Fungal contaminants in drinking water – a topic of future concern?

Fresh water is, depending on geological features of the area, derived to the public either from groundwater or surface water. Production of clean drinking water in a modern society with increasing population and urbanisation often requires the use of different physico-chemical methods. Finally, water quality is controlled based on the parameters listed in Drinking Water Directive (98/83/CE). Fungi are not listed in the current directive and therefore not specifically monitored. However, their presence in fresh water is well documented-in the last 30 years scientists from 19 European countries isolated more than 400 different fungal species from surface, ground-and tap water intended for human consumption. While water cleaning procedures remove 8-90% of fungal propagules, the remaining ones form together with bacteria biofilms inside tap water systems, later affecting the taste and odor of water. Several water-related fungal species were recognised as opportunistic or emerging pathogens; among these fungi from the genera Aspergillus, Candida, Exophiala, Fusarium, Penicillium and Stachybotrys require special attention. Presence of opportunistic fungi in drinking water can pose a health risk to consumers due to daily contact with water via several exposure points, such as drinking, showering and use of household appliances operating with water. Case reports listing fungi as causative agents of allergies, opportunistic infections and intoxications are growing each year-12 million people are at risk of invasive fungal mycoses, additional 12 million have allergic fungal sinusitis, 4.8 million patients suffer from allergic bronchopulmonary aspergillosis, and 6 million have fungal eye infections. A billion of people around the world suffer from skin, nail, and hair infections. With increasing transitory and serious immune alterations among patients also a need for monitoring of fungi increases, not only in drinking water, but also as a parametric value for biofilm formation on materials in contact with drinking water.info:eu-repo/semantics/publishedVersio

High Incidence of an Emerging Opportunistic Pathogen <em>Candida parapsilosis</em> in Water-Related Domestic Environments

Candidiasis is one of the common fungal opportunistic infections, usually associated with diverse Candida species. Candida albicans, C. glabrata complex, C. parapsilosis complex, C. tropicalis and C. auris are often identified in affected patients. Candida parapsilosis sensu stricto is an emerging cause of hospital-acquired Candida infections, predominantly in Southern Europe, South America and Asia. Home environment is a less known source of infection despite frequent isolation of C. parapsilosis from kitchen surfaces and household appliances such as dishwashers, washing machines and refrigerators. C. parapsilosis is one of the first colonisers of novel dishwashers and a member of stable fungal communities on rubber seals worldwide in concentrations up to 102 CFU/cm2. It colonises also drawers for detergents in washing machines and drainage channels in refrigerators. Tap water and groundwater act as vector for entrance of C. parapsilosis in the indoor environments. Within C. parapsilosis, four clinically relevant phenotypes can be distinguished. Experimental data on the prevalence of C. parapsilosis isolates phenotypes, obtained from indoor environments, will be presented. Smooth phenotype prevails in dishwashers and washing machines, while crepe and crater dominate in water. In conclusion, the ability to colonise diverse environments and accordingly switch phenotypes defines C. parapsilosis as a versatile, domestic environment-related opportunistic pathogen

Occurrence, Diversity and Anti-Fungal Resistance of Fungi in Sand of an Urban Beach in Slovenia—Environmental Monitoring with Possible Health Risk Implications

This article belongs to the Special Issue Fungal Diversity in Europe.Beach safety regulation is based on faecal indicators in water, leaving out sand and fungi, whose presence in both matrices has often been reported. To study the abundance, diversity and possible fluctuations of mycobiota, fungi from sand and seawater were isolated from the Portorož beach (Slovenia) during a 1-year period. Sand analyses yielded 64 species of 43 genera, whereas seawater samples yielded 29 species of 18 genera. Environmental and taxonomical data of fungal communities were analysed using machine learning approaches. Changes in the air and water temperature , sunshine hours, humidity and precipitation, air pressure and wind speed appeared to affect mycobiota. The core genera Aphanoascus, Aspergillus, Fusarium, Bisifusarium, Penicillium, Tala-romyces, and Rhizopus were found to compose a stable community within sand, although their presence and abundance fluctuated along with weather changes. Aspergillus spp. were the most abundant and thus tested against nine antimycotics using Sensititre Yeast One kit. Aspergillus niger and A. welwitschiae isolates were found to be resistant to amphotericin B. Additionally, four possible human pollution indicators were isolated during the bathing season, including Meyerozyma, which can be used in beach microbial regulation. Our findings provide the foundations for additional research on sand and seawater mycobiota and show the potential effect of global warming and extreme weather events on fungi in sand and sea.The work of Monika Novak Babiˇc was supported by Slovenian Research Agency (ARRS) through the postdoctoral research project (grant number Z7-2668) and the research program, grant number P1-0198. The work of Sašo Džeroski was supported by Slovenian Research Agency (ARRS) through the program Knowledge Technologies (grant number P2-0103). The work of João Brandão received financial support from CESAM (UID/AMB/50017-POCI-01-0145-FEDER-007638) and CITAB (UID/AGR/04033/2019), via FCT/MCTES, from national funds (PIDDAC), co-founded by FEDER, (PT2020 Partnership Agreement and Compete 2020)info:eu-repo/semantics/publishedVersio

Strategies for Monitoring Microbial Life in Beach Sand for Protection of Public Health

ReviewThe 2021 revised guidelines of the World Health Organization recommend monitoring the quality of sand in addition to water at recreational beaches. This review provides background information about the types of beaches, the characteristics of sand, and the microbiological parameters that should be measured. Analytical approaches are described for quantifying fungi and fecal indicator bacteria from beach sand. The review addresses strategies to assess beach sand quality, monitoring approaches, sand remediation, and the proposed way forward for beach sand monitoring programs. In the proposed way forward, recommendations are provided for acceptable levels of fungi given their distribution in the environment. Additional recommendations include evaluating FIB distributions at beaches globally to assess acceptable ranges of FIB levels, similar to those proposed for fungi.Financial support from CESAM (UID/AMB/50017-POCI-01-0145-FEDER-007638) and CITAB (UID/AGR/04033/2019), via FCT/MCTES, from national funds (PIDDAC), cofounded by FEDER, (PT2020 Partnership Agreement and Compete 2020) and the work of Dr. Monika Novak Babiˇc was supported by the Slovenian Research Agency (ARRS) through the postdoctoral research project (grant number Z7-2668) and the research program, grant number P1-0198.info:eu-repo/semantics/publishedVersio

Water-transmitted fungi are involved in degradation of concrete drinking water storage tanks

Global warming, globalization, industrialization, and the rapidly growing population at present increasingly affect the production of safe drinking water. In combination with sustainable bio-based or recycled materials, used for water distribution systems, these factors promote emerging pathogens, including fungi. They can proliferate in oligotrophic water systems, affect the disinfection process, degrade building materials, and cause diseases in humans. In this study, we explored fungalbased degradation of modern concrete water storage tanks and the presence of fungi in chlorinated drinking water at the entrance and exit of the tanks. The degradation potential of isolated 52 fungal strains and their growth at different oligotrophic conditions was tested in vitro. Forty percent of strains grew at extremely oligotrophic conditions, and 50% classified as aerophilic. Two-thirds of tested strains produced acids, with Penicillium strains as the best producers. Only 29.7% of the strains were able to grow at 37 °C, and none of them was isolated from drinking water at consumers’ taps. Although not yet part of the guidelines for building materials in contact with drinking water, fungi should be taken into consideration in case of visible degradation. Their number of consumers’ endpoints should be checked to exclude possible health risks for consumers

Culturable mycobiota of drinking water in Göteborg (Sweden) in comparison to Ljubljana (Slovenia) with implications on human health

The European Union currently has no specific regulations on fungi in water. The only country where fungi are listed as the parameter is Sweden, with the maximal number of 100 CFU per 100 mL. The present study thus compared culturable mycobiota from Swedish drinking water with Slovenian, which has no specific requirements for fungi. Fungi were isolated with up to 38 CFU/L from 75% of Swedish samples. The most common were the genera Varicosporellopsis (27.3%), Paracremonium (14.5%), and black yeasts Cadophora, Cyphellophora, and Exophiala (18.2%). Using the same sampling and isolation methods, 90% of tap water samples in Slovenia were positive for fungi, with Aspergillus spp. (46%), Aureobasidium melanogenum (36%), and Exophiala spp. (24%) being the most common. The observed differences between countries are likely the consequence of geographical location, the use of different raw water sources, and water treatment methods. However, the core species and emerging fungi Aspergillus fumigatus, Candida parapsilosis sensu stricto, Exophiala phaeomuriformis, Bisifusarium dimerum, and Rhodotorula mucilaginosa were isolated in both studies. These findings point out the relevance of tracking the presence of emerging fungi with known effects on health in drinking water and encourage further studies on their transmission from raw water sources to the end-users. HIGHLIGHTS Fungal biota significantly differs between different geographical locations.; Groundwater more likely harbours Aureobasidium and Exophiala.; Surface water is associated with fungi colonising soil and plant material.; A. fumigatus, C. parapsilosis, E. phaeomuriformis, B. dimerum, and R. mucilaginosa present core-genera of drinking water.; Drinking water carries fungal species that are listed by WHO as emerging pathogens.

Opportunistic Water-Borne Human Pathogenic Filamentous Fungi Unreported from Food

Clean drinking water and sanitation are fundamental human rights recognized by the United Nations (UN) General Assembly and the Human Rights Council in 2010 (Resolution 64/292). In modern societies, water is not related only to drinking, it is also widely used for personal and home hygiene, and leisure. Ongoing human population and subsequent environmental stressors challenge the current standards on safe drinking and recreational water, requiring regular updating. Also, a changing Earth and its increasingly frequent extreme weather events and climatic changes underpin the necessity to adjust regulation to a risk-based approach. Although fungi were never introduced to water quality regulations, the incidence of fungal infections worldwide is growing, and changes in antimicrobial resistance patterns are taking place. The presence of fungi in different types of water has been thoroughly investigated during the past 30 years only in Europe, and more than 400 different species were reported from ground-, surface-, and tap-water. The most frequently reported fungi, however, were not waterborne, but are frequently related to soil, air, and food. This review focuses on waterborne filamentous fungi, unreported from food, that offer a pathogenic potential

The Black Yeast Exophiala dermatitidis and Other Selected Opportunistic Human Fungal Pathogens Spread from Dishwashers to Kitchens.

We investigated the diversity and distribution of fungi in nine different sites inside 30 residential dishwashers. In total, 503 fungal strains were isolated, which belong to 10 genera and 84 species. Irrespective of the sampled site, 83% of the dishwashers were positive for fungi. The most frequent opportunistic pathogenic species were Exophiala dermatitidis, Candida parapsilosis sensu stricto, Exophiala phaeomuriformis, Fusarium dimerum, and the Saprochaete/Magnusiomyces clade. The black yeast E. dermatitidis was detected in 47% of the dishwashers, primarily at the dishwasher rubber seals, at up to 106 CFU/cm2; the other fungi detected were in the range of 102 to 105 CFU/cm2. The other most heavily contaminated dishwasher sites were side nozzles, doors and drains. Only F. dimerum was isolated from washed dishes, while dishwasher waste water contained E. dermatitidis, Exophiala oligosperma and Sarocladium killiense. Plumbing systems supplying water to household appliances represent the most probable route for contamination of dishwashers, as the fungi that represented the core dishwasher mycobiota were also detected in the tap water. Hot aerosols from dishwashers contained the human opportunistic yeast C. parapsilosis, Rhodotorula mucilaginosa and E. dermatitidis (as well as common air-borne genera such as Aspergillus, Penicillium, Trichoderma and Cladosporium). Comparison of fungal contamination of kitchens without and with dishwashers revealed that virtually all were contaminated with fungi. In both cases, the most contaminated sites were the kitchen drain and the dish drying rack. The most important difference was higher prevalence of black yeasts (E. dermatitidis in particular) in kitchens with dishwashers. In kitchens without dishwashers, C. parapsilosis strongly prevailed with negligible occurrence of E. dermatitidis. F. dimerum was isolated only from kitchens with dishwashers, while Saprochaete/Magnusiomyces isolates were only found within dishwashers. We conclude that dishwashers represent a reservoir of enriched opportunistic pathogenic species that can spread from the dishwasher into the indoor biome