Stormwater quality characteristics in (Dutch) urban areas and performance of settlement basins

Stormwaters, flowing into storm sewers, are known to significantly increase the annual pollutant loads entering urban receiving waters and this results in significant degradation of the receiving water quality. Knowledge of the characteristics of stormwater pollution enables urban planners to incorporate the most appropriate stormwater management strategies to mitigate the effects of stormwater pollution on downstream receiving waters. This requires detailed information on stormwater quality, such as pollutant types, sediment particle size distributions, and how soluble pollutants and heavy metals attach themselves to sediment particles. This study monitored stormwater pollution levels at over 150 locations throughout the Netherlands. The monitoring has been ongoing for nearly 15 years and a total of 7,652 individual events have been monitored to date. This makes the database the largest stormwater quality database in Europe. The study compared the results to those presented in contemporary international stormwater quality research literature. The study found that the pollution levels at many of the Dutch test sites did not meet the requirements of the European Water Framework Directive (WFD) and Dutch Water Quality Standards. Results of the study are presented and recommendations are made on how to improve water quality with the implementation of Sustainable Urban Drainage Systems (SUDS) devices

Uncertainties of stormwater characteristics and removal rates of stormwater treatment facilities:implications for stormwater handling

This study focuses on characterising stormwater in order to be able to determine the impact of stormwater on receiving waters and to be able to select the most appropriate stormwater handling strateg

De kwaliteit van afstromend hemelwater in Nederland

Ten behoeve van beleidsvorming stelt STOWA samen met stichting RIONED al sinds 2007 een Database Hemelwaterkwaliteit ter beschikking. In 2020 verschijnt een flink herziene versie van deze database. Dit artikel beschrijft de belangrijkste bevindingen op basis van deze nieuwe database

Stormwater management strategies: source control versus end of pipe

Storm sewers are known to significantly contribute to annual pollutant loads to receiving water bodies. The storm sewers of the city of Almere discharge the stormwater of 1384 ha of impervious area via 700 storm sewer outfalls (SSOs) to the local receiving water system. This water system suffers from eutrophication and long term build-up of pollutant levels in the sediment bed. In order to be able to select the most effective stormwater management strategy, the municipality of Almere and Water Authority Zuiderzeeland have launched a 2 year extensive monitoring project to measure the storm water quality and the potential impact of source control and end of pipe measures to decrease the emission via SSOs. Source control measures, such as removal of illicit connections and increasing the cleaning frequency of gully pots showed to be most effective. The potential impact of end of pipe solutions based on settling showed to be very limited due to the low settleability of solids in the storm water of Almere at the SSOs

Population-based screening in a municipality after a primary school outbreak of the SARSCoV-2 Alpha variant, the Netherlands, December 2020–February 2021

An outbreak of SARS-CoV-2 Alpha variant (Pango lineage B.1.1.7) was detected at a primary school (School X) in Lansingerland, the Netherlands, in December 2020. The outbreak was studied retrospectively, and population-based screening was used to assess the extent of virus circulation and decelerate transmission. Cases were SARS-CoV-2 laboratory confirmed and were residents of Lansingerland (November 16(th) 2020 until February 22(th) 2021), or had an epidemiological link with School X or neighbouring schools. The SARS-CoV-2 variant was determined using variant PCR or whole genome sequencing. A questionnaire primarily assessed clinical symptoms. A total of 77 Alpha variant cases were found with an epidemiological link to School X, 16 Alpha variant cases linked to the neighbouring schools, and 146 Alpha variant cases among residents of Lansingerland without a link to the schools. The mean number of self-reported symptoms was not significantly different among Alpha variant infected individuals compared to non-Alpha infected individuals. The secondary attack rate (SAR) among Alpha variant exposed individuals in households was 52% higher compared to non-Alpha variant exposed individuals (p = 0.010), with the mean household age, and mean number of children and adults per household as confounders. Sequence analysis of 60 Alpha variant sequences obtained from cases confirmed virus transmission between School X and neighbouring schools, and showed that multiple introductions of the Alpha variant had already taken place in Lansingerland at the time of the study. The alpha variant caused a large outbreak at both locations of School X, and subsequently spread to neighbouring schools, and households. Population-based screening (together with other public health measures) nearly stopped transmission of the outbreak strain, but did not prevent variant replacement in the Lansingerland municipality

Two versus five days of antibiotics after appendectomy for complex acute appendicitis (APPIC): Study protocol for a randomized controlled trial

Background: Acute appendicitis is one of the most common indications for emergency surgery. In patients with a complex appendicitis, prolonged antibiotic prophylaxis is recommended after appendectomy. There is no consensus regarding the optimum duration of antibiotics. Guidelines propose 3 to 7 days of treatment, but shorter courses may be as effective in the prevention of infectious complications. At the same time, the global issue of increasing antimicrobial resistance urges for optimization of antibiotic strategies. The aim of this study is to determine whether a short course (48 h) of postoperative antibiotics is non-inferior to current standard practice of 5 days. Methods: Patients of 8 years and older undergoing appendectomy for acute complex appendicitis - defined as a gangrenous and/or perforated appendicitis or appendicitis in presence of an abscess - are eligible for inclusion. Immunocompromised or pregnant patients are excluded, as well as patients with a contraindication to the study antibiotics. In total, 1066 patients will be randomly allocated in a 1:1 ratio to the experimental treatment arm (48 h of postoperative intravenously administered (IV) antibiotics) or the control arm (5 days of postoperative IV antibiotics). After discharge from the hospital, patients participate in a productivity-cost-questionnaire at 4 weeks and a standardized telephone follow-up at 90 days after appendectomy. The primary outcome is a composite endpoint of infectious complications, including intra-abdominal abscess (IAA) and surgical site infection (SSI), and mortality within 90 days after appendectomy. Secondary outcomes include IAA, SSI, restart of antibiotics, length of hospital stay (LOS), reoperation, percutaneous drainage, readmission rate, and cost-effectiveness. The non-inferiority margin for the difference in the primary endpoint rate is set at 7.5% (one-sided test at α 0.025). Both per-protocol and intention-to-treat analyses will be performed. Discussion: This trial will provide evidence on whether 48 h of postoperative antibiotics is non-inferior to a standard course of 5 days of antibiotics. If non-inferiority is established, longer intravenous administration following appendectomy for complex appendicitis can be abandoned, and guidelines need to be adjusted accordingly

Quantitative Impact Assessment of Sewer Condition on Health Risk

Due to a variety of contaminants in floodwater, exposure to urban pluvial flooding may pose a health risk to humans. In-sewer defects may cause increased pluvial flooding, possibly increasing health risks. This paper addresses the impact of in-sewer defects on urban pluvial flooding and, subsequently, on infection probabilities for humans. As such, it provides a necessary input for risk-informed sewer maintenance strategies in order to preserve the hydraulic performance of a sewer system. Critical locations in sewer networks can be safeguarded through detecting changes in hydraulic properties of the sewer system, by using monitoring equipment or alternative inspection methods. Two combined sewer systems in The Netherlands with different characteristics are studied. The catchment-wide average infection probability was calculated using Quantitative Microbial Risk Assessment (QMRA) and flooding frequencies from Monte Carlo simulations with a hydrodynamic model. For the studied catchments, it is concluded that the occurrence of flooding is significantly affected by sediment deposits and, consequently, the infection probability as well. The impact of sediment deposits on infection probabilities depends on sewer systems characteristics and varies within the catchment. The results in this paper also demonstrate that further research on the relationship between flood duration and infection probabilities is required