UV Disinfection of Hand-Rinse Greywater and Performance Testing Using Indigenous Staphylococcus spp.

Greywater reuse is a feasible solution for decreasing raw water extraction in urban and rural settings. However, pathogen-specific performance guidelines and regulations have only recently been recommended; practical means to assess performance are missing. Here we examine the efficacy of Staphylococcus spp. as an endogenous surrogate for greywater pathogen reduction performance testing, by evaluating UV-C irradiation of hand-rinse greywater, and the variability in UV resistance between different wild Staphylococcus species. Hand-rinse greywater samples were collected from five participants, and a collimated UV-C beam (256 nm) was used to assess log10 reductions. Assays of colony-forming units on tryptic soy agar (TSA) were compared to mannitol salt agar (MSA) using LysostaphinTM to confirm Staphylococcus spp. After irradiating raw hand-rinse samples to a dose of 220 mJ·cm−2, log10 reductions of Staphylococcus spp. were similar (2.1 and 2.2, respectively, p = 0.112). The similarity of the reduction based on TSA and Staphylococcus-specific culture assays following UV irradiation and the dominating presence of Staphylococcus spp. suggests that Staphylococcus spp. could be used as an endogenous performance surrogate group for greywater treatment testing. Suspended wild Staphylococcus isolates were irradiated with 256 nm UV-C to compare the variability of different Staphylococcus species. Staphylococcus isolates exhibited significant variance in log10 reduction values when exposed to 11 mJ·cm−2 of UV-C. Staphylococcus hominis subsp. hominis exhibited surprising resistance to UV-C, with only a 1.6-log10 reduction when exposed to 11 mJ·cm−2 of UV-C (most other isolates exhibited > 5-log10 reduction). The efficacy of UV-C was also significantly reduced when the sunscreen oxybenzone was present at a possible endogenous greywater concentration

Viability of a Single-Stage Unsaturated-Saturated Granular Activated Carbon Biofilter for Greywater Treatment

Compared with conventionally collected sewage, source-diverted greywater has a higher potential for on-site treatment and reuse due to its lower contaminant levels and large volume. A new design of granular activated carbon (GAC) biofilters was developed by incorporating unsaturated and saturated zones in a single stage to introduce an efficient, passive, and easy-to-operate technology for greywater on-site treatment at the household scale. The design was customized for its intended application considering various aspects including the reactor’s configuration, packing media, and feeding strategy. With the highest hydraulic and organic loadings of 1.2 m3 m−2 d−1 and 3.5 kg COD m−2 d−1, respectively, and the shortest retention time of 2.4 h, the system maintained an average total chemical oxygen demand removal rate of 94% with almost complete removal of nutrients throughout its 253 days of operation. The system showed a range of reduction efficacy towards five surrogates representing viruses, bacteria, and Cryptosporidium and Giardia (oo)cysts. A well-functioning biofilm was successfully developed, and its mass and activity increased over time with the highest values observed at the top layers. The key microbes within the biofilter were revealed. Feasibility of the proposed technology was investigated, and implications for design and operation were discussed

Capsid integrity qPCR—an Azo-dye based and culture-independent approach to estimate adenovirus infectivity after disinfection and in the aquatic environment

Recreational, reclaimed and drinking source waters worldwide are under increasing anthropogenic pressure, and often contain waterborne enteric bacterial, protozoan, and viral pathogens originating from non-point source fecal contamination. Recently, the capsid integrity (ci)-qPCR, utilizing the azo-dyes propidium monoazide (PMA) or ethidium monoazide (EMA), has been shown to reduce false-positive signals under laboratory conditions as well as in food safety applications, thus improving the qPCR estimation of virions of public health significance. The compatibility of two widely used human adenovirus (HAdV) qPCR protocols was evaluated with the addition of a PMA/EMA pretreatment using a range of spiked and environmental samples. Stock suspensions of HAdV were inactivated using heat, UV, and chlorine before being quantified by cell culture, qPCR, and ci-qPCR. Apparent inactivation of virions was detected for heat and chlorine treated HAdV while there was no significant difference between ci-qPCR and qPCR protocols after disinfection by UV. In a follow-up comparative analysis under more complex matrix conditions, 51 surface and 24 wastewater samples pre/post UV treatment were assessed for enteric waterborne HAdV to evaluate the ability of ci-qPCR to reduce the number of false-positive results when compared to conventional qPCR and cell culture. Azo-dye pretreatment of non-UV inactivated samples was shown to improve the ability of molecular HAdV quantification by reducing signals from virions with an accessible genome, thereby increasing the relevance of qPCR results for public health purposes, particularly suited to resource-limited low and middle-income settings.Published versio

Obesity and Critical Illness in COVID-19: Respiratory Pathophysiology.

ObjectiveRecent cohort studies have identified obesity as a risk factor for poor outcomes in coronavirus disease 2019 (COVID-19). To further explore the relationship between obesity and critical illness in COVID-19, the association of BMI with baseline demographic and intensive care unit (ICU) parameters, laboratory values, and outcomes in a critically ill patient cohort was examined.MethodsIn this retrospective study, the first 277 consecutive patients admitted to Massachusetts General Hospital ICUs with laboratory-confirmed COVID-19 were examined. BMI class, initial ICU laboratory values, physiologic characteristics including gas exchange and ventilatory mechanics, and ICU interventions as clinically available were measured. Mortality, length of ICU admission, and duration of mechanical ventilation were also measured.ResultsThere was no difference found in respiratory system compliance or oxygenation between patients with and without obesity. Patients without obesity had higher initial ferritin and D-dimer levels than patients with obesity. Standard acute respiratory distress syndrome management, including prone ventilation, was equally distributed between BMI groups. There was no difference found in outcomes between BMI groups, including 30- and 60-day mortality and duration of mechanical ventilation.ConclusionsIn this cohort of critically ill patients with COVID-19, obesity was not associated with meaningful differences in respiratory physiology, inflammatory profile, or clinical outcomes

Obesity and Critical Illness in COVID-19: Respiratory Pathophysiology.

ObjectiveRecent cohort studies have identified obesity as a risk factor for poor outcomes in coronavirus disease 2019 (COVID-19). To further explore the relationship between obesity and critical illness in COVID-19, the association of BMI with baseline demographic and intensive care unit (ICU) parameters, laboratory values, and outcomes in a critically ill patient cohort was examined.MethodsIn this retrospective study, the first 277 consecutive patients admitted to Massachusetts General Hospital ICUs with laboratory-confirmed COVID-19 were examined. BMI class, initial ICU laboratory values, physiologic characteristics including gas exchange and ventilatory mechanics, and ICU interventions as clinically available were measured. Mortality, length of ICU admission, and duration of mechanical ventilation were also measured.ResultsThere was no difference found in respiratory system compliance or oxygenation between patients with and without obesity. Patients without obesity had higher initial ferritin and D-dimer levels than patients with obesity. Standard acute respiratory distress syndrome management, including prone ventilation, was equally distributed between BMI groups. There was no difference found in outcomes between BMI groups, including 30- and 60-day mortality and duration of mechanical ventilation.ConclusionsIn this cohort of critically ill patients with COVID-19, obesity was not associated with meaningful differences in respiratory physiology, inflammatory profile, or clinical outcomes

Toxicogenomic responses of the model organism Caenorhabditis elegans to gold nanoparticles

We used Au nanoparticles (Au-NPs) as a model for studying particle-specific effects of manufactured nanomaterials (MNMs) by examining the toxicogenomic responses in a model soil organism, Caenorhabditis elegans. Global genome expression for nematodes exposed to 4-nm citrate-coated Au-NPs at the LC10 level (5.9 mg·L–1) revealed significant differential expression of 797 genes. The levels of expression for five genes (apl-1, dyn-1, act-5, abu-11, and hsp-4) were confirmed independently with qRT-PCR. Seven common biological pathways associated with 38 of these genes were identified. Up-regulation of 26 pqn/abu genes from noncanonical unfolded protein response (UPR) pathway and molecular chaperones (hsp-16.1, hsp-70, hsp-3, and hsp-4) were observed and are likely indicative of endoplasmic reticulum stress. Significant increase in sensitivity to Au-NPs in a mutant from noncanonical UPR (pqn-5) suggests possible involvement of the genes from this pathway in a protective mechanism against Au-NPs. Significant responses to Au-NPs in endocytosis mutants (chc-1 and rme-2) provide evidence for endocytosis pathway being induced by Au-NPs. These results demonstrate that Au-NPs are bioavailable and cause adverse effects to C. elegans by activating both general and specific biological pathways. The experiments with mutants further support involvement of several of these pathways in Au-NP toxicity and/or detoxification