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Jang CS, Liu CC. Integrating quantitative microbiological risk assessment and disability-adjusted life years to evaluate the effects of urbanization on health risks for river recreationists. THE SCIENCE OF THE TOTAL ENVIRONMENT 2024; 932:172667. [PMID: 38677423 DOI: 10.1016/j.scitotenv.2024.172667] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/10/2024] [Revised: 04/19/2024] [Accepted: 04/19/2024] [Indexed: 04/29/2024]
Abstract
Urban rivers provide an excellent opportunity for water recreation. This study probabilistically assessed health risks associated with water recreation in urban rivers in the Bitan Scenic Area, Taiwan, by employing quantitative microbial risk assessment and disability-adjusted life years (DALYs). Moreover, the effects of urbanization on the health risks of river recreation induced by waterborne pathogenic Escherichia coli (E. coli) were investigated. First, data on river E. coli levels were collected in both the Bitan Scenic Area and the upstream river section, and model parameters were obtained through a questionnaire administered to river recreationists. Monte Carlo simulation was then employed to address parameter uncertainty. Finally, DALYs were calculated to quantify the cumulative effects in terms of potential life lost and years lived with disability. The results indicated that the 90 % confidence intervals for the disease burden (DB) were 0.2-74.1 × 10-6, 0.01-94.0 × 10-6, and 0.3-128.9 × 10-6 DALY per person per year (pppy) for canoeing, swimming, and fishing, respectively, in the Bitan Scenic Area. Furthermore, urbanization near the Bitan Scenic Area approximately doubled the DB risks to river recreationists in upstream rural areas. At the 95th percentile, the DB risks exceeded the tolerances recommended by the World Health Organization (1 × 10-6) or U.S. Environmental Protection Agency (1 × 10-4). The findings suggest that the simultaneous implementation of effluent sewer systems and best management practices can reduce health risks to river recreationists by at least half, reducing the DALY levels below 1 × 10-4 or even 1 × 10-5 pppy.
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Affiliation(s)
- Cheng-Shin Jang
- Department of Leisure and Recreation Management, Kainan University, Taoyuan City 338, Taiwan.
| | - Chu-Chih Liu
- Department of Leisure and Recreation Management, Kainan University, Taoyuan City 338, Taiwan
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Niknejad H, Hoseinvandtabar S, Panahandeh M, Gholami-Borujeni F, Janipoor R, Sarvestani RA, Saeedi R, Arani MH, Abtahi M, Rafiee M. Quantitative microbial risk assessment of gastrointestinal illness due to recreational exposure to E. coli and enterococci on the southern coasts of the Caspian Sea. Heliyon 2024; 10:e29974. [PMID: 38694045 PMCID: PMC11058881 DOI: 10.1016/j.heliyon.2024.e29974] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2023] [Revised: 04/09/2024] [Accepted: 04/18/2024] [Indexed: 05/03/2024] Open
Abstract
Background Gastrointestinal illness refers to a broad range of diseases that affect the digestive system, including infections caused by bacteria, viruses, and parasites. Quantitative Microbial Risk Assessment (QMRA) is a powerful tool used to evaluate the risks associated with microbial pathogens in various environments. The main objective of this study was to conduct a quantitative assessment of gastrointestinal illnesses that occur as a result of exposure to E. coli and enterococci during recreational activities on the southern coasts of the Caspian Sea. Methods Samples were collected from the recreational beaches along the border line of the Caspian Sea. The samples were analyzed for the presence and enumeration of E. coli and enterococci using the microplate method and membrane filtration techniques. Then, the annual and daily infection risks were computed using the Monte Carlo simulation approach. Results The results revealed that the risk of daily and annual infections on the coasts of Babolsar was higher than that on the coasts of Sari. Also, in the recreational waters of these beaches, the risk of infection by enterococci was higher than that posed by E. coli. In Babolsar, the average annual infection risk caused by E. coli and enterococci was 0.365 and 1 for children and 0.181 and 0.986 for adults. Also, in Sari, the average annual infection risk caused by E. coli and enterococci was 0.060 and 0.908 for children and 0.027 and 0.815 for adults. In addition, children were more likely than adults to become infected. Conclusion In light of the study's findings, due to the entry of untreated urban wastewater into the southern part of the Caspian Sea (northern Iran) and the high risk of infectious diseases for children, more control and health measures are necessary for children's swimming.
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Affiliation(s)
- Hadi Niknejad
- Department of Environmental Health Engineering, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
- Student Research Committee, Department of Environmental Engineering, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Somayeh Hoseinvandtabar
- Department of Environmental Health Engineering, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Maryam Panahandeh
- Environmental Research Institute, Academic Center for Education, Culture and Research (ACECR), Rasht, Iran
| | - Fathollah Gholami-Borujeni
- Department of Environmental Health Engineering, Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran
| | - Reihaneh Janipoor
- Department of Environmental Health Engineering, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Roghayeh Abedi Sarvestani
- Department of Environmental Health Engineering, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Reza Saeedi
- Department of Health, Safety and Environment (HSE), School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Mohsen Hesami Arani
- Department of Environmental Health Engineering, School of Public Health, Iran University of Medical Sciences, Tehran, Iran
| | - Mehrnoosh Abtahi
- Department of Environmental Health Engineering, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Mohammad Rafiee
- Department of Environmental Health Engineering, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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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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Rafiee M, Hosseini SA, Gholami-Borujeni F, Hesami Arani M, Niknejad H. Health risk assessment of swimming beaches microbial contamination: a case study - Mahmoudabad, Iran. INTERNATIONAL JOURNAL OF ENVIRONMENTAL HEALTH RESEARCH 2024; 34:355-366. [PMID: 36446029 DOI: 10.1080/09603123.2022.2149711] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/14/2022] [Accepted: 11/15/2022] [Indexed: 06/16/2023]
Abstract
Waterborne organisms in marine water generally originate from untreated wastewater discharged into the sea. The presence of numerous leisure beaches in Mahmoudabad city, Iran, annually attracts thousands of tourists from all over the country to participate in recreational swimming activities. This study probabilistically characterized the health risks associated with recreational swimming engendered by waterborne pathogens, such as intestinal enterococci and Escherichia coli (E. coli) at 15 sampling points along the beaches of the study using quantitative microbial risk assessment (QMRA). The mean annual infection risk of E. coli in children and adults was 0.424 and 0.229, respectively. The respective risk in terms of enterococci was 0.999 and 0.997, which were higher than the level recommended by the WHO and EPA. The results show that the risk of infection for children was higher than adults. Related authorities have to consider measures to improve environmental quality to protect tourists' and residents' well-being.
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Affiliation(s)
- Mohammad Rafiee
- Air Quality and Climate Change Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Seyed Arman Hosseini
- Department of Environmental Health Engineering, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Fathollah Gholami-Borujeni
- Department of Environmental Health Engineering, Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran
| | - Mohsen Hesami Arani
- Department of Environmental Health Engineering, School of Public Health, Iran University of Medical Sciences, Tehran, Iran
| | - Hadi Niknejad
- Department of Environmental Health Engineering, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
- Student Research Committee, Department of Environmental Engineering, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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Carpio Vallejo E, Düker U, Meyer F, Berding U, Nogueira R. Microbiological water quality and derived health risks from exposure to ornamental water fountains in the city of Hannover. RISK ANALYSIS : AN OFFICIAL PUBLICATION OF THE SOCIETY FOR RISK ANALYSIS 2024; 44:24-39. [PMID: 37067226 DOI: 10.1111/risa.14145] [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: 07/11/2022] [Revised: 03/04/2023] [Accepted: 03/09/2023] [Indexed: 06/19/2023]
Abstract
Ornamental fountains are attractive urban infrastructures helping cities to cope with global warming, as water sprays have great cooling effects due to evaporative properties; however, exposure to microbiologically impaired water from ornamental fountains during recreational activities may result in adverse health outcomes for the exposed population. This study assesses the microbial water quality of four ornamental water fountains (Blätterbrunnen, Körtingbrunnen, Klaus-Bahlsen-Brunnen, and Marstallbrunnen) and performs a quantitative microbial risk assessment (QMRA) for children using Escherichia coli, Enterococci, and Salmonella to quantify the probability of gastrointestinal illnesses and Pseudomonas aeruginosa to quantify the risk of dermal infections. Samples were collected fortnightly in two campaigns in 2020 and 2021 and processed to determine bacterial concentrations. Data on exposure time were obtained during field observations on the selected fountains; a total of 499 people were observed of which 30% were children. Mean bacterial concentrations ranged from 1.6 × 101 to 6.1 × 102 most probable number (MPN)/100 mL for E. coli, 1.2 × 101 -1.2 × 103 MPN/100 mL for Enterococci, 8.6 × 103 -3.1 × 105 CFU/100 mL for Salmonella, and 2.5 × 103 -3.2 × 104 MPN/100 mL for P. aeruginosa. The results of the QMRA study showed that the USEPA illness rate of 36 NEEAR-gastrointestinal illnesses/1000 was exceeded for Enterococci at the Körtingbrunnen, Klaus-Bahlsen-Brunnen, and Marstallbrunnen fountains and for Salmonella and P. aeruginosa at the Körtingbrunnen fountain, suggesting that exposure to microbiologically contaminated water from ornamental fountains may pose a health risk to children. The scenario analysis shows the importance of keeping low bacterial concentrations in ornamental fountains so that the risk of illness/infection to children does not exceed the USEPA illness rate benchmark.
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Affiliation(s)
| | - Urda Düker
- Institut für Siedlungswasserwirtschaft und Abfalltechnik, Leibniz University, Hannover, Germany
| | - Franziska Meyer
- Institut für Siedlungswasserwirtschaft und Abfalltechnik, Leibniz University, Hannover, Germany
| | - Ulrich Berding
- Plan Zwei Stadtplanung und Architektur, Hannover, Germany
| | - Regina Nogueira
- Institut für Siedlungswasserwirtschaft und Abfalltechnik, Leibniz University, Hannover, Germany
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Denpetkul T, Pumkaew M, Sittipunsakda O, Sresung M, Chyerochana N, Kongprajug A, Rattanakul S, Patarapongsant Y, Mongkolsuk S, Sirikanchana K. Quantitative microbial risk assessment of the gastrointestinal risks to swimmers at Southeast Asian urban beaches using site-specific and combined autochthonous and fecal bacteria exposure data. THE SCIENCE OF THE TOTAL ENVIRONMENT 2023; 902:165818. [PMID: 37517714 DOI: 10.1016/j.scitotenv.2023.165818] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/31/2023] [Revised: 07/24/2023] [Accepted: 07/24/2023] [Indexed: 08/01/2023]
Abstract
Recreational exposure to microbial pollution at urban beaches poses a health risk to beachgoers. The accurate quantification of such risks is crucial in managing beaches effectively and establishing warning guidelines. In this study, we employed a quantitative microbial risk assessment (QMRA) framework to assess marine water quality and estimate the risks associated with Vibrio parahaemolyticus, an autochthonous pathogen that causes gastrointestinal illnesses, and enterococci, a traditional fecal bacteria indicator. The microbial contamination levels of V. parahaemolyticus and enterococci were determined from 48 water samples collected at two beaches in Thailand during dry and wet seasons. The accidentally ingested water volumes were obtained through a survey involving 438 respondents. The probability of illness (Pill) was estimated using dose-response models and Monte Carlo simulation. The results revealed that enterococci posed a higher risk of illness than V. parahaemolyticus at all seven study sites. The median combined gastrointestinal (GI) risk from both bacteria at all sites met the US EPA risk benchmark of 0.036 and the 0.05 benchmark set by the WHO, but the 95th percentile risk data at all sites exceeded the benchmarks. This emphasizes the need for the continuous monitoring and management of microbial pollution at these sites. The site-specific exposure data showed higher estimated risks with increased variations compared to the WHO-referenced values, which highlights the significance of locally measured microbial concentrations and survey exposure data to avoid underestimation. Estimating the risks from recreational exposure to waterborne bacteria can inform beach management policies aimed at reducing public health risks to swimmers. The study findings improve the understanding of the risks associated with water recreation activities at Southeast Asian beaches and offer valuable insights for the development of water quality guidelines, which are crucial for the sustainable development of the blue economy.
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Affiliation(s)
- Thammanitchpol Denpetkul
- Department of Social and Environmental Medicine, Faculty of Tropical Medicine, Mahidol University, Bangkok 10400, Thailand
| | - Monchai Pumkaew
- Environmental Engineering and Disaster Management Program, School of Multidisciplinary, Mahidol University, Kanchanaburi Campus, Kanchanaburi 71150, Thailand
| | - Oranoot Sittipunsakda
- Department of Social and Environmental Medicine, Faculty of Tropical Medicine, Mahidol University, Bangkok 10400, Thailand
| | - Montakarn Sresung
- Research Laboratory of Biotechnology, Chulabhorn Research Institute, Bangkok 10210, Thailand
| | - Natcha Chyerochana
- Research Laboratory of Biotechnology, Chulabhorn Research Institute, Bangkok 10210, Thailand
| | - Akechai Kongprajug
- Research Laboratory of Biotechnology, Chulabhorn Research Institute, Bangkok 10210, Thailand
| | - Surapong Rattanakul
- Department of Environmental Engineering, Faculty of Engineering, King Mongkut's University of Technology Thonburi, Bangkok 10140, Thailand
| | - Yupin Patarapongsant
- Behavioral Research and Informatics in Social Sciences Research Unit (RU-BRI), SASIN School of Management, Chulalongkorn University, Bangkok 10330, Thailand
| | - Skorn Mongkolsuk
- Research Laboratory of Biotechnology, Chulabhorn Research Institute, Bangkok 10210, Thailand; Center of Excellence on Environmental Health and Toxicology, Ministry of Education, Bangkok 10400, Thailand
| | - Kwanrawee Sirikanchana
- Research Laboratory of Biotechnology, Chulabhorn Research Institute, Bangkok 10210, Thailand; Center of Excellence on Environmental Health and Toxicology, Ministry of Education, Bangkok 10400, Thailand.
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Haldar K, Kujawa-Roeleveld K, Hofstra N, Datta DK, Rijnaarts H. Microbial contamination in surface water and potential health risks for peri-urban farmers of the Bengal delta. Int J Hyg Environ Health 2022; 244:114002. [PMID: 35759864 DOI: 10.1016/j.ijheh.2022.114002] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2022] [Revised: 06/08/2022] [Accepted: 06/11/2022] [Indexed: 11/18/2022]
Abstract
Ensuring safe irrigation practices is vital to sustaining food production in water-scarce delta areas. Bangladesh and many other developing countries discharge untreated wastewater into their surrounding surface water bodies, serving as the primary irrigation source. This indirect irrigation of wastewater is believed to pose threats to the farmers, consumers and market vendors and may also affect crop and soil quality. To assess the risk, peri-urban farmers who use surrounding water bodies of Khulna city, Bangladesh, for crop irrigation were selected for the study. The microbial and heavy metal concentrations were measured in water samples collected from various locations over different seasons. For heavy metals As, Co, Ni, Cd, Cr, Cu and Pb, concentrations were below the detection limit, whereas Al, Fe, Mn, Ti and Zn were present but below the FAO recommendation limit for safe irrigation. The mean concentrations of microbial parameters were above the thresholds of WHO guidelines for crop irrigation intended for human consumption. Significant temporal variations in Faecal Coliform, E. coli and Enterococcus concentrations in the water samples were observed. The annual risk of infection for farmers was determined using the screening-level Quantitative Microbial Risk Assessment (QMRA). The results indicated that the annual probability of infection with pathogenic E. coli in different seasons ranges between 5 × 10-3 to 5 × 10-2, above the WHO's acceptable threshold for annual risk of infection for safe water reuse in agriculture. During the farmers' survey, around 45% reported health-related issues and more than 26% reported suffering from water-borne diseases after getting in contact with polluted surface water. This illustrates the actuality of the risks in practice. To ensure safe irrigation, the health risks need to be reduced below the acceptable limits. Suggested technical measures include adequate treatment of wastewater before disposal into rivers and access to protective equipment for farmers. This should be complemented by raising awareness through education programs among farmers to reduce accidental ingestion.
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Affiliation(s)
- Kamonashish Haldar
- Environmental Technology, Wageningen University and Research, P.O. Box 17, 6700AA, Wageningen, the Netherlands.
| | - Katarzyna Kujawa-Roeleveld
- Environmental Technology, Wageningen University and Research, P.O. Box 17, 6700AA, Wageningen, the Netherlands
| | - Nynke Hofstra
- Water Systems and Global Change, Wageningen University and Research, P.O. Box 47, 6700AA, Wageningen, the Netherlands
| | - Dilip Kumar Datta
- Environmental Science Discipline, Khulna University, Khulna, 9208, Bangladesh
| | - Huub Rijnaarts
- Environmental Technology, Wageningen University and Research, P.O. Box 17, 6700AA, Wageningen, the Netherlands
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Brandão J, Weiskerger C, Valério E, Pitkänen T, Meriläinen P, Avolio L, Heaney CD, Sadowsky MJ. Climate Change Impacts on Microbiota in Beach Sand and Water: Looking Ahead. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:1444. [PMID: 35162479 PMCID: PMC8834802 DOI: 10.3390/ijerph19031444] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/18/2021] [Revised: 01/18/2022] [Accepted: 01/24/2022] [Indexed: 12/05/2022]
Abstract
Beach sand and water have both shown relevance for human health and their microbiology have been the subjects of study for decades. Recently, the World Health Organization recommended that recreational beach sands be added to the matrices monitored for enterococci and Fungi. Global climate change is affecting beach microbial contamination, via changes to conditions like water temperature, sea level, precipitation, and waves. In addition, the world is changing, and humans travel and relocate, often carrying endemic allochthonous microbiota. Coastal areas are amongst the most frequent relocation choices, especially in regions where desertification is taking place. A warmer future will likely require looking beyond the use of traditional water quality indicators to protect human health, in order to guarantee that waterways are safe to use for bathing and recreation. Finally, since sand is a complex matrix, an alternative set of microbial standards is necessary to guarantee that the health of beach users is protected from both sand and water contaminants. We need to plan for the future safer use of beaches by adapting regulations to a climate-changing world.
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Affiliation(s)
- João Brandão
- Department of Environmental Health, National Institute of Health Doutor Ricardo Jorge, 1649-016 Lisboa, Portugal;
- Centre for Environmental and Marine Studies (CESAM), Department of Animal Biology, Faculty of Sciences, University of Lisboa, 1749-016 Lisboa, Portugal
| | - Chelsea Weiskerger
- Department of Civil and Environmental Engineering, Michigan State University, East Lansing, MI 48824, USA;
| | - Elisabete Valério
- Department of Environmental Health, National Institute of Health Doutor Ricardo Jorge, 1649-016 Lisboa, Portugal;
- Centre for Environmental and Marine Studies (CESAM), Department of Animal Biology, Faculty of Sciences, University of Lisboa, 1749-016 Lisboa, Portugal
| | - Tarja Pitkänen
- Department of Health Security, The Finnish Institute for Health and Welfare, 70210 Kuopio, Finland; (T.P.); (P.M.)
- Department of Food Hygiene and Environmental Health, Faculty of Veterinary Medicine, University of Helsinki, 00100 Helsinki, Finland
| | - Päivi Meriläinen
- Department of Health Security, The Finnish Institute for Health and Welfare, 70210 Kuopio, Finland; (T.P.); (P.M.)
| | - Lindsay Avolio
- Department of Environmental Health and Engineering, Johns Hopkins University, Baltimore, MD 21205, USA; (L.A.); (C.D.H.)
| | - Christopher D. Heaney
- Department of Environmental Health and Engineering, Johns Hopkins University, Baltimore, MD 21205, USA; (L.A.); (C.D.H.)
| | - Michael J. Sadowsky
- BioTechnology Institute, University of Minnesota, St. Paul, MN 55108, USA;
- Department of Soil, Water & Climate, University of Minnesota, St. Paul, MN 55108, USA
- Department of Plant and Microbial Biology, University of Minnesota, St. Paul, MN 55108, USA
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Chen SK, Jang CS, Chang CP. Employing indicator-based geostatistics and quantitative microbial risk analysis to assess the health risks of groundwater use for household demands on the Pingtung Plain, Taiwan. ENVIRONMENTAL GEOCHEMISTRY AND HEALTH 2020; 42:2007-2021. [PMID: 31722053 DOI: 10.1007/s10653-019-00468-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/29/2019] [Accepted: 11/08/2019] [Indexed: 06/10/2023]
Abstract
Because of the limited surface water on the Pingtung Plain, Taiwan, the plain's residents frequently extract groundwater to meet their daily household water demands. The residents may experience gastrointestinal infections due to incidental ingestion of groundwater with fecal pollution. This study used indicator kriging (IK) and quantitative microbial risk analysis (QMRA) to assess the health risks of using groundwater for household cleaning and horticultural irrigation on the Pingtung Plain. First, IK was employed to determine the conditional cumulative distribution function (CCDF) of groundwater Escherichia coli (E. coli). Nonparametric Monte Carlo simulation based on established CCDF was then adopted to characterize the distributions and uncertainty of groundwater E. coli. Finally, QMRA was employed to determine health risks of groundwater use for household cleaning and horticultural irrigation, and the 95th percentiles of the risk distributions were calculated to obtain a representative risk. The study results indicated that the health risks of groundwater use ranged from 3.95 × 10-5 to 2.49 × 10-2 infections/user/year and exceeded the acceptable level, 1 × 10-4 infections/user/year, in most of the aquifers. Accordingly, residents of this plain should not directly extract groundwater for use in daily life.
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Affiliation(s)
- Shih-Kai Chen
- Department of Civil Engineering, National Taipei University of Technology, Taipei City, 106, Taiwan
| | - Cheng-Shin Jang
- Department of Leisure and Recreation Management, Kainan University, Luzhu, Taoyuan, 338, Taiwan.
| | - Chun-Pei Chang
- Department of Civil Engineering, National Taipei University of Technology, Taipei City, 106, Taiwan
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10
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Weiskerger CJ, Brandão J, Ahmed W, Aslan A, Avolio L, Badgley BD, Boehm AB, Edge TA, Fleisher JM, Heaney CD, Jordao L, Kinzelman JL, Klaus JS, Kleinheinz GT, Meriläinen P, Nshimyimana JP, Phanikumar MS, Piggot AM, Pitkänen T, Robinson C, Sadowsky MJ, Staley C, Staley ZR, Symonds EM, Vogel LJ, Yamahara KM, Whitman RL, Solo-Gabriele HM, Harwood VJ. Impacts of a changing earth on microbial dynamics and human health risks in the continuum between beach water and sand. WATER RESEARCH 2019; 162:456-470. [PMID: 31301475 DOI: 10.1016/j.watres.2019.07.006] [Citation(s) in RCA: 39] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/14/2018] [Revised: 07/02/2019] [Accepted: 07/03/2019] [Indexed: 05/16/2023]
Abstract
Although infectious disease risk from recreational exposure to waterborne pathogens has been an active area of research for decades, beach sand is a relatively unexplored habitat for the persistence of pathogens and fecal indicator bacteria (FIB). Beach sand, biofilms, and water all present unique advantages and challenges to pathogen introduction, growth, and persistence. These dynamics are further complicated by continuous exchange between sand and water habitats. Models of FIB and pathogen fate and transport at beaches can help predict the risk of infectious disease from beach use, but knowledge gaps with respect to decay and growth rates of pathogens in beach habitats impede robust modeling. Climatic variability adds further complexity to predictive modeling because extreme weather events, warming water, and sea level change may increase human exposure to waterborne pathogens and alter relationships between FIB and pathogens. In addition, population growth and urbanization will exacerbate contamination events and increase the potential for human exposure. The cumulative effects of anthropogenic changes will alter microbial population dynamics in beach habitats and the assumptions and relationships used in quantitative microbial risk assessment (QMRA) and process-based models. Here, we review our current understanding of microbial populations and transport dynamics across the sand-water continuum at beaches, how these dynamics can be modeled, and how global change factors (e.g., climate and land use) should be integrated into more accurate beachscape-based models.
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Affiliation(s)
- Chelsea J Weiskerger
- Department of Civil and Environmental Engineering, Michigan State University, East Lansing, MI, USA
| | - João Brandão
- Department of Environmental Health, National Institute of Health Dr. Ricardo Jorge, Lisboa, Portugal; Centre for Environmental and Marine Studies (CESAM) - Department of Animal Biology, University of Lisboa, Lisboa, Portugal.
| | - Warish Ahmed
- Commonwealth Scientific and Industrial Research Organisation (CSIRO), Land and Water, Ecosciences Precinct, 41 Boogo Road, Dutton Park, Old, 4102, Australia
| | - Asli Aslan
- Department of Environmental Health Sciences, Georgia Southern University, Statesboro, GA, USA
| | - Lindsay Avolio
- Department of Environmental Health and Engineering, Johns Hopkins University, Baltimore, MD, USA
| | - Brian D Badgley
- School of Plant and Environmental Sciences, Virginia Polytechnic Institute and State University, Blacksburg, VA, USA
| | - Alexandria B Boehm
- Department of Civil and Environmental Engineering, Stanford University, Stanford, CA, USA
| | - Thomas A Edge
- Department of Biology, McMaster University, Ontario, Canada
| | - Jay M Fleisher
- College of Medicine, Nova Southeastern University, Fort Lauderdale, FL, USA
| | - Christopher D Heaney
- Department of Environmental Health and Engineering, Johns Hopkins University, Baltimore, MD, USA
| | - Luisa Jordao
- Department of Environmental Health, National Institute of Health Dr. Ricardo Jorge, Lisboa, Portugal
| | | | - James S Klaus
- Department of Marine Geosciences, University of Miami, Miami, FL, USA
| | | | - Päivi Meriläinen
- Department of Health Security, National Institute for Health and Welfare, Kuopio, Finland
| | | | - Mantha S Phanikumar
- Department of Civil and Environmental Engineering, Michigan State University, East Lansing, MI, USA
| | - Alan M Piggot
- Department of Earth and Environment, Florida International University, Miami, FL, USA
| | - Tarja Pitkänen
- Department of Health Security, National Institute for Health and Welfare, Kuopio, Finland
| | - Clare Robinson
- Department of Civil and Environmental Engineering, Western University, London, Ontario, Canada
| | - Michael J Sadowsky
- BioTechnology Institute and Departments of Soil, Water, & Climate, and Plant and Microbial Biology, University of Minnesota, St. Paul, MN, USA
| | | | | | - Erin M Symonds
- College of Marine Science, University of South Florida, St. Petersburg, FL, USA
| | - Laura J Vogel
- Department of Civil and Environmental Engineering, Western University, London, Ontario, Canada
| | - Kevan M Yamahara
- Monterrey Bay Aquarium Research Institute, Moss Landing, CA, USA
| | - Richard L Whitman
- Great Lakes Science Center, United States Geological Survey, Chesterton, IN, USA
| | - Helena M Solo-Gabriele
- Department of Civil, Architectural, and Environmental Engineering, University of Miami, Coral Gables, FL, USA
| | - Valerie J Harwood
- Department of Integrative Biology, University of South Florida, Tampa, FL, USA
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11
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Jang CS, Liang CP, Chen SK. Spatial dynamic assessment of health risks for urban river cruises. ENVIRONMENTAL MONITORING AND ASSESSMENT 2018; 191:1. [PMID: 30506416 DOI: 10.1007/s10661-018-7122-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/19/2018] [Accepted: 11/23/2018] [Indexed: 06/09/2023]
Abstract
River cruising ships move along river courses, and thus health risks to passengers may vary spatially due to the accidental exposure of river fecal pollution. This study performed a spatial dynamic assessment of health risks for river cruises in the highly urbanized Tamsui River Basin. First, the spatial distributions of river Escherichia coli (E. coli) were probabilistically characterized using indicator kriging (IK). Moreover, the current river cruise information was surveyed to obtain cruise routes and transit times. Then, to explore the parametric uncertainty of quantitative microbial risk assessment (QMRA), the ingestion rate (IR) for boating was determined using Monte Carlo simulation (MCS). Moreover, river E. coli distributions were estimated using nonparametric MCS according to multi-threshold IK estimates. Eventually, after combining the distribution of the joint probability of the IR and E. coli in QMRA, the β-Poisson dose-response function was adopted to analyze risks to river cruise passengers at discretized segments of cruise routes. Health risks to river cruise passengers were integrated at the discretized segments to explore suitable recreational strategies for river cruises. The research results indicate that all health risks do not exceed a daily target level of 8 illnesses per 1000 exposures for single-trip cruise routes. However, health risks to passengers can exceed this level for round-trip cruise routes along highly polluted urban river courses.
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Affiliation(s)
- Cheng-Shin Jang
- Department of Leisure and Recreation Management, Kainan University, Taoyuan City, 338, Taiwan.
| | - Ching-Ping Liang
- Department of Nursing, Fooyin University, Kaohsiung City, 831, Taiwan
| | - Shih-Kai Chen
- Department of Civil Engineering, National Taipei University of Technology, Taipei City, 106, Taiwan
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