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Brooks C, Mitchell E, Brown J, O'Donovan S, Carnaghan KA, Bleakney E, Arnscheidt J. Carbapenemase gene blaOXA-48 detected at six freshwater sites in Northern Ireland discharging onto identified bathing locations. Lett Appl Microbiol 2024; 77:ovae062. [PMID: 38925640 DOI: 10.1093/lambio/ovae062] [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: 01/11/2024] [Revised: 04/09/2024] [Accepted: 06/25/2024] [Indexed: 06/28/2024]
Abstract
Faecal contamination of surface waters has the potential to spread not only pathogenic organisms but also antimicrobial resistant organisms. During the bathing season of 2021, weekly water samples, from six selected coastal bathing locations (n = 93) and their freshwater tributaries (n = 93), in Northern Ireland (UK), were examined for concentrations of faecal indicator bacteria Escherichia coli and intestinal enterococci. Microbial source tracking involved detection of genetic markers from the genus Bacteroides using PCR assays for the general AllBac marker, the human HF8 marker and the ruminant BacR marker for the detection of human, and ruminant sources of faecal contamination. The presence of beta-lactamase genes blaOXA-48, blaKPC, and blaNDM-1 was determined using PCR assays for the investigation of antimicrobial resistance genes that are responsible for lack of efficacy in major broad-spectrum antibiotics. The beta-lactamase gene blaOXA-48 was found in freshwater tributary samples at all six locations. blaOXA-48 was detected in 83% of samples that tested positive for the human marker and 69% of samples that tested positive for the ruminant marker over all six locations. This study suggests a risk of human exposure to antimicrobial resistant bacteria where bathing waters receive at least episodically substantial transfers from such tributaries.
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Affiliation(s)
- Catherine Brooks
- Bacteriology Department, Veterinary Sciences Division, Agri-food and Biosciences Institute, Stoney Road, Stormont, Belfast. BT4 3SD, UK
| | - Elaine Mitchell
- Bacteriology Department, Veterinary Sciences Division, Agri-food and Biosciences Institute, Stoney Road, Stormont, Belfast. BT4 3SD, UK
| | - James Brown
- Bacteriology Department, Veterinary Sciences Division, Agri-food and Biosciences Institute, Stoney Road, Stormont, Belfast. BT4 3SD, UK
| | - Sinéad O'Donovan
- Bacteriology Department, Veterinary Sciences Division, Agri-food and Biosciences Institute, Stoney Road, Stormont, Belfast. BT4 3SD, UK
| | - Kelly-Anne Carnaghan
- Bacteriology Department, Veterinary Sciences Division, Agri-food and Biosciences Institute, Stoney Road, Stormont, Belfast. BT4 3SD, UK
| | - Eoin Bleakney
- Bacteriology Department, Veterinary Sciences Division, Agri-food and Biosciences Institute, Stoney Road, Stormont, Belfast. BT4 3SD, UK
| | - Joerg Arnscheidt
- School of Geography and Environmental Sciences, Ulster University, Cromore Road, Coleraine, Co. Londonderry. BT52 1SA, UK
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Hamilton KA, Ciol Harrison J, Mitchell J, Weir M, Verhougstraete M, Haas CN, Nejadhashemi AP, Libarkin J, Gim Aw T, Bibby K, Bivins A, Brown J, Dean K, Dunbar G, Eisenberg JNS, Emelko M, Gerrity D, Gurian PL, Hartnett E, Jahne M, Jones RM, Julian TR, Li H, Li Y, Gibson JM, Medema G, Meschke JS, Mraz A, Murphy H, Oryang D, Owusu-Ansah EDGJ, Pasek E, Pradhan AK, Razzolini MTP, Ryan MO, Schoen M, Smeets PWMH, Soller J, Solo-Gabriele H, Williams C, Wilson AM, Zimmer-Faust A, Alja'fari J, Rose JB. Research gaps and priorities for quantitative microbial risk assessment (QMRA). RISK ANALYSIS : AN OFFICIAL PUBLICATION OF THE SOCIETY FOR RISK ANALYSIS 2024. [PMID: 38772724 DOI: 10.1111/risa.14318] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/01/2023] [Revised: 03/12/2024] [Accepted: 04/28/2024] [Indexed: 05/23/2024]
Abstract
The coronavirus disease 2019 pandemic highlighted the need for more rapid and routine application of modeling approaches such as quantitative microbial risk assessment (QMRA) for protecting public health. QMRA is a transdisciplinary science dedicated to understanding, predicting, and mitigating infectious disease risks. To better equip QMRA researchers to inform policy and public health management, an Advances in Research for QMRA workshop was held to synthesize a path forward for QMRA research. We summarize insights from 41 QMRA researchers and experts to clarify the role of QMRA in risk analysis by (1) identifying key research needs, (2) highlighting emerging applications of QMRA; and (3) describing data needs and key scientific efforts to improve the science of QMRA. Key identified research priorities included using molecular tools in QMRA, advancing dose-response methodology, addressing needed exposure assessments, harmonizing environmental monitoring for QMRA, unifying a divide between disease transmission and QMRA models, calibrating and/or validating QMRA models, modeling co-exposures and mixtures, and standardizing practices for incorporating variability and uncertainty throughout the source-to-outcome continuum. Cross-cutting needs identified were to: develop a community of research and practice, integrate QMRA with other scientific approaches, increase QMRA translation and impacts, build communication strategies, and encourage sustainable funding mechanisms. Ultimately, a vision for advancing the science of QMRA is outlined for informing national to global health assessments, controls, and policies.
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Affiliation(s)
- Kerry A Hamilton
- The Biodesign Institute Center for Environmental Health Engineering, Arizona State University, Tempe, Arizona, USA
- School of Sustainable Engineering and the Built Environment, Arizona State University, Tempe, Arizona, USA
| | - Joanna Ciol Harrison
- The Biodesign Institute Center for Environmental Health Engineering, Arizona State University, Tempe, Arizona, USA
- School of Sustainable Engineering and the Built Environment, Arizona State University, Tempe, Arizona, USA
| | - Jade Mitchell
- Department of Biosystems and Agricultural Engineering, Michigan State University, East Lansing, Michigan, USA
| | - Mark Weir
- Division of Environmental Health Sciences and Sustainability Institute, The Ohio State University, Columbus, Ohio, USA
| | - Marc Verhougstraete
- Mel and Enid Zuckerman College of Public Health, The University of Arizona, Tucson, Arizona, USA
| | - Charles N Haas
- Department of Civil, Architectural, and Environmental Engineering, Drexel University, Philadelphia, Pennsylvania, USA
| | - A Pouyan Nejadhashemi
- Department of Biosystems and Agricultural Engineering, Michigan State University, East Lansing, Michigan, USA
| | - Julie Libarkin
- Department of Earth and Environmental Sciences, Michigan State University, East Lansing, Michigan, USA
| | - Tiong Gim Aw
- Department of Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, Louisiana, USA
| | - Kyle Bibby
- Department of Civil and Environmental Engineering and Earth Sciences, University of Notre Dame, Notre Dame, Indiana, USA
| | - Aaron Bivins
- Department of Civil & Environmental Engineering, Louisiana State University, Baton Rouge, Louisiana, USA
| | - Joe Brown
- Department of Environmental Sciences and Engineering, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina, USA
| | - Kara Dean
- Department of Biosystems and Agricultural Engineering, Michigan State University, East Lansing, Michigan, USA
| | - Gwyneth Dunbar
- Department of Biosystems and Agricultural Engineering, Michigan State University, East Lansing, Michigan, USA
| | - Joseph N S Eisenberg
- Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, Michigan, USA
| | - Monica Emelko
- Department of Civil and Environmental Engineering, University of Waterloo, Waterloo, Ontario, Canada
| | - Daniel Gerrity
- Applied Research and Development Center, Southern Nevada Water Authority, Las Vegas, Nevada, USA
| | - Patrick L Gurian
- Department of Civil, Architectural, and Environmental Engineering, Drexel University, Philadelphia, Pennsylvania, USA
| | | | - Michael Jahne
- Office of Research and Development, United States Environmental Protection Agency, Cincinnati, Ohio, USA
| | - Rachael M Jones
- Department of Environmental Health Sciences, Fielding School of Public Health, University of California, Los Angeles, California, USA
| | - Timothy R Julian
- Eawag, Swiss Federal Institute of Aquatic Science and Technology, Duebendorf, Switzerland
| | - Hongwan Li
- Department of Biosystems and Agricultural Engineering, Michigan State University, East Lansing, Michigan, USA
| | - Yanbin Li
- Department of Biological and Agricultural Engineering, The University of Arkansas, Fayetteville, Arkansas, USA
| | - Jacqueline MacDonald Gibson
- Department of Civil, Construction, and Environmental Engineering, North Carolina State University, Raleigh, North Carolina, USA
| | - Gertjan Medema
- KWR Water Research Institute, Nieuwegein, The Netherlands
- TU Delft, Delft, The Netherlands
| | - J Scott Meschke
- Department of Environmental and Occupational Health Sciences, School of Public Health, University of Washington, Seattle, Washington, USA
| | - Alexis Mraz
- Department of Public Health, School of Nursing, Health and Exercise Science, The College of New Jersey, Ewing, New Jersey, USA
| | - Heather Murphy
- Ontario Veterinary College Department of Pathobiology, University of Guelph, Ontario, Canada
| | - David Oryang
- Food and Drug Administration (FDA), US Department of Health and Human Services (DHHS), Center for Food Safety and Applied Nutrition (CFSAN), College Park, United States
| | | | - Emily Pasek
- Department of Earth and Environmental Sciences, Michigan State University, East Lansing, Michigan, USA
| | - Abani K Pradhan
- Department of Nutrition and Food Science & Center for Food Safety and Security Systems, University of Maryland, College Park, Maryland, USA
| | | | - Michael O Ryan
- Department of Civil, Architectural, and Environmental Engineering, Drexel University, Philadelphia, Pennsylvania, USA
| | - Mary Schoen
- Soller Environmental, Berkeley, California, USA
| | - Patrick W M H Smeets
- KWR Water Research Institute, Nieuwegein, The Netherlands
- TU Delft, Delft, The Netherlands
| | | | - Helena Solo-Gabriele
- Department of Chemical, Environmental, and Materials Engineering, College of Engineering, University of Miami, Coral Gables, Florida, USA
| | - Clinton Williams
- US Arid Land Agricultural Research Center, Maricopa, Arizona, USA
| | - Amanda M Wilson
- Community, Environment & Policy Department, Mel and Enid Zuckerman College of Public Health, The University of Arizona, Tucson, Arizona, USA
| | | | - Jumana Alja'fari
- National Institute of Standards and Technology (NIST), Gaithersburg, Maryland, USA
| | - Joan B Rose
- Department of Biosystems and Agricultural Engineering, Michigan State University, East Lansing, Michigan, USA
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Calderón-Villarreal A, Avelar Portillo LJ, Abramovitz D, Goldenberg S, Flanigan S, Quintana PJE, Harvey-Vera A, Vera CF, Rangel G, Strathdee SA, Kayser GL. Water, sanitation, and hygiene access among people who inject drugs in Tijuana and San Diego in 2020-2021: a cross-sectional study. Int J Equity Health 2024; 23:79. [PMID: 38644494 PMCID: PMC11034064 DOI: 10.1186/s12939-024-02163-x] [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: 07/19/2023] [Accepted: 03/27/2024] [Indexed: 04/23/2024] Open
Abstract
BACKGROUND Water, sanitation, and hygiene (WASH) access is critical to public health and human dignity. People who inject drugs (PWID) experience stigma and structural violence that may limit WASH access. Few studies have assessed WASH access, insecurity, and inequities among PWID. We describe WASH access, social and geographic inequalities, and factors associated with WASH insecurity among PWID in the Tijuana-San Diego metropolitan area. METHODS In this cross-sectional binational study, we interviewed PWID (age 18+) in 2020-2021 about WASH access and insecurity. City of residence (Tijuana/San Diego) and housing status were considered as independent variables to describe key WASH access outcomes and to assess as factors associated with WASH insecurity outcomes. Measures of association between outcomes and independent variables were assessed using log modified-Poisson regression models adjusting for covariates. RESULTS Of 586 PWID (202 Tijuana; 384 San Diego), 89% reported basic access to drinking water, 38% had basic hand hygiene, 28% basic sanitation, and 46% access to bathing, and 38% reported recent open defecation. Participants residing in Tijuana reported significantly higher insecurity in accessing basic drinking water (aRR: 1.68, 95%CI: 1.02-2.76), basic hygiene (aRR: 1.45, 95%CI: 1.28-1.64), and bathing (aRR: 1.21, 95%CI: 1.06-1.39) than those living in San Diego. Participants experiencing unsheltered homelessness experienced significantly higher insecurity in accessing basic drinking water (aRR: 2.03, 95%CI: 1.07-3.86), basic sanitation (aRR: 1.68, 95%CI: 1.48, 1.92), bathing (aRR: 1.84, 95%CI: 1.52-2.22), and improved water sources for cleaning wounds (aRR: 3.12, 95%CI: 1.55-6.29) and for preparing drugs (aRR: 2.58, 95%CI: 1.36-4.89) than participants living in permanent housing. CONCLUSION WASH access among PWID in the Tijuana-San Diego metropolitan area was low by international standards and lower than the national averages in both countries. Homelessness was significantly associated with WASH insecurity in this population. Concentrated efforts are needed to guarantee continuously available WASH services for PWID-especially those who are unsheltered.
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Affiliation(s)
- Alhelí Calderón-Villarreal
- Department of Family and Preventive Medicine, University of California San Diego (UCSD), San Diego, California, USA.
- School of Public Health, San Diego State University (SDSU), San Diego, California, USA.
| | - Lourdes Johanna Avelar Portillo
- Benioff Homelessness and Housing Initiative, School of Medicine, University of California, San Francisco, California, USA
- Division of Global Health, Herbert Wertheim School of Public Health and Human Longevity Science, UCSD, San Diego, California, USA
| | - Daniela Abramovitz
- Department of Medicine, Division of Infectious Diseases and Global Public Health, UCSD, San Diego, California, USA
| | - Shira Goldenberg
- School of Public Health, San Diego State University (SDSU), San Diego, California, USA
| | - Shawn Flanigan
- School of Public Affairs, SDSU, San Diego, California, USA
| | - Penelope J E Quintana
- School of Public Health, San Diego State University (SDSU), San Diego, California, USA
| | - Alicia Harvey-Vera
- Department of Medicine, Division of Infectious Diseases and Global Public Health, UCSD, San Diego, California, USA
- Universidad de Xochicalco, Tijuana, Baja California, Mexico
| | - Carlos F Vera
- Department of Medicine, Division of Infectious Diseases and Global Public Health, UCSD, San Diego, California, USA
| | - Gudelia Rangel
- El Colegio de la Frontera Norte, Tijuana, Baja California, Mexico
- Border Health Commission, Tijuana, Baja California, Mexico
| | - Steffanie A Strathdee
- Department of Medicine, Division of Infectious Diseases and Global Public Health, UCSD, San Diego, California, USA
| | - Georgia L Kayser
- Benioff Homelessness and Housing Initiative, School of Medicine, University of California, San Francisco, California, USA
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Liu CC, Jang CS. Seasonal assessment of risks to canoeists' health in a Taiwanese recreational river. RISK ANALYSIS : AN OFFICIAL PUBLICATION OF THE SOCIETY FOR RISK ANALYSIS 2024; 44:774-784. [PMID: 37496459 DOI: 10.1111/risa.14203] [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: 06/06/2023] [Revised: 07/10/2023] [Accepted: 07/19/2023] [Indexed: 07/28/2023]
Abstract
Canoeing is the most favorite recreational activity in several Taiwanese rivers. However, river water frequently contains elevated levels of pathogenic Escherichia coli, which has adverse effects on human health. This study adopted a quantitative microbial risk assessment to analyze seasonal risks to canoeists' health in the Dongshan River, Taiwan. First, river E. coli concentrations were statistically analyzed to determine the seasonal distributions. The exposure duration (ED) was determined by field observations. To propagate the parametric uncertainty, Monte Carlo simulation was employed to model the probability distributions of seasonal pathogenic E. coli levels, ingestion rates, and ED for athletes. Finally, the beta-Poisson dose-response model was implemented to determine seasonal health risks for canoeists. The study results indicated that the health risks in infection probability ranged from 0.5 × 10-3 to 8.8 × 10-3 illnesses/person/day for tourists and 1.2 × 10-3 to 7.7 × 10-3 illnesses/person/day for athletes. The health risks in the Lizejian Bridge area for tourists exceeded an acceptable level suggested by the U.S. Environmental Protection Agency, 8 × 10-3 illnesses/person/day, in spring for an ED of 2 h/day, and the health risks for tourists and athletes approached this level in spring and winter for an ED exceeding or equaling 1.5 h/day. According to sensitivity analysis, the geometric standard deviation of river E. coli levels was the most sensitive parameter affecting seasonal risks to canoeists' health. To protect canoeists' health, effluent sewer systems, best management practices, and total maximum daily loads should be promptly implemented in this watershed.
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Affiliation(s)
- Chu-Chih Liu
- Department of Leisure and Recreation Management, Kainan University, Taoyuan City, Taiwan
| | - Cheng-Shin Jang
- Department of Leisure and Recreation Management, Kainan University, Taoyuan City, Taiwan
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5
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Vallée A. External auditory exostosis among surfers: a comprehensive and systematic review. Eur Arch Otorhinolaryngol 2024; 281:573-578. [PMID: 37777626 DOI: 10.1007/s00405-023-08258-5] [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: 08/08/2023] [Accepted: 09/19/2023] [Indexed: 10/02/2023]
Abstract
OBJECTIVE External auditive exostosis (EAE), known as surfer's ear, is a temporal bone outgrowth resulting from ear exposure to cold air and water. This review aims to shed light on the prevalence of EAE among worldwide surfers. METHODS By a thorough retrieval of the PubMed, we found all original investigations performed on EAE among suffers. The retrieval time was from the construction of the database to December 2022. Agency for Healthcare Research and Quality (AHRQ) methodology checklist for assessing the quality of cross-sectional/prevalence study was performed. RESULTS 19 articles were selected involving 2997 surfers on whom 2032 presented EAE. The prevalence of EAE was ranged from 53 to 90% with a mean at 67.8%. 3 investigations were performed from USA, five from UK and Ireland, five from Australia and New Zealand and six from Japan and Europe. CONCLUSION Cold water exposure, combined with wind and prolonged surfing activity, contributes to the development of EAE. Symptoms range from mild discomfort to hearing loss and recurrent infections. Preventive measures, such as raising awareness and promoting the use of ear protection, are crucial. Further research is needed to improve prevention strategies and understand the underlying mechanisms of EAE.
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Affiliation(s)
- Alexandre Vallée
- Department of Epidemiology and Public Health, Foch Hospital, Suresnes, France.
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Gitter A, Gidley M, Mena KD, Ferguson A, Sinigalliano C, Bonacolta A, Solo-Gabriele H. Integrating microbial source tracking with quantitative microbial risk assessment to evaluate site specific risk based thresholds at two South Florida beaches. Front Microbiol 2023; 14:1210192. [PMID: 37901823 PMCID: PMC10602684 DOI: 10.3389/fmicb.2023.1210192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2023] [Accepted: 09/20/2023] [Indexed: 10/31/2023] Open
Abstract
Quantitative microbial risk assessment (QMRA) can be used to evaluate health risks associated with recreational beach use. This study developed a site-specific risk assessment using a novel approach that combined quantitative PCR-based measurement of microbial source tracking (MST) genetic markers (human, dog, and gull fecal bacteria) with a QMRA analysis of potential pathogen risk. Water samples (n = 24) from two recreational beaches were collected and analyzed for MST markers as part of a broader Beach Exposure And Child Health Study that examined child behavior interactions with the beach environment. We report here the measurements of fecal bacteria MST markers in the environmental DNA extracts of those samples and a QMRA analysis of potential health risks utilizing the results from the MST measurements in the water samples. Human-specific Bacteroides was enumerated by the HF183 Taqman qPCR assay, gull-specific Catellicoccus was enumerated by the Gull2 qPCR assay, and dog-specific Bacteroides was enumerated by the DogBact qPCR assay. Derived reference pathogen doses, calculated from the MST marker concentrations detected in recreational waters, were used to estimate the risk of gastrointestinal illness for both children and adults. Dose-response equations were used to estimate the probability of the risk of infection (Pinf) per a swimming exposure event. Based on the QMRA simulations presented in this study, the GI risk from swimming or playing in water containing a mixture of human and non-human fecal sources appear to be primarily driven by the human fecal source. However, the estimated median GI health risk for both beaches never exceeded the U.S. EPA risk threshold of 32 illnesses per 1,000 recreation events. Our research suggests that utilizing QMRA together with MST can further extend our understanding of potential recreational bather risk by identifying the source contributing the greatest risk in a particular location, therefore informing beach management responses and decision-making.
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Affiliation(s)
- Anna Gitter
- Department of Epidemiology, Human Genetics and Environmental Sciences, University of Texas Health Science Center Houston School of Public Health, El Paso, TX, United States
| | - Maribeth Gidley
- Cooperative Institute for Marine and Atmospheric Studies, University of Miami, Miami, FL, United States
- Atlantic Oceanographic and Meteorological Laboratory, National Oceanic and Atmospheric Administration, Miami, FL, United States
| | - Kristina D. Mena
- Department of Epidemiology, Human Genetics and Environmental Sciences, University of Texas Health Science Center Houston School of Public Health, El Paso, TX, United States
| | - Alesia Ferguson
- Department of Built Environment, North Carolina Agricultural and Technical State University, Greensboro, NC, United States
| | - Christopher Sinigalliano
- Atlantic Oceanographic and Meteorological Laboratory, National Oceanic and Atmospheric Administration, Miami, FL, United States
| | - Anthony Bonacolta
- Department of Marine Biology and Ecology, University of Miami, Miami, FL, United States
- Institut de Biologia Evolutiva (CSIC-Universitat Pompeu Fabra), Barcelona, Catalonia, Spain
| | - Helena Solo-Gabriele
- Department of Chemical, Environmental, and Materials Engineering, University of Miami, Coral Gables, FL, United States
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Ben-Haddad M, Charroud I, Mghili B, Abelouah MR, Hajji S, Aragaw TA, Rangel-Buitrago N, Alla AA. Examining the influence of COVID-19 lockdowns on coastal water quality: A study on fecal bacteria levels in Moroccan seawaters. MARINE POLLUTION BULLETIN 2023; 195:115476. [PMID: 37677975 DOI: 10.1016/j.marpolbul.2023.115476] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/01/2023] [Revised: 08/24/2023] [Accepted: 08/29/2023] [Indexed: 09/09/2023]
Abstract
Fecal bacteria in bathing seawater pose a substantial public health risk and require rigorous monitoring. The unexpected beach closures during the COVID-19 lockdowns have afforded unique opportunities to evaluate the impact of human activities on bathing water quality (BWQ). This study examined the temporal changes in fecal coliforms (FC) and streptococci (FS) within bathing seawater across a popular coastal region in Morocco during two lockdown periods (2020 L and 2021 L), comparing these data with observations from pre-lockdown years (2018, 2019) and post-lockdown periods (2020, 2021, 2022). Our findings illuminate the influential role the hiatus periods played in enhancing bathing water quality, attaining an "excellent" status with marked reductions in fecal coliform and streptococci levels. Consequently, the FC/FS analysis exposed a clear preponderance of humans as the primary sources of fecal contamination, a trend that aligns with the burgeoning coastal tourism and the escalating numbers of beach visitors. Additionally, the presence of domestic animals like camels and horses used for tourist rides, coupled with an increase in wild animals such as dogs during the lockdown periods, compounded the potential sources of fecal bacteria in the study area. Furthermore, occasional sewage discharge from tourist accommodations and wastewater treatment plants may also contribute to fecal contamination. To effectively mitigate these concerns and bolster public health, a commitment to relentless surveillance efforts, leveraging novel and innovative tools, is essential. These findings underline the crucial interplay between human activities and the health of our coastal ecosystems, emphasizing the need for sustainable practices for a safer and healthier future.
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Affiliation(s)
- Mohamed Ben-Haddad
- Laboratory of Aquatic Systems: Marine and Continental Environments (AQUAMAR), Faculty of Sciences, Ibn Zohr University, Agadir, Morocco.
| | - Imane Charroud
- Laboratory of Biotechnologies and Valorization of Natural Resources, Faculty of Sciences, Ibn Zohr University, Agadir, Morocco; Laboratory of Biology and Ecology of Deep Marine Ecosystems (BEEP), UMR 6197 (UBO, CNRS, Ifremer), Plouzané, France.
| | - Bilal Mghili
- LESCB, URL-CNRST N° 18, Abdelmalek Essaadi University, Faculty of Sciences, Tetouan, Morocco.
| | - Mohamed Rida Abelouah
- Laboratory of Aquatic Systems: Marine and Continental Environments (AQUAMAR), Faculty of Sciences, Ibn Zohr University, Agadir, Morocco.
| | - Sara Hajji
- Laboratory of Aquatic Systems: Marine and Continental Environments (AQUAMAR), Faculty of Sciences, Ibn Zohr University, Agadir, Morocco.
| | - Tadele Assefa Aragaw
- Faculty of Chemical and Food Engineering, Bahir Dar Institute of Technology, Bahir Dar University, Bahir Dar, Ethiopia.
| | - Nelson Rangel-Buitrago
- Programa de Física, Facultad de Ciencias Basicas, Universidad del Atlantico, Barranquilla, Atlantico, Colombia.
| | - Aicha Ait Alla
- Laboratory of Aquatic Systems: Marine and Continental Environments (AQUAMAR), Faculty of Sciences, Ibn Zohr University, Agadir, Morocco.
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8
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Searcy RT, Phaneuf JR, Boehm AB. High-frequency fecal indicator bacteria (FIB) observations to assess water quality drivers at an enclosed beach. PLoS One 2023; 18:e0286029. [PMID: 37267238 DOI: 10.1371/journal.pone.0286029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2023] [Accepted: 05/06/2023] [Indexed: 06/04/2023] Open
Abstract
Fecal indicator bacteria (FIB) are monitored at beaches to assess water quality and associated health risk from recreational exposure. However, monitoring is generally conducted infrequently (i.e. weekly or less often), potentially leading to inaccurate assessment of water quality at a beach at the time of use. While some work has shown that FIB in marine environments can vary over short (e.g. subhourly) time scales, that work has been mainly focused on 'open' beaches. 'Enclosed' beaches-those that are partially barriered from exchange with offshore water and thus have different residence times and mixing dynamics in the nearshore environment-have been less studied. Here we present results from a high-frequency (once per 30 minutes) FIB sampling event conducted within a Central California, USA, harbor over 48 hours. FIB concentrations at this enclosed site were more variable at high-frequencies than what has been reported at open beach sites. Correlation and regression analyses showed FIB concentrations were most strongly associated with chlorophyll a concentration, turbidity, wind speed, and tide level. Results indicate the importance of measuring FIB concentrations and explanatory environmental parameters at appropriate temporal resolutions when conducting water quality monitoring or source tracking studies. Overall, this work highlights how high-frequency sampling can effectively provide information about water quality dynamics at beaches of interest.
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Affiliation(s)
- Ryan T Searcy
- Department of Civil & Environmental Engineering, Stanford University, Stanford, California, United States of America
| | - Jacob R Phaneuf
- Department of Civil & Environmental Engineering, Stanford University, Stanford, California, United States of America
| | - Alexandria B Boehm
- Department of Civil & Environmental Engineering, Stanford University, Stanford, California, United States of America
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9
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Pendergraft MA, Belda-Ferre P, Petras D, Morris CK, Mitts BA, Aron AT, Bryant M, Schwartz T, Ackermann G, Humphrey G, Kaandorp E, Dorrestein PC, Knight R, Prather KA. Bacterial and Chemical Evidence of Coastal Water Pollution from the Tijuana River in Sea Spray Aerosol. ENVIRONMENTAL SCIENCE & TECHNOLOGY 2023; 57:4071-4081. [PMID: 36862087 PMCID: PMC10018732 DOI: 10.1021/acs.est.2c02312] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/03/2022] [Revised: 12/21/2022] [Accepted: 12/23/2022] [Indexed: 06/18/2023]
Abstract
Roughly half of the human population lives near the coast, and coastal water pollution (CWP) is widespread. Coastal waters along Tijuana, Mexico, and Imperial Beach (IB), USA, are frequently polluted by millions of gallons of untreated sewage and stormwater runoff. Entering coastal waters causes over 100 million global annual illnesses, but CWP has the potential to reach many more people on land via transfer in sea spray aerosol (SSA). Using 16S rRNA gene amplicon sequencing, we found sewage-associated bacteria in the polluted Tijuana River flowing into coastal waters and returning to land in marine aerosol. Tentative chemical identification from non-targeted tandem mass spectrometry identified anthropogenic compounds as chemical indicators of aerosolized CWP, but they were ubiquitous and present at highest concentrations in continental aerosol. Bacteria were better tracers of airborne CWP, and 40 tracer bacteria comprised up to 76% of the bacteria community in IB air. These findings confirm that CWP transfers in SSA and exposes many people along the coast. Climate change may exacerbate CWP with more extreme storms, and our findings call for minimizing CWP and investigating the health effects of airborne exposure.
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Affiliation(s)
- Matthew A. Pendergraft
- Scripps
Institution of Oceanography, University
of California San Diego, San Diego, La Jolla, California 92037, United States
| | - Pedro Belda-Ferre
- Department
of Pediatrics, University of California, San Diego, La Jolla, California 92093, United States
| | - Daniel Petras
- Scripps
Institution of Oceanography, University
of California San Diego, San Diego, La Jolla, California 92037, United States
- Collaborative
Mass Spectrometry Innovation Center, Skaggs School of Pharmacy and
Pharmaceutical Science, University of California, San Diego, La Jolla, California 92093, United States
- CMFI
Cluster of Excellence, Interfaculty Institute of Microbiology and
Medicine, University of Tuebingen, Tuebingen 72076, Germany
| | - Clare K. Morris
- Scripps
Institution of Oceanography, University
of California San Diego, San Diego, La Jolla, California 92037, United States
- Department
of Chemistry and Biochemistry, University
of California, San Diego, La Jolla, California 92093, United States
| | - Brock A. Mitts
- Department
of Chemistry and Biochemistry, University
of California, San Diego, La Jolla, California 92093, United States
| | - Allegra T. Aron
- Collaborative
Mass Spectrometry Innovation Center, Skaggs School of Pharmacy and
Pharmaceutical Science, University of California, San Diego, La Jolla, California 92093, United States
- Department
of Chemistry and Biochemistry, University
of Denver, Denver, Colorado 80210, United
States
| | - MacKenzie Bryant
- Department
of Pediatrics, University of California, San Diego, La Jolla, California 92093, United States
| | - Tara Schwartz
- Department
of Pediatrics, University of California, San Diego, La Jolla, California 92093, United States
| | - Gail Ackermann
- Department
of Pediatrics, University of California, San Diego, La Jolla, California 92093, United States
| | - Greg Humphrey
- Department
of Pediatrics, University of California, San Diego, La Jolla, California 92093, United States
| | - Ethan Kaandorp
- Independent
Researcher, Darwin, California 93522, United States
| | - Pieter C. Dorrestein
- Department
of Pediatrics, University of California, San Diego, La Jolla, California 92093, United States
- Collaborative
Mass Spectrometry Innovation Center, Skaggs School of Pharmacy and
Pharmaceutical Science, University of California, San Diego, La Jolla, California 92093, United States
- Center
for Microbiome Innovation, University of
California, San Diego, La Jolla, California 92093, United States
| | - Rob Knight
- Department
of Pediatrics, University of California, San Diego, La Jolla, California 92093, United States
- Center
for Microbiome Innovation, University of
California, San Diego, La Jolla, California 92093, United States
- Department
of Bioengineering, University of California, San Diego, La Jolla, California 92093, United States
- Department
of Computer Sciences and Engineering, University
of California, San Diego, La Jolla, California 92093, United States
| | - Kimberly A. Prather
- Scripps
Institution of Oceanography, University
of California San Diego, San Diego, La Jolla, California 92037, United States
- Department
of Chemistry and Biochemistry, University
of California, San Diego, La Jolla, California 92093, United States
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10
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Adolf JE, Weisburg J, Hanna K, Lohnes V. Enterococcus exceedances related to environmental variability at New Jersey ocean beaches. ENVIRONMENTAL MONITORING AND ASSESSMENT 2022; 195:250. [PMID: 36585506 PMCID: PMC9803596 DOI: 10.1007/s10661-022-10788-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/18/2022] [Accepted: 11/26/2022] [Indexed: 06/17/2023]
Abstract
Microbial pollution at ocean beaches is a global public health problem that can be exacerbated by excessive rainfall, particularly at beaches adjacent to urban areas. Rain is acknowledged as a predictive factor of Enterococcus levels at NJ beaches, but to date no study has explicitly examined the link. Here, five beaches (156 observations) in Monmouth County, NJ, with storm drain outflows present were sampled for Enterococcus and water quality during dry and wet periods. Hypotheses included (1) beaches differ in Enterococcus levels, (2) Enterococcus is present year-round, and (3) Enterococcus exceedances could be modeled based on environmental parameters. Beaches showed significantly different median Enterococcus levels, with site SEA2 (Neptune Blvd. in Deal, NJ) lower than others and site SEA4 (South Bath Ave. in Long Branch, NJ) higher than the other sites. Elevated Enterococcus levels were detected at water temperatures from 6.5 to 22.2 °C. Multiple linear regression models identified rainfall (+), water temperature (+), and water level (-) as related to Enterococcus concentrations levels at these beaches. For the purpose of simulating the efficacy of different monitoring strategies, a hindcast model of Enterococcus abundance based on historic rainfall, water temperature, and water level data was produced. Results indicated that once-per-week sampling detected ~14% (e.g., 1/7) exceedance events, while sampling during summer alone detected ~ 50% of annual exceedance events. Models of Enterococcus exceedance based on readily available environmental time series have the potential to supplement and improve Enterococcus monitoring at NJ beaches.
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Affiliation(s)
- Jason E Adolf
- Biology Department, Monmouth University, 400 Cedar Ave., NJ, 07764, West Long Branch, USA.
- Urban Coast Institute, Monmouth University, 400 Cedar Ave., NJ, 07764, West Long Branch, USA.
| | - Jeffrey Weisburg
- Biology Department, Monmouth University, 400 Cedar Ave., NJ, 07764, West Long Branch, USA
| | - Kelly Hanna
- Biology Department, Monmouth University, 400 Cedar Ave., NJ, 07764, West Long Branch, USA
| | - Victoria Lohnes
- Biology Department, Monmouth University, 400 Cedar Ave., NJ, 07764, West Long Branch, USA
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11
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Abdool-Ghany AA, Sahwell PJ, Klaus J, Gidley ML, Sinigalliano CD, Solo-Gabriele HM. Fecal indicator bacteria levels at a marine beach before, during, and after the COVID-19 shutdown period and associations with decomposing seaweed and human presence. THE SCIENCE OF THE TOTAL ENVIRONMENT 2022; 851:158349. [PMID: 36041612 DOI: 10.1016/j.scitotenv.2022.158349] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/06/2022] [Revised: 08/06/2022] [Accepted: 08/24/2022] [Indexed: 06/15/2023]
Abstract
Studies are limited that evaluate seaweed as a source of bacteria to beach waters. The objective of the current study was to evaluate whether seaweed, along with humans and other animals, could be the cause of beach advisories due to elevated levels of enterococci. The monitoring period occurred a year prior to and through the COVID-19 beach shutdown period, which provided a unique opportunity to evaluate bacteria levels during prolonged periods without recreational activity. Samples of water, sediment, and seaweed were measured for enterococci by culture and qPCR, in addition to microbial source tracking by qPCR of fecal bacteria markers from humans, dogs, and birds. During periods of elevated enterococci levels in water, these analyses were supplemented by chemical source tracking of human-associated excretion markers (caffeine, sucralose, acetaminophen, ibuprofen, and naproxen). Results show that enterococci with elevated levels of human fecal markers persist in the seaweed and sediment and are the likely contributor to elevated levels of bacteria to the nearshore waters. During the shutdown period the elevated levels of enterococci in the sediment were isolated to the seaweed stranding areas. During periods when the beaches were open, enterococci were distributed more uniformly in sediment across the supratidal and intertidal zones. It is hypothesized from this study that human foot traffic may be responsible for the spread of enterococci throughout these areas. Overall, this study found high levels of enterococci in decomposing seaweed supporting the hypothesis that decomposing seaweed provides an additional substrate for enterococci to grow.
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Affiliation(s)
- Afeefa A Abdool-Ghany
- Department of Chemical, Environmental, and Materials Engineering, College of Engineering, University of Miami, Coral Gables, FL, USA
| | - Peter J Sahwell
- Department of Chemical, Environmental, and Materials Engineering, College of Engineering, University of Miami, Coral Gables, FL, USA
| | - James Klaus
- Department of Marine Geosciences, Rosenstiel School of Marine and Atmospheric Sciences, University of Miami, Key Biscayne, FL, USA
| | - Maribeth L Gidley
- University of Miami, Cooperative Institute for Marine and Atmospheric Studies (CIMAS), Miami, FL, USA; National Oceanic and Atmospheric Administration (NOAA), Atlantic Oceanographic and Meteorological Laboratory (AOML), Miami, FL, USA
| | - Christopher D Sinigalliano
- National Oceanic and Atmospheric Administration (NOAA), Atlantic Oceanographic and Meteorological Laboratory (AOML), Miami, FL, USA
| | - Helena M Solo-Gabriele
- Department of Chemical, Environmental, and Materials Engineering, College of Engineering, University of Miami, Coral Gables, FL, USA.
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12
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Relationships between Recreation and Pollution When Striving for Wellbeing in Blue Spaces. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19074170. [PMID: 35409855 PMCID: PMC8998665 DOI: 10.3390/ijerph19074170] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/07/2022] [Revised: 03/14/2022] [Accepted: 03/26/2022] [Indexed: 12/10/2022]
Abstract
Our aim for this research was to identify and examine how recreation enthusiasts cope with and mitigate the violence of pollution as they strive for wellbeing in polluted “blue spaces” (e.g., seas, oceans). Our methodology to undertake the research was ethnography (online and offline), including autoethnography and informal interviews (40). The study proceeded from a constructivist epistemology which emphasizes that knowledge is situated and perspectival. The study site was a post-industrial area of northeast England where a long-standing but also rapidly growing surfing culture has to live with pollution (legacy and ongoing). We found evidence of what have become quotidian tactics that attach to themes of familiarity, embodiment, resignation, denial, and affect/emotion used by enthusiasts to cope with and mitigate the violence of pollution. We argue that by necessity some surfers are persisting in striving for wellbeing not simply in spite of pollution but rather with pollution. We assert surfers enact a “resigned activism” that influences their persistence. We extend critical scholarship concerning relationships between recreation, blue spaces, and wellbeing by moving beyond a restrictive binary of focusing on either threats and risks or opportunities and benefits of blue space to health and wellbeing, instead showing how striving for wellbeing through recreation in the presence of pollution provides evidence of how such efforts are more negotiated, fluid, situated, uncertain, dissonant, and even political than any such binary structure allows for.
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13
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Cira M, Bafna A, Lee CM, Kong Y, Holt B, Ginger L, Cawse-Nicholson K, Rieves L, Jay JA. Turbidity and fecal indicator bacteria in recreational marine waters increase following the 2018 Woolsey Fire. Sci Rep 2022; 12:2428. [PMID: 35165307 PMCID: PMC8844011 DOI: 10.1038/s41598-022-05945-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2021] [Accepted: 01/13/2022] [Indexed: 11/09/2022] Open
Abstract
AbstractWildfires increase runoff and sediment yields that impact downstream ecosystems. While the effects of wildfire on stream water quality are well documented, oceanic responses to wildfire remain poorly understood. Therefore, this study investigated oceanic responses to the 2018 Woolsey Fire using satellite remote sensing and in situ data analyses. We examined 2016–2020 turbidity plume (n = 192) and 2008–2020 fecal indicator bacteria (FIB, n = 15,015) measurements at variable proximity to the Woolsey Fire. Shifts in coastal water quality were more pronounced in the “inside” region, which drained the burn area. The inside region experienced 2018–2019 plume surface area monthly means that were 10 and 9 times greater than 2016–2017 and 2017–2018 monthly means, respectively. Further, linear regressions showed that 2018–2019 three-day precipitation totals produced plumes of greater surface area. We also noted statistically significant increases in the inside region in 2018–2019 total coliform and Enterococcus monthly means that were 9 and 53 times greater than 2008–2018 monthly means, respectively. These results indicate that sediment and microbial inputs to coastal ecosystems can increase substantially post-wildfire at levels relevant to public and environmental health, and underscore the benefit of considering remote sensing and in situ measurements for water quality monitoring.
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14
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Amato HK, Hemlock C, Andrejko KL, Smith AR, Hejazi NS, Hubbard AE, Verma SC, Adhikari RK, Pokhrel D, Smith K, Graham JP, Pokhrel A. Biodigester Cookstove Interventions and Child Diarrhea in Semirural Nepal: A Causal Analysis of Daily Observations. ENVIRONMENTAL HEALTH PERSPECTIVES 2022; 130:17002. [PMID: 34985305 PMCID: PMC8729225 DOI: 10.1289/ehp9468] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/09/2021] [Revised: 11/02/2021] [Accepted: 12/02/2021] [Indexed: 05/08/2023]
Abstract
BACKGROUND Hundreds of thousands of biodigesters have been constructed in Nepal. These household-level systems use human and animal waste to produce clean-burning biogas used for cooking, which can reduce household air pollution from woodburning cookstoves and prevent respiratory illnesses. The biodigesters, typically operated by female caregivers, require the handling of animal waste, which may increase domestic fecal contamination, exposure to diarrheal pathogens, and the risk of enteric infections, especially among young children. OBJECTIVE We estimated the effect of daily reported biogas cookstove use on incident diarrhea among children < 5 y old in the Kavrepalanchok District of Nepal. Secondarily, we assessed effect measure modification and statistical interaction of individual- and household-level covariates (child sex, child age, birth order, exclusive breastfeeding, proof of vaccination, roof type, sanitation, drinking water treatment, food insecurity) as well as recent 14-d acute lower respiratory infection (ALRI) and season. METHODS We analyzed 300,133 person-days for 539 children in an observational prospective cohort study to estimate the average effect of biogas stove use on incident diarrhea using cross-validated targeted maximum likelihood estimation (CV-TMLE). RESULTS Households reported using biogas cookstoves in the past 3 d for 23% of observed person-days. The adjusted relative risk of diarrhea for children exposed to biogas cookstove use was 1.31 (95% confidence interval (CI): 1.00, 1.71) compared to unexposed children. The estimated effect of biogas stove use on diarrhea was stronger among breastfed children (2.09; 95% CI: 1.35, 3.25) than for nonbreastfed children and stronger during the dry season (2.03; 95% CI: 1.17, 3.53) than in the wet season. Among children exposed to biogas cookstove use, those with a recent ALRI had the highest mean risk of diarrhea, estimated at 4.53 events (95% CI: 1.03, 8.04) per 1,000 person-days. DISCUSSION This analysis provides new evidence that child diarrhea may be an unintended health risk of biogas cookstove use. Additional studies are needed to identify exposure pathways of fecal pathogen contamination associated with biodigesters to improve the safety of these widely distributed public health interventions. https://doi.org/10.1289/EHP9468.
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Affiliation(s)
- Heather K. Amato
- Division of Environmental Health Sciences, University of California, Berkeley School of Public Health, Berkeley, California, USA
| | - Caitlin Hemlock
- Division of Epidemiology, University of California, Berkeley School of Public Health, Berkeley, California, USA
| | - Kristin L. Andrejko
- Division of Epidemiology, University of California, Berkeley School of Public Health, Berkeley, California, USA
| | - Anna R. Smith
- Division of Environmental Health Sciences, University of California, Berkeley School of Public Health, Berkeley, California, USA
| | - Nima S. Hejazi
- Division of Biostatistics, University of California, Berkeley School of Public Health, Berkeley, California, USA
| | - Alan E. Hubbard
- Division of Biostatistics, University of California, Berkeley School of Public Health, Berkeley, California, USA
| | | | - Ramesh K. Adhikari
- Tribhuvan University, Institute of Medicine, Maharajgunj Medical Campus, Kathmandu, Nepal
| | - Dhiraj Pokhrel
- Society for Legal and Environmental Analysis and Development Research (LEADERS), Nepal
| | - Kirk Smith
- Division of Environmental Health Sciences, University of California, Berkeley School of Public Health, Berkeley, California, USA
| | - Jay P. Graham
- Division of Environmental Health Sciences, University of California, Berkeley School of Public Health, Berkeley, California, USA
| | - Amod Pokhrel
- Division of Environmental Health Sciences, University of California, Berkeley School of Public Health, Berkeley, California, USA
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15
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Minasian B, Hope N. Surfing on the world stage: a narrative review of acute and overuse injuries and preventative measures for the competitive and recreational surfer. Br J Sports Med 2021; 56:51-60. [PMID: 34862173 DOI: 10.1136/bjsports-2021-104307] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/05/2021] [Indexed: 11/03/2022]
Abstract
Surfing has rapidly grown in popularity as the sport made its debut at the Tokyo 2020 Olympic Games. Surfing injuries are becoming more relevant with the globalisation and increasing risks of the sport, but despite this, little is known about surfing injuries or prevention strategies in either the competitive or recreational surfer. Prior research demonstrates that surfers are injured at a frequency of 0.74-1.79 injuries per 1000 hours of surfing. We reviewed the literature for the incidence, anatomical distribution, type and underlying mechanism of acute and overuse injuries, and discuss current preventative measures. This review finds that skin injuries represent the highest proportion of total injuries. Acute injuries most frequently affect the head, neck and face, followed by the lower limbs. Being struck by one's own board is the most common mechanism of injury. Non-contact acute ligament injuries have increased as surfing manoeuvres have become more acrobatic and overuse musculoskeletal injuries are highly correlated with paddling. However, there is a paucity of research for surfing injuries, and studies on overuse musculoskeletal injuries and prevention are disproportionally under-represented. Most of the prior studies are limited by small sample sizes, poor data collection methodology and geographical constraints. Further research is needed to establish preventative measures for both acute and overuse surfing injuries and to ensure the increasing popularity of surfing is met with an improved understanding of sport risks and safety. Specifically, we recommend research be prioritised regarding the efficacy of training programmes to prevent surfing-related overuse musculoskeletal injuries.
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Affiliation(s)
- Bayan Minasian
- Westmead Hospital, Westmead, NSW, Australia .,Faculty of Medicine, University of New South Wales, Randwick, NSW, Australia
| | - Nigel Hope
- University of Notre Dame, Darlinghurst, NSW, Australia
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16
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Graham KE, Anderson CE, Boehm AB. Viral pathogens in urban stormwater runoff: Occurrence and removal via vegetated biochar-amended biofilters. WATER RESEARCH 2021; 207:117829. [PMID: 34763278 DOI: 10.1016/j.watres.2021.117829] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/12/2021] [Revised: 10/13/2021] [Accepted: 10/30/2021] [Indexed: 06/13/2023]
Abstract
Urban runoff is one of the greatest sources of microbial pollution to surface waters. Biofilters can limit the impact of stormwater runoff on surface water quality by diverting runoff from receiving waters. However, our understanding of how biofilter design choices, including the addition of vegetation and geomedia, may impact the removal of pathogens is lacking. In this study, we characterized viruses (adenovirus, enterovirus, norovirus GII, crAssphage) in San Francisco Bay area urban runoff and assessed the removal of lab-cultured viruses (MS2, adenovirus 2, coxsackievirus B5) from biochar-amended biofilter mesocosms during challenge testing. We quantified viruses using (RT-)qPCR and F+ coliphage plaque assays. We found that all the pathogenic viruses targeted were found at low concentrations (adenovirus: all positive samples were <limit of quantification, enterovirus: <limit of quantification-1.9 × 102 gc/L, norovirus GII: <limit of quantification-1.2 × 102 gc/L) in San Francisco Bay area urban runoff and the presence of norovirus GII in runoff was associated with developed land use and decreased precipitation. Biofilters had variable success in removing adenovirus, enterovirus, and MS2 from runoff in laboratory-scale column experiments. In addition, there was no significant difference in the removal of each virus in vegetated versus non-vegetated biofilters, with the exception of MS2 which had slightly higher removal in vegetated biofilters (0.40 log10 units, Welch's t-test, p = 0.004). When comparing removal of human viruses and viral indicators, adenovirus and enterovirus were removed more efficiently (log10-removal adenovirus = 3.2; log10-removal enterovirus = 1.1) than indicator virus MS2 (log10-removal by RT-qPCR = 0.36, log10-removal by plaque assay = 0.36). These results provide evidence that MS2 may be a conservative indicator for human virus removal in biofiltration systems, but more work is needed to examine this relationship. Results from this study can help inform design choices regarding biofilters intended to improve water quality and our understanding of virus attenuation in biofiltration systems.
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Affiliation(s)
- Katherine E Graham
- Department of Civil and Environmental Engineering, Stanford University, Stanford, CA, United States
| | - Claire E Anderson
- Department of Civil and Environmental Engineering, Stanford University, Stanford, CA, United States
| | - Alexandria B Boehm
- Department of Civil and Environmental Engineering, Stanford University, Stanford, CA, United States.
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17
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Feddersen F, Boehm AB, Giddings SN, Wu X, Liden D. Modeling Untreated Wastewater Evolution and Swimmer Illness for Four Wastewater Infrastructure Scenarios in the San Diego-Tijuana (US/MX) Border Region. GEOHEALTH 2021; 5:e2021GH000490. [PMID: 34796313 PMCID: PMC8581746 DOI: 10.1029/2021gh000490] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/27/2021] [Revised: 09/29/2021] [Accepted: 10/18/2021] [Indexed: 06/13/2023]
Abstract
The popular beaches of the San Diego-Tijuana (US/MX) border region are often impacted by untreated wastewater sourced from Mexico-via the Tijuana River Estuary (TJRE) and San Antonio de los Buenos outfall at the Pt. Bandera (SAB/PTB) shoreline, leading to impacted beaches and human illness. The US-Mexico-Canada trade agreement will fund border infrastructure projects reducing untreated wastewater discharges. However, estimating project benefits such as reduced human illness and beach impacts is challenging. We develop a coupled hydrodynamic, norovirus (NoV) pathogen, and swimmer illness risk model with the wastewater sources for the year 2017. The model is used to evaluate the reduction in human illness and beach impacts under baseline conditions and three infrastructure diversion scenarios which (Scenario A) reduce SAB/PTB discharges and moderately reduce TJRE inflows or (Scenarios B, C) strongly reduce TJRE in inflows only. The model estimates shoreline untreated wastewater and NoV concentrations, and the number of NoV ill swimmers at Imperial Beach CA. In the Baseline, the percentage of swimmers becoming ill is 3.8% over 2017, increasing to 4.5% during the tourist season (Memorial to Labor Day) due to south-swell driven SAB/PTB plumes. Overall, Scenario A provides the largest reduction in ill swimmers and beach impacts for the tourist season and full year. The 2017 tourist season TJRE inflows were not representative of those in 2020, yet, Scenario A likely still provides the greatest benefit in other years. This methodology can be applied to other coastal regions with wastewater inputs.
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Affiliation(s)
| | | | | | - Xiaodong Wu
- Scripps Institution of OceanographyUCSDLa JollaCAUSA
| | - Doug Liden
- Environmental Protection AgencySan DiegoCAUSA
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18
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Reynolds LJ, Martin NA, Sala-Comorera L, Callanan K, Doyle P, O'Leary C, Buggy P, Nolan TM, O'Hare GMP, O'Sullivan JJ, Meijer WG. Identifying Sources of Faecal Contamination in a Small Urban Stream Catchment: A Multiparametric Approach. Front Microbiol 2021; 12:661954. [PMID: 34267734 PMCID: PMC8276237 DOI: 10.3389/fmicb.2021.661954] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2021] [Accepted: 05/24/2021] [Indexed: 01/15/2023] Open
Abstract
Small urban streams discharging in the proximity of bathing waters may significantly contribute to the deterioration of water quality, yet their impact may be overlooked. This study focuses on the Elm Park stream in the city of Dublin that is subject to faecal contamination by unidentified sources. The aim of the study was to identify a minimum number of “sentinel” sampling stations in an urban catchment that would provide the maximum amount of information regarding faecal pollution in the catchment. Thus, high-resolution sampling within the catchment was carried out over the course of 1 year at 11 stations. Faecal indicator bacteria were enumerated and microbial source tracking (MST) was employed to evaluate human pollution. In addition, ammonium, total oxidised nitrogen, and phosphorus levels were monitored to determine if these correlated with faecal indicator and the HF183 MST marker. In addition, the effect of severe weather events on water quality was assessed using automated sampling at one of the identified “sentinel” stations during baseflow and high flow conditions over a 24-h period. Our results show that this urban stream is at times highly contaminated by point source faecal pollution and that human faecal pollution is pervasive in the catchment. Correlations between ammonium concentrations and faecal indicator bacteria (FIB) as well as the human MST marker were observed during the study. Cluster analysis identified four “sentinel” stations that provide sufficient information on faecal pollution in the stream, thus reducing the geographical complexity of the catchment. Furthermore, ammonium levels strongly correlated with FIB and the human HF183 MST marker under high flow conditions at key “sentinel” stations. This work demonstrates the effectiveness of pairing MST, faecal indicators, and ammonium monitoring to identify “sentinel” stations that could be more rapidly assessed using real-time ammonium readouts to assess remediation efforts.
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Affiliation(s)
- Liam J Reynolds
- UCD School of Biomolecular and Biomedical Science, UCD Earth Institute, and UCD Conway Institute, University College Dublin, Dublin, Ireland
| | - Niamh A Martin
- UCD School of Biomolecular and Biomedical Science, UCD Earth Institute, and UCD Conway Institute, University College Dublin, Dublin, Ireland
| | - Laura Sala-Comorera
- UCD School of Biomolecular and Biomedical Science, UCD Earth Institute, and UCD Conway Institute, University College Dublin, Dublin, Ireland
| | - Kevin Callanan
- Central Laboratory, Dublin City Council, Dublin, Ireland
| | - Padraig Doyle
- Drainage Planning, Policy and Development Control, Dublin City Council, Dublin, Ireland
| | - Clare O'Leary
- Central Laboratory, Dublin City Council, Dublin, Ireland
| | - Paul Buggy
- Municipal Services, Dún Laoghaire-Rathdown County Council, Dublin, Ireland
| | - Tristan M Nolan
- UCD School of Biomolecular and Biomedical Science, UCD Earth Institute, and UCD Conway Institute, University College Dublin, Dublin, Ireland
| | - Gregory M P O'Hare
- UCD School of Computer Science, UCD Earth Institute, University College Dublin, Dublin, Ireland
| | - John J O'Sullivan
- UCD School of Civil Engineering, UCD Dooge Centre for Water Resources Research, UCD Earth Institute, University College Dublin, Dublin, Ireland
| | - Wim G Meijer
- UCD School of Biomolecular and Biomedical Science, UCD Earth Institute, and UCD Conway Institute, University College Dublin, Dublin, Ireland
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Verbyla ME, Calderon JS, Flanigan S, Garcia M, Gersberg R, Kinoshita AM, Mladenov N, Pinongcos F, Welsh M. An Assessment of Ambient Water Quality and Challenges with Access to Water and Sanitation Services for Individuals Experiencing Homelessness in Riverine Encampments. ENVIRONMENTAL ENGINEERING SCIENCE 2021; 38:389-401. [PMID: 34079210 PMCID: PMC8165467 DOI: 10.1089/ees.2020.0319] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/02/2020] [Accepted: 12/30/2020] [Indexed: 05/05/2023]
Abstract
Individuals experiencing unsheltered homelessness face significant barriers to accessing water, sanitation, and hygiene services, but the risks associated with this lack of access and barriers to service provision have been largely understudied. We analyzed water samples upstream and downstream of three homeless encampments in the San Diego River watershed and interviewed service providers from public and nonprofit sectors to assess local perceptions about challenges and potential solutions for water and sanitation service provision in this context. Water upstream from encampments contained detectable levels of caffeine and sucralose. Escherichia coli concentrations downstream of the encampments were significantly greater than concentrations upstream, but there was no significant change in the concentrations of other pollutants, including caffeine and sucralose. The HF183 marker of Bacteroides was only detected in one sample upstream of an encampment and was not detected downstream. Overall, there was insufficient evidence to suggest that the encampments studied here were responsible for contributing pollution to the river. Nevertheless, the presence of caffeine, sucralose, and HF183 indicated that there are anthropogenic sources of contamination in the river during dry weather and potential risks associated with the use of this water by encampment residents. Interviews with service providers revealed perceptions that the provision of water and sanitation services for this population would be prohibitively expensive. Interviewees also reported perceptions that most riverbank residents avoided contact with service providers, which may present challenges for the provision of water and sanitation service unless trust is first built between service providers and residents of riverine encampments.
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Affiliation(s)
- Matthew E. Verbyla
- Department of Civil, Construction, and Environmental Engineering, San Diego State University, San Diego, California, USA
- Corresponding author: Department of Civil, Construction, and Environmental Engineering, MC-1324, San Diego State University, San Diego, CA 92182, USA. Phone: 619-594-0711; Fax: 619 594 8078;
| | - Jose S. Calderon
- Department of Civil, Construction, and Environmental Engineering, San Diego State University, San Diego, California, USA
| | - Shawn Flanigan
- School of Public Affairs, San Diego State University, San Diego, California, USA
| | - Mireille Garcia
- Department of Civil, Construction, and Environmental Engineering, San Diego State University, San Diego, California, USA
| | - Rick Gersberg
- School of Public Health, San Diego State University, San Diego, California, USA
| | - Alicia M. Kinoshita
- Department of Civil, Construction, and Environmental Engineering, San Diego State University, San Diego, California, USA
| | - Natalie Mladenov
- Department of Civil, Construction, and Environmental Engineering, San Diego State University, San Diego, California, USA
| | - Federick Pinongcos
- Department of Civil, Construction, and Environmental Engineering, San Diego State University, San Diego, California, USA
| | - Megan Welsh
- School of Public Affairs, San Diego State University, San Diego, California, USA
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Impact of ear protection on occurrence of exostosis in surfers: an observational prospective study of 242 ears. Eur Arch Otorhinolaryngol 2021; 278:4775-4781. [PMID: 33555441 DOI: 10.1007/s00405-021-06609-8] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2020] [Accepted: 01/05/2021] [Indexed: 01/17/2023]
Abstract
PURPOSE The aim of the study was to investigate the efficacy of ear protection (earplug and surf hood) in preventing the development of external auditory exostosis (EAE) in surfers. METHODS We performed a prospective observational study. Volunteer surfers were recruited from June 2016 to October 2017 on the Brittany coast in France. Each participant filled in a questionnaire and underwent otoscopic digitalized photography to establish the degree of external ear obstruction by two different practitioners. The correlation between the percentage of external ear obstruction and the time spent in water with or without protection was evaluated. Risk factors of EAE were assessed. RESULTS Two hundred and forty-two ears were analysed. The incidence of EAE was 89.96% with an average rate of obstruction of 37.65%. Risk factors for EAE were male sex (p = 0.0005), number of years practicing surf (p < 0.0001) and symptoms of ear obstruction (p = 0.0358). A significant correlation was found between EAE severity and number of hours spent in water without any protection (earplugs or surf hood) (p < 0.0001). No correlation was found between EAE severity and time spent in water with earplugs (p = 0.6711) but a correlation was identified between obstruction and time spent in water with surf hood (p = 0.0358). CONCLUSIONS Wearing earplugs is an effective way to prevent EAE in surfers unlike surf hood.
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Searcy RT, Boehm AB. A Day at the Beach: Enabling Coastal Water Quality Prediction with High-Frequency Sampling and Data-Driven Models. ENVIRONMENTAL SCIENCE & TECHNOLOGY 2021; 55:1908-1918. [PMID: 33471505 DOI: 10.1021/acs.est.0c06742] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
To reduce the incidence of recreational waterborne illness, fecal indicator bacteria (FIB) are measured to assess water quality and inform beach management. Recently, predictive FIB models have been used to aid managers in making beach posting and closure decisions. However, those predictive models must be trained using rich historical data sets consisting of FIB and environmental data that span years, and many beaches lack such data sets. Here, we investigate whether water quality data collected during discrete short duration, high-frequency beach sampling events (e.g., samples collected at sub-hourly intervals for 24-48 h) are sufficient to train predictive models that can be used for beach management. We use data collected during six high-frequency sampling events at three California marine beaches and train a total of 126 models using common data-driven techniques. Tide, solar irradiation, water temperature, significant wave height, and offshore wind speed were found to be the most important environmental variables in the models. We validate the predictive performance of models using withheld data. Random forests are consistently the top performing model type. Overall, we find that data-driven models trained using high-frequency FIB and environmental data perform well at predicting water quality and can be used to inform public health decisions at beaches.
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Affiliation(s)
- Ryan T Searcy
- Department of Civil & Environmental Engineering, Stanford University, 473 Via Ortega, Stanford, Palo Alto 94305, California, United States
| | - Alexandria B Boehm
- Department of Civil & Environmental Engineering, Stanford University, 473 Via Ortega, Stanford, Palo Alto 94305, California, United States
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22
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Landrigan PJ, Stegeman JJ, Fleming LE, Allemand D, Anderson DM, Backer LC, Brucker-Davis F, Chevalier N, Corra L, Czerucka D, Bottein MYD, Demeneix B, Depledge M, Deheyn DD, Dorman CJ, Fénichel P, Fisher S, Gaill F, Galgani F, Gaze WH, Giuliano L, Grandjean P, Hahn ME, Hamdoun A, Hess P, Judson B, Laborde A, McGlade J, Mu J, Mustapha A, Neira M, Noble RT, Pedrotti ML, Reddy C, Rocklöv J, Scharler UM, Shanmugam H, Taghian G, van de Water JA, Vezzulli L, Weihe P, Zeka A, Raps H, Rampal P. Human Health and Ocean Pollution. Ann Glob Health 2020; 86:151. [PMID: 33354517 PMCID: PMC7731724 DOI: 10.5334/aogh.2831] [Citation(s) in RCA: 141] [Impact Index Per Article: 35.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Abstract
Background Pollution - unwanted waste released to air, water, and land by human activity - is the largest environmental cause of disease in the world today. It is responsible for an estimated nine million premature deaths per year, enormous economic losses, erosion of human capital, and degradation of ecosystems. Ocean pollution is an important, but insufficiently recognized and inadequately controlled component of global pollution. It poses serious threats to human health and well-being. The nature and magnitude of these impacts are only beginning to be understood. Goals (1) Broadly examine the known and potential impacts of ocean pollution on human health. (2) Inform policy makers, government leaders, international organizations, civil society, and the global public of these threats. (3) Propose priorities for interventions to control and prevent pollution of the seas and safeguard human health. Methods Topic-focused reviews that examine the effects of ocean pollution on human health, identify gaps in knowledge, project future trends, and offer evidence-based guidance for effective intervention. Environmental Findings Pollution of the oceans is widespread, worsening, and in most countries poorly controlled. It is a complex mixture of toxic metals, plastics, manufactured chemicals, petroleum, urban and industrial wastes, pesticides, fertilizers, pharmaceutical chemicals, agricultural runoff, and sewage. More than 80% arises from land-based sources. It reaches the oceans through rivers, runoff, atmospheric deposition and direct discharges. It is often heaviest near the coasts and most highly concentrated along the coasts of low- and middle-income countries. Plastic is a rapidly increasing and highly visible component of ocean pollution, and an estimated 10 million metric tons of plastic waste enter the seas each year. Mercury is the metal pollutant of greatest concern in the oceans; it is released from two main sources - coal combustion and small-scale gold mining. Global spread of industrialized agriculture with increasing use of chemical fertilizer leads to extension of Harmful Algal Blooms (HABs) to previously unaffected regions. Chemical pollutants are ubiquitous and contaminate seas and marine organisms from the high Arctic to the abyssal depths. Ecosystem Findings Ocean pollution has multiple negative impacts on marine ecosystems, and these impacts are exacerbated by global climate change. Petroleum-based pollutants reduce photosynthesis in marine microorganisms that generate oxygen. Increasing absorption of carbon dioxide into the seas causes ocean acidification, which destroys coral reefs, impairs shellfish development, dissolves calcium-containing microorganisms at the base of the marine food web, and increases the toxicity of some pollutants. Plastic pollution threatens marine mammals, fish, and seabirds and accumulates in large mid-ocean gyres. It breaks down into microplastic and nanoplastic particles containing multiple manufactured chemicals that can enter the tissues of marine organisms, including species consumed by humans. Industrial releases, runoff, and sewage increase frequency and severity of HABs, bacterial pollution, and anti-microbial resistance. Pollution and sea surface warming are triggering poleward migration of dangerous pathogens such as the Vibrio species. Industrial discharges, pharmaceutical wastes, pesticides, and sewage contribute to global declines in fish stocks. Human Health Findings Methylmercury and PCBs are the ocean pollutants whose human health effects are best understood. Exposures of infants in utero to these pollutants through maternal consumption of contaminated seafood can damage developing brains, reduce IQ and increase children's risks for autism, ADHD and learning disorders. Adult exposures to methylmercury increase risks for cardiovascular disease and dementia. Manufactured chemicals - phthalates, bisphenol A, flame retardants, and perfluorinated chemicals, many of them released into the seas from plastic waste - can disrupt endocrine signaling, reduce male fertility, damage the nervous system, and increase risk of cancer. HABs produce potent toxins that accumulate in fish and shellfish. When ingested, these toxins can cause severe neurological impairment and rapid death. HAB toxins can also become airborne and cause respiratory disease. Pathogenic marine bacteria cause gastrointestinal diseases and deep wound infections. With climate change and increasing pollution, risk is high that Vibrio infections, including cholera, will increase in frequency and extend to new areas. All of the health impacts of ocean pollution fall disproportionately on vulnerable populations in the Global South - environmental injustice on a planetary scale. Conclusions Ocean pollution is a global problem. It arises from multiple sources and crosses national boundaries. It is the consequence of reckless, shortsighted, and unsustainable exploitation of the earth's resources. It endangers marine ecosystems. It impedes the production of atmospheric oxygen. Its threats to human health are great and growing, but still incompletely understood. Its economic costs are only beginning to be counted.Ocean pollution can be prevented. Like all forms of pollution, ocean pollution can be controlled by deploying data-driven strategies based on law, policy, technology, and enforcement that target priority pollution sources. Many countries have used these tools to control air and water pollution and are now applying them to ocean pollution. Successes achieved to date demonstrate that broader control is feasible. Heavily polluted harbors have been cleaned, estuaries rejuvenated, and coral reefs restored.Prevention of ocean pollution creates many benefits. It boosts economies, increases tourism, helps restore fisheries, and improves human health and well-being. It advances the Sustainable Development Goals (SDG). These benefits will last for centuries. Recommendations World leaders who recognize the gravity of ocean pollution, acknowledge its growing dangers, engage civil society and the global public, and take bold, evidence-based action to stop pollution at source will be critical to preventing ocean pollution and safeguarding human health.Prevention of pollution from land-based sources is key. Eliminating coal combustion and banning all uses of mercury will reduce mercury pollution. Bans on single-use plastic and better management of plastic waste reduce plastic pollution. Bans on persistent organic pollutants (POPs) have reduced pollution by PCBs and DDT. Control of industrial discharges, treatment of sewage, and reduced applications of fertilizers have mitigated coastal pollution and are reducing frequency of HABs. National, regional and international marine pollution control programs that are adequately funded and backed by strong enforcement have been shown to be effective. Robust monitoring is essential to track progress.Further interventions that hold great promise include wide-scale transition to renewable fuels; transition to a circular economy that creates little waste and focuses on equity rather than on endless growth; embracing the principles of green chemistry; and building scientific capacity in all countries.Designation of Marine Protected Areas (MPAs) will safeguard critical ecosystems, protect vulnerable fish stocks, and enhance human health and well-being. Creation of MPAs is an important manifestation of national and international commitment to protecting the health of the seas.
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Affiliation(s)
| | - John J. Stegeman
- Woods Hole Center for Oceans and Human Health, Woods Hole Oceanographic Institution, US
| | - Lora E. Fleming
- European Centre for Environment and Human Health, GB
- University of Exeter Medical School, GB
| | | | - Donald M. Anderson
- Woods Hole Center for Oceans and Human Health, Woods Hole Oceanographic Institution, US
| | | | | | - Nicolas Chevalier
- Université Côte d’Azur, FR
- Centre Hospitalier Universitaire de Nice, Inserm, C3M, FR
| | - Lilian Corra
- International Society of Doctors for the Environment (ISDE), CH
- Health and Environment of the Global Alliance on Health and Pollution (GAHP), AR
| | | | - Marie-Yasmine Dechraoui Bottein
- Intergovernmental Oceanographic Commission of UNESCO, FR
- IOC Science and Communication Centre on Harmful Algae, University of Copenhagen, DK
- Ecotoxicologie et développement durable expertise ECODD, Valbonne, FR
| | - Barbara Demeneix
- Centre National de la Recherche Scientifique, FR
- Muséum National d’Histoire Naturelle, Paris, FR
| | | | - Dimitri D. Deheyn
- Scripps Institution of Oceanography, University of California San Diego, US
| | | | - Patrick Fénichel
- Université Côte d’Azur, FR
- Centre Hospitalier Universitaire de Nice, Inserm, C3M, FR
| | | | | | | | | | | | | | - Mark E. Hahn
- Woods Hole Center for Oceans and Human Health, Woods Hole Oceanographic Institution, US
| | | | - Philipp Hess
- Institut Français de Recherche pour l’Exploitation des Mers, FR
| | | | | | - Jacqueline McGlade
- Institute for Global Prosperity, University College London, GB
- Strathmore University Business School, Nairobi, KE
| | | | - Adetoun Mustapha
- Nigerian Institute for Medical Research, Lagos, NG
- Imperial College London, GB
| | | | | | | | - Christopher Reddy
- Department of Marine Chemistry and Geochemistry, Woods Hole Oceanographic Institution, US
| | - Joacim Rocklöv
- Department of Public Health and Clinical Medicine, Section of Sustainable Health, Umeå University, Umeå, SE
| | | | | | | | | | | | - Pál Weihe
- University of the Faroe Islands and Department of Occupational Medicine and Public Health, FO
| | | | - Hervé Raps
- Centre Scientifique de Monaco, MC
- WHO Collaborating Centre for Health and Sustainable Development, MC
| | - Patrick Rampal
- Centre Scientifique de Monaco, MC
- WHO Collaborating Centre for Health and Sustainable Development, MC
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Kraay ANM, Man O, Levy MC, Levy K, Ionides E, Eisenberg JNS. Understanding the Impact of Rainfall on Diarrhea: Testing the Concentration-Dilution Hypothesis Using a Systematic Review and Meta-Analysis. ENVIRONMENTAL HEALTH PERSPECTIVES 2020; 128:126001. [PMID: 33284047 PMCID: PMC7720804 DOI: 10.1289/ehp6181] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/05/2019] [Revised: 10/26/2020] [Accepted: 11/09/2020] [Indexed: 05/07/2023]
Abstract
BACKGROUND Projected increases in extreme weather may change relationships between rain-related climate exposures and diarrheal disease. Whether rainfall increases or decreases diarrhea rates is unclear based on prior literature. The concentration-dilution hypothesis suggests that these conflicting results are explained by the background level of rain: Rainfall following dry periods can flush pathogens into surface water, increasing diarrhea incidence, whereas rainfall following wet periods can dilute pathogen concentrations in surface water, thereby decreasing diarrhea incidence. OBJECTIVES In this analysis, we explored the extent to which the concentration-dilution hypothesis is supported by published literature. METHODS To this end, we conducted a systematic search for articles assessing the relationship between rain, extreme rain, flood, drought, and season (rainy vs. dry) and diarrheal illness. RESULTS A total of 111 articles met our inclusion criteria. Overall, the literature largely supports the concentration-dilution hypothesis. In particular, extreme rain was associated with increased diarrhea when it followed a dry period [incidence rate ratio ( IRR ) = 1.26 ; 95% confidence interval (CI): 1.05, 1.51], with a tendency toward an inverse association for extreme rain following wet periods, albeit nonsignificant, with one of four relevant studies showing a significant inverse association (IRR = 0.911 ; 95% CI: 0.771, 1.08). Incidences of bacterial and parasitic diarrhea were more common during rainy seasons, providing pathogen-specific support for a concentration mechanism, but rotavirus diarrhea showed the opposite association. Information on timing of cases within the rainy season (e.g., early vs. late) was lacking, limiting further analysis. We did not find a linear association between nonextreme rain exposures and diarrheal disease, but several studies found a nonlinear association with low and high rain both being associated with diarrhea. DISCUSSION Our meta-analysis suggests that the effect of rainfall depends on the antecedent conditions. Future studies should use standard, clearly defined exposure variables to strengthen understanding of the relationship between rainfall and diarrheal illness. https://doi.org/10.1289/EHP6181.
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Affiliation(s)
- Alicia N. M. Kraay
- Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA
| | - Olivia Man
- Department of Epidemiology, University of Michigan–Ann Arbor, Ann Arbor, Michigan, USA
| | - Morgan C. Levy
- Scripps Institution of Oceanography, University of California San Diego, La Jolla, California, USA
- School of Global Policy and Strategy, University of California San Diego, La Jolla, California, USA
| | - Karen Levy
- Department of Environmental and Occupational Health Sciences, University of Washington, Seattle, Washington, USA
| | - Edward Ionides
- Department of Epidemiology, University of Michigan–Ann Arbor, Ann Arbor, Michigan, USA
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Schoen ME, Boehm AB, Soller J, Shanks OC. Contamination Scenario Matters when Using Viral and Bacterial Human-Associated Genetic Markers as Indicators of a Health Risk in Untreated Sewage-Impacted Recreational Waters. ENVIRONMENTAL SCIENCE & TECHNOLOGY 2020; 54:13101-13109. [PMID: 32969642 PMCID: PMC8215692 DOI: 10.1021/acs.est.0c02189] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Fecal pollution at beaches can pose a health risk to recreators. Quantitative microbial risk assessment (QMRA) is a tool to evaluate the use of candidate fecal indicators to signify a health risk from enteric pathogens in sewage-impacted waters. We extend the QMRA approach to model mixtures of sewage at different ages using genetic marker concentrations for human-associated crAssphage, Bacteroides spp., and polyomavirus in sewage samples from 49 wastewater facilities across the contiguous United States. Risk-based threshold (RBT) estimates varied across different mixture and sewage age scenarios. Fresh sewage RBT estimates were not always protective when aged sewage was present, and aged sewage RBT estimates often fell below the marker lower limit of quantification. Conservative RBT estimates of 9.3 × 102 and 9.1 × 103 (copies/100 mL) for HF183/BacR287 and CPQ_056, respectively, were predicted when fresh sewage was greater (by volume) than aged at the time of measurement. Conversely, genetic markers may not be effective indicators when aged sewage contributes the majority of pathogens, relative to fresh contamination, but minimal marker levels. Results highlight the utility of QMRA that incorporates pollutant age and mixture scenarios, the potential advantages of a crAssphage fecal indicator, and the potential influence of site-specific factors on estimating RBT values.
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Affiliation(s)
- Mary E Schoen
- Soller Environmental, LLC, 3022 King St., Berkeley, California 94703, United States
| | - Alexandria B Boehm
- Department of Civil and Environmental Engineering, Stanford University, Stanford, California 94305, United States
| | - Jeffrey Soller
- Soller Environmental, LLC, 3022 King St., Berkeley, California 94703, United States
| | - Orin C Shanks
- U.S. Environmental Protection Agency, Office of Research and Development, Martin Luther King Drive, Cincinnati, Ohio 45268, United States
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Holcomb DA, Stewart JR. Microbial Indicators of Fecal Pollution: Recent Progress and Challenges in Assessing Water Quality. Curr Environ Health Rep 2020; 7:311-324. [PMID: 32542574 PMCID: PMC7458903 DOI: 10.1007/s40572-020-00278-1] [Citation(s) in RCA: 47] [Impact Index Per Article: 11.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
PURPOSE OF REVIEW Fecal contamination of water is a major public health concern. This review summarizes recent developments and advancements in water quality indicators of fecal contamination. RECENT FINDINGS This review highlights a number of trends. First, fecal indicators continue to be a valuable tool to assess water quality and have expanded to include indicators able to detect sources of fecal contamination in water. Second, molecular methods, particularly PCR-based methods, have advanced considerably in their selected targets and rigor, but have added complexity that may prohibit adoption for routine monitoring activities at this time. Third, risk modeling is beginning to better connect indicators and human health risks, with the accuracy of assessments currently tied to the timing and conditions where risk is measured. Research has advanced although challenges remain for the effective use of both traditional and alternative fecal indicators for risk characterization, source attribution and apportionment, and impact evaluation.
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Affiliation(s)
- David A Holcomb
- Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, 135 Dauer Dr., Chapel Hill, NC, 27599-7435, USA
| | - Jill R Stewart
- Department of Environmental Sciences and Engineering, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, 135 Dauer Dr., Chapel Hill, NC, 27599-7431, USA.
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Mushi D. Bacteriological quality of marine recreational water in a tropical environment reflects coastal residential patterns. SCIENTIFIC AFRICAN 2020. [DOI: 10.1016/j.sciaf.2020.e00326] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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King JF, Szczuka A, Zhang Z, Mitch WA. Efficacy of ozone for removal of pesticides, metals and indicator virus from reverse osmosis concentrates generated during potable reuse of municipal wastewaters. WATER RESEARCH 2020; 176:115744. [PMID: 32251944 DOI: 10.1016/j.watres.2020.115744] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/26/2019] [Revised: 03/15/2020] [Accepted: 03/20/2020] [Indexed: 05/05/2023]
Abstract
This study evaluated ozone treatment to address concerns regarding the discharge to marine waters of chemical contaminants and pathogens in reverse osmosis (RO) concentrates generated during the potable reuse of municipal wastewaters. Previous studies indicated that contaminants can be sorted into five groups based on their reaction rate constants with ozone and hydroxyl radical to predict degradation of chemical contaminants during ozonation of municipal effluents. Spiking representatives of each group into five RO concentrate samples, this study demonstrated that the same contaminant grouping scheme could be used to predict contaminant degradation during ozonation of RO concentrates, despite the higher concentrations of ozone and hydroxyl radical scavengers. The predictive capability of the contaminant grouping scheme was further validated for four contaminants of concern in RO concentrates, including the pesticides fipronil and imidacloprid, and the metal chelates Ni-EDTA and Cu-EDTA. After measuring their ozone and hydroxyl radical reaction rate constants, these compounds were assigned to contaminant groups, and their degradation during ozonation matched predictions. Addition of 300 mg/L CaO at pH 11 achieved partial removal of the native nickel and copper by precipitation. Ozone pretreatment further enhanced precipitation of nickel, but not copper. Ozonation achieved 5-log inactivation of MS2 in all five concentrate samples at 1.18 mg O3/mg DOC. Ozonation at 0.9 mg O3/mg DOC formed 139-451 μg/L bromate. Pretreatment of RO concentrates with chlorine and ammonia reduced bromate formation by a maximum of 48% but increased total halogenated DBP concentrations from 20 μg/L to 36 μg/L. Regardless, neither bromate nor trihalomethane concentrations exceeded threshold concentrations of concern for discharge to marine waters.
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Affiliation(s)
- Jacob F King
- Department of Civil and Environmental Engineering, Stanford University, 473 Via Ortega, Stanford, CA, 94305, United States
| | - Aleksandra Szczuka
- Department of Civil and Environmental Engineering, Stanford University, 473 Via Ortega, Stanford, CA, 94305, United States
| | - Zhong Zhang
- Department of Civil and Environmental Engineering, Stanford University, 473 Via Ortega, Stanford, CA, 94305, United States
| | - William A Mitch
- Department of Civil and Environmental Engineering, Stanford University, 473 Via Ortega, Stanford, CA, 94305, United States.
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Russo GS, Eftim SE, Goldstone AE, Dufour AP, Nappier SP, Wade TJ. Evaluating health risks associated with exposure to ambient surface waters during recreational activities: A systematic review and meta-analysis. WATER RESEARCH 2020; 176:115729. [PMID: 32240845 DOI: 10.1016/j.watres.2020.115729] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/20/2019] [Revised: 03/13/2020] [Accepted: 03/15/2020] [Indexed: 05/26/2023]
Abstract
Recreational water quality guidelines protect the public from health risks associated with water recreation by helping to prevent unacceptable concentrations of pathogenic organisms in ambient water. However, illness risk is associated with both the concentration of pathogens in the water and the degree of contact with those pathogens. Different recreational activities can result in different levels of contact with ambient water containing water-borne pathogens. We conducted a systematic literature review and meta-analysis to evaluate risks of illness associated with different recreational activities and different levels of contact to ambient surface waters. We screened 8,618 potentially relevant studies for quantitative measures of risk using inclusion/exclusion criteria established in advance. We categorized recreational activities as swimming, sports-related contact, minimal contact, and sand contact. We combined relative risks using a random effects meta-analysis for adverse health outcome categories representing gastrointestinal illness, respiratory illness, skin, eye, ear, nose, throat, and cold/flu illness. We identified 92 studies meeting our inclusion criteria. Pooled risk estimates indicate significant elevation of gastrointestinal illness with the recreational activity categories swimming (2.19, 95% CI: 1.82, 2.63) and sports-related contact (2.69, 95% CI: 1.04, 6.92), and nonsignificant elevation of gastrointestinal illness with minimal contact (1.27, 95% CI: 0.74, 2.16). We also found a significant elevation of respiratory illness with swimming (1.78, 95% CI: 1.38, 2.29) and sports-related contact (1.49, 95% CI: 1.00, 2.24), and no elevation of respiratory illness with minimal contact (0.90, 95% CI: 0.71, 1.14). This study suggests that exposures associated with different types of recreational activities are important characteristics of the exposure pathway when assessing illness risk associated with recreation in ambient surface waters.
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Affiliation(s)
- Gary S Russo
- U.S. Environmental Protection Agency, Office of Water, Office of Science and Technology, Standards and Health Protection Division, 1200 Pennsylvania Avenue, NW, Mail Code 4305T, Washington, DC, 20460, USA.
| | | | | | - Alfred P Dufour
- U.S. Environmental Protection Agency, National Exposure Research Laboratory, 26 West Martin Luther King Drive, Mail Code 587, Cincinnati, OH, 45268, USA
| | - Sharon P Nappier
- U.S. Environmental Protection Agency, Office of Water, Office of Science and Technology, Health and Ecological Division, 1200 Pennsylvania Avenue, NW, Mail Code 4304T, Washington, DC, 20460, USA
| | - Timothy J Wade
- U.S. Environmental Protection Agency, National Health and Environmental Effects Research Laboratory, 109 T.W. Alexander Drive, Mail Code 58C, Research Triangle Park, NC, 27709, USA
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29
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Leonard AFC, Garside R, Ukoumunne OC, Gaze WH. A cross-sectional study on the prevalence of illness in coastal bathers compared to non-bathers in England and Wales: Findings from the Beach User Health Survey. WATER RESEARCH 2020; 176:115700. [PMID: 32234605 DOI: 10.1016/j.watres.2020.115700] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/02/2019] [Revised: 02/12/2020] [Accepted: 03/06/2020] [Indexed: 06/11/2023]
Abstract
The risks of illness associated with bathing in UK coastal waters have not been quantified since the early 1990s. Efforts have been made since then to improve the quality of bathing waters. The aim of this study was to quantify the prevalence of symptoms of illness associated with sea bathing in bathers in England and Wales. A cross-sectional study was conducted between June 2014 and April 2015. An online survey collected information from sea bathers and non-bathers on their visits to beaches in England and Wales along with the occurrence of symptoms of illness. 2631 people (1693 bathers, 938 non-bathers) responded to the survey. Compared to non-bathers, bathers were more likely to report skin ailments (adjusted prevalence odds ratio (AOR) = 2.64, 95% confidence interval (CI) 1.23 to 5.65, p = 0.01), ear ailments (AOR = 3.77, 95% CI 1.84 to 7.73, p < 0.001), and any symptoms of illness (AOR = 3.73, 95% CI 2.63 to 5.29, p < 0.001). There was weak evidence of an increase in the odds of gastrointestinal illness (AOR = 1.59, 95% CI 0.96 to 2.65, p = 0.07), respiratory ailments (AOR = 2.44, 95% CI 0.92 to 6.48, p = 0.07) and eye ailments (AOR = 2.12, 95% CI 0.83 to 5.39, p = 0.11). While the study design does not allow inference of causality, we do observe an association between sea bathing in England and Wales and reported symptoms of ill health. This suggests that despite higher rates of compliance with water quality criteria among bathing waters nowadays, the odds of illness for bathers relative to non-bathers is similar in magnitude to estimates made in the 1990s.
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Affiliation(s)
- Anne F C Leonard
- European Centre for Environment and Human Health, University of Exeter Medical School, Truro, TR1 3HD, UK.
| | - Ruth Garside
- European Centre for Environment and Human Health, University of Exeter Medical School, Truro, TR1 3HD, UK
| | - Obioha C Ukoumunne
- National Institute for Health Research Applied Research Collaboration South West Peninsula, University of Exeter Medical School, Exeter, EX1 2LU, UK
| | - William H Gaze
- European Centre for Environment and Human Health, University of Exeter Medical School, Truro, TR1 3HD, UK.
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Du B, Tian Z, Peter KT, Kolodziej EP, Wong CS. Developing Unique Nontarget High-Resolution Mass Spectrometry Signatures to Track Contaminant Sources in Urban Waters. ENVIRONMENTAL SCIENCE & TECHNOLOGY LETTERS 2020; 7:923-930. [PMID: 34136585 PMCID: PMC8204317 DOI: 10.1021/acs.estlett.0c00749] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
Abstract
Diffuse pollution in urban receiving waters often adversely impacts both humans and ecosystems. Identifying such pollution sources is challenging and limits the effectiveness of management actions intended to reduce risk. Here, we evaluated the use of nontarget analysis via high-resolution mass spectrometry (HRMS) to develop chemical fingerprints/signatures for source tracking. Specifically, we applied nontarget HRMS to characterize and differentiate two urban chemical sources: roadway runoff and wastewater influent. We isolated 112 and 598 nontarget compounds (both known and unidentified chemicals) that co-occurred in all roadway runoff and wastewater influent samples, respectively, and were unique relative to other sampled sources. For example, methamphetamine, often considered wastewater derived, was detected in all samples, implying that individual wastewater indicators may lack sufficient specificity in urban receiving waters impacted by multiple sources. Hierarchical cluster analysis differentiated source types, and normalized abundance profiling prioritized nontarget compounds with consistent relative abundance patterns across field sites for a given source. Hexa(methoxymethyl)melamine, 1,3-diphenylguanidine, and polyethylene glycols co-occurred in roadway runoff across geographic areas and traffic intensities, supporting continued development of a universal roadway runoff fingerprint based on ubiquitous compounds. This study provides a proof-of-concept for isolating nontarget source fingerprints to track diffuse contamination in urban receiving waters.
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Affiliation(s)
- Bowen Du
- Southern California Coastal Water Research Project Authority, Costa Mesa, California 92626, United States
| | - Zhenyu Tian
- Interdisciplinary Arts and Sciences, University of Washington Tacoma, Tacoma, Washington 98421, United States; Center for Urban Waters, Tacoma, Washington 98421, United States
| | - Katherine T. Peter
- National Institute of Standards and Technology, Charleston, South Carolina 29412, United States
| | - Edward P. Kolodziej
- Interdisciplinary Arts and Sciences, University of Washington Tacoma, Tacoma, Washington 98421, United States; Center for Urban Waters, Tacoma, Washington 98421, United States; Department of Civil and Environmental Engineering, University of Washington, Seattle, Washington 98195, United States
| | - Charles S. Wong
- Southern California Coastal Water Research Project Authority, Costa Mesa, California 92626, United States
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31
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Nielsen MC, Jiang SC. Alterations of the human skin microbiome after ocean water exposure. MARINE POLLUTION BULLETIN 2019; 145:595-603. [PMID: 31590829 PMCID: PMC8061468 DOI: 10.1016/j.marpolbul.2019.06.047] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/20/2019] [Revised: 06/12/2019] [Accepted: 06/18/2019] [Indexed: 05/09/2023]
Abstract
Skin is the body's first line of defense against invading microorganisms. The skin microbiome has been shown to provide immunity against exogenous bacterial colonization. Recreational water exposures may alter the skin microbiome and potentially induce skin infections. This study explored the link between ocean water exposures and the human skin microbiome. Skin microbiome samples were collected, using swabs, from human participants' calves before and after they swam in the ocean, and at 6 hour and 24 hour post-swim. Genomic analysis showed that skin microbiomes were different among individuals before swimming. But after swimming, microbial communities were no longer different, which was demonstrated by a decrease in inter-sample diversity. Taxonomic analysis showed that ocean bacteria, including potential pathogens, replaced the native skin bacteria and remained on the skin for at least 24 hour post-swim. This research provides insight into the relationship between the human skin microbiome and the environment.
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Affiliation(s)
| | - Sunny C Jiang
- Environmental Health Sciences, University of California, Irvine, United States of America; Civil and Environmental Engineering, University of California, Irvine, United States of America.
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Aguilera R, Gershunov A, Benmarhnia T. Atmospheric rivers impact California's coastal water quality via extreme precipitation. THE SCIENCE OF THE TOTAL ENVIRONMENT 2019; 671:488-494. [PMID: 30933803 DOI: 10.1016/j.scitotenv.2019.03.318] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/11/2019] [Revised: 03/15/2019] [Accepted: 03/20/2019] [Indexed: 06/09/2023]
Abstract
Precipitation in California is projected to become more volatile: less frequent but more extreme as global warming pushes midlatitude frontal cyclones further poleward while bolstering the atmospheric rivers (ARs), which tend to produce the region's extreme rainfall. Pollutant accumulation and delivery to coastal waters can be expected to increase, as lengthening dry spells will be increasingly punctuated by more extreme precipitation events. Coastal pollution exposes human populations to high levels of fecal bacteria and associated pathogens, which can cause a variety of health impacts. Consequently, studying the impact of atmospheric rivers as the mechanism generating pulses of water pollution in coastal areas is relevant for public health and in the context of climate change. We aimed to quantify the links between precipitation events and water quality in order to explore meteorological causes as first steps toward effective early warning systems for the benefit of population health in California and beyond. We used historical gridded daily precipitation and weekly multiple fecal bacteria indicators at ~500 monitoring locations in California's coastal waters to identify weekly associations between precipitation and water quality during 2003-09 using canonical correlation analysis to account for the nested/clustered nature of longitudinal data. We then quantified, using a recently published catalog of atmospheric rivers, the proportion of coastal pollution events attributable to ARs. Association between precipitation and fecal bacteria was strongest in Southern California. Over two-thirds of coastal water pollution spikes exceeding one standard deviation were associated with ARs. This work highlights the importance of skillful AR landfall predictions in reducing vulnerability to extreme weather improving resilience of human populations in a varying and changing climate. Quantifying the impacts of ARs on waterborne diseases is important for planning effective preventive strategies for public health.
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Affiliation(s)
- Rosana Aguilera
- Scripps Institution of Oceanography, University of California San Diego, La Jolla, CA, USA.
| | - Alexander Gershunov
- Scripps Institution of Oceanography, University of California San Diego, La Jolla, CA, USA
| | - Tarik Benmarhnia
- Scripps Institution of Oceanography, University of California San Diego, La Jolla, CA, USA; Department of Family Medicine and Public Health, University of California San Diego, La Jolla, CA, USA
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He Y, He Y, Sen B, Li H, Li J, Zhang Y, Zhang J, Jiang SC, Wang G. Storm runoff differentially influences the nutrient concentrations and microbial contamination at two distinct beaches in northern China. THE SCIENCE OF THE TOTAL ENVIRONMENT 2019; 663:400-407. [PMID: 30716630 DOI: 10.1016/j.scitotenv.2019.01.369] [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: 12/03/2018] [Revised: 01/24/2019] [Accepted: 01/28/2019] [Indexed: 06/09/2023]
Abstract
With the escalating coastal development and loss of vegetated landscape, the volume of storm runoff increases significantly in Chinese coastal cities. To protect human health and valuable recreational resources, it is necessary to develop a quantitative understanding of coastal pollution. Here we studied the influence of storm runoff on the nutrients and microbial pathogens at two popular bathing beaches in northern China. Dongshan Beach, located near the mouth of an urban river, is influenced by non-point source pollution while Tiger-Rock Beach, a coastal beach, is primarily influenced by a point source from a storm drain outfall. Storm runoff significantly (P < 0.001) decreased the salinity and Chl a post-storm at both the beaches, but only reduced the concentration of dissolved inorganic N at Tiger-Rock Beach. Escherichia coli decreased by 68.7% at Dongshan Beach, possibly due to the dilution effect of the stormflow, contradicting the notion of elevated fecal contamination in coastal beaches from storm runoff. Vibrio parahaemolyticus increased at both beaches post-storm, by 155.7% at Dongshan Beach and 136.7% at Tiger-Rock Beach. Regardless of storm impact, both E. coli and V. parahaemolyticus were much higher at Dongshan Beach than that at Tiger-Rock, suggesting the influence of different surrounding topographies. Lastly, the statistical models developed based on the environmental and microbial parameters regression showed predictive power (adjusted R2 > 0.5) to estimate the concentration of E. coli at Dongshan Beach and V. parahaemolyticus at Tiger-Rock Beach. Overall, the results suggest the unique role of the individual beaches in attenuating the effect of rainfall on the concentration of microbial pathogens in bathing water quality and provide unique predictive models for recreational water management and public health protection.
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Affiliation(s)
- Yike He
- Center for Marine Environmental Ecology, School of Environmental Science and Engineering, Tianjin University, Tianjin 300072, China
| | - Yaodong He
- Center for Marine Environmental Ecology, School of Environmental Science and Engineering, Tianjin University, Tianjin 300072, China
| | - Biswarup Sen
- Center for Marine Environmental Ecology, School of Environmental Science and Engineering, Tianjin University, Tianjin 300072, China
| | - Hao Li
- Center for Marine Environmental Ecology, School of Environmental Science and Engineering, Tianjin University, Tianjin 300072, China
| | - Jiaqian Li
- Center for Marine Environmental Ecology, School of Environmental Science and Engineering, Tianjin University, Tianjin 300072, China
| | - Yongfeng Zhang
- Qinhuangdao Marine Environmental Monitoring Central Station, SOA, Qinhuangdao, Hebei 066002, China
| | - Jianle Zhang
- Qinhuangdao Marine Environmental Monitoring Central Station, SOA, Qinhuangdao, Hebei 066002, China
| | - Sunny C Jiang
- Department of Civil and Environmental Engineering, University of California at Irvine, CA 92697, USA
| | - Guangyi Wang
- Center for Marine Environmental Ecology, School of Environmental Science and Engineering, Tianjin University, Tianjin 300072, China.
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Newton RJ, McClary JS. The flux and impact of wastewater infrastructure microorganisms on human and ecosystem health. Curr Opin Biotechnol 2019; 57:145-150. [PMID: 31009920 DOI: 10.1016/j.copbio.2019.03.015] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2018] [Revised: 03/13/2019] [Accepted: 03/17/2019] [Indexed: 11/16/2022]
Abstract
Wastewater infrastructure is designed, in part, to remove microorganisms. However, many microorganisms are able to colonize infrastructure and resist treatment, resulting in an enormous flux of microorganisms to urban adjacent waters. These urban-associated microorganisms are discharged through three primary routes 1) failing infrastructure, 2) stormwater, and 3) treated wastewater effluent. Bacterial load estimates indicate failing infrastructure should be considered an equivalent source of microbial pollution as the other routes, but overall discharges are not well parameterized. More sophisticated methods, such as machine learning algorithms and microbiome characterization, are now used to track urban-derived microorganisms, including targets beyond fecal indicators, but development of methods to quantify the impact of these microbes/genes on human and ecosystem health is needed.
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Affiliation(s)
- Ryan J Newton
- School of Freshwater Sciences, University of Wisconsin-Milwaukee, 600 E. Greenfield Ave., Milwaukee, WI, 53204, USA.
| | - Jill S McClary
- School of Freshwater Sciences, University of Wisconsin-Milwaukee, 600 E. Greenfield Ave., Milwaukee, WI, 53204, USA
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35
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Leonard AFC, Singer A, Ukoumunne OC, Gaze WH, Garside R. Is it safe to go back into the water? A systematic review and meta-analysis of the risk of acquiring infections from recreational exposure to seawater. Int J Epidemiol 2019. [PMID: 29529201 PMCID: PMC5913622 DOI: 10.1093/ije/dyx281] [Citation(s) in RCA: 32] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
Background Numerous illnesses are associated with bathing in natural waters, although it is assumed that the risk of illness among bathers exposed to relatively clean waters found in high-income countries is negligible. A systematic review was carried out to quantify the increased risk of experiencing a range of adverse health outcomes among bathers exposed to coastal water compared with non-bathers. Methods In all 6919 potentially relevant titles and abstracts were screened, and from these 40 studies were eligible for inclusion in the review. Odds ratios (OR) were extracted from 19 of these reports and combined in random-effect meta-analyses for the following adverse health outcomes: incident cases of any illness, ear infections, gastrointestinal illness and infections caused by specific microorganisms. Results There is an increased risk of experiencing symptoms of any illness [OR = 1.86, 95% confidence interval (CI): 1.31 to 2.64, P = 0.001] and ear ailments (OR = 2.05, 95% CI: 1.49 to 2.82, P < 0.001) in bathers compared with non-bathers. There is also an increased risk of experiencing gastrointestinal ailments (OR = 1.29, 95% CI: 1.12 to 1.49, P < 0.001). Conclusions This is the first systematic review to evaluate evidence on the increased risk of acquiring illnesses from bathing in seawater compared with non-bathers. Our results support the notion that infections are acquired from bathing in coastal waters, and that bathers have a greater risk of experiencing a variety of illnesses compared with non-bathers.
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Affiliation(s)
- Anne F C Leonard
- European Centre for Environment and Human Health, University of Exeter Medical School, Truro, UK
| | | | - Obioha C Ukoumunne
- NIHR CLAHRC South West Peninsula (PenCLAHRC), University of Exeter Medical School, Exeter, UK
| | - William H Gaze
- European Centre for Environment and Human Health, University of Exeter Medical School, Truro, UK
| | - Ruth Garside
- European Centre for Environment and Human Health, University of Exeter Medical School, Truro, UK
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36
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McClary JS, Ramos NA, Boehm AB. Photoinactivation of uncultured, indigenous enterococci. ENVIRONMENTAL SCIENCE. PROCESSES & IMPACTS 2019; 21:104-112. [PMID: 30525134 DOI: 10.1039/c8em00443a] [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
Enterococci are used to monitor recreational water quality worldwide, so understanding their fate and transport in the environment is essential to the protection of human health. As such, researchers have documented enterococci inactivation under various exposure conditions and in diverse water matrices. However, the majority of studies have been performed using lab-cultured bacteria, which are distinct from indigenous, uncultured bacteria found in the environment. Here we investigate the photoinactivation of indigenous, uncultured enterococci from a range of sources, including wastewater treatment plants (WWTPs), marine beaches, urban streams, and a wastewater-influenced pond. We concentrated indigenous enterococci from their sources using filtration and centrifugation, placed them in a clear buffer solution, and then exposed them to simulated sunlight to measure their photoinactivation rates. First order decay rate constants (k) of indigenous, uncultured enterococci spanned an order of magnitude, from 0.3 to 2.3 m2 kJUVB-1. k values of indigenous enterococci from WWTPs tended to be larger than those from surface waters. The k value of lab-cultured Enterococcus faecalis was larger than those of indigenous, uncultured enterococci from most sources. Negative associations between the fraction of pigmented enterococci and sunlight susceptibility were observed. This work suggests that caution should be taken when extending results on bacterial photoinactivation obtained using lab-cultured bacteria to environmental bacteria, and that enterococci pigmentation may be a useful metric for estimating photoinactivation rate constants.
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Affiliation(s)
- Jill S McClary
- Civil & Environmental Engineering, Stanford University, Stanford, CA, USA.
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Relationships between Microbial Indicators and Pathogens in Recreational Water Settings. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15122842. [PMID: 30551597 PMCID: PMC6313479 DOI: 10.3390/ijerph15122842] [Citation(s) in RCA: 80] [Impact Index Per Article: 13.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/16/2018] [Revised: 12/10/2018] [Accepted: 12/11/2018] [Indexed: 11/16/2022]
Abstract
Fecal pollution of recreational waters can cause scenic blight and pose a threat to public health, resulting in beach advisories and closures. Fecal indicator bacteria (total and fecal coliforms, Escherichia coli, and enterococci), and alternative indicators of fecal pollution (Clostridium perfringens and bacteriophages) are routinely used in the assessment of sanitary quality of recreational waters. However, fecal indicator bacteria (FIB), and alternative indicators are found in the gastrointestinal tract of humans, and many other animals and therefore are considered general indicators of fecal pollution. As such, there is room for improvement in terms of their use for informing risk assessment and remediation strategies. Microbial source tracking (MST) genetic markers are closely associated with animal hosts and are used to identify fecal pollution sources. In this review, we examine 73 papers generated over 40 years that reported the relationship between at least one indicator and one pathogen group or species. Nearly half of the reports did not include statistical analysis, while the remainder were almost equally split between those that observed statistically significant relationships and those that did not. Statistical significance was reported less frequently in marine and brackish waters compared to freshwater, and the number of statistically significant relationships was considerably higher in freshwater (p < 0.0001). Overall, significant relationships were more commonly reported between FIB and pathogenic bacteria or protozoa, compared to pathogenic viruses (p: 0.0022–0.0005), and this was more pronounced in freshwater compared to marine. Statistically significant relationships were typically noted following wet weather events and at sites known to be impacted by recent fecal pollution. Among the studies that reported frequency of detection, FIB were detected most consistently, followed by alternative indicators. MST markers and the three pathogen groups were detected least frequently. This trend was mirrored by reported concentrations for each group of organisms (FIB > alternative indicators > MST markers > pathogens). Thus, while FIB, alternative indicators, and MST markers continue to be suitable indicators of fecal pollution, their relationship with waterborne pathogens, particularly viruses, is tenuous at best and influenced by many different factors such as frequency of detection, variable shedding rates, differential fate and transport characteristics, as well as a broad range of site-specific factors such as the potential for the presence of a complex mixture of multiple sources of fecal contamination and pathogens.
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38
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Boehm AB, Graham KE, Jennings WC. Can We Swim Yet? Systematic Review, Meta-Analysis, and Risk Assessment of Aging Sewage in Surface Waters. ENVIRONMENTAL SCIENCE & TECHNOLOGY 2018; 52:9634-9645. [PMID: 30080397 DOI: 10.1021/acs.est.8b01948] [Citation(s) in RCA: 74] [Impact Index Per Article: 12.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/14/2023]
Abstract
This study investigated the risk of gastrointestinal illness associated with swimming in surface waters with aged sewage contamination. First, a systematic review compiled 333 first order decay rate constants ( k) for human norovirus and its surrogates feline calicivirus and murine norovirus, Salmonella, Campylobacter, Escherichia coli O157:H7, Giardia, and Cryptosporidium, and human-associated indicators in surface water. A meta-analysis investigated effects of sunlight, temperature, and water matrix on k. There was a relatively large number of k for bacterial pathogens and some human-associated indicators ( n > 40), fewer for protozoans ( n = 14-22), and few for human norovirus and its Caliciviridae surrogates ( n = 2-4). Average k ranked: Campylobacter > human-associated markers > Salmonella> E. coli O157:H7 > norovirus and its surrogates > Giardia > Cryptosporidium. Compiled k values were used in a quantitative microbial risk assessment (QMRA) to simulate gastrointestinal illness risk associated with swimming in water with aged sewage contamination. The QMRA used human-associated fecal indicator HF183 as an index for the amount of sewage present and thereby provided insight into how risk relates to HF183 concentrations in surface water. Because exposure to norovirus contributed the majority of risk, and HF183 k is greater than norovirus k, the risk associated with exposure to a fixed HF183 concentration increases with the age of contamination. Swimmer exposure to sewage after it has aged ∼3 days results in median risks less than 30/1000. A risk-based water quality threshold for HF183 in surface waters that takes into account uncertainty in contamination age is derived to be 4100 copies/100 mL.
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Affiliation(s)
- Alexandria B Boehm
- Department of Civil and Environmental Engineering , Stanford University , Stanford , California 94305 , United States
| | - Katherine E Graham
- Department of Civil and Environmental Engineering , Stanford University , Stanford , California 94305 , United States
| | - Wiley C Jennings
- Department of Civil and Environmental Engineering , Stanford University , Stanford , California 94305 , United States
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39
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Steele JA, Blackwood AD, Griffith JF, Noble RT, Schiff KC. Quantification of pathogens and markers of fecal contamination during storm events along popular surfing beaches in San Diego, California. WATER RESEARCH 2018; 136:137-149. [PMID: 29501758 DOI: 10.1016/j.watres.2018.01.056] [Citation(s) in RCA: 70] [Impact Index Per Article: 11.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/27/2017] [Revised: 01/19/2018] [Accepted: 01/24/2018] [Indexed: 05/08/2023]
Abstract
Along southern California beaches, the concentrations of fecal indicator bacteria (FIB) used to quantify the potential presence of fecal contamination in coastal recreational waters have been previously documented to be higher during wet weather conditions (typically winter or spring) than those observed during summer dry weather conditions. FIB are used for management of recreational waters because measurement of the bacterial and viral pathogens that are the potential causes of illness in beachgoers exposed to stormwater can be expensive, time-consuming, and technically difficult. Here, we use droplet digital Polymerase Chain Reaction (digital PCR) and digital reverse transcriptase PCR (digital RT-PCR) assays for direct quantification of pathogenic viruses, pathogenic bacteria, and source-specific markers of fecal contamination in the stormwater discharges. We applied these assays across multiple storm events from two different watersheds that discharge to popular surfing beaches in San Diego, CA. Stormwater discharges had higher FIB concentrations as compared to proximal beaches, often by ten-fold or more during wet weather. Multiple lines of evidence indicated that the stormwater discharges contained human fecal contamination, despite the presence of separate storm sewer and sanitary sewer systems in both watersheds. Human fecal source markers (up to 100% of samples, 20-12440 HF183 copies per 100 ml) and human norovirus (up to 96% of samples, 25-495 NoV copies per 100 ml) were routinely detected in stormwater discharge samples. Potential bacterial pathogens were also detected and quantified: Campylobacter spp. (up to 100% of samples, 16-504 gene copies per 100 ml) and Salmonella (up to 25% of samples, 6-86 gene copies per 100 ml). Other viral human pathogens were also measured, but occurred at generally lower concentrations: adenovirus (detected in up to 22% of samples, 14-41 AdV copies per 100 ml); no enterovirus was detected in any stormwater discharge sample. Higher concentrations of avian source markers were noted in the stormwater discharge located immediately downstream of a large bird sanctuary along with increased Campylobacter concentrations and notably different Campylobacter species composition than the watershed that had no bird sanctuary. This study is one of the few to directly measure an array of important bacterial and viral pathogens in stormwater discharges to recreational beaches, and provides context for stormwater-based management of beaches during high risk wet-weather periods. Furthermore, the combination of culture-based and digital PCR-derived data is demonstrated to be valuable for assessing hydrographic relationships, considering delivery mechanisms, and providing foundational exposure information for risk assessment.
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Affiliation(s)
- Joshua A Steele
- Southern California Coastal Water Research Project, 3535 Harbor Blvd. Ste 110, Costa Mesa, CA 92626, USA.
| | - A Denene Blackwood
- UNC Institute of Marine Science, 3431 Arendell Street, Morehead City, NC 28557, USA
| | - John F Griffith
- Southern California Coastal Water Research Project, 3535 Harbor Blvd. Ste 110, Costa Mesa, CA 92626, USA
| | - Rachel T Noble
- UNC Institute of Marine Science, 3431 Arendell Street, Morehead City, NC 28557, USA
| | - Kenneth C Schiff
- Southern California Coastal Water Research Project, 3535 Harbor Blvd. Ste 110, Costa Mesa, CA 92626, USA
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Soller JA, Eftim SE, Nappier SP. Direct potable reuse microbial risk assessment methodology: Sensitivity analysis and application to State log credit allocations. WATER RESEARCH 2018; 128:286-292. [PMID: 29107913 PMCID: PMC6816270 DOI: 10.1016/j.watres.2017.10.034] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/30/2017] [Revised: 10/12/2017] [Accepted: 10/17/2017] [Indexed: 05/03/2023]
Abstract
Understanding pathogen risks is a critically important consideration in the design of water treatment, particularly for potable reuse projects. As an extension to our published microbial risk assessment methodology to estimate infection risks associated with Direct Potable Reuse (DPR) treatment train unit process combinations, herein, we (1) provide an updated compilation of pathogen density data in raw wastewater and dose-response models; (2) conduct a series of sensitivity analyses to consider potential risk implications using updated data; (3) evaluate the risks associated with log credit allocations in the United States; and (4) identify reference pathogen reductions needed to consistently meet currently applied benchmark risk levels. Sensitivity analyses illustrated changes in cumulative annual risks estimates, the significance of which depends on the pathogen group driving the risk for a given treatment train. For example, updates to norovirus (NoV) raw wastewater values and use of a NoV dose-response approach, capturing the full range of uncertainty, increased risks associated with one of the treatment trains evaluated, but not the other. Additionally, compared to traditional log-credit allocation approaches, our results indicate that the risk methodology provides more nuanced information about how consistently public health benchmarks are achieved. Our results indicate that viruses need to be reduced by 14 logs or more to consistently achieve currently applied benchmark levels of protection associated with DPR. The refined methodology, updated model inputs, and log credit allocation comparisons will be useful to regulators considering DPR projects and design engineers as they consider which unit treatment processes should be employed for particular projects.
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Affiliation(s)
- Jeffrey A Soller
- Soller Environmental, LLC, 3022 King St, Berkeley, CA, 94703, USA
| | | | - Sharon P Nappier
- U.S. Environmental Protection Agency, Office of Water, Office of Science and Technology, 1200 Pennsylvania Avenue, NW, Washington, DC, 20460, USA.
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41
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Soller JA, Schoen M, Steele JA, Griffith JF, Schiff KC. Incidence of gastrointestinal illness following wet weather recreational exposures: Harmonization of quantitative microbial risk assessment with an epidemiologic investigation of surfers. WATER RESEARCH 2017; 121:280-289. [PMID: 28558279 DOI: 10.1016/j.watres.2017.05.017] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/16/2016] [Revised: 05/02/2017] [Accepted: 05/08/2017] [Indexed: 05/26/2023]
Abstract
We modeled the risk of gastrointestinal (GI) illness associated with recreational exposures to marine water following storm events in San Diego County, California. We estimated GI illness risks via quantitative microbial risk assessment (QMRA) techniques by consolidating site specific pathogen monitoring data of stormwater, site specific dilution estimates, literature-based water ingestion data, and literature based pathogen dose-response and morbidity information. Our water quality results indicated that human sources of contamination contribute viral and bacterial pathogens to streams draining an urban watershed during wet weather that then enter the ocean and affect nearshore water quality. We evaluated a series of approaches to account for uncertainty in the norovirus dose-response model selection and compared our model results to those from a concurrently conducted epidemiological study that provided empirical estimates for illness risk following ocean exposure. The preferred norovirus dose-response approach yielded median risk estimates for water recreation-associated illness (15 GI illnesses per 1000 recreation events) that closely matched the reported epidemiological results (12 excess GI illnesses per 1000 wet weather recreation events). The results are consistent with norovirus, or other pathogens associated with norovirus, as an important cause of gastrointestinal illness among surfers in this setting. This study demonstrates the applicability of QMRA for recreational water risk estimation, even under wet weather conditions and describes a process that might be useful in developing site-specific water quality criteria in this and other locations.
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Affiliation(s)
- Jeffrey A Soller
- Soller Environmental, LLC, 3022 King St., Berkeley, CA 94703, USA.
| | - Mary Schoen
- Soller Environmental, LLC, 3022 King St., Berkeley, CA 94703, USA
| | - Joshua A Steele
- Southern California Coastal Water Research Project, 3535 Harbor Blvd #110, Costa Mesa, CA 92626, USA
| | - John F Griffith
- Southern California Coastal Water Research Project, 3535 Harbor Blvd #110, Costa Mesa, CA 92626, USA
| | - Kenneth C Schiff
- Southern California Coastal Water Research Project, 3535 Harbor Blvd #110, Costa Mesa, CA 92626, USA
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