de Bacteriología y Laboratorio clínico, Universidad Colegio Mayor de Cundinamarca, Bogotá, DC, CP 111051, Colombia
| | - Myriam Consuelo López Páez
- Departamento de Salud Pública, Facultad de Medicina, Ciudad Universitaria, Universidad Nacional de Colombia, Bogotá, DC, CP 111321, Colombia
| | - Martha Cristina Bustos López
- Departamento de Ingeniería Civil y Agrícola, Facultad de Ingeniería, Ciudad Universitaria, Universidad Nacional de Colombia, Bogotá, DC, CP 111321, Colombia.
| | - Carolina Ortiz Pineda
- Departamento de Salud Pública, Facultad de Medicina, Ciudad Universitaria, Universidad Nacional de Colombia, Bogotá, DC, CP 111321, Colombia
| |
Collapse
|
2
|
Sanguino-Jorquera DG, Poma HR, Rajal VB, Juárez MM, Irazusta VP. [Human parasites in surface water used for recreation in Salta, Argentina]. Rev Argent Microbiol 2024; 56:115-124. [PMID: 38155042 DOI: 10.1016/j.ram.2023.11.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2023] [Revised: 08/14/2023] [Accepted: 11/02/2023] [Indexed: 12/30/2023] Open
Abstract
Waterborne diseases can have different origins, micro-organisms such as bacteria and parasites being the most important ones. In this study, two recreational aquatic environments were studied in the province of Salta, Argentina. Water samples collected from three different locations, two from a creek and one from the outlet of a thermal complex, were monitored at four time points. Physicochemical and microbiological characterization of each point was conducted, as well as a search for parasites and amebae. Parasites were identified through optical microscopy observations and free-living amebae (FLA) were isolated by spiking in Petri dishes followed by subsequent molecular identification. Water samples from the outlet of the thermal complex showed different physicochemical characteristics from those of the creek. Bacterial indicators of contamination were detected at all points; however, the creek water had a significantly higher concentration of Pseudomonas sp. Sporadically, creek samples exhibited Ascaris spp. eggs, Giardia sp. cysts, and ancylostomid eggs. The presence of FLA was observed in all samples, 15 of which were isolated and identified as Acanthamoeba sp., mostly belonging to the T4 genotype. Parasite surveillance in recreational aquatic environments is an important complement to traditional microbial indicators for assessing water quality. The identified parasites represent a potential health risk for people using these environments.
Collapse
Affiliation(s)
- Diego G Sanguino-Jorquera
- Instituto de Investigaciones para la Industria Química (INIQUI), Universidad Nacional de Salta - Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Salta, Salta, Argentina; Facultad de Ciencias Naturales, Universidad Nacional de Salta, Salta, Salta, Argentina
| | - Hugo R Poma
- Instituto de Investigaciones para la Industria Química (INIQUI), Universidad Nacional de Salta - Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Salta, Salta, Argentina
| | - Verónica B Rajal
- Instituto de Investigaciones para la Industria Química (INIQUI), Universidad Nacional de Salta - Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Salta, Salta, Argentina; Facultad de Ingeniería, Universidad Nacional de Salta, Salta, Salta, Argentina; Singapore Centre for Environmental Life Sciences Engineering (SCELSE), Nanyang Technological University, Singapur, Singapur.
| | - María M Juárez
- Instituto de Investigaciones para la Industria Química (INIQUI), Universidad Nacional de Salta - Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Salta, Salta, Argentina
| | - Verónica P Irazusta
- Instituto de Investigaciones para la Industria Química (INIQUI), Universidad Nacional de Salta - Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Salta, Salta, Argentina; Facultad de Ciencias Naturales, Universidad Nacional de Salta, Salta, Salta, Argentina
| |
Collapse
|
3
|
Golomazou E, Mamedova S, Eslahi AV, Karanis P. Cryptosporidium and agriculture: A review. THE SCIENCE OF THE TOTAL ENVIRONMENT 2024; 916:170057. [PMID: 38242460 DOI: 10.1016/j.scitotenv.2024.170057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/04/2023] [Revised: 12/22/2023] [Accepted: 01/08/2024] [Indexed: 01/21/2024]
Abstract
Cryptosporidiosis is a significant contributor to global foodborne and waterborne disease burden. It is a widespread cause of diarrheal diseases that affect humans and animals worldwide. Agricultural environments can become a source of contamination with Cryptosporidium species through faecal material derived from humans and animals. This review aims to report the main findings of scientific research on Cryptosporidium species related to various agricultural sectors, and highlights the risks of cryptosporidiosis in agricultural production, the contamination sources, the importance of animal production in transmission, and the role of farmed animals as hosts of the parasites. Agricultural contamination sources can cause water pollution in groundwater and different surface waters used for drinking, recreational purposes, and irrigation. The application of contaminated manure, faecal sludge management, and irrigation with inadequately treated water are the main concerns associated with foodborne and waterborne cryptosporidiosis related to agricultural activities. The review emphasizes the public health implications of agriculture concerning the transmission risk of Cryptosporidium parasites and the urgent need for a new concept in the agriculture sector. Furthermore, the findings of this review provide valuable information for developing appropriate measures and monitoring strategies to minimize the risk of infection.
Collapse
Affiliation(s)
- Eleni Golomazou
- Department of Ichthyology and Aquatic Environment - Aquaculture Laboratory, School of Agricultural Sciences, University of Thessaly, Fytokou str., 38446 Volos, Greece
| | - Simuzer Mamedova
- Institute of Zoology, Ministry of Science and Education Republic of Azerbaijan, Baku, Azerbaijan & Department of Life Sciences, Khazar University, Baku, Azerbaijan
| | - Aida Vafae Eslahi
- Medical Microbiology Research Center, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Panagiotis Karanis
- University of Cologne, Medical Faculty and University Hospital, 50931 Cologne, Germany; University of Nicosia Medical School, Department of Basic and Clinical Sciences, Anatomy Centre, 2408 Nicosia, Cyprus.
| |
Collapse
|
4
|
Hernández-Castro C, Agudelo-López SDP, Medina-Lozano AP, López-García D, García-Tuberquia LA, Botero-Garcés JH, Orozco-Peláez MC, Bolaños-Muñoz M, Bejarano-Villafañe DA, Carmena D. The burden of intestinal parasitic infections in Antioquia, Colombia: Impact in childhood growth development and nutritional status. Acta Trop 2024; 251:107119. [PMID: 38195005 DOI: 10.1016/j.actatropica.2024.107119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2023] [Revised: 09/04/2023] [Accepted: 01/06/2024] [Indexed: 01/11/2024]
Abstract
Gastrointestinal protist (GP) and soil-transmitted helminth (STH) infections cause significant morbidity among children in poor-resource settings of tropical and sub-tropical countries including Colombia. Few prospective transversal studies investigating how GP and STH infections affect growth development and nutritional status during childhood have been conducted in this country, none of them in the Antioquia Department. This microscopy-based study estimated the prevalence of GP and helminth (including STH) infections in faecal samples from schoolchildren (n = 384) collected during April-May 2019 in three municipalities of the Antioquia Department. Demographic, epidemiological, and household data were elicited through face-to-face interviews. Parasite detection was carried out by direct microscopic examination of both fresh smears and concentrated faecal material. Children (aged 6-15 years) also had their haemoglobin (Hb) levels, height and weight data collected, and BMI estimated. Data were analysed using bivariate and multivariate logistic regression analysis. Overall, 60.7 % (233/384) of schoolchildren were infected by at least one intestinal parasitic species. Among GPs, Blastocystis sp. was the most common species found (47.7 %, 95 % CI: 42.6-52.8), followed by G. duodenalis (15.9 %, 95 % CI: 12.4-19.9). Cryptosporidium spp. and Cyclospora cayetanensis were sporadically identified (0.3 %, 95 % CI: 0.1-1.4 each). Among helminths, the most prevalent species found were Trichuris trichiura (6.0 %, 95 % CI: 3.8-8.9) and Enterobius vermicularis (1.0 %, 95 % CI: 0.3-2.6). Hookworms, Ascaris lumbricoides, and Strongyloides stercoralis were found at prevalence rates <1 %. Underweight, overweigh, or obese schoolchildren had 1.2 times greater chance of being infected with intestinal parasites than their counterparts with a healthy weight (P-value: 0.015). Variables significantly associated with an increased likelihood of being infected by intestinal parasites include living in a household with unfinished flouring, not wearing shoes, being in close proximity to rodents, and having improper waste disposal. Relatively simple interventional measures directed towards the improvement of household conditions, access to sanitary toilets, and promoting shoe wearing can significantly reduce childhood infections by GP and helminths in the Antioquia Department.
Collapse
Affiliation(s)
- Carolina Hernández-Castro
- Parasitology Group, Faculty of Medicine, Academic Corporation for the Study of Tropical Pathologies, University of Antioquia, Medellín 050010, Colombia; Parasitology Reference and Research Laboratory, National Centre for Microbiology, Madrid, Majadahonda 28220, Spain.
| | - Sonia Del Pilar Agudelo-López
- Parasitology Group, Faculty of Medicine, Academic Corporation for the Study of Tropical Pathologies, University of Antioquia, Medellín 050010, Colombia
| | - Angélica Patricia Medina-Lozano
- Parasitology Group, Faculty of Medicine, Academic Corporation for the Study of Tropical Pathologies, University of Antioquia, Medellín 050010, Colombia
| | - Diego López-García
- Parasitology Group, Faculty of Medicine, Academic Corporation for the Study of Tropical Pathologies, University of Antioquia, Medellín 050010, Colombia
| | - Luis Alfonso García-Tuberquia
- Parasitology Group, Faculty of Medicine, Academic Corporation for the Study of Tropical Pathologies, University of Antioquia, Medellín 050010, Colombia
| | - Jorge Humberto Botero-Garcés
- Parasitology Group, Faculty of Medicine, Academic Corporation for the Study of Tropical Pathologies, University of Antioquia, Medellín 050010, Colombia
| | - María Cenelia Orozco-Peláez
- Parasitology Group, Faculty of Medicine, Academic Corporation for the Study of Tropical Pathologies, University of Antioquia, Medellín 050010, Colombia
| | - Manuela Bolaños-Muñoz
- Parasitology Group, Faculty of Medicine, Academic Corporation for the Study of Tropical Pathologies, University of Antioquia, Medellín 050010, Colombia
| | - Daniel Antonio Bejarano-Villafañe
- Parasitology Group, Faculty of Medicine, Academic Corporation for the Study of Tropical Pathologies, University of Antioquia, Medellín 050010, Colombia
| | - David Carmena
- Parasitology Reference and Research Laboratory, National Centre for Microbiology, Madrid, Majadahonda 28220, Spain; Center for Biomedical Research Network (CIBER) in Infectious Diseases, Health Institute Carlos III, Madrid 28008, Spain
| |
Collapse
|
5
|
Moussa AS, Ashour AA, Soliman MI, Taha HA, Al-Herrawy AZ, Gad M. Fate of Cryptosporidium and Giardia through conventional and compact drinking water treatment plants. Parasitol Res 2023; 122:2491-2501. [PMID: 37632544 PMCID: PMC10567834 DOI: 10.1007/s00436-023-07947-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2023] [Accepted: 08/16/2023] [Indexed: 08/28/2023]
Abstract
Over the past three decades, a notable rise in the occurrence of enteric protozoan pathogens, especially Giardia and Cryptosporidium spp., in drinking water sources has been observed. This rise could be attributed not only to an actual increase in water contamination but also to improvements in detection methods. These waterborne pathogens have played a pivotal role in disease outbreaks and the overall escalation of disease rates in both developed and developing nations worldwide. Consequently, the control of waterborne diseases has become a vital component of public health policies and a primary objective of drinking water treatment plants (DWTPs). Limited studies applied real-time PCR (qPCR) and/or immunofluorescence assay (IFA) for monitoring Giardia and Cryptosporidium spp., particularly in developing countries like Egypt. Water samples from two conventional drinking water treatment plants and two compact units (CUs) were analyzed using both IFA and qPCR methods to detect Giardia and Cryptosporidium. Using qPCR and IFA, the conventional DWTPs showed complete removal of Giardia and Cryptosporidium, whereas Mansheyat Alqanater and Niklah CUs achieved only partial removal. Specifically, Cryptosporidium gene copies removal rates were 33.33% and 60% for Mansheyat Alqanater and Niklah CUs, respectively. Niklah CU also removed 50% of Giardia gene copies, but no Giardia gene copies were removed by Mansheyat Alqanater CU. Using IFA, both Mansheyat Alqanater and Niklah CUs showed a similar removal rate of 50% for Giardia cysts. Additionally, Niklah CU achieved a 50% removal of Cryptosporidium oocysts, whereas Mansheyat Alqanater CU did not show any removal of Cryptosporidium oocysts. Conventional DWTPs were more effective than CUs in removing enteric protozoa. The contamination of drinking water by enteric pathogenic protozoa remains a significant issue globally, leading to increased disease rates. Infectious disease surveillance in drinking water is an important epidemiological tool to monitor the health of a population.
Collapse
Affiliation(s)
- Ahmed S Moussa
- Reference Laboratory, Drinking Water and Wastewater Holding Company, Cairo, Egypt
| | - Ameen A Ashour
- Zoology Department, Faculty of Science, Ain Shams University, Cairo, Egypt
| | - Mohammad I Soliman
- Zoology Department, Faculty of Science, Ain Shams University, Cairo, Egypt
| | - Hoda A Taha
- Zoology Department, Faculty of Science, Ain Shams University, Cairo, Egypt
| | - Ahmad Z Al-Herrawy
- Environmental Parasitology Laboratory, Water Pollution Research Department, National Research Centre, 12622, Dokki, Giza, Egypt
| | - Mahmoud Gad
- Environmental Parasitology Laboratory, Water Pollution Research Department, National Research Centre, 12622, Dokki, Giza, Egypt.
| |
Collapse
|
6
|
Potes-Morales C, Crespo-Ortiz MDP. Molecular diagnosis of intestinal protozoa in young adults and their pets in Colombia, South America. PLoS One 2023; 18:e0283824. [PMID: 37220135 DOI: 10.1371/journal.pone.0283824] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2022] [Accepted: 03/20/2023] [Indexed: 05/25/2023] Open
Abstract
Intestinal parasitic infections have been considered a relevant public health problem due to the increased incidence worldwide. In developing countries, diarrhea and gastrointestinal symptoms cause impaired work capacity in adults and delayed rate growth in children. Enteric infections of unknown etiology can often lead to misdiagnosis, increased transmission, and morbidity. The aim of this study was to determine the prevalence of intestinal parasites in a young adult population and their pets. Stool samples from 139 university students and 44 companion animals were subjected to microscopy diagnosis using wet mounts, concentration by zinc sulphate flotation and staining techniques (Kinyoun and trichrome stain). Molecular diagnosis of protozoa was also performed by conventional PCR. The mean age was 24 years, 54% individuals were female, 46% were men, and 66% had at least one pet. The overall prevalence for at least one parasite was 74.8% and the rate of polyparasitism was 37.5%. Eighty-three patients (59.7%) were positive for Blastocystis spp., followed by Cryptosporidium spp. 24.5%, Endolimax nana 13.6%, Entamoeba dispar/E. moshkovskii 7.8% and Giardia intestinalis 1.4%. Molecular diagnosis substantially improved Cryptosporidium spp. and Blastocystis spp. detection and allowed to distinguish E. histolytica from commensals in the Entamoeba complex. Student's pets were also examined for parasitism. Samples from 27 dogs, 15 cats, one rabbit and one hen were analyzed, and parasites were detected in 30 (68.2%) as follows: Cryptosporidium spp. (24) Giardia spp. (4), hookworm (3), Endolimax nana (2) and Toxoplasma gondii (1). Overall, university students showed high prevalence of parasitism and polyparasitism suggesting exposure to parasite infected animals and contaminated environments. Cryptosporidium spp. was the predominant pathogen in human and domestic animals, and it was only detected by PCR, pointing out the need for sensitive tests in diagnosis and surveillance. Control strategies to prevent the effects of parasitic infections in young population should consider pets as reservoirs and transmission source.
Collapse
Affiliation(s)
- Caterine Potes-Morales
- Department of Microbiology, Section of Parasitology, Universidad del Valle, Cali, Colombia
| | | |
Collapse
|
7
|
Rondello Bonatti T, Vidal Siqueira-Castro IC, Averaldo Guiguet Leal D, Durigan M, Pedroso Dias RJ, Bueno Franco RM. Molecular characterization of waterborne protozoa in surface water and sediment in Brazil: a taxonomic survey of ciliated protozoa and their correlation with Giardia duodenalis and Cryptosporidium spp. ENVIRONMENTAL MONITORING AND ASSESSMENT 2023; 195:470. [PMID: 36922479 DOI: 10.1007/s10661-023-11065-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/05/2022] [Accepted: 02/27/2023] [Indexed: 06/18/2023]
Abstract
The detection of Giardia duodenalis and Cryptosporidium spp. was performed, along with the identification of the ciliated protozoa biodiversity, to evaluate the correlation between these protozoa in freshwater quality monitoring. Water and sediment samples from two sites in the Atibaia River (Campinas, São Paulo, Brazil) were collected monthly for 2 years (n = 96). Pathogenic protozoa in water and sediment were detected by using immunomagnetic separation, followed by visualization by immunofluorescence assay (IFA). All positive aliquots in IFA were subjected to DNA extraction and subsequently nested PCR. Qualitative (in vivo observation and silver impregnation) and quantitative (in vivo enumeration) analyses were performed for the ciliated protozoa. Giardia cysts were detected in 62.5% of the surface water samples and Cryptosporidium spp. in 25.0%. In the sediment, cysts were detected in 35.4% samples and oocysts in 16.6%. A total of 57 samples positive for Giardia cysts were subjected to sequencing, 40 of which were harboring G. duodenalis (24 were characterized as sub-assemblage AII). For ciliated protozoa, 73 taxa belonging to 53 genera were identified over the period of the study. These results revealed a high degree of contamination by waterborne protozoa in the main water source which supplies drinking water for more than one million people in Campinas (São Paulo), highlighting the need for continuous monitoring of this catchment site. In addition, the present study provides important data regarding the sources of the water body degradation, i.e., fecal contamination of human origin, in addition to the survey of the ciliated protozoa.
Collapse
Affiliation(s)
- Taís Rondello Bonatti
- Laboratório de Protozoologia, Departamento de Biologia Animal, Instituto de Biologia, Universidade Estadual de Campinas, PO Box: 6109, CEP: 13083-970, São Paulo, Brazil.
| | - Isabel Cristina Vidal Siqueira-Castro
- Laboratório de Protozoologia, Departamento de Biologia Animal, Instituto de Biologia, Universidade Estadual de Campinas, PO Box: 6109, CEP: 13083-970, São Paulo, Brazil
| | | | - Maurício Durigan
- Laboratório de Protozoologia, Departamento de Biologia Animal, Instituto de Biologia, Universidade Estadual de Campinas, PO Box: 6109, CEP: 13083-970, São Paulo, Brazil
| | | | - Regina Maura Bueno Franco
- Laboratório de Protozoologia, Departamento de Biologia Animal, Instituto de Biologia, Universidade Estadual de Campinas, PO Box: 6109, CEP: 13083-970, São Paulo, Brazil
| |
Collapse
|
8
|
Guzmán Barragán BL, de Souza Lauretto M, Razzolini MTP, Nardocci AC, Marimón Sibaja KV. Assessment microbial risks for the presence of Cryptosporidium spp. and Giardia spp. based on the surveillance of the water supply systems in Colombia, 2014-2018. WATER ENVIRONMENT RESEARCH : A RESEARCH PUBLICATION OF THE WATER ENVIRONMENT FEDERATION 2022; 94:e10776. [PMID: 35978464 DOI: 10.1002/wer.10776] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/07/2022] [Revised: 07/19/2022] [Accepted: 07/26/2022] [Indexed: 06/15/2023]
Abstract
Cryptosporidium spp. and Giardia spp. cause gastrointestinal diseases of zoonotic origin as well transmitted from person to person, being various reported outbreaks associated with water. The infecting (oo)cyst forms of these parasites are highly resistant to water treatments such as chlorine disinfection and fast filtration. The objective of this study was to assess the microbial risk of infection and symptomatic illness by the ingestion of Giardia spp. and Cryptosporidium spp. in water for human consumption in Colombia, based on the results of water quality surveillance. The detection method was according to the USEPA method 1623. Concentration data of the different points of distribution were grouped according to the pathogen and type of treatment (no treatment; chlorine treatment; chlorine treatment + coagulant). Annual microbial risks of infection and symptomatic diseases were estimated using the quantitative microbial risk assessment approach that included parasite concentrations, the dose-response model, the ingestion rates of water by children and adults, and the morbidity rate of the diseases. The mean annual microbial risk of infection for Giardia spp. was 29.8% for treated water and 50.4% for untreated water, while being 6.0% and 17.7%, respectively, for Cryptosporidium spp. Microbial risk of symptomatic illness for Giardia spp, was 8.2% for treated water and 13.9% for untreated water, while being 3.6% and 10.6%, respectively, for Cryptosporidium spp. The estimated annual microbial risks of infection exceeded the acceptable value of 10-4 (0.01%) recommended by USEPA. Results obtained in this study suggest the need to reduce the microbial risk of infection to protozoan parasites by improving the water treatment, by adopting better handling practices for livestock manure and treatment processes of human feces. PRACTITIONER POINTS: The presence of Cryptosporidium spp was identified in 28 (6.2%) samples and Giardia spp in 29 (6.4%) in water for human consumption in Colombia. The mean annual risk of symptomatic illness due to infection by Giardia spp or Cryptosporidium spp ranges from 33.6%, for treated water, to 58.1%, for untreated water. Annual risks ingestion of protozoa studying in water for human exceed of 10-4 (0.01%) recommended by USEPA.
Collapse
Affiliation(s)
| | - Marcelo de Souza Lauretto
- School of Arts, Science and Humanities,University of São Paulo, São Paulo, Brazil
- NARA - Center for Research in Environmental Risk Assessment, São Paulo, Brazil
| | - Maria Tereza Pepe Razzolini
- NARA - Center for Research in Environmental Risk Assessment, São Paulo, Brazil
- School of Public Health, Universidade of São Paulo, São Paulo, Brazil
| | - Adelaide Cássia Nardocci
- NARA - Center for Research in Environmental Risk Assessment, São Paulo, Brazil
- School of Public Health, Universidade of São Paulo, São Paulo, Brazil
| | - Karen Vanessa Marimón Sibaja
- School of Basic Sciences, Technology and Engineering, National Open and Distance University (UNAD), Ibagué, Tolima, Colombia
| |
Collapse
|
9
|
Rodrigues da Cunha MJ, Souza Freitas BL, Nasser Fava NDM, Sabogal-Paz LP. CFDA-AM staining to assess the metabolic activity of Giardia duodenalis cysts inactivated by chlorine, boiling and ultraviolet irradiation. JOURNAL OF WATER AND HEALTH 2022; 20:1188-1196. [PMID: 36044188 DOI: 10.2166/wh.2022.092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Giardia duodenalis is responsible for several waterborne gastrointestinal outbreaks worldwide. In addition to limitations presented by the main disinfection methods, assessing the inactivation efficiency of cysts after the treatment also poses challenges. Thus, this study aimed to use the 5-carboxyfluorescein diacetate acetoxymethyl ester (CFDA-AM) staining protocol to evaluate the viability of G. duodenalis cysts inactivated by different UV and chlorination doses and boiling times. Under epifluorescent microscopy, metabolically active cysts that presented green fluorescence were considered viable. In contrast, when no green fluorescence could be observed, organisms were considered non-viable. Although statistical analysis revealed that increasing the UV dose did not significantly decrease the percentage of viable cysts, the fluorescence signal intensity decreased considerably when the cysts were irradiated with a dose equal to or greater than 80 mJ cm-2. Regarding chlorination and boiling treatments, this study demonstrated that no cyst showed fluorescence at the lowest NaClO concentration (0.5 mg/L) and in the shortest boiling time (2 min). Despite some limitations regarding the use of metabolic activity as a viability marker, this methodology is rapid, easy to run and cost-effective. Thus, we conclude that the CFDA-AM staining protocol has the potential to be used to assess Giardia cyst inactivation, although further research is required.
Collapse
Affiliation(s)
- Maria Júlia Rodrigues da Cunha
- Department of Hydraulics and Sanitation, São Carlos School of Engineering, University of São Paulo, Avenida Trabalhador São-Carlense, 400 São Carlos, São Paulo 13566-590, Brazil E-mail:
| | - Bárbara Luíza Souza Freitas
- Department of Hydraulics and Sanitation, São Carlos School of Engineering, University of São Paulo, Avenida Trabalhador São-Carlense, 400 São Carlos, São Paulo 13566-590, Brazil E-mail:
| | - Natália de Melo Nasser Fava
- Department of Hydraulics and Sanitation, São Carlos School of Engineering, University of São Paulo, Avenida Trabalhador São-Carlense, 400 São Carlos, São Paulo 13566-590, Brazil E-mail:
| | - Lyda Patricia Sabogal-Paz
- Department of Hydraulics and Sanitation, São Carlos School of Engineering, University of São Paulo, Avenida Trabalhador São-Carlense, 400 São Carlos, São Paulo 13566-590, Brazil E-mail:
| |
Collapse
|
10
|
Bellini NK, Thiemann OH, Reyes-Batlle M, Lorenzo-Morales J, Costa AO. A history of over 40 years of potentially pathogenic free-living amoeba studies in Brazil - a systematic review. Mem Inst Oswaldo Cruz 2022; 117:e210373. [PMID: 35792751 PMCID: PMC9252135 DOI: 10.1590/0074-02760210373] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2021] [Accepted: 03/28/2022] [Indexed: 12/17/2022] Open
Abstract
Free-living amoeba (FLA) group includes the potentially pathogenic genera Acanthamoeba, Naegleria, Balamuthia, Sappinia, and Vermamoeba, causative agents of human infections (encephalitis, keratitis, and disseminated diseases). In Brazil, the first report on pathogenic FLA was published in the 70s and showed meningoencephalitis caused by Naegleria spp. FLA studies are emerging, but no literature review is available to investigate this trend in Brazil critically. Thus, the present work aims to integrate and discuss these data. Scopus, PubMed, and Web of Science were searched, retrieving studies from 1974 to 2020. The screening process resulted in 178 papers, which were clustered into core and auxiliary classes and sorted into five categories: wet-bench studies, dry-bench studies, clinical reports, environmental identifications, and literature reviews. The papers dating from the last ten years account for 75% (134/178) of the total publications, indicating the FLA topic has gained Brazilian interest. Moreover, 81% (144/178) address Acanthamoeba-related matter, revealing this genus as the most prevalent in all categories. Brazil’s Southeast, South, and Midwest geographic regions accounted for 96% (171/178) of the publications studied in the present work. To the best of our knowledge, this review is the pioneer in summarising the FLA research history in Brazil.
Collapse
Affiliation(s)
- Natália Karla Bellini
- Universidade Federal de Minas Gerais, Faculdade de Farmácia, Departamento de Análises Clínicas e Toxicológicas, Belo Horizonte, MG, Brasil
| | - Otavio Henrique Thiemann
- Universidade de São Paulo, Instituto de Física de São Carlos, São Carlos, SP, Brasil.,Universidade Federal de São Carlos, Departamento de Genética e Evolução, São Carlos, SP, Brasil
| | - María Reyes-Batlle
- Universidad de La Laguna, Instituto Universitario de Enfermedades Tropicales y Salud Pública de Canarias, Departamento de Obstetricia, Ginecología, Pediatría, Medicina Preventiva y Salud Pública, Toxicología, Medicina Legal y Forense y Parasitología, Red de Investigación Cooperativa en Enfermedades Tropicales, Tenerife, Islas Canarias, Spain
| | - Jacob Lorenzo-Morales
- Universidad de La Laguna, Instituto Universitario de Enfermedades Tropicales y Salud Pública de Canarias, Departamento de Obstetricia, Ginecología, Pediatría, Medicina Preventiva y Salud Pública, Toxicología, Medicina Legal y Forense y Parasitología, Red de Investigación Cooperativa en Enfermedades Tropicales, Tenerife, Islas Canarias, Spain.,Instituto de Salud Carlos III, Consorcio Centro de Investigación Biomédica en Red MP de Enfermedades Infecciosas, Madrid, Spain
| | - Adriana Oliveira Costa
- Universidade Federal de Minas Gerais, Faculdade de Farmácia, Departamento de Análises Clínicas e Toxicológicas, Belo Horizonte, MG, Brasil
| |
Collapse
|
11
|
Belini VL, de Melo Nasser Fava N, Garcia LAT, da Cunha MJR, Sabogal-Paz LP. Label-free detection and enumeration of Giardia cysts in agitated suspensions using in situ microscopy. J Microbiol Methods 2022; 199:106509. [PMID: 35697187 DOI: 10.1016/j.mimet.2022.106509] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2022] [Revised: 06/06/2022] [Accepted: 06/06/2022] [Indexed: 12/27/2022]
Abstract
Laboratory procedures performed in water treatment studies frequently require the characterization of (oo)cyst suspensions. Standard methods commonly used are laborious, expensive and time-consuming, besides requiring well-trained personnel to prepare samples with fluorescent staining and perform analysis under fluorescence microscopy. In this study, an easy cost-effective in situ microscope was assessed to acquire images of Giardia cysts directly from agitated suspensions without using any chemical labels or sample preparation steps. An image analysis algorithm analyzes the acquired images, and automatically enumerates and provides morphological information of cysts within 10 min. The proposed system was evaluated at different cyst concentrations, achieving a limit of detection of ~30 cysts/mL. The proposed system overcomes cost, time and labor demands by standard methods and has the potential to be an alternative technique for the characterization of Giardia cyst suspensions in resource-limited facilities, since it is independent of experts and free of consumables.
Collapse
Affiliation(s)
- Valdinei L Belini
- Department of Electrical Engineering, Universidade Federal de São Carlos, Rodovia Washington Luís, km 235, São Carlos, SP CEP 13565-905, Brazil.
| | - Natália de Melo Nasser Fava
- Department of Hydraulics and Sanitation, São Carlos School of Engineering, University of São Paulo, Avenida Trabalhador São-Carlense, 400, São Carlos, SP CEP 13566-590, Brazil
| | - Lucas Ariel Totaro Garcia
- Department of Hydraulics and Sanitation, São Carlos School of Engineering, University of São Paulo, Avenida Trabalhador São-Carlense, 400, São Carlos, SP CEP 13566-590, Brazil
| | - Maria Júlia Rodrigues da Cunha
- Department of Hydraulics and Sanitation, São Carlos School of Engineering, University of São Paulo, Avenida Trabalhador São-Carlense, 400, São Carlos, SP CEP 13566-590, Brazil
| | - Lyda Patrícia Sabogal-Paz
- Department of Hydraulics and Sanitation, São Carlos School of Engineering, University of São Paulo, Avenida Trabalhador São-Carlense, 400, São Carlos, SP CEP 13566-590, Brazil
| |
Collapse
|
12
|
Lei R, Li L, Wu P, Fei X, Zhang Y, Wang J, Zhang D, Zhang Q, Yang N, Wang X. RPA/CRISPR/Cas12a-Based On-Site and Rapid Nucleic Acid Detection of Toxoplasma gondii in the Environment. ACS Synth Biol 2022; 11:1772-1781. [PMID: 35471824 DOI: 10.1021/acssynbio.1c00620] [Citation(s) in RCA: 19] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
Toxoplasma gondii is an opportunistic pathogen widely distributed within the world, poses a huge threat to human health, and causes significant economic losses to the livestock industry. Herein, we developed a portable one-pot detection of T. gondii by combining recombinase polymerase amplification (RPA) and a clustered regularly interspaced short palindromic repeats (CRISPR)/Cas12a system. A glass microfiber filter device used for the first step can efficiently extract T. gondii from low-concentration samples. The lyophilized RPA reagents and Cas12a/crRNA reagents are prestored in one Eppendorf tube, and both reactions can be performed on a low-cost thermal controller (∼37 °C), avoiding the drawbacks of the step-by-step addition of components. The developed RPA/CRISPR/Cas12a system exhibits a high selectivity toward the B1 gene amplicon of T. gondii over other parasites with a limit of detection of 3.3 copies/μL. The visual signal readout can be easily realized by a fluorometer or lateral-flow strip. A portable suitcase containing the minimum equipment and lyophilized reagents was adopted for the rapid determination of T. gondii in heavily polluted landfill leachate. This system presents rapidness, robustness and on-site features for the detection of nucleic acids of the parasite, making it a promising tool for field applications in remote areas.
Collapse
Affiliation(s)
- Rong Lei
- Institute of Plant Quarantine, Chinese Academy of Inspection and Quarantine, Beijing100176, China
| | - Limei Li
- School of Life Science and Biotechnology, Dalian University, Dalian, Liaoning116622, China
| | - Pinshan Wu
- Institute of Plant Quarantine, Chinese Academy of Inspection and Quarantine, Beijing100176, China
| | - Xinyu Fei
- College of Land and Environment, Shenyang Agricultural University, Shenyang, Liaoning110866, China
| | - Yuting Zhang
- Food Science College, Shenyang Agricultural University, Shenyang, Liaoning110866, China
| | - Jingyi Wang
- College of Information and Electrical Engineering, Shenyang Agricultural University, Shenyang, Liaoning110866, China
| | - Di Zhang
- School of Life Science and Biotechnology, Dalian University, Dalian, Liaoning116622, China
| | - Qingfang Zhang
- School of Life Science and Biotechnology, Dalian University, Dalian, Liaoning116622, China
| | - Na Yang
- College of Animal Science and Veterinary Medicine, Shenyang Agricultural University, Shenyang, Liaoning110866, China
| | - Xinyi Wang
- School of Life Science and Biotechnology, Dalian University, Dalian, Liaoning116622, China
| |
Collapse
|
13
|
Fregonesi BM, Zagui GS, de Abreu Tonani KA, Machado CS, Gomes-Silva G, Padula JA, Martone-Rocha S, Razzolini MTP, Plath M, Segura-Muñoz S. Human health risk assessment for (re)emerging protozoan parasites in surface water used for public supply and recreational activities. ENVIRONMENTAL MONITORING AND ASSESSMENT 2022; 194:407. [PMID: 35524884 DOI: 10.1007/s10661-022-10058-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/16/2021] [Accepted: 04/21/2022] [Indexed: 06/14/2023]
Abstract
Gastrointestinal diseases caused by protozoan parasites remain a major challenge in developing countries and ingestion of contaminated surface water represents one of the main sources by which these diseases are contracted. This study assessed the risk of infection and diseases caused by Cryptosporidium spp. and Giardia sp. due to ingestion of surface water used for public supply and recreational activities, focusing on the southeastern Brazilian Pardo River and applying the USEPA 1623 method to quantify (oo)cyst concentrations. Infection and disease probabilities due to ingestion of drinking water or during recreational activities were estimated using the Quantitative Microbial Risk Assessment (QMRA) approach. Mean concentrations of Cryptosporidium spp. and Giardia sp. in surface water ranged from 0.2 to 0.4 oocysts L-1 and 0.2 to 4.4 cysts L-1, respectively. Considering public water supply, annual infection probabilities were higher for adults than children and exceeded the USEPA limit; also, disease probabilities were higher for adults than children. For recreational activities, annual infection and disease probabilities were higher for children, followed by men and women. The occurrence of both parasites likely reflects raw sewage discharge, effluent from sewage treatment plants, and diffuse sources of pollution, such as runoff from pasture lands and deforested riparian forest corridors. Our results highlight substantial infection risks by both parasite types after conventional treatment of water used for public supply and also call for careful monitoring of water bodies used for recreational purposes.
Collapse
Affiliation(s)
- Brisa Maria Fregonesi
- Laboratory of Ecotoxicology and Environmental Parasitology, Ribeirão Preto College of Nursing, University of São Paulo, Avenida Bandeirantes, São Paulo, 3900, 14040-902, Brazil
| | - Guilherme Sgobbi Zagui
- Laboratory of Ecotoxicology and Environmental Parasitology, Ribeirão Preto College of Nursing, University of São Paulo, Avenida Bandeirantes, São Paulo, 3900, 14040-902, Brazil
| | - Karina Aparecida de Abreu Tonani
- Laboratory of Ecotoxicology and Environmental Parasitology, Ribeirão Preto College of Nursing, University of São Paulo, Avenida Bandeirantes, São Paulo, 3900, 14040-902, Brazil
| | - Carolina Sampaio Machado
- Laboratory of Ecotoxicology and Environmental Parasitology, Ribeirão Preto College of Nursing, University of São Paulo, Avenida Bandeirantes, São Paulo, 3900, 14040-902, Brazil
| | - Guilherme Gomes-Silva
- Laboratory of Ecotoxicology and Environmental Parasitology, Ribeirão Preto College of Nursing, University of São Paulo, Avenida Bandeirantes, São Paulo, 3900, 14040-902, Brazil
| | - José Antônio Padula
- Laboratory of Microbiology and Parasitology, Environmental Agency of São Paulo State (CETESB), São Paulo, Brazil
| | - Solange Martone-Rocha
- NARA - Center for Research in Environmental Risk Assessment, School of Public Health, Environmental Health Department, University of São Paulo, São Paulo, Brazil
| | - Maria Tereza Pepe Razzolini
- NARA - Center for Research in Environmental Risk Assessment, School of Public Health, Environmental Health Department, University of São Paulo, São Paulo, Brazil
| | - Martin Plath
- Laboratory of Ecotoxicology and Environmental Parasitology, Ribeirão Preto College of Nursing, University of São Paulo, Avenida Bandeirantes, São Paulo, 3900, 14040-902, Brazil
| | - Susana Segura-Muñoz
- Laboratory of Ecotoxicology and Environmental Parasitology, Ribeirão Preto College of Nursing, University of São Paulo, Avenida Bandeirantes, São Paulo, 3900, 14040-902, Brazil.
| |
Collapse
|
14
|
Orona-Návar C, García-Morales R, Loge FJ, Mahlknecht J, Aguilar-Hernández I, Ornelas-Soto N. Microplastics in Latin America and the Caribbean: A review on current status and perspectives. JOURNAL OF ENVIRONMENTAL MANAGEMENT 2022; 309:114698. [PMID: 35183939 DOI: 10.1016/j.jenvman.2022.114698] [Citation(s) in RCA: 20] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/22/2021] [Revised: 01/21/2022] [Accepted: 02/07/2022] [Indexed: 06/14/2023]
Abstract
A literature review was carried out to analyze the current status of microplastic research in Latin America and the Caribbean (LAC). Specifically, this work focused on publications pertaining to (1) occurrence and distribution of microplastics in the environment, including water, sediments, and soil and (2) the environmental impact of MPs, particularly their presence and effects on aquatic and terrestrial organisms. The review included peer-reviewed articles from Scopus, Science Direct, Web of Science, Google Scholar and two iberoamerican open access databases (Redalyc and SciELO). It was found that LAC has only contributed to 5% of the global scientific output on microplastics, and overall the highest contributor within the region was Brazil (52%), followed by Chile (16%) and Mexico (13%). An additional section analyzing the barriers to conducting microplastic research in LAC and their exacerbation by the current COVID-19 pandemic was included to provide additional context behind the relatively low scientific production and improve recommendations encouraging research in this region.
Collapse
Affiliation(s)
- Carolina Orona-Návar
- Tecnologico de Monterrey, Escuela de Ingeniería y Ciencias, Ave. Eugenio Garza Sada 2501, Monterrey, N.L., 64849, Mexico
| | - Raul García-Morales
- Tecnologico de Monterrey, Escuela de Ingeniería y Ciencias, Ave. Eugenio Garza Sada 2501, Monterrey, N.L., 64849, Mexico; Centro de Nanociencias y Nanotecnología, Universidad Nacional Autónoma de México, Carretera Tijuana-Ensenada Km. 107, C.P. 22860, Ensenada, B.C., Mexico
| | - Frank J Loge
- Department of Civil and Environmental Engineering, University of California Davis, One Shields Avenue, Davis, CA, 95616, USA
| | - Jürgen Mahlknecht
- Tecnologico de Monterrey, Escuela de Ingeniería y Ciencias, Ave. Eugenio Garza Sada 2501, Monterrey, N.L., 64849, Mexico
| | - Iris Aguilar-Hernández
- Tecnologico de Monterrey, Escuela de Ingeniería y Ciencias, Ave. Eugenio Garza Sada 2501, Monterrey, N.L., 64849, Mexico.
| | - Nancy Ornelas-Soto
- Tecnologico de Monterrey, Escuela de Ingeniería y Ciencias, Ave. Eugenio Garza Sada 2501, Monterrey, N.L., 64849, Mexico.
| |
Collapse
|
15
|
Mohamed MG, Elmarhoumy SM, Saied EM, Zoghroban HS. Evaluation of the efficacy of gold nanoparticles on Giardia lamblia infection in experimental animals. Exp Parasitol 2022; 238:108277. [DOI: 10.1016/j.exppara.2022.108277] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2021] [Revised: 05/09/2022] [Accepted: 05/12/2022] [Indexed: 01/03/2023]
|
16
|
Medeiros RC, Sammarro Silva KJ, Daniel LA. Wastewater treatment performance in microbiological removal and (oo)cyst viability assessed comparatively to fluorescence decay. ENVIRONMENTAL TECHNOLOGY 2022; 43:962-970. [PMID: 32799634 DOI: 10.1080/09593330.2020.1811396] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/23/2020] [Accepted: 08/10/2020] [Indexed: 06/11/2023]
Abstract
Municipal wastewater is a source of pathogenic protozoan (oo)cysts and may play a significant role in spreading waterborne diseases. This scenario becomes more critical as treated sewage from municipal wastewater treatment plants (WWTP) is discharged into springs, which are often used for water supply, irrigation, recreation and, further downstream, indirect potable reuse, quite common in Brazil. This study aimed to elucidate, regarding microbiological quality, the performance of a full-scale WWTP, consisting of preliminary treatment, upflow anaerobic sludge blanket (UASB) reactor, activated sludge system and ultraviolet (UV) radiation disinfection. Pathogenic protozoa (Giardia spp. cysts and Cryptosporidium spp. oocysts), as well as microbiological indicators (Escherichia coli and Clostridium perfringens), were evaluated in terms of their removal. In addition, (oo)cyst viability and fluorescence reduction were assessed. By using the data obtained from this research, the prevalence of infection estimated for the population served by the WWTP was between 7.4% and 14.8% for giardiasis, and between 0.055% and 0.11% for cryptosporidiosis.
Collapse
Affiliation(s)
- Raphael Corrêa Medeiros
- Department of Engineering and Environmental Technology, Federal University of Santa Maria - campus Frederico Westphalen, Rio Grande do Sul, Brazil
| | - Kamila Jessie Sammarro Silva
- Department of Hydraulics and Sanitation, São Carlos School of Engineering, University of São Paulo, São Paulo, Brazil
| | - Luiz Antonio Daniel
- Department of Hydraulics and Sanitation, São Carlos School of Engineering, University of São Paulo, São Paulo, Brazil
| |
Collapse
|
17
|
Scherer GS, Leal DAG, Greinert Goulart JA, Araújo RS, Beux MR, Moreira NM. Parasitological, microbiological, and antimicrobial resistance profiles of raw and drinking water in a tourist city in the tri-border region of South America. JOURNAL OF WATER AND HEALTH 2022; 20:385-395. [PMID: 36366994 DOI: 10.2166/wh.2022.256] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
Despite the large amounts of freshwater available in Brazil, the deterioration of surface water can represent a risk of waterborne disease for national and international tourists. The main goal of this study was to assess the quality of drinking water in the triple border region of Brazil before and after being treated in water treatment plants (WTPs) and in Municipal Early Childhood Education Centers (MECECs), in terms of parasitological, microbiological, and physical-chemical aspects. Different water samples were monitored: raw water (RW), treated water (TW), and tap water from the MECECs, giving 60 samples in total, to investigate the presence of Giardia and Cryptosporidium, microbiological indicators, Pseudomonas aeruginosa, and antimicrobial resistance profiles using conventional microbiological assays and parasitological, immunological, and molecular techniques. The results obtained were compared with the reference values recommended by the legislation of drinking water in Brazil. For the first time, contamination by Cryptosporidium and Giardia was demonstrated in RW used to supply WTPs, in TW of Foz do Iguaçu, and in water destined for consumption by children. A total of 52 bacterial isolates were obtained, with high percentages of multidrug resistance to antibiotics, including a carbapenem-resistant profile, highlighting the need to improve quality control standards.
Collapse
Affiliation(s)
- Gustavo Strieder Scherer
- Laboratório Central do Estado do Paraná (LACEN), Unidade de Fronteira, Foz do Iguaçu, Paraná, Brazil
| | - Diego Averaldo Guiguet Leal
- Setor de Ciências Biológicas, Departamento de Patologia Básica, Laboratório de Parasitologia Ambiental, Universidade Federal do Paraná (UFPR), Curitiba, Paraná, Brazil E-mail:
| | | | - Ronalda Silva Araújo
- Companhia Ambiental do Estado de São Paulo (CETESB), Divisão de Microbiologia e Parasitologia, São Paulo, Brazil
| | - Marcia Regina Beux
- Setor de Ciências Biológicas, Departamento de Patologia Básica, Universidade Federal do Paraná (UFPR), Curitiba, Paraná, Brazil
| | - Neide Martins Moreira
- Centro de Educação, Letras e Saúde, Grupo de Pesquisa em Doenças Infecciosas e Parasitárias (GPDIP), Universidade Estadual do Oeste do Paraná (UNIOESTE), Foz do Iguaçu, Paraná, Brazil
| |
Collapse
|
18
|
Cryptosporidium and Giardia in Biogas Wastewater: Management of Manure Livestock and Hygiene Aspects Using Influent, Effluent, Sewage Canal Samples, Vegetable, and Soil Samples. Pathogens 2022; 11:pathogens11020174. [PMID: 35215118 PMCID: PMC8875155 DOI: 10.3390/pathogens11020174] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2021] [Revised: 01/23/2022] [Accepted: 01/25/2022] [Indexed: 12/04/2022] Open
Abstract
Cryptosporidium and Giardia are two water- and foodborne protozoan parasites that can cause diarrheal diseases. Poor microbial quality, sanitation conditions, and hygiene practices at exposure to biogas wastewater are important risk factors for human and animal infection. This study highlights the presence and level of both parasites in the environment in relation to biogas waste reuse in Vietnam. A total of 239 samples were collected from different types of samples in the studied districts in Bac Giang province in 2020 via direct immunofluorescent detection to study the occurrence of Cryptosporidium spp. and Giardia spp. (oo)cysts. Among the samples, Cryptosporidium was found in 19 (7.9%) with concentration from 1.104 to 3.105 oocysts/100 mL, while Giardia in 40 (16.7%) with concentration from 1.104 to 2.106 cysts/100 mL, respectively. In detail, the results show that the percentages of positive detection of Cryptosporidium spp. and Giardia spp. in influent, effluent, sewage canal, and vegetables were 13.1% (11/84), 6.0% (5/83), 15.4% (2/13) and 5.9% (1/17) and 26.2% (22/84), 7.2% (6/83), 7.7% (1/13) and 5.9% (1/17), respectively. The results show a trend of decreasing Cryptosporidium and Giardia densities, without statistical significance. Although these parasites decreased after biogas treatment, the remaining loads observed in biogas effluent can reach the watercourses and soil receiving it. Further investigations are needed to contribute to a general understanding of the risk of protozoan parasites, as well as strategies to control and reduce the contamination of environmental water sources and plants and reduce the burden of the pathogens in biogas wastewater in Vietnam.
Collapse
|
19
|
Zhang CM, Xu PC, Du WW, Wang XC. Exposure parameters and health risk of Cryptosporidium and Giardia in the recreational water activities for urban residents in China. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2022; 29:1573-1583. [PMID: 34363153 DOI: 10.1007/s11356-021-15463-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/16/2021] [Accepted: 07/12/2021] [Indexed: 06/13/2023]
Abstract
Knowledge gaps in the exposure parameters for recreational water activities make quantitative risk assessment related to water recreation difficult. Therefore, the annual exposure frequency and single exposure duration for the recreational water activities of residents from ten cities in the North and South of China were investigated. Questionnaire interviews were carried on recreational water activities comprising swimming (SW), boating (BA), playing in interactive fountains (PF), and watching fountains (WF). Quantitative microbial risk assessment for the exposure of urban residents to Cryptosporidium and Giardia was also performed. For the four recreational water activities, the participation rates of urban residents in SW and WF were higher than the others. For SW and BA, the mean annual exposure frequency and single exposure duration for males were significantly higher than those for females. PF and WF showed the opposite. The annual exposure frequency for above 35-year-old residents was higher than that for young residents (18-35 years). However, the single exposure duration for young residents was highest in SW, BA, and PF. The mean annual exposure frequency and single exposure duration for North China residents were higher than those for South China residents in all recreational water activities, except for SW. Overall, the annual exposure frequency and single exposure duration in recreational water activities for all urban residents followed a lognormal distribution. In the four recreational water activities, the total annual infection risk of male exposure to Cryptosporidium was 1.0 × 10-2, with the confidence intervals between 95 and 5% of [4.3 × 10-4, 3.7 × 10-2], whereas that for females was 6.8 × 10-3 and [4.2 × 10-4, 2.4 × 10-2]. Also, the annual infection risk of males to Giardia was 8.8 × 10-3 and [5.1×10-4, 3.2×10-2], and that of females was 5.3 × 10-3 and [4.0 × 10-4, 1.8 × 10-2]. These results demonstrated that SW and PF made the highest contribution to the total annual infection risk. Sensitivity analysis highlighted that the characterization of exposure parameters plays a critical role in health risk assessment, which may provide a scientific basis for recreational water quality standards formulation.
Collapse
Affiliation(s)
- Chong-Miao Zhang
- School of Environmental and Municipal Engineering, Xi'an University of Architecture and Technology, Xi'an, 710055, China.
- Key Laboratory of Northwest Water Resource, Environment and Ecology, Ministry of Education, Xi'an University of Architecture and Technology, Xi'an, 710055, China.
- Shaanxi Key Laboratory of Environmental Engineering, Xi'an University of Architecture and Technology, Xi'an, 710055, China.
- International Science and Technology Cooperation Center for Urban Alternative Water Resources Development, Xi'an University of Architecture and Technology, Xi'an, 710055, China.
| | - Peng-Cheng Xu
- School of Environmental and Municipal Engineering, Xi'an University of Architecture and Technology, Xi'an, 710055, China
- Key Laboratory of Northwest Water Resource, Environment and Ecology, Ministry of Education, Xi'an University of Architecture and Technology, Xi'an, 710055, China
- Shaanxi Key Laboratory of Environmental Engineering, Xi'an University of Architecture and Technology, Xi'an, 710055, China
- International Science and Technology Cooperation Center for Urban Alternative Water Resources Development, Xi'an University of Architecture and Technology, Xi'an, 710055, China
| | - Wei-Wei Du
- School of Environmental and Municipal Engineering, Xi'an University of Architecture and Technology, Xi'an, 710055, China
- Key Laboratory of Northwest Water Resource, Environment and Ecology, Ministry of Education, Xi'an University of Architecture and Technology, Xi'an, 710055, China
- Shaanxi Key Laboratory of Environmental Engineering, Xi'an University of Architecture and Technology, Xi'an, 710055, China
| | - Xiaochang C Wang
- Key Laboratory of Northwest Water Resource, Environment and Ecology, Ministry of Education, Xi'an University of Architecture and Technology, Xi'an, 710055, China
- International Science and Technology Cooperation Center for Urban Alternative Water Resources Development, Xi'an University of Architecture and Technology, Xi'an, 710055, China
| |
Collapse
|
20
|
García-Rodríguez JJ, Köster PC, Ponce-Gordo F. Cyst detection and viability assessment of Balantioides coli in environmental samples: Current status and future needs. Food Waterborne Parasitol 2022; 26:e00143. [PMID: 35146143 PMCID: PMC8802839 DOI: 10.1016/j.fawpar.2021.e00143] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2021] [Revised: 12/17/2021] [Accepted: 12/27/2021] [Indexed: 11/17/2022] Open
Abstract
The ciliate Balantioides coli is a human enteric parasite that can cause life-threatening infections. It is a food- and waterborne parasite, with cysts being the infective stage. Despite its importance as a potential pathogen, few reports have investigated its presence in environmental samples, and some issues need attention including i) The accuracy of B. coli identification. In most cases, the protozoa is identified only by its morphological traits, which can be identical to those from other parasitic ciliates of animals. Genetic analysis of cysts recovered from environmental samples is necessary for species confirmation. In addition, genetic methods used with faecal samples need to be adequately validated with environmental matrices. ii) The methodology for searching this parasite in environmental samples. The protocols include an initial phase to isolate the cysts from the matrix followed by a second phase in which concentration procedures are usually applied. The methods may be valid but are not standardised and differences between studies could affect the results obtained. iii) The areas that needs further research. The development of genetic identification methods and standardised analytical protocols in environmental samples are required, as well as the assessment of viability and infectivity of B. coli cysts. The development of axenic culture systems will boost research on this parasite. Balantioides coli is mainly considered a foodborne parasite for humans. Detection methods in environmental samples are not standardised. Correct identification should be made by genetic analysis. Methods for B. coli cyst viability and infectivity assessment are to be developed.
Collapse
|
21
|
Wahdini S, Putra VP, Sungkar S. The Prevalence of Intestinal Protozoan Infections among Children in Southwest Sumba Based on the Type of Water Sources. Infect Chemother 2021; 53:519-527. [PMID: 34623780 PMCID: PMC8511361 DOI: 10.3947/ic.2021.0067] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2021] [Accepted: 08/06/2021] [Indexed: 11/24/2022] Open
Abstract
Background Intestinal protozoan infection is a public health problem in Indonesia, particularly in regions lacking clean water sources such as Perokonda and Perobatang villages, Southwest Sumba Regency, East Nusa Tenggara Province. The residents of Perokonda and Perobatang villages use wells and unprotected open springs respectively. Therefore, this study aims to determine the prevalence of intestinal protozoan infections in these two villages. Materials and Methods This was a cross-sectional study, carried out in Perokonda and Perobatang from August 2016 to August 2017. A total of 291 children aged 6 months to 18 years were used as subjects. Furthermore, fecal examinations were carried out by preparing smears, which were stained with lugol solution and examined under the microscopes by four experienced technicians. The data were processed using SPSS version 20 and analyzed by chi-square test. Results Among the 291 samples, the prevalence of intestinal protozoan infections was 20%, with 23.4% in Perokonda and 17.2% in Perobatang. The predominant species found were Blastocystis hominis (34.5%), Giardia lamblia (19.0%), and Entamoeba coli (15.5%). Moreover, approximately 69.0% of single infections were found while 31.0% were mixed and associated with 2 to 3 protozoan species. There were no significant differences between the prevalence of intestinal protozoan infections and the children in Perokonda and Perobatang villages (confidence interval 0.83 - 2.62, P = 0.19). Conclusion The type of water sources has no relationship with the species of intestinal protozoan infecting children in Perokonda and Perobatang.
Collapse
Affiliation(s)
- Sri Wahdini
- Department of Parasitology, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.
| | | | - Saleha Sungkar
- Department of Parasitology, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia
| |
Collapse
|
22
|
Golomazou E, Malandrakis EE, Panagiotaki P, Karanis P. Cryptosporidium in fish: Implications for aquaculture and beyond. WATER RESEARCH 2021; 201:117357. [PMID: 34147739 DOI: 10.1016/j.watres.2021.117357] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Aquaculture industries are expanding worldwide and control of Cryptosporidium is of great importance. Cryptosporidiosis is a serious waterborne/foodborne disease, responsible for infectious outbreaks globally. Current knowledge on the Cryptosporidium species in the aquatic environment and their occurrence in piscine hosts is steadily increasing since the Cryptosporidium species have been detected in marine, freshwater, cultured, captive and ornamental fish in a wide range of geographical regions. The zoonotic potential of these parasites and their pathological impact on piscine hosts have been increasingly reported and the fishborne zoonotic risk from Cryptosporidium spp. is of major importance from a public health point of view. Zoonotic subtypes in fish have been described in various studies and are probably related to water contamination from animal and human wastes. This review critically evaluated existing scientific data, related to Cryptosporidium species in piscine hosts, emphasizing transmission routes and the potential impact of piscine cryptosporidiosis in aquaculture. This knowledge will facilitate consumers, authorities and water industries such as fisheries and aquaculture, the prevention and control of waterborne and fishborne cryptosporidiosis in fish products.
Collapse
Affiliation(s)
- E Golomazou
- Department of Ichthyology and Aquatic Environment - Aquaculture Laboratory, School of Agricultural Sciences, University of Thessaly, Fytokou str., 38446, Volos, Greece
| | - E E Malandrakis
- Department of Animal Science - Laboratory of Applied Hydrobiology, School of Animal Biosciences, Agricultural University of Athens, 75 Iera Odos str., 11855, Athens, Greece
| | - P Panagiotaki
- Department of Ichthyology and Aquatic Environment - Aquaculture Laboratory, School of Agricultural Sciences, University of Thessaly, Fytokou str., 38446, Volos, Greece
| | - P Karanis
- University of Cologne, Medical Faculty and University Hospital, 50931 Cologne, Germany; University of Nicosia Medical School, Department of Basic and Clinical Sciences, Anatomy Institute, 2408, Nicosia, Cyprus.
| |
Collapse
|
23
|
Zini LB, Lorenzini R, Camelo LGG, Gutterres M. Occurrence of Cryptosporidium and Giardia in surface water supply from 2016 to 2020 in South Brazil. ENVIRONMENTAL MONITORING AND ASSESSMENT 2021; 193:496. [PMID: 34282498 DOI: 10.1007/s10661-021-09280-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/29/2021] [Accepted: 07/12/2021] [Indexed: 06/13/2023]
Abstract
The objectives of this research are to evaluate Giardia and Cryptosporidium contamination in surface water supply in Rio Grande do Sul (RS) State in South Brazil in the years 2016 to 2020, assess seasonality, and to infer the population that may have been exposed to these protozoa through drinking water based on drinking water treatment efficiency. Data were obtained through the drinking water surveillance national information system. From 204 DWT plants in the state, 66 have been analyzed for protozoa. A total of 2304 analyses of protozoa in raw water were evaluated, of which 223 had both Giardia spp. cysts and/or Cryptosporidium spp. oocysts in concentrations that varied from 0.1 to 21.5/L. A total of 2,712,125 people from 48 cities were at risk of having the presence of pathogenic protozoa in their drinking water. The probability of finding these protozoa was higher in winter. Giardia cysts were more likely to be found in a period without rain, suggesting that sewage was the main source of contamination. It is concluded that the springs of Rio Grande do Sul are impacted and the circulation of pathogenic protozoa through the territory is endemic with a probable source of contamination to sewage and livestock activity.
Collapse
Affiliation(s)
- Luciano Barros Zini
- Chemical Engineering Department, Federal University of Rio Grande do Sul, Luiz Englert s/nº, downtown, Porto Alegre, RS, 90040-040, Brazil.
- Health State Secretary of Rio Grande do Sul, Environmental Vigilance, Av. Ipiranga, Porto Alegre, RS, 5400, 90610-000, Brazil.
| | - Rafaela Lorenzini
- Health State Secretary of Rio Grande do Sul, Environmental Vigilance, Av. Ipiranga, Porto Alegre, RS, 5400, 90610-000, Brazil
| | - Luana Gabriele Gomes Camelo
- Health State Secretary of Rio Grande do Sul, Environmental Vigilance, Av. Ipiranga, Porto Alegre, RS, 5400, 90610-000, Brazil
| | - Mariliz Gutterres
- Chemical Engineering Department, Federal University of Rio Grande do Sul, Luiz Englert s/nº, downtown, Porto Alegre, RS, 90040-040, Brazil
| |
Collapse
|
24
|
Faria CP, Almendra R, Dias GS, Santana P, do Céu Sousa M, Bessa de Freitas M. Evaluation of the drinking water quality surveillance system in the metropolitan region of Rio de Janeiro. JOURNAL OF WATER AND HEALTH 2021; 19:306-321. [PMID: 33901026 DOI: 10.2166/wh.2021.217] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
The present work evaluated the surveillance of the drinking water quality information system database and correlated the findings of the microbiological analysis with the distribution of intestinal protozoa from the metropolitan region of Rio de Janeiro. From the database, we obtained 1,654 georeferenced monitoring stations that were used in the analysis. The results indicate that the minimum number of samples collected per parameter (free residual chlorine, turbidity, counts of total and fecal coliforms (Escherichia coli)) was not fulfilled, the collection of samples throughout the year was irregular and the representability of sampling points considered strategic was low (48% of municipalities). Besides, municipalities with a high prevalence for intestinal parasite protozoa were also the ones that had the highest counts for coliforms and the reverse can also be observed, indicating a transmission through contaminated drinking water. Despite the increased participation of municipalities in water surveillance actions during the studied period, it is necessary to implement managerial measures to improve the system, aiming to correct flaws and inconsistencies in the application of the water quality monitoring protocol.
Collapse
Affiliation(s)
- Clarissa Perez Faria
- Center for Neurosciences and Cell Biology (CNC), University of Coimbra, Coimbra, Portugal and Faculty of Pharmacy, University of Coimbra, Coimbra, Portugal
| | - Ricardo Almendra
- Centre of Studies on Geography and Spatial Planning (CEGOT), Department of Geography and Tourism, University of Coimbra, Coimbra, Portugal
| | - Gisele Silva Dias
- Evandro Chagas National Institute of Infectious Diseases (INI), Fundação Oswaldo Cruz, Rio de Janeiro, Brazil
| | - Paula Santana
- Centre of Studies on Geography and Spatial Planning (CEGOT), Department of Geography and Tourism, University of Coimbra, Coimbra, Portugal
| | - Maria do Céu Sousa
- Center for Neurosciences and Cell Biology (CNC), University of Coimbra, Coimbra, Portugal and Faculty of Pharmacy, University of Coimbra, Coimbra, Portugal
| | | |
Collapse
|
25
|
Preventive role of probiotic bacteria against gastrointestinal diseases in mice caused by Giardia lamblia. Biosci Rep 2021; 41:227855. [PMID: 33600560 PMCID: PMC7901011 DOI: 10.1042/bsr20204114] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2020] [Revised: 02/11/2021] [Accepted: 02/12/2021] [Indexed: 12/13/2022] Open
Abstract
Giardiasis is one of the most prevalent gastrointestinal diseases in the world. It is caused by Giardia, Giardia lamblia, a common and opportunistic zoonotic parasite. The aim of our work is to find a natural and safe alternative treatment for giardiasis, specifically, to determine if probiotic bacteria (Lactobacillus acidophilus, Bifidobacterium bifidum, and Lactobacillus helveticus) can contribute to treatment, and act as preventives. Sixty weanling albino mice, Mus musculus, were divided into control and experimental, probiotic-fed groups. We determined infection intensity, and cure and prevention rates of giardiasis through ELISA (enzyme-linked immunosorbent assay) of stool samples and histopathological comparison of intestinal tissue. In experimental groups, there was a significant reduction in infection intensity (P<0.001) on days 10, 15, and 20, while cure rate reached 87.5%. The control group showed no signs of reduced infection or cure and only the group treated with probiotics prior to infection showed significant prevention rates. In the experimental groups, intestinal changes due to giardiasis appeared 7 days post-infection. However, almost all of these changes disappeared by the 25th day. Our results suggest a beneficial and significant effect of probiotics in the prevention and treatment of giardiasis in mice.
Collapse
|
26
|
Andreoli FC, Sabogal-Paz LP. Detection of Giardia and Cryptosporidium in environmental matrices with immunomagnetic separation: two or three acid dissociations. Parasitol Res 2021; 120:629-635. [PMID: 33415396 DOI: 10.1007/s00436-020-06999-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2020] [Accepted: 12/02/2020] [Indexed: 10/22/2022]
Abstract
This study evaluated the technology of detection of Giardia spp. cysts and Cryptosporidium spp. oocysts in environmental matrices obtained after water treatment on a bench scale. Calcium carbonate flocculation with immunomagnetic separation was the selected method to quantify the protozoa, and the importance of the number of acid dissociations in the immunomagnetic separation was assessed. When adding the third acid dissociation, an increase of 71% ± 6 in floated residue and 31.9% ± 28.7 in filter backwash water in cyst recovery was observed, while in oocyst recovery, a non-significant increase was detected. In the filtered water, this increased dissociation was important in the protozoa recovery with increases greater than 33%. The results showed that there is a strong interaction of these target organisms with the magnetic microspheres, since protozoa were still recovered in the third acid dissociation and some of them were still adhered to the magnetic microspheres.
Collapse
Affiliation(s)
- Fernando César Andreoli
- Department of Hydraulics and Sanitation, São Carlos School of Engineering, University of São Paulo, Avenida Trabalhador São-carlense 400, São Carlos, São Paulo, 13566-590, Brazil
| | - Lyda Patricia Sabogal-Paz
- Department of Hydraulics and Sanitation, São Carlos School of Engineering, University of São Paulo, Avenida Trabalhador São-carlense 400, São Carlos, São Paulo, 13566-590, Brazil.
| |
Collapse
|
27
|
Mphephu MG, Ekwanzala MD, Momba MNB. Cryptosporidium species and subtypes in river water and riverbed sediment using next-generation sequencing. Int J Parasitol 2021; 51:339-351. [PMID: 33421439 DOI: 10.1016/j.ijpara.2020.10.005] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2020] [Revised: 10/06/2020] [Accepted: 10/11/2020] [Indexed: 12/11/2022]
Abstract
This study uncovered the prevalence, harboured species, and subtype diversity of Cryptosporidium species in river water and its sediment from the Apies River in South Africa. Cryptosporidium spp. concentrations in freshwater and its sediment were determined using Ziehl-Neelsen staining and quantitative Polymerase Chain Reaction (qPCR) techniques. Next-generation sequencing (NGS) targeting the 60 kDa glycoprotein (gp60) gene of Cryptosporidium spp. was performed to reveal the species, subtype families and subtypes harboured in freshwater and its sediment. Although the results revealed that water samples had a higher prevalence (30%) compared with sediment (28%), the number of observable Cryptosporidium spp. oocysts in sediment samples (ranging from 4.90 to 5.81 log10 oocysts per 1 Liter) was higher than that of river water samples (ranging from 4.60 to 5.58 log10 oocysts per 1 L) using Ziehl-Neelsen staining. The 18S ribosomal ribonucleic acid (rRNA) gene copy of Cryptosporidium in riverbed sediments ranged from 6.03 to 7.65 log10, whereas in river water, it was found to be between 4.20 and 6.79 log10. Subtyping results showed that in riverbed sediments, Cryptosporidium parvum accounted for 40.72% of sequences, followed by Cryptosporidium hominis with 23.64%, Cryptosporidium cuniculus with 7.10%, Cryptosporidium meleagridis with 4.44% and the least was Cryptosporidium wrairi with 2.59%. A considerable percentage of reads in riverbed sediment (21.25%) was not assigned to any subtype. River water samples had 45.63% of sequences assigned to C. parvum, followed by 30.32% to C. hominis, 17.99% to C. meleagridis and 5.88% to C. cuniculus. The data obtained are concerning, as Cryptosporidium spp. have intrinsic resistance to water treatment processes and low infectious doses, which can pose a risk to human health due to the various uses of water (for human consumption, leisure, and reuse).
Collapse
Affiliation(s)
- Muofhe Grace Mphephu
- Department of Environmental, Water and Earth Sciences, Tshwane University of Technology, Arcadia Campus, Private BagX680, Pretoria 0001, South Africa
| | - Mutshiene Deogratias Ekwanzala
- Department of Environmental, Water and Earth Sciences, Tshwane University of Technology, Arcadia Campus, Private BagX680, Pretoria 0001, South Africa
| | - Maggy Ndombo Benteke Momba
- Department of Environmental, Water and Earth Sciences, Tshwane University of Technology, Arcadia Campus, Private BagX680, Pretoria 0001, South Africa.
| |
Collapse
|
28
|
Javanmard E, Mirsamadi ES, Olfatifar M, Ghasemi E, Saki F, Mirjalali H, Zali MR, Karanis P. Prevalence of Cryptosporidium and Giardia in vegetables in Iran: a nineteen-years meta-analysis review. JOURNAL OF ENVIRONMENTAL HEALTH SCIENCE & ENGINEERING 2020; 18:1629-1641. [PMID: 33312667 PMCID: PMC7721826 DOI: 10.1007/s40201-020-00493-w] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/16/2019] [Accepted: 06/08/2020] [Indexed: 06/12/2023]
Abstract
Cryptosporidium and Giardia are two major protozoa reported from vegetables and environment. The prevalence of these parasites supposes to be different regarding the climate zones. This review aimed to evaluate the prevalence of Cryptosporidium and Giardia in vegetables according to the major climate zones in Iran. The results showed pooled prevalence 7% (95% CI: 2%, 14%) and 4% (95% CI: 3%, 6%) for Cryptosporidium spp., and Giardia spp., respectively. The prevalence of Giardia spp. in mountain, desert and semi-desert, and Mediterranean regions was 4% (95% CI: 2%, 6%), 5% (95% CI: 3%, 8%) and 7% (95% CI: 1%, 18%), respectively. Cryptosporidium spp. was reported 8% (95% CI: 0%, 65%), 6% (95% CI: 0%, 18%) and 4% (95% CI: 0%, 77%) from mountain, desert and semi-desert, and Mediterranean climate zones, respectively. This review suggests the higher prevalence of Giardia and Cryptosporidium in Mediterranean and mountain regions, respectively.
Collapse
Affiliation(s)
- Ehsan Javanmard
- Foodborne and Waterborne Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Elnaz Sadat Mirsamadi
- Department of Microbiology, Faculty of Medicine, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
| | - Meysam Olfatifar
- Gastroenterology and Liver Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Erfan Ghasemi
- Department of Biostatistics, Faculty of Paramedical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Fatemeh Saki
- Department of Geography, Faculty of Teacher Education, Farhangian University, Alborz, Iran
| | - Hamed Mirjalali
- Foodborne and Waterborne Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Mohammad Reza Zali
- Gastroenterology and Liver Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Panagiotis Karanis
- Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany
- Department of Basic and Clinical Sciences, Nicosia University Medical School, 2408 Nicosia, Cyprus
| |
Collapse
|
29
|
Breternitz BS, Barbosa da Veiga DP, Pepe Razzolini MT, Nardocci AC. Land use associated with Cryptosporidium sp. and Giardia sp.in surface water supply in the state of São Paulo, Brazil. ENVIRONMENTAL POLLUTION (BARKING, ESSEX : 1987) 2020; 266:115143. [PMID: 32682184 DOI: 10.1016/j.envpol.2020.115143] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/02/2020] [Revised: 06/18/2020] [Accepted: 06/27/2020] [Indexed: 06/11/2023]
Abstract
Land use/Land cover (LULC) associated with Cryptosporidium sp. and Giardia sp. quantification and distribution can provide identification of the environmental circulation patterns of these parasites. The aim of this research was to relate the occurrence and circulation of these parasites to the LULC watershed with poor sanitation infrastructure and livestock as important economic activity. The study involved 11 municipalities in the state of São Paulo, located in southeastern Brazil. Sampling was carried out at the catchment sites of each water supply on a monthly basis, starting in December 2014 and lasting until November 2015, totalizing 128 samples. Protozoans were quantified according to the 1623.1 US. EPA Method. For watershed delimitation, the hydrographic network was extracted from the hydrology tool of ArcGIS 10.1. The frequency of occurrence of these pathogens and the high concentrations were evidenced in the municipality with the largest urban area (16.2%) and intense livestock activity (39%) near the catchment site. The municipality that showed the lowest frequency of occurrence presented the smallest urban area (0.87%) and absence of livestock activity near the catchment site. The high concentration of pathogens suggests a correlation between the impact on water supply networks and river basin degradation caused by urban activity and livestock.
Collapse
Affiliation(s)
- Bruna Suellen Breternitz
- School of Public Health, University of São Paulo, Av. Dr Arnaldo 715, 1° Floor, 01246-904, São Paulo, Brazil; NARA - Center for Research Into Environmental Risk Assessment, Av. Dr Arnaldo 715, 1° Floor, 01246-904, São Paulo, Brazil.
| | - Denise Piccirillo Barbosa da Veiga
- School of Public Health, University of São Paulo, Av. Dr Arnaldo 715, 1° Floor, 01246-904, São Paulo, Brazil; NARA - Center for Research Into Environmental Risk Assessment, Av. Dr Arnaldo 715, 1° Floor, 01246-904, São Paulo, Brazil
| | - Maria Tereza Pepe Razzolini
- School of Public Health, University of São Paulo, Av. Dr Arnaldo 715, 1° Floor, 01246-904, São Paulo, Brazil; NARA - Center for Research Into Environmental Risk Assessment, Av. Dr Arnaldo 715, 1° Floor, 01246-904, São Paulo, Brazil
| | - Adelaide Cássia Nardocci
- School of Public Health, University of São Paulo, Av. Dr Arnaldo 715, 1° Floor, 01246-904, São Paulo, Brazil; NARA - Center for Research Into Environmental Risk Assessment, Av. Dr Arnaldo 715, 1° Floor, 01246-904, São Paulo, Brazil
| |
Collapse
|
30
|
Ahmed SA, Karanis P. Cryptosporidium and Cryptosporidiosis: The Perspective from the Gulf Countries. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E6824. [PMID: 32962045 PMCID: PMC7558405 DOI: 10.3390/ijerph17186824] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/24/2020] [Revised: 09/05/2020] [Accepted: 09/14/2020] [Indexed: 12/13/2022]
Abstract
The present review discusses the burden of cryptosporidiosis in the Gulf Cooperation Council (GCC), which is underreported and underestimated. It emphasizes that the Cryptosporidium parasite is infecting inhabitants and expatriates in the Gulf countries. Children under 5 years are a vulnerable group that is particularly affected by this parasitic disease and can act as carriers, who contribute to the epidemiology of the disease most probably via recreational swimming pools. Various risk factors for cryptosporidiosis in the GCC countries are present, including expatriates, predisposing populations to the infection. Water contamination, imported food, animal contact, and air transmission are also discussed in detail, to address their significant role as a source of infection and, thus, their impact on disease epidemiology in the Gulf countries' populations.
Collapse
Affiliation(s)
- Shahira A. Ahmed
- Department of Parasitology, Faculty of Medicine, Suez Canal University, Ismailia 41522, Egypt;
| | - Panagiotis Karanis
- Medical Faculty and University Hospital, University of Cologne, 50937 Cologne, Germany
- Department of Basic and Clinical Sciences, University of Nicosia Medical School, CY-1700 Nicosia 24005, Cyprus
| |
Collapse
|
31
|
García-Livia K, Martín-Alonso A, Foronda P. Diversity of Cryptosporidium spp. in wild rodents from the Canary Islands, Spain. Parasit Vectors 2020; 13:445. [PMID: 32887646 PMCID: PMC7472698 DOI: 10.1186/s13071-020-04330-9] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2020] [Accepted: 08/30/2020] [Indexed: 12/11/2022] Open
Abstract
BACKGROUND Cryptosporidium spp. are worldwide protozoan parasites which include species that can lead to cryptosporidiosis in humans. Different animal species can serve as reservoirs and sources of dissemination of the disease, such as rodent species due their potential in transmitting zoonotic pathogens to humans and other animals. In the Canary Islands (Spain), Cryptosporidium parvum and Cryptosporidium hominis have been identified in patients with diarrhea. However, the occurrence of Cryptosporidium spp. in possible reservoirs in this archipelago remains unclear. Considering the zoonotic potential of these protozoans, the aim of the present study was to determine the presence of Cryptosporidium spp. in peridomestic wild rodents and the possible role of these mammals as a source of transmission of these protozoans in Canary Islands. METHODS A total of 179 rodents belonging to Rattus rattus and Mus musculus domesticus from four Canary Islands, La Palma, El Hierro, Tenerife and Lanzarote, were analyzed. Feces were screened for Cryptosporidium spp. by nested PCR of the 18S ribosomal RNA fragment and the sequences used for phylogenetic analyses. RESULTS Cryptosporidium spp. were found widely distributed with an overall prevalence of 12.30% in rodents (13.86% for R. rattus and 10.25% for M. m. domesticus). The overall prevalence by island was 19.60% for Tenerife, 7.14% for La Palma, 5.71% for El Hierro and 0% for Lanzarote. Cryptosporidium tyzzeri, Cryptosporidium meleagridis, Cryptosporidium muris and Cryptosporidium sp. rat genotype I and II/III were successfully identified, in addition to two unidentified Cryptosporidium genotypes. CONCLUSIONS This study contributes to the knowledge of the biodiversity and distribution of Cryptosporidium spp. in wild rodents from the Canary Islands, highlighting the presence of three zoonotic species, C. tyzzeri, C. meleagridis and C. muris, being the first detection of these three species in wild rodents in the Canary Islands and the first report of C. meleagridis in R. rattus. Given the results obtained in our study, future studies in non-sampled areas are required to better understand the epidemiology of these protozoans in wild rodents in the archipelago.
Collapse
Affiliation(s)
- Katherine García-Livia
- Instituto Universitario de Enfermedades Tropicales y Salud Pública de Canarias, Universidad de La Laguna, San Cristobal de La Laguna, Canary Islands Spain
- Departament Obstetricia y Ginecología, Pediatría, Medicina Preventiva y Salud Pública, Toxicología, Medicina Legal y Forense y Parasitología, Universidad de La Laguna, San Cristobal de La Laguna, Canary Islands Spain
| | - Aarón Martín-Alonso
- Instituto Universitario de Enfermedades Tropicales y Salud Pública de Canarias, Universidad de La Laguna, San Cristobal de La Laguna, Canary Islands Spain
| | - Pilar Foronda
- Instituto Universitario de Enfermedades Tropicales y Salud Pública de Canarias, Universidad de La Laguna, San Cristobal de La Laguna, Canary Islands Spain
- Departament Obstetricia y Ginecología, Pediatría, Medicina Preventiva y Salud Pública, Toxicología, Medicina Legal y Forense y Parasitología, Universidad de La Laguna, San Cristobal de La Laguna, Canary Islands Spain
| |
Collapse
|
32
|
Pineda CO, Leal DAG, Fiuza VRDS, Jose J, Borelli G, Durigan M, Pena HFJ, Bueno Franco RM. Toxoplasma
gondii
oocysts,
Giardia
cysts and
Cryptosporidium
oocysts in outdoor swimming pools in Brazil. Zoonoses Public Health 2020; 67:785-795. [DOI: 10.1111/zph.12757] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2020] [Revised: 07/07/2020] [Accepted: 07/10/2020] [Indexed: 02/02/2023]
Affiliation(s)
- Carolina Ortiz Pineda
- Laboratório de Protozoologia Departamento de Biologia Animal Instituto de Biologia Universidade Estadual de Campinas (UNICAMP) Campinas Brazil
| | - Diego Averaldo Guiguet Leal
- Laboratório de Parasitologia Ambiental Departamento de Patologia Básica, Setor de Ciências Biológicas Universidade Federal do Paraná (UFPR) Curitiba Brazil
| | - Vagner Ricardo da Silva Fiuza
- Instituto de Biociências, Parasitologia Animal Universidade Federal do Mato Grosso do Sul (UFMS) Campo Grande Brazil
| | - Juliana Jose
- Laboratório de Genômica e Expressão Departamento de Genética Evolução e Bioagentes Instituto de Biologia Universidade Estadual de Campinas (UNICAMP) Campinas Brazil
| | - Guilherme Borelli
- Laboratório de Genômica e Expressão Departamento de Genética Evolução e Bioagentes Instituto de Biologia Universidade Estadual de Campinas (UNICAMP) Campinas Brazil
| | | | - Hilda Fátima Jesus Pena
- Laboratório de Doenças Parasitárias Departamento de Medicina Veterinária Preventiva e Saúde Animal Faculdade de Medicina Veterinária e Zootecnia Universidade de São Paulo (USP) São Paulo Brazil
| | - Regina Maura Bueno Franco
- Laboratório de Protozoologia Departamento de Biologia Animal Instituto de Biologia Universidade Estadual de Campinas (UNICAMP) Campinas Brazil
| |
Collapse
|
33
|
Razzolini MTP, Breternitz BS, Kuchkarian B, Bastos VK. Cryptosporidium and Giardia in urban wastewater: A challenge to overcome. ENVIRONMENTAL POLLUTION (BARKING, ESSEX : 1987) 2020; 257:113545. [PMID: 31733962 DOI: 10.1016/j.envpol.2019.113545] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/31/2019] [Revised: 10/21/2019] [Accepted: 10/30/2019] [Indexed: 06/10/2023]
Abstract
This study aimed to quantify Giardia and Cryptosporidium in disinfected water reuse samples from two Wastewater Treatment Plants (A and B), which were quantified by USEPA 1693/2014 Method. Giardia was found in 35.8% of the total samples (<0.03 to 16 cysts/L) while Cryptosporidium in 30.2% (<0.03 to 25.8 oocysts/L). This study highlights the presence of both parasites in water for reuse despite treatment processes for their removal, which means there is a challenge to overcome. Their presence is preoccupant even though in low concentrations because the infectivity dose is low coupled with high prevalence in the global population. The practice of water recycling is valuable for sustainable water management and it is in line with Sustainable Developments Goals but should not threaten human health. Tackling this issue is more critical in developing countries because treatment processes are often more limited, the monitoring data from water reuse are not always available, the lack of regulation for water reuse quality and the lack of planning for its sustainable usage.
Collapse
Affiliation(s)
- M T P Razzolini
- School of Public Health, University of São Paulo, Av. Dr Arnaldo 715, 1°andar, 01246-904 São Paulo, Brazil; NARA - Center for Research in Environmental Risk Assessment, Av. Dr Arnaldo 715, 1°andar, 01246-904 São Paulo, Brazil.
| | - B S Breternitz
- School of Public Health, University of São Paulo, Av. Dr Arnaldo 715, 1°andar, 01246-904 São Paulo, Brazil; NARA - Center for Research in Environmental Risk Assessment, Av. Dr Arnaldo 715, 1°andar, 01246-904 São Paulo, Brazil
| | - B Kuchkarian
- School of Public Health, University of São Paulo, Av. Dr Arnaldo 715, 1°andar, 01246-904 São Paulo, Brazil; NARA - Center for Research in Environmental Risk Assessment, Av. Dr Arnaldo 715, 1°andar, 01246-904 São Paulo, Brazil
| | - V K Bastos
- School of Public Health, University of São Paulo, Av. Dr Arnaldo 715, 1°andar, 01246-904 São Paulo, Brazil; NARA - Center for Research in Environmental Risk Assessment, Av. Dr Arnaldo 715, 1°andar, 01246-904 São Paulo, Brazil
| |
Collapse
|
34
|
Javanmard E, Rahimi HM, Niyyati M, Aghdaei HA, Sharifdini M, Mirjalali H, Zali MR, Karanis P. Molecular analysis of Blastocystis sp. and its subtypes from treated wastewater routinely used for irrigation of vegetable farmlands in Iran. JOURNAL OF WATER AND HEALTH 2019; 17:837-844. [PMID: 31638033 DOI: 10.2166/wh.2019.045] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Treated wastewater samples were collected, filtered using sterile 47-mm cellulose nitrate membrane and DNA extracted from the filtered materials. The presence of Blastocystis sp. was confirmed via polymerase chain reaction (PCR) targeting the SSU rRNA gene of Blastocystis sp. in 5/12 of samples. Based on the subtype analysis after sequencing, 2, 2 and 1 of ST2, ST6 and ST8 were detected among the isolates, respectively. Furthermore, both ST6s were allele 139, alleles 11 and 138 were identified in ST2 and the only ST8 was allele 95. The phylogenetic tree showed that one of ST2 was clustered together with those ST2 that were already reported from humans and animals. The presence of Blastocystis sp. in treated wastewater can indicate the potential role of this type of water for irrigation in the transmission of pathogenic microorganisms to downstream farmlands.
Collapse
Affiliation(s)
- Ehsan Javanmard
- Foodborne and Waterborne Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran E-mail:
| | - Hanieh Mohammad Rahimi
- Foodborne and Waterborne Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran E-mail:
| | - Maryam Niyyati
- Department of Medical Parasitology and Mycology, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Hamid Asadzadeh Aghdaei
- Basic and Molecular Epidemiology of Gastrointestinal Disorders Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Meysam Sharifdini
- Department of Medical Parasitology and Mycology, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
| | - Hamed Mirjalali
- Foodborne and Waterborne Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran E-mail:
| | - Mohammad Reza Zali
- Gastroenterology and Liver Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Panagiotis Karanis
- University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany
| |
Collapse
|
35
|
Occurrence and molecular characterization of Giardia duodenalis in child population from Colombia. INFECTION GENETICS AND EVOLUTION 2019; 76:104034. [PMID: 31521787 DOI: 10.1016/j.meegid.2019.104034] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/27/2019] [Revised: 08/13/2019] [Accepted: 09/05/2019] [Indexed: 11/24/2022]
Abstract
Giardia duodenalis is one of the most prevalent human intestinal parasite, with children living in developing countries being particularly at risk of infection. The occurrence and molecular diversity of G. duodenalis was investigated in stools specimens from 307 individuals aged one to nineteen years in Colombia. Samples were collected in three educational establishments (n: 163) and two hospital laboratories (n: 144) from urban and rural areas. Feces were concentrated using a biphasic sedimentation method and wet mounts of the sediment were examined by light microscopy. G. duodenalis assemblages and sub-assemblages were determined on positive samples by PCR of the triose phosphate isomerase (tpi), β-giardin (bg) and small-subunit (ssu) rRNA genes. G. duodenalis infection was detected by microscopy in 23 individuals (7.5%). The protozoan was more prevalent among specimens collected in educational establishments (11.6%) than in those obtained from hospital laboratories (2.8%). Infection was most common in individuals from urban areas and children aged 1-5 years. No significant association between diarrhea and infection could be demonstrated. Twenty Giardia-positive samples were successfully allocated to assemblage B (n: 11), sub-assemblage AII (n: 7), and assemblage A (n: 2). Results indicate the potential for transmission of G. duodenalis infection in children attending educational establishments and individuals from urban areas, where transmission seems to be primarily anthroponotic.
Collapse
|
36
|
Urban Stream and Wetland Restoration in the Global South—A DPSIR Analysis. SUSTAINABILITY 2019. [DOI: 10.3390/su11184975] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
In many countries of the Global South, aquatic ecosystems such as streams, rivers, lakes, and wetlands are severely impacted by several simultaneous environmental stressors, associated with accelerated urban development, and extreme climate. However, this problem receives little attention. Applying a DPSIR approach (Drivers, Pressures, State, Impacts, Responses), we analyzed the environmental impacts and their effects on urban hydrosystems (including stagnant waters), and suggest possible solutions from a series of case studies worldwide. We find that rivers in the Global South, with their distinctive geographical and socio-political setting, display significant differences from the Urban Stream Syndrome described so far in temperate zones. We introduce the term of ‘Southern Urban Hydrosystem Syndrome’ for the biophysical problems as well as the social interactions, including the perception of water bodies by the urbanites, the interactions of actors (e.g., top-down, bottom-up), and the motivations that drive urban hydrosystem restoration projects of the Global South. Supported by a synthesis of case studies (with a focus on Brazilian restoration projects), this paper summarizes the state of the art, highlights the currently existing lacunae for research, and delivers examples of practical solutions that may inform UNESCO’s North–South–South dialogue to solve these urgent problems. Two elements appear to be specifically important for the success of restoration projects in the Global South, namely the broad acceptance and commitment of local populations beyond merely ‘ecological’ justifications, e.g., healthy living environments and ecosystems with cultural linkages (‘River Culture’). To make it possible implementable/practical solutions must be extended to (often poor) people having settled along river banks and wetlands.
Collapse
|
37
|
Yamashiro S, Foco MLR, Pineda CO, José J, Nour EAA, Siqueira-Castro ICV, Franco RMB. Giardia spp. and Cryptosporidium spp. removal efficiency of a combined fixed-film system treating domestic wastewater receiving hospital effluent. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2019; 26:22756-22771. [PMID: 31172433 DOI: 10.1007/s11356-019-05500-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/24/2018] [Accepted: 05/16/2019] [Indexed: 06/09/2023]
Abstract
Giardia and Cryptosporidium have caused numerous outbreaks of diarrhea as a result of the ingestion of water contaminated with sewage. In Brazil, the efficiency of Giardia and Cryptosporidium removal by combined fixed-film systems has rarely been studied. The aims of the present study were therefore to verify the removal efficiency of Giardia and Cryptosporidium by a combined system (anaerobic/anoxic filter and aerated submerged biofilter) and to perform the genetic characterization of these parasites. The (oo)cysts were detected by centrifuge concentration and membrane filtration from raw sewage, effluents, adhered biomass, and sludge samples. Immunofluorescence assay and differential interference contrast microscopy were used for the visualization of the (oo)cysts. Nested PCR was applied to confirm Giardia and Cryptosporidium. Giardia and Cryptosporidium were detected in 27% and 5.5% of the 144 analyzed samples of raw sewage and effluents, respectively. A total of 33,000 cysts/L were recovered in the adhered biomass samples (n = 25) from different points of the aerated submerged biofilter, while 6000 oocysts/L were registered in a single point. An average of 11,800 cysts/L were found in the sludge samples (n = 5). The combined system exhibited a removal efficiency of Giardia cysts of 1.8 ± 1.0 log removal. The C and BIV assemblages of Giardia were identified in the raw sewage while AII was found in the treated effluent sample. It was not possible to calculate the removal efficiency of Cryptosporidium oocysts by the combined system. The combined system exhibited some potential as a suitable treatment for the removal of parasites from sewage.
Collapse
Affiliation(s)
- Sandra Yamashiro
- Laboratory of Protozoology, Department of Animal Biology, Institute of Biology, University of Campinas (UNICAMP), Monteiro Lobato Street, n°255, Campinas, São Paulo State, Brazil
| | - Mário Luiz Rodrigues Foco
- Department of Sanitation and Environment, School of Civil Engineering, Architecture and Urban Design, University of Campinas (UNICAMP), Campinas, São Paulo State, Brazil
| | - Carolina Ortiz Pineda
- Laboratory of Protozoology, Department of Animal Biology, Institute of Biology, University of Campinas (UNICAMP), Monteiro Lobato Street, n°255, Campinas, São Paulo State, Brazil
| | - Juliana José
- Department of Genetic and Evolution, Institute of Biology, University of Campinas (UNICAMP), Campinas, São Paulo State, Brazil
| | - Edson Aparecido Abdul Nour
- Department of Sanitation and Environment, School of Civil Engineering, Architecture and Urban Design, University of Campinas (UNICAMP), Campinas, São Paulo State, Brazil
| | - Isabel Cristina Vidal Siqueira-Castro
- Laboratory of Protozoology, Department of Animal Biology, Institute of Biology, University of Campinas (UNICAMP), Monteiro Lobato Street, n°255, Campinas, São Paulo State, Brazil
| | - Regina Maura Bueno Franco
- Laboratory of Protozoology, Department of Animal Biology, Institute of Biology, University of Campinas (UNICAMP), Monteiro Lobato Street, n°255, Campinas, São Paulo State, Brazil.
| |
Collapse
|
38
|
Ma L, Zhang X, Jian Y, Li X, Wang G, Hu Y, Karanis P. Detection of Cryptosporidium and Giardia in the slaughterhouse, sewage and river waters of the Qinghai Tibetan plateau area (QTPA), China. Parasitol Res 2019; 118:2041-2051. [PMID: 31098727 DOI: 10.1007/s00436-019-06330-w] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2018] [Accepted: 04/18/2019] [Indexed: 12/11/2022]
Abstract
The occurrence of Cryptosporidium and Giardia species in slaughter, sewage and river waters of the Qinghai Tibetan Plateau Area (QTPA), China, was investigated. A total of 456 samples were collected from different locations in the QTPA to study the contamination rates of Cryptosporidium spp. and Giardia via PCR and subsequent sequence analysis. Ten samples were Cryptosporidium positive, and 97 were Giardia positive, as confirmed by PCR amplification of the SSU rRNA gene. The percentages of positive Cryptosporidium and Giardia detection were 2.2% (10/456) and 21.3% (97/456), respectively. Cryptosporidium was detected in only sewage and river waters. Six species of Cryptosporidium were identified: Cryptosporidium hominis (n = 5), C. andersoni (n = 1), C. environmental (n = 1), C. struthionis (n = 1), C. canis (n = 1), and C. parvum (n = 1). G. duodenalis assemblage A was identified in almost all positive samples (n = 96), and one sample harboured G. duodenalis assemblage E. The results suggest that Cryptosporidium and Giardia species circulate through the aqueous environment and different hosts. Therefore, we strongly recommend that the local government and health authorities in China undertake control measures to reduce the contamination of water sources by these protozoa to protect the health of humans and animals.
Collapse
Affiliation(s)
- Liqing Ma
- Qinghai Academy of Animal Sciences and Veterinary Medicine, Centre for Biomedicine and Infectious Diseases, Qinghai University, State Key Laboratory of Plateau Ecology and Agriculture, Xining, 810016, People's Republic of China
| | - Xueyong Zhang
- Qinghai Academy of Animal Sciences and Veterinary Medicine, Centre for Biomedicine and Infectious Diseases, Qinghai University, State Key Laboratory of Plateau Ecology and Agriculture, Xining, 810016, People's Republic of China
| | - Yingna Jian
- Qinghai Academy of Animal Sciences and Veterinary Medicine, Centre for Biomedicine and Infectious Diseases, Qinghai University, State Key Laboratory of Plateau Ecology and Agriculture, Xining, 810016, People's Republic of China
| | - Xiuping Li
- Qinghai Academy of Animal Sciences and Veterinary Medicine, Centre for Biomedicine and Infectious Diseases, Qinghai University, State Key Laboratory of Plateau Ecology and Agriculture, Xining, 810016, People's Republic of China
| | - Geping Wang
- Qinghai Academy of Animal Sciences and Veterinary Medicine, Centre for Biomedicine and Infectious Diseases, Qinghai University, State Key Laboratory of Plateau Ecology and Agriculture, Xining, 810016, People's Republic of China
| | - Yong Hu
- Qinghai Academy of Animal Sciences and Veterinary Medicine, Centre for Biomedicine and Infectious Diseases, Qinghai University, State Key Laboratory of Plateau Ecology and Agriculture, Xining, 810016, People's Republic of China
| | - Panagiotis Karanis
- Qinghai Academy of Animal Sciences and Veterinary Medicine, Centre for Biomedicine and Infectious Diseases, Qinghai University, State Key Laboratory of Plateau Ecology and Agriculture, Xining, 810016, People's Republic of China.
- Medical Faculty and University Hospital Cologne, University of Cologne, Cologne, Germany.
| |
Collapse
|
39
|
Solano Barquero M, Morales Mora E, Chacón Jiménez L, Cordero Jara E, Reyes Lizano L, Barrantes Jiménez K, Achí R. Low-cost internal controls for detection of Giardia cysts in water samples. Parasitol Int 2019; 71:177-179. [PMID: 31004805 DOI: 10.1016/j.parint.2019.04.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2018] [Revised: 04/05/2019] [Accepted: 04/14/2019] [Indexed: 11/18/2022]
Abstract
Giardia cysts stained with hot carbolfuchsin were used as internal controls in a concentration method for surface water samples. The morphological integrity of stained cysts and the stain's stability and intensity were tested with each of the chemical reagents used in the aluminum sulfate flocculation method. No alterations in morphology or color were noted. The stained cyst preparation has a low cost, high stability, and suitability for both light and immunofluorescent microscopy, making it affordable to researchers in low- and middle-income countries.
Collapse
Affiliation(s)
- Melissa Solano Barquero
- Sección Infección Nutrición, Instituto de Investigaciones en Salud (INISA), Universidad de Costa Rica, 11501-2060 San José, Costa Rica.
| | - Eric Morales Mora
- Sección Infección Nutrición, Instituto de Investigaciones en Salud (INISA), Universidad de Costa Rica, 11501-2060 San José, Costa Rica
| | - Luz Chacón Jiménez
- Sección Infección Nutrición, Instituto de Investigaciones en Salud (INISA), Universidad de Costa Rica, 11501-2060 San José, Costa Rica
| | - Erick Cordero Jara
- Sección Infección Nutrición, Instituto de Investigaciones en Salud (INISA), Universidad de Costa Rica, 11501-2060 San José, Costa Rica
| | - Liliana Reyes Lizano
- Sección Infección Nutrición, Instituto de Investigaciones en Salud (INISA), Universidad de Costa Rica, 11501-2060 San José, Costa Rica
| | - Kenia Barrantes Jiménez
- Sección Infección Nutrición, Instituto de Investigaciones en Salud (INISA), Universidad de Costa Rica, 11501-2060 San José, Costa Rica
| | - Rosario Achí
- Sección Infección Nutrición, Instituto de Investigaciones en Salud (INISA), Universidad de Costa Rica, 11501-2060 San José, Costa Rica
| |
Collapse
|
40
|
Zhao W, Zhou H, Huang Y, Xu L, Rao L, Wang S, Wang W, Yi Y, Zhou X, Wu Y, Ma T, Wang G, Hu X, Peng R, Yin F, Lu G. Cryptosporidium spp. in wild rats ( Rattus spp.) from the Hainan Province, China: Molecular detection, species/genotype identification and implications for public health. INTERNATIONAL JOURNAL FOR PARASITOLOGY-PARASITES AND WILDLIFE 2019; 9:317-321. [PMID: 31338292 PMCID: PMC6626849 DOI: 10.1016/j.ijppaw.2019.03.017] [Citation(s) in RCA: 26] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/25/2019] [Revised: 03/21/2019] [Accepted: 03/22/2019] [Indexed: 12/16/2022]
Abstract
Wild rats (Rattus spp.) carry many zoonotic pathogens including Cryptosporidium. Due to the close proximity of rats to humans in urban environments, the potential for disease transmission is high. Cryptosporidium is a protozoan parasite which when ingested causes serious human illness. Despite its importance, genetic characterization of Cryptosporidium in wild rats in the Hainan province of China has not been performed. In this study, we analyzed the occurrence and genetics of Cryptosporidium in wild rats from Hainan, China. From December 2017 to October 2018, 150 wild rats were captured and fresh fecal material was collected from intestinal sections. Rat species were identified by PCR-based amplification and analysis of the vertebrate cytochrome b (cytb) gene. Cryptosporidium was examined by PCR amplification of the partial small subunit of ribosomal DNA (SSU rDNA). C. viatorum were subtyped by PCR analysis of the gp60 gene. A total of four rat species were identified including Asian house rats (Rattus tanezumi) (n = 46), brown rats (Rattus norvegicus) (n = 56), Edward's long-tailed rats (Leopoldamys edwardsi) (n = 38) and muridae (Niviventer fulvescens) (n = 10), with Cryptosporidium positive rates of 73.9%, 28.6%, 55.3% and 40.0%, respectively (average infection rate: 50.0%, 75/150. Sequence analysis confirmed the presence of four Cryptosporidium species and two genotypes including C. viatorum (n = 11); C. occultus (n = 2); C. muris (n = 1); and C. erinacei (n = 1); rat genotypes III (n = 13) and IV (n = 47). Three novel subtypes of C. viatorum were identified in 6 of the 11 infected Edward's long-tailed rats: XVcA2G1a (n = 4), XVcA2G1b (n = 1) and XVdA3 (n = 1). The identification of human pathogenic C. viatorum and zoonotic C. occultus, C. muris and C. erinacei, suggested that wild rats infected with Cryptosporidium pose a threat to human health. Taken together, these findings highlight the need to control the rat population in Hainan, China. The need to improve the public awareness of the risk of disease transmission from wild rats to humans is also highlighted. This is the first report of the identification of Cryptosporidium in wild rats in Hainan Province, China. A total of 75 out of 150 (50.0%) specimens were PCR-positive for Cryptosporidium. Six known species or genotypes and three novel subtypes of C. viatorum were identified. The possibility of transmission of Cryptosporidium between wild rats and humans was suggested.
Collapse
Affiliation(s)
- Wei Zhao
- Department of Pathogenic Biology, Hainan Medical University, Haikou, Hainan, China
- Hainan Medical University-The University of Hong Kong Joint Laboratory of Tropical Infectious Diseases, Hainan Medical University, Haikou, Hainan, China
- Key Laboratory of Translation Medicine Tropical Diseases, Hainan Medical University, Haikou, Hainan, China
| | - Huanhuan Zhou
- Department of Pathogenic Biology, Hainan Medical University, Haikou, Hainan, China
- Hainan Medical University-The University of Hong Kong Joint Laboratory of Tropical Infectious Diseases, Hainan Medical University, Haikou, Hainan, China
- Key Laboratory of Translation Medicine Tropical Diseases, Hainan Medical University, Haikou, Hainan, China
| | - Yi Huang
- Department of Pathogenic Biology, Hainan Medical University, Haikou, Hainan, China
- Hainan Medical University-The University of Hong Kong Joint Laboratory of Tropical Infectious Diseases, Hainan Medical University, Haikou, Hainan, China
- Key Laboratory of Translation Medicine Tropical Diseases, Hainan Medical University, Haikou, Hainan, China
| | - Liulian Xu
- Department of Pathogenic Biology, Hainan Medical University, Haikou, Hainan, China
- Hainan Medical University-The University of Hong Kong Joint Laboratory of Tropical Infectious Diseases, Hainan Medical University, Haikou, Hainan, China
- Key Laboratory of Translation Medicine Tropical Diseases, Hainan Medical University, Haikou, Hainan, China
| | - Langyu Rao
- Department of Pathogenic Biology, Hainan Medical University, Haikou, Hainan, China
- Hainan Medical University-The University of Hong Kong Joint Laboratory of Tropical Infectious Diseases, Hainan Medical University, Haikou, Hainan, China
- Key Laboratory of Translation Medicine Tropical Diseases, Hainan Medical University, Haikou, Hainan, China
| | - Shanshan Wang
- Department of Pathogenic Biology, Hainan Medical University, Haikou, Hainan, China
- Hainan Medical University-The University of Hong Kong Joint Laboratory of Tropical Infectious Diseases, Hainan Medical University, Haikou, Hainan, China
- Key Laboratory of Translation Medicine Tropical Diseases, Hainan Medical University, Haikou, Hainan, China
| | - Wenqi Wang
- Department of Pathogenic Biology, Hainan Medical University, Haikou, Hainan, China
- Hainan Medical University-The University of Hong Kong Joint Laboratory of Tropical Infectious Diseases, Hainan Medical University, Haikou, Hainan, China
- Key Laboratory of Translation Medicine Tropical Diseases, Hainan Medical University, Haikou, Hainan, China
| | - Yufang Yi
- Department of Pathogenic Biology, Hainan Medical University, Haikou, Hainan, China
- Hainan Medical University-The University of Hong Kong Joint Laboratory of Tropical Infectious Diseases, Hainan Medical University, Haikou, Hainan, China
- Key Laboratory of Translation Medicine Tropical Diseases, Hainan Medical University, Haikou, Hainan, China
| | - Xiaojun Zhou
- Department of Pathogenic Biology, Hainan Medical University, Haikou, Hainan, China
- Hainan Medical University-The University of Hong Kong Joint Laboratory of Tropical Infectious Diseases, Hainan Medical University, Haikou, Hainan, China
- Key Laboratory of Translation Medicine Tropical Diseases, Hainan Medical University, Haikou, Hainan, China
| | - Yue Wu
- Department of Pathogenic Biology, Hainan Medical University, Haikou, Hainan, China
- Hainan Medical University-The University of Hong Kong Joint Laboratory of Tropical Infectious Diseases, Hainan Medical University, Haikou, Hainan, China
- Key Laboratory of Translation Medicine Tropical Diseases, Hainan Medical University, Haikou, Hainan, China
| | - Tianming Ma
- Department of Pathogenic Biology, Hainan Medical University, Haikou, Hainan, China
- Hainan Medical University-The University of Hong Kong Joint Laboratory of Tropical Infectious Diseases, Hainan Medical University, Haikou, Hainan, China
- Key Laboratory of Translation Medicine Tropical Diseases, Hainan Medical University, Haikou, Hainan, China
| | - Gaoyu Wang
- Department of Pathogenic Biology, Hainan Medical University, Haikou, Hainan, China
- Hainan Medical University-The University of Hong Kong Joint Laboratory of Tropical Infectious Diseases, Hainan Medical University, Haikou, Hainan, China
- Key Laboratory of Translation Medicine Tropical Diseases, Hainan Medical University, Haikou, Hainan, China
| | - Xiaoyuan Hu
- Department of Pathogenic Biology, Hainan Medical University, Haikou, Hainan, China
- Hainan Medical University-The University of Hong Kong Joint Laboratory of Tropical Infectious Diseases, Hainan Medical University, Haikou, Hainan, China
- Key Laboratory of Translation Medicine Tropical Diseases, Hainan Medical University, Haikou, Hainan, China
| | - Ruoyan Peng
- Department of Pathogenic Biology, Hainan Medical University, Haikou, Hainan, China
- Hainan Medical University-The University of Hong Kong Joint Laboratory of Tropical Infectious Diseases, Hainan Medical University, Haikou, Hainan, China
- Key Laboratory of Translation Medicine Tropical Diseases, Hainan Medical University, Haikou, Hainan, China
| | - Feifei Yin
- Department of Pathogenic Biology, Hainan Medical University, Haikou, Hainan, China
- Hainan Medical University-The University of Hong Kong Joint Laboratory of Tropical Infectious Diseases, Hainan Medical University, Haikou, Hainan, China
- Key Laboratory of Translation Medicine Tropical Diseases, Hainan Medical University, Haikou, Hainan, China
- Corresponding author. Department of Pathogenic Biology, Hainan Medical University, Haikou, Hainan, China.
| | - Gang Lu
- Department of Pathogenic Biology, Hainan Medical University, Haikou, Hainan, China
- Hainan Medical University-The University of Hong Kong Joint Laboratory of Tropical Infectious Diseases, Hainan Medical University, Haikou, Hainan, China
- Key Laboratory of Translation Medicine Tropical Diseases, Hainan Medical University, Haikou, Hainan, China
- Corresponding author. Department of Pathogenic Biology, Hainan Medical University, Haikou, Hainan, China.
| |
Collapse
|
41
|
Comparative performance evaluation of four commercial multiplex real-time PCR assays for the detection of the diarrhoea-causing protozoa Cryptosporidium hominis/parvum, Giardia duodenalis and Entamoeba histolytica. PLoS One 2019; 14:e0215068. [PMID: 30958837 PMCID: PMC6453453 DOI: 10.1371/journal.pone.0215068] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2018] [Accepted: 03/26/2019] [Indexed: 01/31/2023] Open
Abstract
Background Multiplex molecular panels are relentlessly replacing conventional methods for the detection of enteric pathogens from stool samples in clinical and research laboratories. Here we evaluated four commercial multiplex real-time PCR assays for the detection of Cryptosporidium hominis/parvum, Giardia duodenalis and Entamoeba histolytica. Methods The diagnostic performance of the Gastroenteritis/Parasite Panel I (Diagenode), the RIDAGENE Parasitic Stool Panel (R-Biopharm), the Allplex Gastrointestinal Parasite Panel 4 (Seegene) and the FTD Stool Parasites (Fast Track) real-time PCR methods was assessed against a reference panel of 126 well-characterized DNA samples including Cryptosporidium hominis (n = 29), Cryptosporidium parvum (n = 3), Giardia duodenalis (n = 47), Entamoeba histolytica (n = 3), other parasite species (n = 20), and apparently healthy subjects (n = 24). Principal findings Obtained diagnostic sensitivities ranged from 53–88% for Cryptosporidium hominis/parvum, and from 68–100% for G. duodenalis. The R-Biopharm method achieved the best performance for the detection of Cryptosporidium hominis/parvum both in terms of diagnostic sensitivity (87.5%) and detection limit (a 100-fold increase compared to other tests). The Fast Track method was particularly suited for the detection of G. duodenalis, achieving a 100% sensitivity and a detection limit at least 10-fold superior. Detection of E. histolytica was similarly achieved by all compared methods except Diagenode. Conclusions Diagnostic performance varied largely depending on the method used and the targeted pathogen species. Factors including test sensitivity/specificity, cost, patient population surveyed, laboratory workflow, and diagnostic algorithm should be carefully considered when choosing the most appropriate multiplex PCR platform.
Collapse
|
42
|
Human cyclosporiasis. THE LANCET. INFECTIOUS DISEASES 2019; 19:e226-e236. [PMID: 30885589 DOI: 10.1016/s1473-3099(18)30789-8] [Citation(s) in RCA: 40] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/14/2018] [Revised: 12/03/2018] [Accepted: 12/06/2018] [Indexed: 01/10/2023]
Abstract
Cyclospora species are socioeconomically important protistan pathogens. Cyclospora cayetanensis is usually transmitted via food or water to a human host via the faecal-oral route and can cause the gastrointestinal disease cyclosporiasis, which can be complicated by extra-intestinal disorders, particularly in immune-compromised people. Although more than 2 million children die each year from diarrhoeal diseases worldwide, it is not known to what extent cyclosporiasis is involved. Few epidemiological data are available on Cyclospora as a water-borne and food-borne pathogen in both underprivileged communities and developed countries. To gain an improved understanding of human cyclosporiasis, this Review describes the background of Cyclospora, summarises salient aspects of the pathogenesis, epidemiology, diagnosis, treatment, and control of cyclosporiasis, and explores what is known about its prevalence and geographical distribution. The findings show that the effect on human health of cyclosporiasis is likely underestimated, and recommendations are made about areas of future research and the prevention and control of this disease within an international collaborative context.
Collapse
|
43
|
Andreoli FC, Sabogal-Paz LP. Coagulation, flocculation, dissolved air flotation and filtration in the removal of Giardia spp. and Cryptosporidium spp. from water supply. ENVIRONMENTAL TECHNOLOGY 2019; 40:654-663. [PMID: 29090610 DOI: 10.1080/09593330.2017.1400113] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/05/2017] [Accepted: 10/26/2017] [Indexed: 06/07/2023]
Abstract
Removing protozoa from a water supply using coagulation, flocculation, dissolved air flotation (DAF) and filtration on a bench scale was evaluated. Calcium carbonate flocculation with and without immunomagnetic separation (IMS) was chosen to detect Giardia spp. cysts and Cryptosporidium spp. oocysts in the studied samples. The results indicated that DAF removed between 1.31 log and 1.79 log of cysts and between 1.08 log and 1.42 log of oocysts. The performance was lower in filtration, with the removal of 1.07 log-1.44 log for cysts and 0.82 log-0.98 log for oocysts. The coagulation, flocculation, DAF and filtration steps removed more than 2.2 log of cysts and oocysts from the water studied. However, protozoa were detected in the filtered water, even with turbidity values of 0.2 NTU. The recovery of the detection method met the international criteria and was higher when there was no IMS. Including the third acid dissociation in the IMS was critical to improve the performance of the protocol tested. However, there was an increase in the technical and analytical complexity and costs. It was also observed that the efficiency of the treatment was linked to the performance of the selected method of detecting protozoa.
Collapse
Affiliation(s)
- Fernando César Andreoli
- a Department of Hydraulics and Sanitation , São Carlos School of Engineering, University of São Paulo , São Carlos , Brazil
| | - Lyda Patricia Sabogal-Paz
- a Department of Hydraulics and Sanitation , São Carlos School of Engineering, University of São Paulo , São Carlos , Brazil
| |
Collapse
|
44
|
Real-time PCR detection of Toxoplasma gondii in surface water samples in São Paulo, Brazil. Parasitol Res 2019; 118:631-640. [DOI: 10.1007/s00436-018-6185-z] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2018] [Accepted: 12/14/2018] [Indexed: 10/27/2022]
|
45
|
Khan A, Shams S, Khan S, Khan MI, Khan S, Ali A. Evaluation of prevalence and risk factors associated with Cryptosporidium infection in rural population of district Buner, Pakistan. PLoS One 2019; 14:e0209188. [PMID: 30601870 PMCID: PMC6314602 DOI: 10.1371/journal.pone.0209188] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2018] [Accepted: 11/30/2018] [Indexed: 01/10/2023] Open
Abstract
BACKGROUND Cryptosporidium spp are important intestinal protozoan parasites that cause diarrhea in humans, domestic and wild animals. Its infection remains a main public health concern however, the epidemics in human being is still unclear, particularly in developing countries. There are several factors that may enhance the spreading of this parasite in human population especially in young children. METHODOLOGY A questionnaire was designed to obtain the demographic and clinical data from the participants. A total of 425 stool samples were collected from suspected children (aged 3-10 years) in different hospitals and villages. The initial screening was performed with modified Ziehl Neelsen (mZN) staining technique followed by polymerase chain reaction (PCR). Several potential risk factors were also assessed through the obtained information from suspected individuals. RESULTS Out of all 425 collected samples, 127 were observed positive by mZN with a prevalence of 29.88% (127/425). The 127 mZN positive samples together with 50 mZN negative samples were processed for molecular analysis through PCR assay. Among them, 71 out of 127 mZN positive samples and 4 out of 50 mZN negative samples were found positive by PCR. The molecular analysis showed that Cryptosporidium parvum was the main cause of infection in children. The results revealed that individuals exposed to diarrhea were more likely to be infected with Cryptosporidium infection while several environmental factors may also play a key role in spreading of this parasite. CONCLUSIONS/SIGNIFICANCE OF THE STUDY The current high prevalence of Cryptosporidium infection may be due to the lack of awareness and routine based testing in identification of this parasite in District Buner. Further studies are required to determine the importance of Cryptosporidium infection in this area as well as across the country and to find out the possible risk factors that may be associated with the occurrence of this protozoan. There is, however, an urgent need for laboratory-based observational studies to develop a more dynamic estimate of the cryptosporidial disease burden in the region.
Collapse
Affiliation(s)
- Asar Khan
- Department of Zoology, Abdul Wali Khan University Mardan, Mardan, Pakistan
| | - Sumaira Shams
- Department of Zoology, Abdul Wali Khan University Mardan, Mardan, Pakistan
| | - Saima Khan
- Department of Zoology, Abdul Wali Khan University Mardan, Mardan, Pakistan
| | - Muhammad Iftikhar Khan
- Department of Zoology, Abdul Wali Khan University Mardan, Mardan, Pakistan
- Centre for Biotechnology and Microbiology University of Swat, Swat, Pakistan
| | - Sardar Khan
- Department of Environmental Science, University of Peshawar, Peshawar, Pakistan
| | - Abid Ali
- Department of Zoology, Abdul Wali Khan University Mardan, Mardan, Pakistan
- * E-mail:
| |
Collapse
|
46
|
Chacón L, Arias V, Barrantes K, Beita-Sandí W, Reyes L, Achí R. Enterococci as a key parameter for water quality index: Purires River, Costa Rica. JOURNAL OF WATER AND HEALTH 2018; 16:1007-1017. [PMID: 30540274 DOI: 10.2166/wh.2018.087] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
This study used the Canadian Water Quality Index (CWI) to characterize water sampled at three points within the Purires River micro basin, Costa Rica. The first sampling point is located in a high zone with domestic agricultural activities, the second point around the mid-point of the flow of the river, and the third point at the lowest zone with extensive agricultural activities mainly centered on the production of fresh vegetables. Eleven physicochemical parameters (As, Cd, Cr, biochemical oxygen demand (BOD), chemical oxygen demand (COD), NH4 +, NO3 -, Pb, pH, percent saturation of dissolved oxygen (PSO), and total suspended solids (TSS)) and two microbiological parameters (fecal coliforms and enterococci) were evaluated. We evaluated three different Canadian Water Quality Indexes (CWIs): CWI-1 included only physicochemical parameters, CWI-2 included CWI-1 parameters plus fecal coliforms, and CWI-3 included CWI-2 in addition to enterococci. Statistical analysis of individual parameters showed significant differences between sampling sites. CWI-1 was unable to discriminate between the three sampling points, and characterized the water quality as 'fair'. CWI-2 was only able to discriminate when the water contained high levels of chemical and microbiological contaminants, while CWI-3 adequately discriminated water quality at each of the sampling points. The evaluation of enterococci together with more traditional water quality parameters enabled better categorization of surface water quality.
Collapse
Affiliation(s)
- Luz Chacón
- Instituto de Investigaciones en Salud (INISA), Universidad de Costa Rica, 2060, San José, Costa Rica E-mail:
| | - Víctor Arias
- Research Center of Environmental Pollution, Universidad de Costa Rica, 2060, San José, Costa Rica
| | - Kenia Barrantes
- Instituto de Investigaciones en Salud (INISA), Universidad de Costa Rica, 2060, San José, Costa Rica E-mail:
| | - Wilson Beita-Sandí
- Research Center of Environmental Pollution, Universidad de Costa Rica, 2060, San José, Costa Rica
| | - Liliana Reyes
- Instituto de Investigaciones en Salud (INISA), Universidad de Costa Rica, 2060, San José, Costa Rica E-mail:
| | - Rosario Achí
- Instituto de Investigaciones en Salud (INISA), Universidad de Costa Rica, 2060, San José, Costa Rica E-mail:
| |
Collapse
|
47
|
Yang H, Mi R, Cheng L, Huang Y, An R, Zhang Y, Jia H, Zhang X, Wang X, Han X, Chen Z. Prevalence and genetic diversity of Enterocytozoon bieneusi in sheep in China. Parasit Vectors 2018; 11:587. [PMID: 30419954 PMCID: PMC6233543 DOI: 10.1186/s13071-018-3178-9] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2018] [Accepted: 10/29/2018] [Indexed: 12/03/2022] Open
Abstract
Background Enterocytozoon bieneusi is a common species of microsporidia that not only influences human health but also threatens animal productive performance and value. However, there have been no systematic studies of the prevalence of E. bieneusi in sheep in China. Results A total of 953 fecal specimens were collected from sheep from 11 provinces across five regions of China and analyzed for E. bieneusi by nested PCR targeting the ribosomal internal transcribed spacer (ITS). Enterocytozoon bieneusi infections were detected in four regions, with an overall infection rate of 20.4% (194/953). The highest infection rate was detected in pre-weaned lambs (25.0%), followed by post-weaned lambs (22.2%) and adult sheep (14.6%). Enterocytozoon bieneusi was found in nine of the 11 tested provinces, with infection rates between 2.9–51.7%. Eleven genotypes were identified based on ITS analysis, including seven known genotypes (BEB6, CHG1, CHG3, CHS7, CHS8, COS-I and NESH5) and four novel genotypes (CHHLJS1, CHHLJS2, CHNXS1 and CHXJS1). All 11 genotypes were clustered into group 2, and the zoonotic genotype BEB6 was the dominant genotype (n = 129, 66.5%) in sheep. Conclusion The prevalence of E. bieneusi was studied in five regions representing most areas where sheep are bred in China. This is the first report of E. bieneusi infection in sheep for seven Chinese provinces. Geographical differences were detected in the distribution of E. bieneusi genotypes, but no differences were found among sheep in different age groups. The zoonotic genotype BEB6 was the dominant genotype, indicating that sheep are a potential source of zoonotic microsporidiosis in China. These results improve our knowledge of the epidemiology of E. bieneusi in sheep in China.
Collapse
Affiliation(s)
- Heng Yang
- Key Laboratory of Animal Parasitology of Ministry of Agriculture, Laboratory of Quality and Safety Risk Assessment for Animal Products on Biohazards (Shanghai) of Ministry of Agriculture, Shanghai Veterinary Research Institute, Chinese Academy of Agricultural Sciences, Shanghai, 200241, China
| | - Rongsheng Mi
- Key Laboratory of Animal Parasitology of Ministry of Agriculture, Laboratory of Quality and Safety Risk Assessment for Animal Products on Biohazards (Shanghai) of Ministry of Agriculture, Shanghai Veterinary Research Institute, Chinese Academy of Agricultural Sciences, Shanghai, 200241, China
| | - Long Cheng
- Key Laboratory of Animal Parasitology of Ministry of Agriculture, Laboratory of Quality and Safety Risk Assessment for Animal Products on Biohazards (Shanghai) of Ministry of Agriculture, Shanghai Veterinary Research Institute, Chinese Academy of Agricultural Sciences, Shanghai, 200241, China
| | - Yan Huang
- Key Laboratory of Animal Parasitology of Ministry of Agriculture, Laboratory of Quality and Safety Risk Assessment for Animal Products on Biohazards (Shanghai) of Ministry of Agriculture, Shanghai Veterinary Research Institute, Chinese Academy of Agricultural Sciences, Shanghai, 200241, China
| | - Rui An
- Animal Husbandry and Veterinary Bureau of Changji Hui Autonomous Prefecture, Xinjiang Uyghur Autonomous Region, Changji, 831100, Xinjiang, China
| | - Yehua Zhang
- Key Laboratory of Animal Parasitology of Ministry of Agriculture, Laboratory of Quality and Safety Risk Assessment for Animal Products on Biohazards (Shanghai) of Ministry of Agriculture, Shanghai Veterinary Research Institute, Chinese Academy of Agricultural Sciences, Shanghai, 200241, China
| | - Haiyan Jia
- Key Laboratory of Animal Parasitology of Ministry of Agriculture, Laboratory of Quality and Safety Risk Assessment for Animal Products on Biohazards (Shanghai) of Ministry of Agriculture, Shanghai Veterinary Research Institute, Chinese Academy of Agricultural Sciences, Shanghai, 200241, China
| | - Xiaoli Zhang
- Key Laboratory of Animal Parasitology of Ministry of Agriculture, Laboratory of Quality and Safety Risk Assessment for Animal Products on Biohazards (Shanghai) of Ministry of Agriculture, Shanghai Veterinary Research Institute, Chinese Academy of Agricultural Sciences, Shanghai, 200241, China
| | - Xu Wang
- Key Laboratory of Animal Parasitology of Ministry of Agriculture, Laboratory of Quality and Safety Risk Assessment for Animal Products on Biohazards (Shanghai) of Ministry of Agriculture, Shanghai Veterinary Research Institute, Chinese Academy of Agricultural Sciences, Shanghai, 200241, China
| | - Xiangan Han
- Key Laboratory of Animal Parasitology of Ministry of Agriculture, Laboratory of Quality and Safety Risk Assessment for Animal Products on Biohazards (Shanghai) of Ministry of Agriculture, Shanghai Veterinary Research Institute, Chinese Academy of Agricultural Sciences, Shanghai, 200241, China
| | - Zhaoguo Chen
- Key Laboratory of Animal Parasitology of Ministry of Agriculture, Laboratory of Quality and Safety Risk Assessment for Animal Products on Biohazards (Shanghai) of Ministry of Agriculture, Shanghai Veterinary Research Institute, Chinese Academy of Agricultural Sciences, Shanghai, 200241, China.
| |
Collapse
|
48
|
Giglio GL, Sabogal-Paz LP. Performance comparison of three methods for detection of Giardia spp. cysts and Cryptosporidium spp. oocysts in drinking-water treatment sludge. ENVIRONMENTAL MONITORING AND ASSESSMENT 2018; 190:686. [PMID: 30374779 DOI: 10.1007/s10661-018-7057-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/09/2018] [Accepted: 10/18/2018] [Indexed: 06/08/2023]
Abstract
Detecting pathogenic protozoa in drinking-water treatment sludge is a challenge as existing methods are complex, and unfortunately, there are no specific technical standards to follow. Selecting an efficient analytical method is imperative in developing countries, such as Brazil, in order to evaluate the risk of parasite infection. In this context, three methods to detect Giardia spp. cysts and Cryptosporidium spp. oocysts were tested in sludge generated when water with protozoa and high turbidity was treated. Jar testing was carried out using polyaluminium chloride as a coagulant to generate the residue to be analyzed. The results showed that calcium carbonate flocculation with reduced centrifugation and immunomagnetic separation obtained the highest recoveries in the tested matrix showing 60.2% ± 26.2 for oocysts and 46.1% ± 5 for cysts. The other two methods, the first using the ICN 7× cleaning solution and the second considering the acidification of the sample, both followed by the immunomagnetic separation step, also presented high recoveries showing 41.2% ± 43.3 and 37.9% ± 52.9 for oocysts and 11.5% ± 85.5 and 26% ± 16.3 for cysts, respectively. Evidently, these methods and others should be studied in order to make it possible to detect protozoa in settled residue.
Collapse
Affiliation(s)
- Guilherme Lelis Giglio
- Department of Hydraulics and Sanitation, São Carlos School of Engineering, University of São Paulo, 400 Trabalhador São-carlense Avenue, São Carlos, São Paulo, 13566-590, Brazil
| | - Lyda Patricia Sabogal-Paz
- Department of Hydraulics and Sanitation, São Carlos School of Engineering, University of São Paulo, 400 Trabalhador São-carlense Avenue, São Carlos, São Paulo, 13566-590, Brazil.
| |
Collapse
|
49
|
Sánchez C, López MC, Galeano LA, Qvarnstrom Y, Houghton K, Ramírez JD. Molecular detection and genotyping of pathogenic protozoan parasites in raw and treated water samples from southwest Colombia. Parasit Vectors 2018; 11:563. [PMID: 30367668 PMCID: PMC6203992 DOI: 10.1186/s13071-018-3147-3] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2018] [Accepted: 10/11/2018] [Indexed: 12/02/2022] Open
Abstract
BACKGROUND Protozoan parasites such as Giardia duodenalis, Cryptosporidium spp., Cyclospora cayetanensis, Toxoplasma gondii and Entamoeba histolytica represent a great challenge to the systems producing water for human consumption because their cystic forms are persistent in the environment and resist to the disinfection methods conventionally used for their control. In this study, we investigated the presence of these protozoan pathogens in both raw and treated water samples used for the production of drinking water in Nariño Department, southwest Colombia. We collected 110 water samples (10 lof each sample) and analyzed them with real-time PCR (qPCR). qPCR-positive samples were genotyped with PCR and DNA sequencing. RESULTS Giardia duodenalis was detected in 35/110 (31.8%) of the samples and Cryptosporidium spp. in 9/110 (8.2%) of the samples; no sample was positive for T. gondii, E. histolytica or C. cayetanensis. Giardia duodenalis was detected in samples of both raw water (Drinking Water Treatment Plants (DWTP): 47.83%;Drinking Water Rural Plants (DWRP): 18.42%) and water collected either after conventional physicochemical treatment (26.09%) or after disinfection by chlorine (50%), whereas Cryptosporidium spp. were only detected in raw waters (DWTP: 17.39%; DWRP: 13.16%). The two pathogens were detected in both types of treatment plants supplying water to urban areas and to rural zones. Analysis of gdh and tpi markers identified assemblages AI, AII and H of G. duodenalis, while analysis of the small subunit rRNA and gp60 markers of Cryptosporidium-positive samples identified C. parvum (Subtype IIcA5G3c), C. galli, C. molnari, Cryptosporidium sp. genotype II of bats and Cryptosporidium sp. genotype VIII of birds. CONCLUSIONS The results obtained demonstrate the presence of protozoan parasites in the water of the study region, and the need to improve the surveillance systems for these pathogens and identify the corresponding sources of contamination.
Collapse
Affiliation(s)
- Claudia Sánchez
- Grupo de Investigación en Materiales Funcionales y Catálisis (GIMFC), Departamento de Química, Facultad de Ciencias Exactas y Naturales, Universidad de Nariño, 520002 Pasto, Colombia
- Departamento de Salud Pública, Facultad de Medicina, Universidad Nacional de Colombia, 111321 Bogotá, Colombia
- Grupo de Investigaciones Microbiológicas-UR (GIMUR), Programa de Biología, Facultad de Ciencias Naturales y Matemáticas, Universidad del Rosario, 110111 Bogotá, Colombia
| | - Myriam Consuelo López
- Departamento de Salud Pública, Facultad de Medicina, Universidad Nacional de Colombia, 111321 Bogotá, Colombia
| | - Luis Alejandro Galeano
- Grupo de Investigación en Materiales Funcionales y Catálisis (GIMFC), Departamento de Química, Facultad de Ciencias Exactas y Naturales, Universidad de Nariño, 520002 Pasto, Colombia
| | - Yvonne Qvarnstrom
- Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention (CDC), Atlanta, 30329 USA
| | - Katelyn Houghton
- Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention (CDC), Atlanta, 30329 USA
- Oak Ridge Institute for Science and Education Research Participation Program, Oak Ridge, 37830 USA
| | - Juan David Ramírez
- Grupo de Investigaciones Microbiológicas-UR (GIMUR), Programa de Biología, Facultad de Ciencias Naturales y Matemáticas, Universidad del Rosario, 110111 Bogotá, Colombia
| |
Collapse
|
50
|
Xiao S, Yin P, Zhang Y, Zhao X, Sun L, Yuan H, Lu J, Hu S. Occurrence, genotyping, and health risk of Cryptosporidium and Giardia in recreational lakes in Tianjin, China. WATER RESEARCH 2018; 141:46-56. [PMID: 29775772 DOI: 10.1016/j.watres.2018.05.016] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/02/2018] [Revised: 05/09/2018] [Accepted: 05/10/2018] [Indexed: 06/08/2023]
Abstract
Cryptosporidium and Giardia are critical parasites in the etiology of diarrhea worldwide, and often cause waterborne outbreaks. The presence of Cryptosporidium and Giardia in recreational lakes was investigated with molecular characterization, and a comprehensive quantitative microbial risk assessment (QMRA) of protozoan infections was performed, considering multiple exposure pathways, differences in age, sex, and disease severity, and the genotypes of the protozoa. Forty-three (82.7%) and 51 (98.1%) water samples were positive for Cryptosporidium oocysts and Giardia cysts, respectively, with average counts of 3.65 oocysts/10 L and 12.58 cysts/10 L, respectively. Six Cryptosporidium species and three Giardia lamblia assemblages were confirmed with molecular analyses. The protozoan concentration was significantly associated with water turbidity, but not with the total coliform numbers. Swimming in the lakes entailed the highest incidence risk of 5.72 × 10-4 per person per year (pppy) (95% confidence interval (CI): 0.03-43.33 × 10-4) for Cryptosporidium and 4.04 × 10-4 pppy (95% CI: 0.01-32.66 × 10-4) for Giardia, whereas wading entailed the lowest risk (2.20 × 10-4 and 1.70 × 10-4 pppy, respectively). The annual burdens attributable to recreational-water-associated cryptosporidiosis and giardiasis were 3.44 (95% CI: 0.04-23.51) and 1.81 (95% CI: 0.01-12.96) disability-adjusted life years per 1,000,000 individuals per year, respectively. Children were more likely to have an individual disease burden than adults, and males were more likely than females. Sensitivity analysis highlighted the great importance of controlling the proportion of exposed individuals and reducing the frequency of exposure. The methodology and results of this study will allow us to better evaluate and reduce the burden of Cryptosporidium and/or Giardia infections associated with recreational water use in China and other countries.
Collapse
Affiliation(s)
- Shumin Xiao
- School of Environmental and Municipal Engineering, Tianjin Chengjian University, Tianjin 300384, PR China; Tianjin Key Laboratory of Aquatic Science and Technology, Tianjin 300384, PR China.
| | - Pengna Yin
- School of Environmental and Municipal Engineering, Tianjin Chengjian University, Tianjin 300384, PR China
| | - Yan Zhang
- School of Environmental and Municipal Engineering, Tianjin Chengjian University, Tianjin 300384, PR China
| | - Xiaoyun Zhao
- School of Environmental and Municipal Engineering, Tianjin Chengjian University, Tianjin 300384, PR China
| | - Liping Sun
- School of Environmental and Municipal Engineering, Tianjin Chengjian University, Tianjin 300384, PR China
| | - Hongying Yuan
- School of Environmental and Municipal Engineering, Tianjin Chengjian University, Tianjin 300384, PR China
| | - Jingfang Lu
- School of Environmental and Municipal Engineering, Tianjin Chengjian University, Tianjin 300384, PR China
| | - Sike Hu
- School of Medicine, Nankai University, Tianjin 300071, PR China.
| |
Collapse
|