An exploration of the disease burden due to Cryptosporidium in consumed surface water for sub-Saharan Africa

The protozoan pathogen Cryptosporidium is an important cause of diarrhoeal disease, but in many contexts its burden remains uncertain. The Global Waterborne Pathogen model for Cryptosporidium (GloWPa-Crypto) predicts oocyst concentrations in surface water at 0.5 by 0.5° (longitude by latitude) resolution, allowing us to assess the burden specifically associated with the consumption of contaminated surface water at a large scale. In this study, data produced by the GloWPa-Crypto model were used in a quantitative microbial risk assessment (QMRA) for sub-Saharan Africa, one of the regions most severely affected by diarrhoeal disease. We first estimated the number of people consuming surface water in this region and assessed both direct consumption and consumption from a piped (treated) supply. The disease burden was expressed in disability adjusted life years (DALYs). We estimate an annual number of 4.3 × 10 7 (95% uncertainty interval [UI] 7.4 × 10 6–5.4 × 10 7) cases which represent 1.6 × 10 6 (95% UI 3.2 × 10 5–2.3 × 10 6) DALYs. Relative disease burden (DALYs per 100,000 persons) varies widely, ranging between 1.3 (95% UI 0.1–5.7) for Senegal and 1.0 × 10 3 (95% UI 4.2 × 10 2–1.4 × 10 3) for Eswatini. Countries that carry the highest relative disease burden are primarily located in south and south-east sub-Saharan Africa and are characterised by a relatively high HIV/AIDS prevalence. Direct surface water consumption accounts for the vast majority of cases, but the results also point towards the importance of stable drinking water treatment performance. This is, to our knowledge, the first study to utilise modelled data on pathogen concentrations in a large scale QMRA. It demonstrates the potential value of such data in epidemiological research, particularly regarding disease aetiology. Sanitary Engineerin

The Dutch secret: How to provide safe drinking water without chlorine in the Netherlands

The Netherlands is one of the few countries where chlorine is not used at all, neither for primary disinfection nor to maintain a residual disinfectant in the distribution network. The Dutch approach that allows production and distribution of drinking water without the use of chlorine while not compromising microbial safety at the tap, can be summarized as follows: 1. Use the best source available, in order of preference: microbiologically safe groundwater, surface water with soil passage such as artificial recharge or bank filtration, direct treatment of surface water in a multiple barrier treatment; 2. Use a preferred physical process treatment such as sedimentation, filtration and UV-disinfection. If absolutely necessary, also oxidation by means of ozone or peroxide can be used, but chlorine is avoided; 3. Prevent ingress of contamination during distribution; 4. Prevent microbial growth in the distribution system by production and distribution of biologically stable (biostable) water and the use of biostable materials; 5. Monitor for timely detection of any failure of the system to prevent significant health consequences. OA-fund TU DelftCivil Engineering and Geoscience

Environmental growth of the faecal indicator Enterococcus moraviensis

Soil passage through sand dunes has previously been shown to remove enteric micro-organisms very effectively, and hence is used for the production of drinking water. However, enterococci have occasionally been isolated from abstracted water (after dune passage) in one of the dune infiltration areas in the Netherlands. Enterococcus moraviensis was the most frequently isolated species. Until now, no faecal sources of this species have been reported and the potential for growth under certain environmental conditions was reported for other Enterococcus species. The aim of this study was to determine the ability of E. moraviensis to grow in habitats present in the dune passage process (dune vegetation, sediment from abstraction wells, biofilm developed using abstracted water and soil). Different concentrations of boiled and filtered (0.45 μ m) plant extracts obtained from dune vegetation supported growth (up to 6 log), with maximum concentrations after 4 to 6 days at 15 °C. Although E. moraviensis was shown to be able to attach to the biofilm, no growth was observed in biofilm or in sediment and soil. These observations confound the use of E. moraviensis as a faecal indicator.Sanitary Engineerin

Inactivation of Escherichia coli and somatic coliphage ΦX174 by oxidation of electrochemically produced Fe²⁺

Electrochemical ferrous iron (Fe2+) wastewater treatment is gaining momentum for treating municipal wastewater due to its decreasing costs, environmental friendliness and capacity for removal of a wide range of contaminants. Disinfection by iron electrocoagulation (Fe-EC) has been occasionally reported in full scale industrial applications, yet controversy remains regarding its underlying elimination mechanisms and kinetics. In this study, it was demonstrated that substantial inactivation can be achieved for Escherichia coli WR1 (5 log10) and somatic coliphage ΦX174 (2–3 log10). Electrochemically produced Fe2+ yielded similar inactivation as chemical Fe2+. Reactive oxygen species (ROS)-quenching experiments with TEMPOL confirmed that E. coli inactivation was related to the production of Fenton-like intermediates during Fe2+ oxidation. The observed E. coli disinfection kinetics could be mathematically related to Fe-EC current intensity using a Chick-Watson-like expression, in which the amperage is surrogate for the disinfectant's concentration. We hereby show that it is possible to mathematically predict disinfection based on applied Fe dosage and dosage speed. Phage ΦX174 inactivation could not be described in a similar way because at higher Fe dosages (>20 mg/l), little additional inactivation was observed. Also, ROS-quencher TEMPOL did not completely inhibit phage ΦX174 removal, suggesting that additional pathways are relevant for its elimination.Sanitary Engineerin

Using Artificial Intelligence to extract information on pathogen characteristics from scientific publications

Health risk assessment of environmental exposure to pathogens requires complete and up to date knowledge. With the rapid growth of scientific publications and the protocolization of literature reviews, an automated approach based on Artificial Intelligence (AI) techniques could help extract meaningful information from the literature and make literature reviews more efficient. The objective of this research was to determine whether it is feasible to extract both qualitative and quantitative information from scientific publications about the waterborne pathogen Legionella on PubMed, using Deep Learning and Natural Language Processing techniques. The model effectively extracted the qualitative and quantitative characteristics with high precision, recall and F-score of 0.91, 0.80, and 0.85 respectively. The AI extraction yielded results that were comparable to manual information extraction. Overall, AI could reliably extract both qualitative and quantitative information about Legionella from scientific literature. Our study paved the way for a better understanding of the information extraction processes and is a first step towards harnessing AI to collect meaningful information on pathogen characteristics from environmental microbiology publications.Sanitary EngineeringWater Resource

Editorial: SARS-CoV-2 in water

Sanitary Engineerin

Virus removal by ceramic pot filter disks: Effect of biofilm growth and surface cleaning

Ceramic pot filters are household water treatment and safe storage (HWTS) systems designed to improve the microbial quality of drinking water. They yield high log reduction values (LRVs) for bacterial and protozoan pathogens but provide very little removal of viruses. This study investigated virus removal of ceramic filter discs (CFDs), using feed water with 3 different nutrient levels under extended continuous operation and limited cleaning frequency. The results show that filter use without cleaning resulted in biofilm growth and MS2 LRV values increased with increasing feed water nutrient content. Cleaning the filter surface by scrubbing led to a partial or total loss in improved LRVs, indicating the importance of this biological top layer to the removal of MS2. Overall, the removal capacity of a matured biofilm remained constant, regardless of its age. MS2 LRVs ranged between 0.9 ± 0.2 LRV for low nutrient (LN), 1.6 ± 0.2 LRV for medium nutrient (MN) and 2.4 ± 0.5 LRV for high nutrient (HN) biofilms. Interestingly, a change in feed conditions for the HN filters resulted in an unprecedented high LRV of >4 LRV, which supports further investigation of the mechanistic role of biofilms in virus removal.Sanitary Engineerin

Low voltage iron electrocoagulation as a tertiary treatment of municipal wastewater: removal of enteric pathogen indicators and antibiotic-resistant bacteria

In this paper we analyse the feasibility of low voltage iron electrocoagulation as a means of municipal secondary effluent treatment with a focus on removal of microbial indicators, Antibiotic Resistant Bacteria (ARB) and nutrients. A laboratory scale batch unit equipped with iron electrodes was used on synthetic and real secondary effluent from a municipal wastewater treatment plant. Synthetic secondary effluent was separately assayed with spiked Escherichia coli WR1 and with bacteriophage ΦX174, while real effluent samples were screened before and after treatment for E. coli, Extended Spectrum Betalactamase-producing E. coli, Enterococci, Vancomycin Resistant Enterococci, Clostridium perfringens spores and somatic coliphages. Charge dosage (CD) and charge dosage rate (CDR) were used as the main process control parameters. Experiments with synthetic secondary effluent showed >4log10 and >5log10 removal for phage ΦX174 and for E. coli WR1, respectively. In real effluents, bacterial indicator removal exceeded 3.5log10, ARB were removed below detection limit (≥2.5log10), virus removal reached 2.3log10 and C. perfringens spore removal exceeded 2.5log10. Experiments in both real and synthetic wastewater showed that bacterial removal increased with increasing CD and decreasing CDR. Virus removal increased with increasing CD but was irresponsive to CDR. C. perfringens spore removal increased with increasing CD yet reached a removal plateau, being also irresponsive to CDR. Phosphate removal exceeded 99%, while total nitrogen and chemical oxygen demand removal were below 15% and 58%, respectively. Operational cost estimates were made for power and iron plate consumption, and were found to be in the range of 0.01 to 0.24€/m3 for the different assayed configurations. In conclusion, low voltage Fe-EC is a promising technology for pathogen reduction of secondary municipal effluents, with log10 removals comparable to those achieved by conventional disinfection methods such as chlorination, UV or ozonation.Sanitary Engineerin

Efficacy of flushing and chlorination in removing microorganisms from a pilot drinking water distribution system

To ensure delivery of microbiologically safe drinking water, the physical integrity of the distribution system is an important control measure. During repair works or an incident the drinking water pipe is open and microbiologically contaminated water or soil may enter. Before taking the pipe back into service it must be cleaned. The efficacy of flushing and shock chlorination was tested using a model pipe-loop system with a natural or cultured biofilm to which a microbial contamination (Escherichia coli, Clostridium perfringens spores and phiX174) was added. On average, flushing removed 1.5-2.7 log microorganisms from the water, but not the biofilm. In addition, sand added to the system was not completely removed. Flushing velocity (0.3 or 1.5 m/s) did not affect the efficacy. Shock chlorination (10 mg/L, 1-24 h) was very effective against E. coli and phiX174, but C. perfringens spores were partly resistant. Chlorination was slightly more effective in pipes with a natural compared to a cultured biofilm. Flushing alone is thus not sufficient after high risk repair works or incidents, and shock chlorination should be considered to remove microorganisms to ensure microbiologically safe drinking water. Prevention via hygienic working procedures, localizing and isolating the contamination source and issuing boil water advisories remain important, especially during confirmed contamination events.Sanitary Engineerin

Thermal Energy Recovery from Drinking Water

Sanitary Engineerin