Exploring global Cryptosporidium emissions to surface water

The protozoan parasite Cryptosporidium is a major cause of diarrhoea worldwide. This paper presents the first model-based inventory with 0.5 by 0.5 degree resolution of global Cryptosporidium emissions for the year 2000 from humans and animals to surface water. The model is based on nutrient distribution modelling, because the sources and transport of oocysts and nutrients to the surface water are comparable. Total emissions consist of point source emissions from wastewater and nonpoint source emissions by runoff of oocysts in manure from agricultural lands. Results indicate a global emission of 3 × 10^17 oocysts per year, with comparable contributions from point and nonpoint sources. Hot-spot areas for point sources are big cities in China, India and Latin America, while the area with the largest nonpoint source emissions is in China. Uncertainties in the model are large. Main areas for further study are (i) excretion rates of oocysts by humans and animals, (ii) emissions of humans not connected to sewage systems, and (iii) retention of oocysts to determine surface water pathogen concentrations rather than emissions. Our results are useful to health organisations to identify priority areas for further study and intervention

Advancing waterborne pathogen modelling: lessons from global nutrient export models

Waterborne pathogens cause health problems worldwide. A global waterborne pathogen model could provide valuable new insights for data-sparse regions, by identifying pathogen hotspots and evaluating global change and risk management scenarios. Global waterborne pathogen modelling is not as advanced as global modelling of other water pollutants like nutrients. Our objective is to learn from existing watershed-scale waterborne pathogen models and global nutrient export models for the development of a global waterborne pathogen model. We describe how desirable characteristics of a global waterborne pathogen model are represented in current models of waterborne pathogens and river nutrient export. We present a conceptual global waterborne pathogen model, combining the existing knowledge on nutrient and pathogen models and identify data needs for such a model. Our review paves the way for an exciting new opportunity in waterborne pathogen modelling

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

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 &gt;4log10 and &gt;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.</p

Interaction between the p21ras GTPase activating protein and the insulin receptor

We investigated the involvement of the p21ras-GTPase activating protein (GAP) in insulin-induced signal transduction. In cells overexpressing the insulin receptor, we did not observe association between GAP and the insulin receptor after insulin treatment nor the phosphorylation of GAP on tyrosine residues. However, after insulin treatment in the presence of the phosphotyrosine phosphatase inhibitor phenylarsine oxide (PAO), 5-10% of GAP was found to be associated with the insulin receptor, and, in addition, a fraction of total GAP was phosphorylated on tyrosine. Using in vitro binding we showed that the N-terminal part of GAP containing the src-homology domains 2 and 3 (SH2-SH3-SH2 region) is involved in binding to the autophosphorylated insulin receptor beta- chain. In vitro binding between GAP and the autophosphorylated insulin receptor occurred independently of PAO pretreatment. These results suggest that GAP can transiently interact with the insulin receptor after insulin treatment, and this interaction is arrested after PAO pretreatment