Statewide Quantitative Microbial Risk Assessment for Waterborne Viruses, Bacteria, and Protozoa in Public Water Supply Wells in Minnesota

COF nanotubes/2D nanosheets heterojunction for superior photocatalytic bactericidal activity even at low concentration and weak light

Microbial fouling is a huge nuisance to equipment operation and human health. Two-dimensional (2D) photocatalytic materials such as g-C3N4, WSe2, and Ti3C2Tx, show immense potential for solar-driven eradication of microbial fouling. However, limited photon absorption and rapid photogenerated electron-hole recombination curtail their photocatalytic efficiency and availability, resulting in the necessity to operate at high concentration and strong light. Herein, three kinds of covalent organic frameworks (COF) nanotubes/2D nanosheets heterojunctions (COF-x) were flexibly constructed by in-situ growing COF nanotubes on g-C3N4, WSe2, and Ti3C2Tx nanosheet substrates via one-pot method. The internal electric field at the COF-x coupling interface enhanced the separation and migration of photogenerated charge pairs, contributing to the antimicrobial reactive oxygen species (ROS) produced by COF-x, which was 2.8-270 times more efficient than those of nanosheets. The bactericidal effect enhanced from 34.13 %∼41.68 % of pure nanosheets to over 99.86 % of COF-x at an ultra-low concentration of 2 µg/mL and a weak visible light of 15 mW/cm2. At a low concentration of 20 µg/mL, the bactericidal rate of COF-x achieved nearly 100 % within 6 h. COF-x also showed exceptional environmental stability and antimicrobial properties under heat, light, acid, alkali, and aqueous conditions, offering a new perspective in photocatalytic antimicrobial/antifouling.

Sources and risk factors for nitrate, pathogens, and fecal contamination of private wells in rural southwestern Wisconsin, USA

Household well water can be degraded by contaminants from the land's surface, but private well owners lack means to protect the source water from neighboring disturbances. Rural residents of southwestern Wisconsin, USA, rely on private well water, and the combination of land use and fractured carbonate bedrock makes groundwater vulnerable to contamination. To identify the extent, sources, and risk factors of private well contamination, randomly selected wells sampled during two-day periods in fall (n = 301) and spring (n = 529) were analyzed for nitrate and indicator bacteria, and a subset (n = 138) was sampled across four seasonal events for analysis of pathogens and microbial source tracking markers by quantitative polymerase chain reaction. Risk factors representing land use, hydrology, geology, and well construction were analyzed for associations with contamination in multivariable models. The importance of risk factors varied by contaminant, illustrating the multifaceted nature of rural groundwater quality. Nitrate contamination was associated with agricultural land use, and wells with casings that extended below a shale aquitard accessed less contaminated water than those drawing water from above it. Human fecal microbes were detected in 64 wells (46%), and rainfall was the key risk factor for contamination, indicating that wastewater from septic systems was available to contaminate wells when transport conditions were favorable. Manure microbes from cattle/ruminants and pigs were detected in 33 and 13 wells, respectively, and concentrations increased with the hectarage of cultivated land near wells. Pathogen genes for viruses, bacteria, and protozoa were detected in 66 wells (48%), including more detections of zoonotic than human-specific pathogens, and human Bacteroides, an indicator of wastewater, was an equivocal predictor of pathogen presence in private wells. Characterizing important elements of the setting, like geology, and identifying sources and risk factors for contaminants can inform landscape-level policies to protect groundwater quality.

A risk-risk tradeoff approach for incorporating the public's risk perceptions into quantitative microbial risk assessment

In public health, risk experts often define acceptable risk targets without community input. We developed a novel method for applying behavioral microeconomics to integrate individuals' risk preferences into risk assessment. To demonstrate this methodology, we explored a risk-risk tradeoff case scenario: increased asthma risk from increased cleaning and disinfection (C&D) and increased infection risk from decreased C&D for healthcare staff. Utilizing a risk-risk tradeoff (RRTO) framework, two datasets were informed with RRTO survey data describing the risks individuals would accept for one outcome to offset risk in another (i.e., "risk target"). A quantitative microbial risk assessment (QMRA) was deployed to output "critical concentrations," viral concentrations on surfaces that yield risk targets for a single contaminated surface touch and a work shift. Critical concentrations were over four orders of magnitude larger for single-touch scenarios. Critical concentrations across risk target datasets were similar. Using the RRTO framework to inform QMRA advances the incorporation of individuals' risk preferences in risk analyses outside economics.

[Quantitative Risk Assessment of Listeria monocytogenes in Prepackaged, Non-Vacuum Sealed, Refrigerated Ready-to-Eat Cooked Meat Products in Chengdu]

Objective

To conduct a quantitative risk assessment of Listeria monocytogenes (LM) in prepackaged, non-vacuum sealed, short shelf-life, ready-to-eat meat products in Chengdu using the @Risk software.

Methods

Based on monitoring data of LM contamination in pre-packaged, non-vacuum sealed, refrigerated ready-to-eat meat products in Chengdu obtained from a previous study, a risk assessment model was established. The risk of LM infection caused by consuming cooked meat products in different groups of people was quantitatively assessed. In addition, the growth of LM in cooked meat products, from retail to consumption, was also taken into consideration in the assessment.

Results

In Chengdu, the numbers of potential cases of listeriosis caused by consumption of prepackaged, non-vacuum sealed, refrigerated ready-to-eat meat products were 0.01 (95% confidence interval [CI]: 0-1.71 × 10－2) per year per million in healthy individuals aged 5- < 65 years old, 0.22 (95% CI: 0-2.67 × 10－1) in healthy individuals aged 65 and above, and 2.88 (95% CI: 3.85 × 10－8-4.35) in pregnant women. According to the results of the sensitivity analysis, the initial pollution level of LM in the retail stage was the most important factor affecting the prevalence (R = 0.25), followed by retail temperature (R = 0.08), retail time (R = 0.07), and amount of consumption per meal (R = 0.07).

Conclusions

For pre-packaged, non-vacuum sealed, cooked meat products, the most important measure to reduce the prevalence of listeriosis is to control the initial contamination level, which requires food processing plants to regularly clean and strictly disinfect the processing environment and equipment to minimize LM contamination at the source. Retail delicatessens should strictly maintain a storage temperature below 5.0 ℃ and strictly adhere to product shelf-life recommendations. As for consumers, they should consume these meat products as soon as possible after purchase or store them under refrigerated conditions and shorten the storage time. Pregnant women should thoroughly heat the meat products before eating to reduce the risk of listeriosis.

Dynamic estimation of the soil environmental carrying capacity for Benzo(a)pyrene in an industrial city, China: Insight from both duration and rate of regional emission

An in-depth investigation of the maximum environmental load is crucial for soil security and pollution prevention. This research focused on soil environmental carrying capacity (SECC) for different risk receptors in a Chinese industrial city. By determining risk threshold for various land use types, we integrated mass balance and iterative models to capture dynamic net input fluxes with spatial heterogeneity. This enabled quantitative characterization of Benzo(a)pyrene (BaP) SECC through top-down and bottom-up approaches (corresponding to duration (D) and rate of regional emission, respectively). The thresholds were in the order of agricultural land < residential land < forest < industrial land < park. The top-down analysis showed D increased ∼1.5x with a 5% input flux decline until 2031. The bottom-up analysis suggested industrial emissions decreased by approximately 10% as the pollution control period was extended from 20 to 50 years. Both methods showed that at maximum background values (C0), D was ∼4x and the industrial emission rate was ∼10% higher than at minimum C0. SECC values near industrial areas significantly decreased, even reaching negative values, signifying complete carrying capacity loss. This study provided an approach to the dynamics of SECC under diverse scenarios, aiding informed decision-making for sustainable land management.

Risk-based critical concentrations of enteric pathogens for recreational water criteria and recommended minimum sample volumes for routine water monitoring

Concerns are rising about the contamination of recreational waters from human and animal waste, along with associated risks to public health. However, existing guidelines for managing pathogens in these environments have not yet fully integrated risk-based pathogen-specific criteria, which, along with recent advancements in indicators and markers, are essential to improve the protection of public health. This study aimed to establish risk-based critical concentration benchmarks for significant enteric pathogens, i.e., norovirus, rotavirus, adenovirus, Cryptosporidium spp., Giardia lamblia, Campylobacter jejuni, Salmonella spp., and Escherichia coli O157:H7. Applying a 0.036 risk benchmark to both marine and freshwater environments, the study identified the lowest critical concentrations for children, who are the most susceptible group. Norovirus, C. jejuni, and Cryptosporidium presented lowest median critical concentrations for virus, bacteria, and protozoa, respectively: 0.74 GC, 1.73 CFU, and 0.39 viable oocysts per 100 mL in freshwater for children. These values were then used to determine minimum sample volumes corresponding to different recovery rates for culture method, digital polymerase chain reaction and quantitative PCR methods. The results indicate that for children, norovirus required the largest sample volumes of freshwater and marine water (52.08 to 178.57 L, based on the 5th percentile with a 10 % recovery rate), reflecting its low critical concentration and high potential for causing illness. In contrast, adenovirus and rotavirus required significantly smaller volumes (approximately 0.24 to 1.33 L). C. jejuni and Cryptosporidium, which required the highest sampling volumes for bacteria and protozoa, needed 1.72 to 11.09 L and 4.17 to 25.51 L, respectively. Additionally, the presented risk-based framework could provide a model for establishing pathogen thresholds, potentially guiding the creation of extensive risk-based criteria for various pathogens in recreational waters, thus aiding public health authorities in decision-making, strengthening pathogen monitoring, and improving water quality testing accuracy for enhanced health protection.

Quantitative Assessment of Human Health Risks Associated with Heavy Metal and Bacterial Pollution in Groundwater from Mankweng in Limpopo Province, South Africa

Heavy metal and microbial pollution in groundwater raises health concerns due to its adverse effects. This study aimed to assess the health risks associated with heavy metal and bacterial pollution in groundwater in Mankweng. Heavy metals and Escherichia coli were detected using inductively coupled plasma mass spectrophotometry and a Colilert system, respectively. The heavy metal pollution index (HPI) and non-carcinogenic and carcinogenic risks were computed. The β-Poisson dose-response model was employed to predict the probability of E. coli infection. The metals' concentrations were all within the permissible limits of the South African National Standard (SANS). However, Pb levels at sites E and G exceeded the World Health Organization (WHO) guideline (≤0.01 mg/L). HPI values were all less than 100, indicative of low contamination. The hazard quotient values were all less than 1, except for vanadium. The cumulative cancer risk ranged between 3.06 × 10-5 and 1.81 × 10-4 and between 3.55 × 10-5 and 2.20 × 10-4 for adults and children, respectively. E. coli was only detected at site L. The annual risk of E. coli infection exceeded the WHO risk limit of 10-4. The results underscore the need for the regular monitoring of groundwater.

Risk factors for Cryptosporidium contamination in Minnesota public supply wells

In a recent monitoring study of Minnesota's public supply wells, Cryptosporidium was commonly detected with 40% of the wells having at least one detection. Risk factors for Cryptosporidium occurrence in drinking water supply wells, beyond surface water influence, remain poorly understood. To address this gap, physical and chemical factors were assessed as potential predictors of Cryptosporidium occurrence in 135 public supply wells in Minnesota. Univariable analysis, regression techniques, and classification trees were used to analyze the data. Many variables were identified as significant risk factors in univariable analysis and several remained significant throughout the succeeding analysis techniques. These factors fell into general categories of well use and construction, aquifer characteristics, and connectedness to the land surface, well capture zones, and land use therein, existence of potential contaminant sources within 200-feet of the well, and variability in the chemical and isotopic parameters measured during the study. These risk categories, and the specific variables and threshold values we have identified, can help guide future research on factors influencing Cryptosporidium contamination of wells and can be used by environmental health programs to develop risk-based sampling plans and design interventions that reduce associated health risks.

Occurrence, transmission and risks assessment of pathogens in aquatic environments accessible to humans

Pathogens are ubiquitously detected in various natural and engineered water systems, posing potential threats to public health. However, it remains unclear which human-accessible waters are hotspots for pathogens, how pathogens transmit to these waters, and what level of health risk associated with pathogens in these environments. This review collaboratively focuses and summarizes the contamination levels of pathogens on the 5 water systems accessible to humans (natural water, drinking water, recreational water, wastewater, and reclaimed water). Then, we showcase the pathways, influencing factors and simulation models of pathogens transmission and survival. Further, we compare the health risk levels of various pathogens through Quantitative Microbial Risk Assessment (QMRA), and assess the limitations of water-associated QMRA application. Pathogen levels in wastewater are consistently higher than in other water systems, with no significant variation for Cryptosporidium spp. among five water systems. Hydraulic conditions primarily govern the transmission of pathogens into human-accessible waters, while environmental factors such as temperature impact pathogens survival. The median and mean values of computed public health risk levels posed by pathogens consistently surpass safety thresholds, particularly in the context of recreational waters. Despite the highest pathogens levels found in wastewater, the calculated health risk is significantly lower than in other water systems. Except pathogens concentration, variables like the exposure mode, extent, and frequency are also crucial factors influencing the public health risk in water systems. This review shares valuable insights to the more accurate assessment and comprehensive management of public health risk in human-accessible water environments.

Quantitative Risk Assessment of Five Foodborne Viruses in Shellfish Based on Multiplex qPCR

Foodborne diseases are currently the most critical food safety issue in the world. There are not many hazard identification and exposure assessments for foodborne viruses (Norovirus GI, GII, Hepatitis A Virus, Rotavirus, Adenovirus) in shellfish. Multiplex qPCR for the simultaneous detection of five foodborne viruses was established and used to assess infection risk based on a 1-year pathogenesis study. The sensitivity, specificity and reproducibility of the multiplex qPCR method are consistent with that of conventional qPCR, which saves more time and effort. Overall, 37.86% of shellfish samples had one or more foodborne viruses. Risk assessment formulae and matrices were used to develop risk assessments for different age groups, different seasons and different shellfish. The annual probability of contracting a foodborne virus infection from shellfish is greater than 1.6 × 10-1 for all populations, and even for infants aged 0-4 years, it is greater than 1.5 × 10-2, which is much higher than the risk thresholds recommended by WHO (10-6) and the US EPA (10-4). High risk (level IV) is associated with springtime, and medium risk (level III) is associated with Mussel consumption. This study provides a basis for the risk of foodborne viral infections in people of different ages, in different seasons, and by consuming different shellfish.

Community intervention trial for estimating risk of acute gastrointestinal illness from groundwater-supplied non-disinfected drinking water

By community intervention in 14 non-disinfecting municipal water systems, we quantified sporadic acute gastrointestinal illness (AGI) attributable to groundwater. Ultraviolet (UV) disinfection was installed on all supply wells of intervention communities. In control communities, residents continued to drink non-disinfected groundwater. Intervention and control communities switched treatments by moving UV disinfection units at the study midpoint (crossover design). Study participants (n = 1,659) completed weekly health diaries during four 12-week surveillance periods. Water supply wells were analyzed monthly for enteric pathogenic viruses. Using the crossover design, groundwater-borne AGI was not observed. However, virus types and quantity in supply wells changed through the study, suggesting that exposure was not constant. Alternatively, we compared AGI incidence between intervention and control communities within the same surveillance period. During Period 1, norovirus contaminated wells and AGI attributable risk from well water was 19% (95% CI, -4%, 36%) for children <5 years and 15% (95% CI, -9%, 33%) for adults. During Period 3, echovirus 11 contaminated wells and UV disinfection slightly reduced AGI in adults. Estimates of AGI attributable risks from drinking non-disinfected groundwater were highly variable, but appeared greatest during times when supply wells were contaminated with specific AGI-etiologic viruses.

Prevalence and whole-genome sequencing characterization of Salmonella in urban karst groundwater and predominantly groundwater-fed surface waters for serotypes and antimicrobial resistance

Karst aquifers provide a significant source of drinking water around the world; however, they are prone to bacterial contamination. We investigated the prevalence, serotypes, and antimicrobial resistance genes (ARGs) of Salmonella in urban karst groundwater and groundwater-fed surface waters. Weekly water samples (n = 443) were collected from nine groundwater sites and the Barren River in Bowling Green, KY. Additionally, cross-sectional samples were collected from 45 sites, including groundwaters and two rivers, in Tampa, FL. Salmonella was detected in 14.5% of Bowling Green samples resulting in 176 isolates representing 18 serotypes. Two (4.4%) of the Tampa samples were positive yielding eight isolates representing two serotypes. In Bowling Green, Salmonella prevalence varied by sampling site, week, month, and season, with the highest prevalence in surface water in the month of November and during summer. Salmonella Newport was the most common serotype detected. Nine of the serotypes detected in the study were among the top 20 serotypes commonly associated with human infections in the United States. Isolates were clustered with human clinical isolates, or isolates obtained from food animals, suggesting the importance of humans and agricultural practices as a source of water contamination. ARGs were detected in 12.5% (n = 176) of the Bowling Green isolates; overall, 81.8% (n = 22) of these were multidrug-resistant (resistance to ≥3 antimicrobial classes). Notably, the four Salmonella Agona isolates were resistant to four antimicrobial classes, mercury, and quaternary ammonium compounds. Seasonality and the widespread occurrence of Salmonella both in the groundwater and groundwater-fed surface waters is a potential risk to public health.

Study design and methods of the Wells and Enteric disease Transmission (WET) Trial: a randomised controlled trial

INTRODUCTION

The burden of disease attributed to drinking water from private wells is not well characterised. The Wells and Enteric disease Transmission trial is the first randomised controlled trial to estimate the burden of disease that can be attributed to the consumption of untreated private well water. To estimate the attributable incidence of gastrointestinal illness (GI) associated with private well water, we will test if the household treatment of well water by ultraviolet light (active UV device) versus sham (inactive UV device) decreases the incidence of GI in children under 5 years of age.

METHODS AND ANALYSIS

The trial will enrol (on a rolling basis) 908 families in Pennsylvania, USA, that rely on private wells and have a child 3 years old or younger. Participating families are randomised to either an active whole-house UV device or a sham device. During follow-up, families will respond to weekly text messages to report the presence of signs and symptoms of gastrointestinal or respiratory illness and will be directed to an illness questionnaire when signs/symptoms are present. These data will be used to compare the incidence of waterborne illness between the two study groups. A randomly selected subcohort submits untreated well water samples and biological specimens (stool and saliva) from the participating child in both the presence and absence of signs/symptoms. Samples are analysed for the presence of common waterborne pathogens (stool and water) or immunoconversion to these pathogens (saliva).

ETHICS

Approval has been obtained from Temple University's Institutional Review Board (Protocol 25665). The results of the trial will be published in peer-reviewed journals.

TRIAL REGISTRATION NUMBER

NCT04826991.