Dysregulation of Cytokine Response in Canadian First Nations Communities: Is There an Association with Persistent Organic Pollutant Levels?

In vitro and animal studies report that some persistent organic pollutants (POPs) trigger the secretion of proinflammatory cytokines. Whether POP exposure is associated with a dysregulation of cytokine response remains to be investigated in humans. We studied the strength of association between plasma POP levels and circulating cytokines as immune activation markers. Plasma levels of fourteen POPs and thirteen cytokines were measured in 39 Caucasians from a comparator sample in Québec City (Canada) and 72 First Nations individuals from two northern communities of Ontario (Canada). Caucasians showed significantly higher levels of organochlorine insecticides (β-HCH, p,p′-DDE and HCB) compared to First Nations. Conversely, First Nations showed higher levels of Mirex, Aroclor 1260, PCB 153, PCB 170, PCB 180 and PCB 187 compared to Caucasians. While there was no difference in cytokine levels of IL-4, IL-6, IL-10 and IL-22 between groups, First Nations had significantly greater average levels of IFNγ, IL-1β, IL-2, IL-5, IL-8, IL-12p70, IL-17A, TNFα and TNFβ levels compared to Caucasians. Among candidate predictor variables (age, body mass index, insulin resistance and POP levels), high levels of PCBs were the only predictor accounting for a small but significant effect of observed variance (∼7%) in cytokine levels. Overall, a weak but significant association is detected between persistent organochlorine pollutant exposure and elevated cytokine levels. This finding augments the already existing information that environmental pollution is related to inflammation, a common feature of several metabolic disorders that are known to be especially prevalent in Canada's remote First Nations communities

Protecting Wastewater Workers by Categorizing Risks of Pathogen Exposures by Splash and Fecal-Oral Transmission during Routine Tasks

Quantitative microbial risk assessments (QMRAs) present an opportunity to systematically assess risk to wastewater treatment plant (WWTP) workers and mitigate work-related infectious diseases. However, while QMRAs often explore the impacts of aeration or treatment mechanism, or the use of controls to mitigate risk (e.g., ventilation, personal protective equipment (PPE)), fewer studies address other variables, such as differing tasks across plants, time spent conducting these tasks or size of plant. QMRA approaches also vary substantially in their findings and recommendations. The objective of this paper is to provide a risk-based wastewater worker task characterization for urban, municipal and industrial WWTPs along with mitigation measures. Routine tasks fell into five categories in ascending order of exposure and risk, Type A being the lowest and Type E being the highest. Percentage of full-time equivalent time spent on each task category was estimated, along with amount of wastewater exposure (mL) and inhalation duration (h). Estimates differed between urban and municipal plants but were similar in industrial and municipal systems. Finally, a checklist was developed to identify potential mitigation measures and prioritize H&S solutions for eight inspected WWTPs. The present work provides practical information for job safety assessments, H&S policies and QMRA method refinement

Comparing the distribution of pathogenic bacteria and common indicator microorganisms in biofilms on different surface types in an agricultural watershed in British Columbia (Canada)

Little is known about the distribution of bacterial indicators and pathogens in biofilms on different surface types in natural aquatic environments. This study was conducted to examine the distribution of pathogens and indicator bacteria in biofilms in an agricultural watershed. The study particularly focused on whether biofilms can act as sinks for pathogenic organisms and could be monitored to protect public health. To do so, we monitored the presence of faecal contamination indicators (heterotrophic plate counts, faecal coliforms, enterococci, and E. coli) and particular pathogens (E. coli 0157, Campylobacter sp. and Salmonella sp.) in water, sediment, and in biofilms on river and slate rock, wood, sandpaper, and Lexan™ in Elk Creek (British Columbia, Canada) from December 2005 to April 2007. Faecal indicator concentrations and pathogen presence were evaluated using standard culturing and isolation methods. The results showed that both faecal indicators and pathogens were present at the headwaters and that the use of water column grab samples underestimated faecal indicator numbers. Also, water column grab samples during the dry season were not representative of pathogens present in the creek. This indicates that biofilms might be the main reservoir of Salmonella sp. and pathogenic E. coli O157 in the summer when rainfall (which results in flow changes and sloughing) is limited. Campylobacter sp. was not retrieved in the dry season. Campylobacter on sediment, slate rock and wood showed high correlations with nitrates and enterococci, which could be used as faecal contamination surrogates. Numbers of indicator organisms and pathogens in one-month biofilms were compared to those in long-term biofilms (colonized 12 and 24 weeks) and short-term biofilms (colonized one to three weeks). The comparison showed that surface type, colonization period and water quality all affected the concentration of indicator organisms and pathogens present in biofilms. Finally, results showed high levels of phenotypic antibiotic resistance of E. coli and pathogenic E. coli O157 isolated from the watershed (even at the headwaters), particularly to tetracycline, ampicillin and streptomycin. This study highlights the potential biofilms could play in prediction of water quality changes, the improvement of sampling methods, and the study of aquatic environments.Science, Faculty ofResources, Environment and Sustainability (IRES), Institute forGraduat

Monitoring Adenosine Triphosphate Concentrations in a Chloraminated Drinking Water Distribution System for Risk and Asset Management

Utilities rely on reliable and robust monitoring systems to inform decisions around asset operation and management in the drinking water distribution system (DWDS) to deliver high quality, biologically stable drinking water to consumers. However, traditional culture-based testing methods present challenges that make the timely detection of regrowth in the DWDS difficult. This study reports the results of an extensive adenosine triphosphate (ATP) monitoring campaign—a non-regulated parameter—in an urban, chloraminated drinking water system that analyzed over 5000 samples from two drinking water treatment plants (DWTPs), associated DWTP reservoirs, twelve outlying reservoirs and the DWDS between 2019–2022. ATP concentrations increased significantly between the two DWTP reservoirs and outlying reservoirs but decreased between the outlying reservoirs and DWDS samples. Relationships between ATP concentrations and other water quality variables varied depending on sampling location. Heterotrophic plate counts (HPC) were mainly non-detects (<1 CFU/mL) providing limited operational guidance compared to ATP. ATP concentrations exhibited temporal and spatial variation but did not exceed the proposed 10 pg/mL corrective action limit suggested by the manufacturer. ATP concentrations were also able to inform outlying reservoir management decisions. Monitoring ATP could serve as a useful indicator of biological stability in the DWDS for the utility of the future

Comparison of Detecting and Quantitating SARS-CoV-2 in Wastewater Using Moderate-Speed Centrifuged Solids versus an Ultrafiltration Method

Mounting evidence suggests that solids are a reliable matrix for SARS-CoV-2 detection in wastewater, yet studies comparing solids-based methods and common concentration methods using the liquid fraction remain limited. In this study, we developed and optimized a method for SARS-CoV-2 detection in wastewater using moderate-speed centrifuged solids and evaluated it against an ultrafiltration reference method. SARS-CoV-2 was quantified in samples from 12 wastewater treatment plants from Alberta, Canada, using RT-qPCR targeting the N2 and E genes. PCR inhibition was examined by spiking salmon DNA. The effects of using different amounts of solids, adjusting the sample pH to 9.6–10, and modifying the elution volume at the final step of RNA extraction were evaluated. SARS-CoV-2 detection rate in solids from 20 mL of wastewater showed no statistically significant difference compared to the ultrafiltration method (97/139 versus 90/139, p = 0.26, McNemar’s mid-p test). The optimized wastewater solids-based method had a significantly lower rate of samples with PCR inhibition versus ultrafiltration (3% versus 9.5%, p = 0.014, Chi-square test). Our optimized moderate-speed centrifuged solids-based method had similar sensitivity when compared to the ultrafiltration reference method but had the added advantages of lower costs, fewer processing steps, and a shorter turnaround time

Structured Ethical Review for Wastewater-Based Testing in Support of Public Health

Wastewater-based testing (WBT) for SARS-CoV-2 has rapidly expanded over the past three years due to its ability to provide a comprehensive measurement of disease prevalence independent of clinical testing. The development and simultaneous application of WBT measured biomarkers for research activities and for the pursuit of public health goals, both areas with well-established ethical frameworks. Currently, WBT practitioners do not employ a standardized ethical review process, introducing the potential for adverse outcomes for WBT professionals and community members. To address this deficiency, an interdisciplinary workshop developed a framework for a structured ethical review of WBT. The workshop employed a consensus approach to create this framework as a set of 11 questions derived from primarily public health guidance. This study retrospectively applied these questions to SARS-CoV-2 monitoring programs covering the emergent phase of the pandemic (3/2020–2/2022 (n = 53)). Of note, 43% of answers highlight a lack of reported information to assess. Therefore, a systematic framework would at a minimum structure the communication of ethical considerations for applications of WBT. Consistent application of an ethical review will also assist in developing a practice of updating approaches and techniques to reflect the concerns held by both those practicing and those being monitored by WBT supported programs

Structured Ethical Review for Wastewater-Based Testing

Wastewater-based testing (WBT) for SARS-CoV-2 has rapidly expanded over the past three years due to its ability to provide a comprehensive measurement of disease prevalence independent of clinical testing. The development and simultaneous application of the field blurred the boundary between measuring biomarkers for research activities and for pursuit of public health goals, both areas with well-established ethical frameworks. Currently, WBT practitioners do not employ a standardized ethical review process (or associated data management safeguards), introducing the potential for adverse outcomes for WBT professionals and community members. To address this deficiency, an interdisciplinary group developed a framework for a structured ethical review of WBT. The workshop employed a consensus approach to create this framework as a set of 11-questions derived from primarily public health guidance because of the common exemption of wastewater samples to human subject research considerations. This study retrospectively applied the set of questions to peer- reviewed published reports on SARS-CoV-2 monitoring campaigns covering the emergent phase of the pandemic from March 2020 to February 2022 (n=53). Overall, 43% of the responses to the questions were unable to be assessed because of lack of reported information. It is therefore hypothesized that a systematic framework would at a minimum improve the communication of key ethical considerations for the application of WBT. Consistent application of a standardized ethical review will also assist in developing an engaged practice of critically applying and updating approaches and techniques to reflect the concerns held by both those practicing and being monitored by WBT supported campaigns. Development of a structured ethical review facilitates retrospective analysis of published studies and drafted scenarios in the context of wastewater-based testing

Wastewater surveillance monitoring of SARS-CoV-2 variants of concern and dynamics of transmission and community burden of COVID-19

ABSTRACTWastewater-based surveillance is a valuable approach for monitoring COVID-19 at community level. Monitoring SARS-CoV-2 variants of concern (VOC) in wastewater has become increasingly relevant when clinical testing capacity and case-based surveillance are limited. In this study, we ascertained the turnover of six VOC in Alberta wastewater from May 2020 to May 2022. Wastewater samples from nine wastewater treatment plants across Alberta were analysed using VOC-specific RT-qPCR assays. The performance of the RT-qPCR assays in identifying VOC in wastewater was evaluated against next generation sequencing. The relative abundance of each VOC in wastewater was compared to positivity rate in COVID-19 testing. VOC-specific RT-qPCR assays performed comparatively well against next generation sequencing; concordance rates ranged from 89% to 98% for detection of Alpha, Beta, Gamma, Omicron BA.1 and Omicron BA.2, with a slightly lower rate of 85% for Delta (p < 0.01). Elevated relative abundance of Alpha, Delta, Omicron BA.1 and BA.2 were each associated with increased COVID-19 positivity rate. Alpha, Delta and Omicron BA.2 reached 90% relative abundance in wastewater within 80, 111 and 62 days after their initial detection, respectively. Omicron BA.1 increased more rapidly, reaching a 90% relative abundance in wastewater after 35 days. Our results from VOC surveillance in wastewater correspond with clinical observations that Omicron is the VOC with highest disease burden over the shortest period in Alberta to date. The findings suggest that changes in relative abundance of a VOC in wastewater can be used as a supplementary indicator to track and perhaps predict COVID-19 burden in a population